Nokea
Arrange the steps of the female menstrual cycle in the correct order of occurrence.
- A. Menstrual phase
- B. Premenstrual phase
- C. Secretory phase
- D. Proliferative phase
Correct Answer: A,D,C,B
Rationale: The correct order of the female menstrual cycle is: A (Menstrual phase) -> D (Proliferative phase) -> C (Secretory phase) -> B (Premenstrual phase).
1. Menstrual phase (A) involves shedding of the uterine lining.
2. Proliferative phase (D) follows, where the lining thickens in preparation for implantation.
3. Secretory phase (C) occurs next, characterized by further thickening and vascularization of the endometrium.
4. Finally, premenstrual phase (B) occurs, leading to the shedding of the uterine lining if fertilization does not occur.
Other choices are incorrect because they do not follow the chronological sequence of events in the menstrual cycle.
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In a patient with preeclampsia, the development of eclampsia is characterized by
- A. elevated liver enzymes
- B. hypertension
- C. seizures
Correct Answer: C
Rationale: Seizures define the transition from preeclampsia to eclampsia, necessitating urgent management.
Infectious mastitis in the breastfeeding mother has which of the following characteristics?
- A. it is treated by cessation of breastfeeding
- B. it usually occurs within 48 hours of delivery
- C. it can often be prevented with proper breastfeeding technique
Correct Answer: C
Rationale: Proper breastfeeding techniques can help prevent mastitis by ensuring adequate milk drainage.
While performing a self-breast exam, the patient notes an area on the right breast that is nodular, with some associated tenderness. This is a new onset finding because the exams were
- A. The patient calls to report her findings to the clinical nurse because this is not her typical result. What action should the nurse perform next?
- B. Refer the patient to an oncologist because the results are suspicious.
- C. Ask the patient to come in for an office visit so that the findings can be validated but tell her that this information is within the normal range of presentation.
- D. Have the patient wear a tight-fitting bra and tell her that the tenderness is associated with ovulation and will pass.
Correct Answer: A
Rationale: The correct answer is A because a new nodular area with tenderness in the breast is concerning for a potential breast abnormality or pathology. The nurse should advise the patient to report these findings promptly to a healthcare provider for further evaluation, which may include a clinical breast exam, imaging studies, and possibly a biopsy if warranted.
Choices B, C, and D are incorrect because B jumps to a conclusion without proper assessment or evaluation, C downplays the significance of the findings without proper validation, and D provides inaccurate information about the association of tenderness with ovulation, which is not relevant in this context.
The cartilage type that lines the end of long bones in synovial joints is:
- A. Fibrocartilage
- B. Elastic cartilage
- C. Hyaline cartilage
- D. Cellular cartilage
Correct Answer: C
Rationale: The correct answer is C: Hyaline cartilage. This type of cartilage is found at the ends of long bones in synovial joints because it provides a smooth surface for articulation, reducing friction and allowing for smooth movement. Hyaline cartilage is the most common type of cartilage in the body and is characterized by its glassy appearance and ability to withstand compressive forces. Fibrocartilage (choice A) is found in intervertebral discs and has more collagen fibers, making it tougher but less flexible than hyaline cartilage. Elastic cartilage (choice B) contains more elastic fibers and is found in structures like the external ear and epiglottis, providing flexibility and resilience. Cellular cartilage (choice D) is not a recognized type of cartilage and is an incorrect choice.
What lifestyle change would the nurse recommend for a patient who presents with multiple symptoms of perimenopause?
- A. Switch to flannel sheets and use extra blankets to stay warm at night.
- B. Avoid sexual intercourse until vaginal dryness passes.
- C. Have a glass of wine each night before bed to reduce insomnia.
- D. Begin a regular exercise routine.
Correct Answer: D
Rationale: The correct answer is D because regular exercise can help alleviate symptoms of perimenopause such as hot flashes, mood swings, and weight gain. Exercise can also improve sleep quality and overall well-being. Switching to flannel sheets (A) and using extra blankets are not addressing the root cause of the symptoms. Avoiding sexual intercourse (B) is not necessary and may not address the symptoms effectively. Drinking wine (C) can disrupt sleep patterns and may not provide long-term relief for perimenopausal symptoms.