All of the following women should be referred for a screening mammogram except
1. Cara is 46 years old. She has no family history of breast cancer and has never had a mammogram.
2. Dorothy is 38 years old. She has a positive family history of breast cancer (mother at age 42) and has never had a mammogram.
3. Emma is 52 years old. She has no family history of breast cancer and had a mammogram 18 months ago.
4. Fran is 41 years old. She has no family history of breast cancer but she thought she felt a lump in her right breast.
5. Gillian is 33 years old. She has a positive history of breast cancer (maternal grandmother at age 66) and has never had a mammogram.
Question 2
When performing nutrition counseling during prenatal visits, nurses should stress all of the following information except
1. All women of childbearing age should consume 0.4 mg of folic acid each day through diet or through supplementation to help prevent fetal abnormalities.
2. Basic nutritional recommendations for pregnant women are to increase their caloric intake by approximately 15 and eat one or two additional servings of dairy products.
3. It is important to hold weight gain to around 20 pounds during pregnancy; this is particularly true for older women and ethnic minorities who tend to be obese.
4. Iron supplements are needed by almost all pregnant women to promote fetal and placental growth and increase maternal red blood cell mass.
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