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

Rubella immunization should be given in the early postpartum period.This is because rubella infection during pregnancy can cause serious birth defects or miscarriage, and rubella vaccine is contraindicated during pregnancy.Therefore, the best time to vaccinate a woman who is not immune to rubella is after she delivers her baby.

Choice B is wrong because gamma globulin is not effective for preventing rubella infection or congenital rubella syndrome (CRS).Gamma globulin is a preparation of antibodies that can provide temporary protection against some infections, but it does not induce lasting immunity.

Choice C is wrong because gamma globulin should not be given at the next visit for the same reason as choice B.Moreover, gamma globulin can interfere with the response to live vaccines such as rubella vaccine, so it should not be given within 3 months before or after vaccination.

Choice D is wrong because rubella immunization should not be given at the next visit or during pregnancy, as it can pose a risk to the fetus.Rubella vaccine is a live attenuated virus vaccine that can cross the placenta and infect the fetus.The risk of CRS from vaccination during pregnancy is low, but it cannot be ruled out completely.Therefore, women who receive rubella vaccine should avoid pregnancy for at least 4 weeks after vaccination.

A. Making a loud sound within close range of the newborn. B. Firmly stroking the soles of the newborn’s feet with a thumb nail. C. Using the newborn’s hands to raise the baby from a supine position without supporting the head. D. Holding the newborn in an upright position so that the infant’s feet touch a cool, flat surface.

Correct Answer is A

No explanation

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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?

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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?