Author Question: The nurse is caring for a 22-year-old woman who has come in for a routine examination. The patient ... (Read 51 times)

B · **on:** Jul 22, 2018

The nurse is caring for a 22-year-old woman who has come in for a routine examination. The patient asks about how often she should perform breast self-examinations and get a mammogram. The nurse should inform the patient of which of the following?

a. Monthly breast self-examinations are optional for women in their twenties and thirties.
b. Women less than 40 need a clinical breast exam by a health care provider yearly.
c. Asymptomatic women need mammograms yearly until age 40.
d. Women greater than age 40 need mammograms every 6 months.

Question 2

A nurse is giving anticipatory guidance to the mother of a 10-month-old child. The nurse is focusing on providing a safe environment for the child. Which of the following is the best statement regarding childhood safety?

a. The car seat should be placed in a forward-facing position.
b. The majority of deaths in children between the ages of 1 and 3 years old are caused by contagious diseases.
c. Injuries are a major cause of death during infancy, especially for children 6 to 12 months old.
d. Measles causes more deaths in children younger than 5 years old than all other diseases combined.

chinwesucks · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Monthly BSE is an option for women in their twenties and thirties. Women 20 years of age and older need to report any breast changes to a health care provider immediately. Women need a clinical breast examination by a health care provider every 3 years from age 20 to 40, and yearly for women greater than age 40 . Women with a family history of breast cancer need a yearly examination by a health care provider. Asymptomatic women need a screening mammogram by age 40; women age 40 and older need an annual mammogram. For women with an increased risk, the ACS recommends discussion of screening options and additional testing with a health care provider.

Answer to Question 2

C
Injuries, not contagious diseases, are a major cause of death during infancy, especially for children 6 to 12 months old. The leading causes of injury to infants are falls, ingestion injuries (poison, foreign body ingestion, and medication), and burns. Aspiration often occurs from the ingestion of foreign material such as small toys and food items. The question is asking for a safe environment assessment and childhood safety; measles is an illness/disease caused by a pathogen and does not relate to providing a safe environment or information about childhood safety. All infants and toddlers should ride in a rear-facing car safety seat until they are 2 years of age or until they reach the highest weight or height allowed by the manufacturer of the car seat.