Which statement regarding genetic health care is most important to the nurse practicing in this specialty?

Correct Answer: C

Rationale: Perhaps the most important of all nursing functions is the ability to provide emotional support. Nurses should be prepared to help with various stress reactions from a couple facing the possibility of a genetic disorder. Although anyone may have a genetic disorder, certain disorders appear more often in certain ethnic and racial groups. Genetic health care is highly individualized because treatments are based on the phenotypic responses of the individual. Individual nurses at any facility can take a genetic history, although larger facilities may have better support services.

Correct Answer: C

Rationale: The most appropriate response from the nurse in this scenario is option C: "Tell me about your undergarments. I'll explain the examination procedure, and then we can discuss how you can comfortably have your examination." This response demonstrates respect for the woman's beliefs and cultural considerations. It acknowledges her concerns and opens the door for a collaborative discussion to find a solution that respects her religious beliefs while ensuring proper medical care. Option A is incorrect as it dismisses the woman's religious beliefs and fails to consider alternative accommodations. Option B is not as strong as option C because it immediately suggests involving the physician without first attempting to understand and address the patient's needs directly. Option D is also inappropriate as it shows a lack of empathy and willingness to work with the patient to find a solution. From an educational perspective, this scenario highlights the importance of cultural competence and patient-centered care in nursing practice. Nurses must be sensitive to the diverse beliefs and practices of their patients and be prepared to adapt care plans to respect individual preferences. Effective communication and collaboration with patients are essential in providing ethical and respectful care.

Correct Answer: A

Rationale: In this scenario, the correct answer is option A: "Yellow discharge from my nipple is normal if I'm having my period." This statement indicates a lack of understanding regarding breast self-examination (BSE) and requires additional instruction. Option B correctly states that one should check their breasts at the same time each month, after their period, as hormonal fluctuations can affect breast tissue sensitivity. Option C is also correct as part of a comprehensive BSE involves checking the armpit area for any lumps or changes. Option D is incorrect as there is no specific set way to perform a breast examination; the key is to be thorough and systematic in checking all areas of each breast. Educationally, it is important to emphasize to clients that any abnormal discharge from the nipples should be promptly evaluated by a healthcare provider, regardless of the menstrual cycle phase. Providing clear and accurate information on BSE techniques, including the importance of regular self-exams and what changes to look for, is crucial in empowering individuals to take charge of their breast health and detect any abnormalities early.

Correct Answer: c

Rationale: In understanding the question regarding the phase of the endometrial cycle that best describes a heavy, velvety soft, fully matured endometrium, the correct answer is C) Secretory phase. During the Secretory phase of the endometrial cycle, the endometrium becomes thick, spongy, and rich in blood vessels and glands to prepare for potential implantation of a fertilized egg. This phase follows ovulation and is characterized by increased progesterone levels, which stimulate the endometrial glands to secrete glycogen and other nutrients to support a potential embryo. Option A) Menstrual phase is incorrect as this phase involves shedding of the endometrial lining due to reduced hormone levels. Option B) Proliferative phase is incorrect as this phase follows menstruation and involves the thickening of the endometrium in response to rising estrogen levels. Option D) Ischemic phase is not a standard phase of the endometrial cycle and is not associated with the described characteristics. Understanding the different phases of the endometrial cycle is crucial in the context of maternity care as it helps healthcare providers assess and monitor a woman's reproductive health, fertility, and potential pregnancy complications. By recognizing the characteristics of each phase, healthcare providers can better identify any abnormalities or irregularities in the menstrual cycle and provide appropriate care and interventions.

Correct Answer: D

Rationale: The correct approach for the nurse to take during the gynecologic portion of the physical examination is option D: Help the woman relax through the proper placement of her hands and proper breathing during the examination. This approach is right because it prioritizes the woman's comfort and emotional well-being during a potentially sensitive and intrusive procedure. By helping the woman relax through proper hand placement and breathing guidance, the nurse can promote a more positive experience, reduce anxiety, and facilitate a more effective examination. Option A is incorrect because it focuses solely on following the physician's instructions without considering the woman's emotional needs. Option B is wrong as continuously questioning the client during the procedure can be intrusive and may increase anxiety. Option C is also incorrect as it provides inaccurate information about vulvar self-examination, which is an important and recommended practice for all women, not just those at risk for cancer. In an educational context, it is essential for healthcare providers to prioritize patient comfort, autonomy, and emotional well-being during medical procedures, especially those of a sensitive nature like gynecologic examinations. Teaching healthcare professionals to employ techniques that help patients relax and feel supported can lead to better patient outcomes and experiences.