Anatomy and Physiology of the Female Reproductive System

Anatomy and Physiology of the Female Reproductive System Related

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What condition would the nurse include when teaching a patient about the potential complications of polycystic ovary syndrome (PCOS)?

  • A. breast cancer
  • B. cirrhosis of the liver
  • C. insulin resistance
  • D. insomnia
Correct Answer: C

Rationale: The correct answer is C: insulin resistance. PCOS is associated with insulin resistance, leading to an increased risk of type 2 diabetes. This is crucial for the nurse to include in patient education. A: breast cancer is not a common complication of PCOS. B: cirrhosis of the liver is not directly related to PCOS. D: insomnia is not a typical complication of PCOS. In summary, insulin resistance is the primary concern in PCOS due to its impact on metabolic health.

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How should these findings be interpreted?

  • A. There is no increased likelihood that the patient will develop breast or ovarian cancer.
  • B. There is an increased likelihood only for the development of breast cancer in a woman.
  • C. More information is needed to interpret these findings based on the patient’s family history and the patient’s current and past medical history.
  • D. A radical bilateral mastectomy is required as soon as possible, since the cancer may have already undergone sub-metastasis.
Correct Answer: C

Rationale: The correct answer is C because interpreting medical findings requires a comprehensive understanding of the patient's full medical history, including family history. It is essential to consider all relevant information before making any conclusions or decisions. Options A and B provide oversimplified and potentially incorrect interpretations without considering the full context. Option D is extreme and unwarranted without a thorough evaluation. The correct approach is to gather more information to make an informed interpretation based on the individual patient's unique circumstances.

If the postpartum uterine fundus is boggy on palpation, the nurse does which of the following?

  • A. notifies the physician immediately
  • B. massages the uterus until it feels firm
  • C. re-examines the fundus in 15-20 minutes
Correct Answer: B

Rationale: Massaging a boggy fundus helps stimulate uterine contractions and prevent postpartum hemorrhage.

The innermost layer of the wall of the uterus is the stratum:

  • A. Myometrium
  • B. Compactum
  • C. Spongiosum
  • D. Basale
Correct Answer: B

Rationale: The innermost layer of the uterine wall is the stratum compactum.

Methylergonovine (Methergine®) may be administered to a woman after delivery in order to

  • A. promote uterine contractions
  • B. relieve pain and discomfort
  • C. reduce maternal hypertension
Correct Answer: A

Rationale: Methylergonovine stimulates uterine contractions to control postpartum bleeding.

Which of the following is the least predictable method of determining ovulation time?

  • A. The measurement of LH in the urine
  • B. The length of previous cycles
  • C. The change in basal body temperature
  • D. All of the above methods are equally accurate in determining ovulation time.
Correct Answer: B

Rationale: The length of previous cycles is less predictable compared to other methods.

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