When assessing a woman who has been unable to conceive, which factor would the nurse least likely identify as a potential risk in her history?

Choice A rationale
CA-125 testing is a blood test used to monitor certain types of cancer, including ovarian cancer. However, it is not the primary diagnostic test for endometrial cancer.
Choice B rationale
Transvaginal ultrasound is often one of the first tests used to look at the uterus in women with possible gynecologic problems. It provides images of the uterus and can help doctors look for signs of endometrial cancer.
Choice C rationale
A Papanicolaou test, also known as a Pap smear, is used to detect cervical cancer. While it’s an important part of women’s health screening, it’s not the primary test used to diagnose endometrial cancer.
Choice D rationale
Mammography is a specific type of imaging that uses a low-dose x-ray system to see inside the breasts. It is used to aid in the early detection and diagnosis of breast diseases in women. It is not used for diagnosing endometrial cancer.

Choice A rationale
Unlabored irregular respirations are not typically associated with respiratory distress in a neonate. In fact, newborns naturally have irregular breathing patterns, which can range from fast and shallow to slow and deep.
Choice B rationale
Grunting is a common symptom of respiratory distress in neonates. This is an involuntary noise that a baby makes when exhaling. It’s the baby’s attempt to keep air in the lungs to help them stay open and filled with air.
Choice C rationale
While apneic periods (pauses in breathing) can occur in neonates, a 5-second pause is within the normal range. Apnea of concern in neonates, particularly those with respiratory distress, is usually defined as cessation of breathing for 20 seconds or longer, or a shorter pause if it is accompanied by a slow heart rate or low oxygen levels.
Choice D rationale
Nasal flaring, where the nostrils spread open during breathing, is another common sign of respiratory distress in neonates. It’s an indication that the baby is having to work harder to breathe.
Choice E rationale
Use of accessory muscles is a sign of respiratory distress in neonates. This means the baby is using additional muscles (other than the diaphragm and chest muscles) to breathe. This can be seen as indrawing or retractions, where the skin pulls in between the ribs or the neck sinks in with each breath.