Your 47-year-old female patient has a waist to hip ratio of 1. In terms of cardiovascular disease risk, this is considered:
A. Ideal
B. Greater than acceptable limits
C. Less than acceptable limits
D. Within acceptable limits
ANS: B
The physical examination includes measurement of height and weight to calculate body mass index (BMI). The formula for calculating BMI is wt(kg)/ht(m2). A waist/hip ratio is also an indicator for risk of heart disease. A ratio greater than 0.85 for women and greater than 0.95 for men is considered to place individuals at increased risk, especially if accompanied by hyperinsulinemia or diabetes. These are part of a constellation of symptoms termed metabolic syndrome that indicates the greatest risk for the development of heart disease.
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A nurse is assessing the medical history of a client presenting for an office visit. Which assessment finding is most likely to indicate a possible injury to endothelial cells?
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A laboring client's obstetrician has suggested amniotomy as a method for inducing labor. Which assessment(s) must be made just before the amniotomy is performed?
1. Maternal temperature, BP, and pulse 2. Estimation of fetal birth weight 3. Fetal presentation, position, and station 4. Biparietal diameter
Which female reproductive tract structure would the nurse describe to a group of young women as containing rugae that enable it to dilate during labor and birth?
A) Cervix B) Fallopian tube C) Vagina D) Vulva