Mrs. Kemmerer is a 56-year-old patient who presents to the office for a routine annual examina-tion. She states that she completed menopause 3 years ago and has not had further menses. Which breast change is typical after menopause?

a. Thickening of the inframammary ridge
b. Hypertrophy of glandular tissue
c. Increase in number of lactiferous ducts
d. Reduction of fat deposits


A
After menopause, the breast tissue atrophies and is replaced by fat deposits, the inframammary ridge at the lower edge of the breast thickens, and the breast hangs more loosely.

Nursing

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The student nurse in the perinatal clinic asks why it is so important to screen women for intimate partner violence during the first prenatal visit. What information does the registered nurse provide the student? (Select all that apply.)

A. Approximately one in three women has been a victim of abuse. B. Intimate partner violence is more common than preeclampsia. C. Many women may abuse substances to cope with the violence. D. Partners abuse over 300,000 pregnant women each year. E. Violence rarely occurs for the first time during pregnancy.

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A child with an atrial septal defect (ASD) cannot have surgery without appropriate growth. Which suggestion by the nurse is most appropriate to facilitate weight gain for this child?

A) Buy the child a rocking horse. B) Sign the child up for swimming lessons. C) Take the child to the park to play on the swings. D) Conserve the child's energy use.

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A client is 6 centimeters dilated, but she has a strong urge to push. The best nursing action at this time is to

a. closely observe the fetal heart rate for variable decelerations b. give the client a prescribed sedative c. position the client on her side d. suggest that the client use a panting pattern of breathing

Nursing

A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy. The nurse's first responsibility would be to:

1. Contact the social worker. 2. Develop a trusting relationship. 3. Schedule the patient for prenatal classes. 4. Teach the patient about proper nutrition.

Nursing