A nurse midwife has prescribed hormone replacement therapy (HRT) to treat the symptoms and discomforts of a client experiencing menopause. Which of the following is considered a possible risk related to HRT?
A) Higher risk of breast cancer
B) Higher risk of cervical cancer
C) Vaginal dryness
D) Higher risk for endometriosis
A
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Hormone replacement therapy (HRT) may be prescribed to treat severe symptoms and discomforts. Estrogen replacement therapy lasting longer than 8 years has been associated with a higher risk of breast cancer. Some researchers have theorized that hormone use increases a woman's tendency toward uterine cancer. Other research shows that conjugated estrogens, in combination with medroxyprogesterone acetate (Provera), help reduce the risk of later cervical cancer. Vaginal dryness is a side effect of menopause. The cause of endometriosis is unknown, but it usually affects women between the ages of 25 and 45 years and is not related to HRT.
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The nurse is caring for a postoperative orthopedic patient who has two Hemovac drains in place. Which interventions should the nurse perform? (Select all that apply.)
a. Measure the amount of drainage in the device prior to emptying. b. Label each drain and record them separately. c. Recompress the device after emptying. d. Secure the device to the patient's gown above the level of the wound. e. Check for kinks in the tubing.
During the assessment of a 2-month-old infant's reflexes, the nurse placed a finger in the baby's hand and pressed against the palm. The baby flexed all fingers to grasp the nurse's finger. How would the nurse document this finding?
A) Plantar grasp reflex intact B) Moro reflex intact C) Support reflex intact D) Palmar grasp reflex intact
Which statement by a 52-year-old female patient admitted for evaluation of migraines reflects the changes that occur in middle adulthood?
Select all that apply. 1. "I am embarrassed by the amount of weight I have gained each year." 2. "I have recently been put on a lipid-lowering agent for an increase in my cholesterol levels." 3. "I worry about getting breast cancer like my friend who is the same age." 4. "I have been lonely since my children all married and moved far away." 5. "I am concerned about coping with an unplanned pregnancy."
Which of the following time-based descriptions of a stage of development of pregnancy is accurate?
1. Viability: 22 to 37 weeks since last menstrual period (assuming fetal weight greater than 500 g) 2. Term: pregnancy from beginning of week 38 of gestation to the end of week 42 3. Preterm: pregnancy from 20 to 28 weeks 4. Postdate: pregnancy that goes beyond 38 weeks