A nurse is preparing a class discussion on the clinical manifestations of a heart attack observed in women. Which symptoms would the nurse include as key assessment data? Select all that apply.

Choice A: Sexual experience is not the correct answer because it is not related to female reproductive development. Sexual experience is a personal and subjective term that can vary depending on the individual's definition, values, and preferences. It has no biological or physiological significance for female reproductive development.

Choice B: Menstrual period is the correct answer because it is related to female reproductive development. The menstrual period is a cyclic phenomenon that occurs when the endometrium (the lining of the uterus) is shed along with blood and mucus through the vagina. It marks the onset of puberty and fertility in females. Menarche is the term used to describe the first menstrual period in a woman's life.

Choice C: Sign of breast development is not the correct answer because it is not related to female reproductive development. A sign of breast development is a physical change that occurs during puberty in females. It involves the growth and maturation of the mammary glands, which are responsible for producing milk during lactation. However, it does not indicate the start of menstruation or fertility in females.

Choice A: Sleep disturbances are the correct answer because they are a symptom of a heart attack observed in women. Sleep disturbances are problems that affect the quality or quantity of sleep, such as insomnia, nightmares, or snoring. They can indicate that the heart is not pumping enough blood and oxygen to meet the body's needs during sleep. About 48% of women who have had a heart attack report having sleep disturbances in the weeks before their event.

Choice B: Syncope is not the correct answer because it is not a symptom of a heart attack observed in women. Syncope is a condition that causes a temporary loss of consciousness due to a drop in blood pressure or blood flow to the brain. It can be caused by various factors such as dehydration, medication side effects, or cardiac arrhythmias. However, it is not a common sign of a heart attack in women, and only about 12% of women who have had a heart attack report having syncope before their event.

Choice C: Unusual fatigue is the correct answer because it is a symptom of a heart attack observed in women. Unusual fatigue is a feeling of extreme tiredness or exhaustion that is not relieved by rest or sleep. It can indicate that the heart is not pumping enough blood and oxygen to meet the body's needs during daily activities. About 70% of women who have had a heart attack report having unusual fatigue in the weeks before their event.

Choice D: Extreme hunger is not the correct answer because it is not a symptom of a heart attack observed in women. Extreme hunger is a feeling of intense or excessive appetite or craving for food. It can be caused by various factors such as diabetes, thyroid disorder, or stress. However, it is not a sign of a heart attack in women, and only about 4% of women who have had a heart attack report having extreme hunger before their event.

Choice E: Arm pain is the correct answer because it is a symptom of a heart attack observed in women. Arm pain is a feeling of discomfort or ache in one or both arms, especially the left arm. It can indicate that the heart muscle is not receiving enough blood and oxygen due to a blocked coronary artery. About 42% of women who have had a heart attack report having arm pain before their event.