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TESTBANK FOR MATERNITY & WOMEN’S HEALTH LOWDERMILK QUESTIONS AND DETAILED ANSWERS WITH EXPLANATIONS LATEST UPDATED 2024 WITH COMPLETE SOLUTIONS

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TESTBANK FOR MATERNITY & WOMEN’S HEALTH LOWDERMILK QUESTIONS AND DETAILED ANSWERS WITH EXPLANATIONS LATEST UPDATED 2024 WITH COMPLETE SOLUTIONS Chapter: Assessment and Health Promotion MUL... TIPLE CHOICE 1. Due to the effects of cyclic ovarian changes in the breast, when is the best time for breast self- examination (BSE)? a. Between 5 and 7 days after menses ceases b. Day 1 of the endometrial cycle c. Midmenstrual cycle d. Any time during a shower or bath ANS: A The physiologic alterations in breast size and activity reach their minimal level approximately 5 to 7 days after menstruation ceases. Therefore, BSE is best performed during this phase of the menstrual cycle. Day 1 of the endometrial cycle is too early to perform an accurate BSE. After the midmenstrual cycle, breasts are likely to become tender and increase in size, which is not the ideal time to perform BSE. Lying down after a shower or bath with a small towel under the shoulder of the side being examined is appropriate teaching for BSE. A secondary BSE may be performed while in the shower. DIF: Cognitive Level: Understand REF: IMS: 63 TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 2. Individual irregularities in the ovarian (menstrual) cycle are most often caused by what? a. Variations in the follicular (preovulatory) phase b. Intact hypothalamic-pituitary feedback mechanism c. Functioning corpus luteum d. Prolonged ischemic phase ANS: A Almost all variations in the length of the ovarian cycle are the result of variations in the length of the follicular phase. An intact hypothalamic-pituitary feedback mechanism would be regular, not irregular. The luteal phase begins after ovulation. The corpus luteum is dependent on the ovulatory phase and fertilization. During the ischemic phase, the blood supply to the functional endometrium is blocked, and necrosis develops. The functional layer separates from the basal layer, and menstrual bleeding begins. DIF: Cognitive Level: Understand REF: pp. 66-67 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance [Show More]

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