An infertile woman is about to begin pharmacologic treatment. As part of the regimen, she will take purified FSH (Metrodin). The nurse instructs her that this medication is administered in the form of what?

Correct Answer: C

Rationale: The correct answer is C) Intramuscular (IM) injection. Purified FSH (Metrodin) is typically administered through intramuscular injection. This route ensures the medication is delivered directly into the muscle, allowing for efficient absorption into the bloodstream. Option A) Intranasal spray is not the correct form for administering purified FSH. Intranasal sprays are typically used for medications that are absorbed through the nasal mucosa, not for hormones like FSH. Option B) Vaginal suppository is also an incorrect form of administration for purified FSH. Vaginal suppositories are usually used for medications that need to be absorbed through the vaginal mucosa, not for hormones like FSH. Option D) Tablet is not the correct form for purified FSH. FSH is a protein hormone that would be broken down in the digestive system if taken orally, making it ineffective. Understanding the appropriate route of administration for medications is crucial in healthcare. In the case of infertility treatments like purified FSH, the correct administration method (intramuscular injection) ensures optimal effectiveness of the medication in helping the patient achieve the desired therapeutic outcomes.

Correct Answer: C

Rationale: In this scenario, option C) "Wearing clothing with snug sleeves to support the tissue of the arm on the operative side" is the correct choice. After a mastectomy, it is important for the client to wear loose-fitting clothing to prevent constriction and support the arm on the operative side. Tight clothing can impede lymphatic drainage and increase the risk of lymphedema, a common complication post-mastectomy. Option A) "Emptying surgical drains twice a day and as needed" is a necessary post-operative task to prevent fluid buildup but not directly related to activity restriction. Option B) "Lifting more than 4.5 kg (10 lb) or reaching above her head until given permission by her surgeon" is crucial advice to prevent strain on the surgical site and promote proper healing. Option D) "Immediately reporting inflammation that develops at the incision site or in the affected arm" is also important for early detection of infection but not directly related to activity restrictions post-mastectomy. Educationally, understanding these activity restrictions and precautions post-mastectomy is crucial for nurses and healthcare providers to ensure optimal recovery and prevent complications for their clients. Proper patient education on these matters can significantly impact the client's quality of life and overall health outcomes.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Galactorrhea. Galactorrhea is the term used to describe spontaneous flow of milk from the breast unrelated to breastfeeding. This condition is often caused by hormonal imbalances, medications, thyroid issues, or stress. Milky, sticky breast discharge is a common symptom of galactorrhea. Option A) Relative inflammatory lesion is incorrect because it does not specifically relate to milky, sticky breast discharge. Option C) Mammary duct ectasia typically presents with greenish or black nipple discharge, not milky discharge. Option D) Breast infection would present with symptoms like redness, warmth, and tenderness, not milky discharge. Educationally, understanding common nonmalignant breast conditions like galactorrhea is crucial for healthcare providers working in maternal health. Recognizing these conditions helps in providing appropriate care, reassurance, and guidance to clients experiencing such symptoms, ensuring their well-being and peace of mind.

Correct Answer: C

Rationale: In the context of maternal health issues in the US, understanding risk factors for conditions like fibroadenoma of the breast is crucial for healthcare providers. In this question, the correct answer is C) 16-year-old girl. The rationale behind this is that fibroadenomas are more common in younger women, typically under the age of 30. Hormonal fluctuations during puberty can contribute to the development of fibroadenomas in adolescents. Option A) 38-year-old woman and option B) 50-year-old woman are less likely to develop fibroadenomas as they are older, and these growths are more common in younger individuals. Option D) 27-year-old woman falls within the typical age range for developing fibroadenomas, but compared to a 16-year-old, the risk is lower. Educationally, this question highlights the importance of understanding age-related risk factors in maternal health. It emphasizes the need for healthcare providers to be aware of the demographics most susceptible to certain conditions to provide appropriate care and guidance.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Paget disease. Paget disease of the breast is a rare form of breast cancer that starts in the ducts of the nipple and spreads to the nipple surface and areola. While it is a form of breast cancer, it does not significantly increase the risk of developing breast cancer in other parts of the breast tissue. Conversely, options A, B, and D all represent conditions that are associated with an increased risk of breast cancer. BRCA1 and BRCA2 gene mutations are well-known risk factors for hereditary breast and ovarian cancer. Li-Fraumeni syndrome is a rare genetic disorder that predisposes individuals to multiple types of cancer, including breast cancer. Cowden syndrome is another genetic condition linked to an increased risk of breast cancer, along with other types of cancer. Educationally, understanding the various risk factors for breast cancer is crucial for healthcare providers working in maternal health. By recognizing the genetic mutations and syndromes that elevate breast cancer risk, healthcare professionals can provide targeted screening, prevention strategies, and counseling to help clients make informed decisions about their health.