The nurse has completed instructions on ways to improve the client’s symptoms related to her rectocele. Which statement by the client indicates a need for further education?

Correct Answer: C

Rationale: In this scenario, option C, "Heavy lifting will not affect my rectocele," is the correct answer that indicates a need for further education. The rationale behind this is that heavy lifting can indeed exacerbate the symptoms of a rectocele by putting increased pressure on the weakened pelvic floor muscles, potentially worsening the condition. Option A is incorrect because weight loss can help alleviate symptoms by reducing pressure on the pelvic floor, which is beneficial for managing rectocele. Option B is also incorrect as increasing fiber and water intake can aid in preventing constipation, which is essential for rectocele management. Option D is a valid statement as Kegel exercises are effective in strengthening the pelvic floor muscles, thereby improving symptoms of a rectocele. From an educational standpoint, it is crucial for the nurse to emphasize the importance of avoiding heavy lifting to prevent worsening of rectocele symptoms. Patients need to understand the impact of lifestyle modifications, such as weight management, dietary changes, and appropriate exercises, in managing their condition effectively. This rationale highlights the significance of patient education in promoting self-care and improving outcomes for individuals with maternal disorders like rectocele.

Correct Answer: C

Rationale: The correct answer is C: Genital warts cause cervical cancer. Rationale: 1. Genital warts are caused by certain types of HPV, not cervical cancer. 2. Most HPV infections do resolve on their own, making choice A correct. 3. HPV vaccination can prevent common types of HPV that cause cervical cancer, supporting choice B. 4. Persistent infection with high-risk HPV types, like 16 or 18, can lead to cervical cancer, aligning with choice D. Summary: Option C is incorrect because it inaccurately states that genital warts cause cervical cancer. The other choices are correct in their statements regarding HPV infections, vaccination, and the relationship between specific HPV types and cervical cancer.

Correct Answer: A

Rationale: The correct answer is A because a Pap test is used to detect cervical cancer, not uterine cancer. 1. A Pap test screens for cervical cancer by detecting abnormal cells in the cervix. 2. Uterine cancer is the most common cancer of the reproductive tract, making choice B accurate. 3. Choice C is correct as using estrogen without progesterone can increase uterine cancer risk. 4. Choice D is also accurate as postmenopausal bleeding can be a symptom of uterine cancer. In summary, the need for further teaching arises from the misconception that a Pap test can diagnose uterine cancer.

Correct Answer: C

Rationale: The correct answer is C: Three or more children. Multiparity (having three or more children) has been identified as a protective factor against ovarian cancer due to the repeated ovulation and hormonal changes during pregnancy. A: Talc use on the perineum is not a well-established risk factor. B: Having a first-degree relative with ovarian cancer increases the risk, but it is not as significant as having multiple children. D: High-fat diet has been suggested as a risk factor, but the evidence is not as strong as the protective effect of multiparity.

Correct Answer: C

Rationale: The correct answer is C: Sexual partners of the infected person must also be treated. This statement demonstrates a good understanding of the disease process because treating only the infected person may not prevent re-infection. Treating sexual partners is crucial to prevent the spread of STIs and reduce the risk of transmission. This approach is known as partner therapy and is recommended by public health guidelines to control the spread of STIs effectively. It is important to address the source of infection and not just the individual who is currently infected. Incorrect Choices: A: The infection can only be spread when a person is symptomatic - This is incorrect because some STIs can be transmitted even when the infected person is asymptomatic. B: I can only get the disease through vaginal intercourse - This is incorrect as STIs can be transmitted through various sexual activities, not just vaginal intercourse. D: Oral contraceptives are effective in protecting against STIs - This is incorrect as oral contraceptives do not protect against STIs;