Practice Quiz

CNM Certified Nurse Midwife

Category - Primary Care

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A 35-year-old female client comes to the facility to inquire about getting her basal mammogram. Which of the following instructions by the nurse midwife is the most appropriate?
  1. “Schedule a mammogram during your menstrual cycle.”
  2. “Avoid applying deodorants or creams under the arms or on the breasts before the test.”
  3. “Avoid over-the-counter pain medications before the test.”
  4. “Caffeine intake should be limited during the eight hours preceding the test.”
Explanation
Answer: B - The client must avoid applying deodorants or creams under the arms or on the breasts before the test. The metallic powders of antiperspirants may be visible on the mammogram as microcalcifications and may result in inaccurate results. A mammogram should be scheduled for either one week before or after the menstrual bleeding. The breasts are tender before the menses. The procedure involves compression of the breasts between two panels, which can be painful. Over-the-counter pain relievers can be taken before the test but the client must inform the doctor of any medications she has taken. Caffeine should be avoided during the week before a mammogram.
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