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Wearing gloves while gardening is a recommended practice after a mastectomy, especially on the side where lymph nodes have been removed. This is to protect the skin and reduce the risk of infection, which could trigger lymphedema.

It is indeed recommended that blood pressures be taken in the unaffected arm after a mastectomy. This is because the pressure from the cuff can obstruct lymph flow and potentially trigger lymphedema in the arm where lymph nodes have been removed. Choice C rationale
Wearing clothing with elastic sleeves is not recommended after a mastectomy. Elastic bands can restrict lymph flow and increase the risk of lymphedema.

Similar to blood pressure measurements, it is recommended that blood specimens be drawn from the unaffected arm after a mastectomy. This is to avoid injury to the lymphatic system in the arm where lymph nodes have been removed, which could trigger lymphedema.

While oral contraceptives can indirectly lead to ovulation in some women with PCOS by regulating their menstrual cycles, they are not typically used to directly induce ovulation. Other medications, such as clomiphene or letrozole, are more commonly used for this purpose.

While insulin resistance is a common feature of PCOS, oral contraceptives are not typically used to improve insulin uptake. Other medications, such as metformin, are more commonly used for this purpose.

While oral contraceptives can help alleviate hirsutism (excessive hair growth) in women with PCOS by reducing levels of circulating androgens, this is typically considered a secondary benefit rather than the primary rationale for their use.

Bacterial vaginosis is a common vaginal infection that can cause a thin, white or gray vaginal discharge with a fishy smell. However, the discharge is typically not described as frothy or yellow-green.

Chlamydia is a sexually transmitted infection that can cause a variety of symptoms, but a frothy, yellow-green discharge is not typically one of them. Symptoms of chlamydia in women can include abnormal vaginal discharge, but it is often described as mucopurulent (resembling mucus or pus) rather than frothy.

Gonorrhea is a sexually transmitted infection that can cause a variety of symptoms, but a frothy, yellow-green discharge is not typically one of them. Women with gonorrhea may experience increased vaginal discharge, but it is often described as thin and watery or thick and purulent, not frothy.

Atelectasis, or collapse of part or all of a lung, is a potential complication of respiratory distress syndrome in neonates. However, it would not typically cause symptoms such as increased feeding without weight gain, abdominal distention, and vomiting.

Congenital cardiac disease could potentially cause symptoms such as increased feeding without weight gain, but it would not typically cause abdominal distention and vomiting. Furthermore, congenital cardiac disease would likely have been detected prior to the onset of respiratory distress syndrome.

An allergy to infant formula could potentially cause symptoms such as increased feeding without weight gain, abdominal distention, and vomiting. However, this would not typically be associated with respiratory distress syndrome. .

A negative pregnancy test is not the priority in this case. While it’s important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), it’s not the most critical finding.

A hemoglobin level of 10.1 g/dl is slightly low but within acceptable limits for many individuals. While it could indicate some degree of anemia possibly due to chronic blood loss, it’s not as immediately concerning as a coagulation disorder.

A serum cholesterol level of 140 mg/dl is within the normal range and is not directly related to AUB1.

A purpuric rash is not a typical outcome of phototherapy. It could be a sign of a different medical condition and should be evaluated by a healthcare provider.

Clear, transparent urine is not specifically associated with phototherapy. Urine color can be influenced by many factors, including hydration status and certain medical conditions.

Choice D rationale
Lethargy is not a typical outcome of phototherapy. If a baby appears lethargic, it could be a sign of a serious condition that needs immediate medical attention.

Hot flashes are typically associated with menopause, not endometriosis. They occur due to changes in hormone levels, particularly a decrease in estrogen.

Fluid retention is not specifically associated with endometriosis. It can occur due to a variety of conditions, including hormonal changes, dietary factors, and certain medications.

Fever is not a typical symptom of endometriosis. It’s more commonly associated with infections or inflammatory conditions.

Hypothermia, decreased muscle tone, and a weak sucking reflex are not typically exhibited by newborns whose mothers are substance abusers. These symptoms could be indicative of other medical conditions.

Excessive sleep, a weak cry, and a diminished grasp reflex are not the most common behaviors exhibited by newborns of substance-abusing mothers.

Circumoral cyanosis, a hyperactive Babinski reflex, and constipation are not typically seen in newborns of substance-abusing mothers. These symptoms could be indicative of other medical conditions.