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    ATI Maternal Newborn Proctored Exam II

    A nurse is providing teaching to a client about the Papanicolaou (Pap) test.Which of the following information should the nurse include in the teaching?

    Explanation & Rationale

    Choice A rationaleRoutine Pap tests are not necessary yearly until 70 years of age. Current guidelines recommend Pap tests every 3 years for women aged 21 to 65, adjusted per individual risk factors.Choice B rationalePap tests detect cervical cellular changes, not influenced by ovary removal. Routine tests continue post-hysterectomy if the cervix remains intact or for a history of cervical dysplasia.Choice C rationaleSexual intercourse can alter vaginal flora, potentially affecting Pap test accuracy. Avoiding intercourse 24 hours prior ensures sample reliability and prevents contamination of cervical cell collection.Choice D rationaleViral infections, particularly human papillomavirus (HPV), may lead to detectable cervical cellular abnormalities. Pap tests focus primarily on identifying precancerous changes rather than diagnosing active viral infections.

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