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Answer: B, D

14. Lyla, a 45-year-old client who recently entered perimenopause, tells her nurse that she has seen “natural” hormones advertised and asks about them. Which of the following should the nurse tell Lyla about these products? (Select all that apply.)

A. Unlike bioidentical hormones, they are derived from all-natural sources

B. They cause fewer side effects than do pharmaceutically manufactured hormones

C. They are identical to the hormones produced in a woman’s body

D. They are not as effective as bioidentical hormones

E. They are safer than pharmaceutically manufacturedhormones

Answer: D

15. The nurse is providing counseling to Renee, a 37-year-old client who has entered perimenopause prematurely. Which of the following should the nurse tell Renee to expect as a result of this condition, compared with women who enter perimenopause at the typical time? (Select all that apply.)

A. Less severe menopause-related symptoms

B. Early loss of fertility

C. Increased risk for osteoporosis

D. Decreased risk for cardiovascular disease

E. Increased life expectancy

Answer: B, C

Chapter 19 Promotion of Women’s Health Care During Pregnancy

The United States ranks 50th in the world for maternal mortality and 41st among industrialized

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