A patient who is attending a family planning clinic is instructed in breast self-examination by a nurse.
Which statement by the patient would indicate that she understands the instructions?

“I will perform breast self-examination on the first day of my period.”.

“I will palpate my breasts to assure that any lumps that are present are present in both breasts.”.

“I will palpate my breasts using the padded sections of my fingers.”.

“I will look at my breasts while standing sideways in front of the mirror.”.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. The patient should palpate her breasts using the padded sections of her fingers. This is the recommended technique for breast self-examination, as it allows the patient to feel any changes or lumps in the breast tissue.

Choice A is wrong because the patient should perform breast self-examination at the same time each month, preferably a few days after the menstrual period ends when the breasts are less likely to be swollen or tender.

Choice B is wrong because the patient should not assume that any lumps that are present in both breasts are normal. Some breast cancers can affect both breasts, and any new or unusual lumps should be reported to a doctor.

Choice D is wrong because the patient should look at her breasts while standing in front of the mirror with her arms at her sides, raised overhead, and pressed firmly on her hips. She should also look for any changes in the shape, size, color, or texture of her breasts and nipples.

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Correct Answer is A

Explanation

The correct answer is choice A. The patient uses the sitz bath three times a day.This indicates that the patient understands the benefits of sitz baths for postpartum recovery, such as pain relief, increased blood flow, relaxation, cleansing, and itch relief.Sitz baths can be done with warm or cool water, depending on the preference of the patient.However, they should not be done for more than 20 minutes at a time, as this can cause the stitches in the perineal area to fall apart.

Therefore, choice C is wrong.Choice B is also wrong, as there is no evidence that alternating between warm and cool sitz baths has any additional benefits or effects.

Choice D is wrong, as tightening and relaxing the perineal muscles during a sitz bath is not recommended.This can cause more pain and irritation to the area, and interfere with the healing process.The normal ranges for sitz baths are two to four times a day for up to 20 minutes each.

A. Try to limit your intake of spicy foods. B. Limit your intake of liquids to about a quart a day. C. Be sure to urinate at least every two hours. D. Rest on your side as much as possible.

Correct Answer is D

Explanation

The correct answer is choice D. Rest on your side as much as possible.This is because resting on the side can improve blood flow to the placenta and lower blood pressure.It can also reduce the risk of supine hypotensive syndrome, which occurs when the weight of the uterus compresses the inferior vena cava and reduces venous return.

Choice A is wrong because spicy foods have no effect on blood pressure or pregnancy outcomes.Choice B is wrong because limiting fluid intake can lead to dehydration and increase blood viscosity, which can worsen hypertension.Choice C is wrong because urinating frequently does not lower blood pressure or prevent complications of pregnancy-induced hypertension.

Pregnancy-induced hypertension (PIH) is a condition that causes high blood pressure during pregnancy.It can lead to serious problems for both the mother and the baby, such as pre-eclampsia, eclampsia, placental abruption, fetal growth restriction, and stillbirth.

Women with PIH should follow their doctor’s advice on medication, diet, exercise, and monitoring.They should also report any symptoms of pre-eclampsia, such as severe headache, blurred vision, abdominal pain, or swelling.

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A patient who is attending a family planning clinic is instructed in breast self-examination by a nurse. Which statement by the patient would indicate that she understands the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse instructs a postpartum patient in the use of a sitz bath. Which action by the patient indicates that the teaching was effective?

Correct Answer is A

Explanation

A patient who is 34 weeks pregnant attends the antepartal clinic and is diagnosed with mild pregnancy-induced hypertension (PIH). The decision is made to treat the patient at home. Which instruction would be most appropriate to give to the patient?

Correct Answer is D

Explanation

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he nurse instructs a woman who is attending the infertility clinic about strategies designed to facilitate conception. Which statement by the patient would indicate that she understands the instructions?

A patient who is attending a family planning clinic is instructed in breast self-examination by a nurse.
Which statement by the patient would indicate that she understands the instructions?