During the first trimester a woman can expect which of the ...

[renzo156]

During the first trimester a woman can expect which of the following changes in her sexual desire?
 
  a. An increase, because of enlarging breasts
  b. A decrease, because of nausea and fatigue
  c. No change
  d. An increase, because of increased levels of female hormones

Question 2

A goal of Healthy People 2010 is full immunization of 95 of children in kindergarten and first grade in the United States. To help reach this goal, the school nurse can teach families about which of the following?
 
  1. A minor illness with a low-grade fever is a contraindication to receiving an immunization.
  2. Vaccines should be given one at a time for optimum active immunity.
  3. Premature infants and low-birth-weight infants should receive half-doses of vaccines for protection from communicable diseases.
  4. The risks of communicable diseases and the risks and benefits of vaccines from vaccine information statements as required by the National Vaccine Injury Act of 1986 and 1993

[mmj22343]

Answer to Question 1

B

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A During pregnancy the breasts may become enlarged and tender; this tends to in-terfere with coitus, thereby decreasing the desire to engage in sexual activity.
B Maternal physiologic changes such as breast enlargement, nausea, fatigue, ab-dominal changes, perineal enlargement, leukorrhea, pelvic vasocongestion, and orgasmic responses may affect sexuality and sexual expression. Libido may be depressed in the first trimester but often increases during the second and third trimesters.
C Libido may be depressed in the first trimester but often increases during the second and third trimesters.
D Maternal physiologic changes such as breast enlargement, nausea, fatigue, ab-dominal changes, perineal enlargement, leukorrhea, pelvic vasocongestion, and orgasmic responses may affect sexuality and sexual expression.

Answer to Question 2

4
Rationale:
1. A minor illness is not a contraindication to immunization.
2. Giving vaccines one at a time will result in many missed opportunities.
3. Half-doses of vaccines should not be given routinely to premature and low-birth-weight infants.
4. The risks and benefits of vaccines far outweigh the risks from communicable diseases and the resulting complications.