Answer to Question 1
C
The perimenopausal and menopausal woman may have diminished vaginal lubrication due to decreased levels of estrogen. Suggestions such as using a vaginal lubricant and creating time for caressing and tenderness can help to ease adjustment to normal changes related to aging.
Some physical changes may affect sexuality as the client ages. The client should be educated on the expected changes and how best to address them.
If the nurse is uncomfortable discussing sexual issues with the client, then he or she should ask another nurse who is comfortable to talk with the client. A sex therapist is not necessary in this situation. Sex therapists address more complex sexual issues.
Decreasing the frequency of intercourse would not promote healthy sexual relations.
Answer to Question 2
D
This could be a situational crisis for a lone-parent family. The nurse should assess environmental and familial factors, including support systems and coping mechanisms commonly used.
Asking the client whether she has ever been married does not assess her ability to cope with the pregnancy.
Asking the client where she works may help determine if any environmental factors may place her pregnancy at risk, but does not assess her ability to cope with the pregnancy.
This would not be the most opportune time to discuss contraception with the client and may convey a message of disapproval, and asking the client about contraception does not assess her ability to cope with the pregnancy.
In dihedral symmetry, all subunits can be related by rotation
The Advance of Woman Suffrage
Average Number of Days per Year with Thunderstorms
G-banded karyotype of a normal human male
Normal karyotype of a human male