Nokea
What are possible characteristics of a patient who is at a higher risk for developing uterine cancer?
- A. 35-year-old patient with 2 vaginal births
- B. 16-year-old patient with 28-day menstrual cycle
- C. 67-year old patient taking only estrogen for HRT
- D. 25-year-old patient taking oral contraceptive pills
Correct Answer: C
Rationale: Step-by-step rationale:
1. Uterine cancer risk increases with age, so a 67-year-old patient is at higher risk.
2. Estrogen-only HRT without progesterone increases uterine cancer risk.
3. Other choices are less likely: A has lower age and childbirth may reduce risk, B's age and menstrual cycle are not typical risk factors, and D's oral contraceptives may decrease uterine cancer risk.
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Going from the ovary to the uterus, the sequence of the divisions of the uterine tubes is:
- A. Isthmus, ampulla, fimbriae, and infundibulum
- B. Ampulla, isthmus, infundibulum, and fimbriae
- C. Fimbriae, infundibulum, ampulla and isthmus
- D. Fimbriae, ampulla, isthmus, and infundibulum
Correct Answer: C
Rationale: The correct sequence is fimbriae, infundibulum, ampulla, and isthmus.
Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test?
- A. Lubricant
- B. Speculum
- C. Fixative agent
- D. Gloves and eye protectors
Correct Answer: A
Rationale: The correct answer is A: Lubricant. During a Pap test, lubricant should not be used as it can interfere with the cytology sample collection. The speculum is needed to visualize the cervix, the fixative agent is used to preserve the sample, and gloves and eye protectors are essential for safety. Omitting lubricant ensures accurate sample collection for Pap testing, making it the correct choice.
In caring for a family who has experienced a perinatal fetal death, it is helpful to
- A. share personal stories of recovery that have been witnessed in the past
- B. maximize consistency in assigned nursing staff
- C. guide the family to a bereavement room as soon as possible, to allow privacy in mourning
Correct Answer: B
Rationale: Consistent nursing staff can provide continuity of care and emotional support during this difficult time.
Which of the following is not true of the ovaries?
- A. They are located on either side of the uterus.
- B. They are attached to the mesovarial ligament.
- C. They are attached to the uterine ducts.
- D. All of the above statements are true of the ovaries.
Correct Answer: C
Rationale: The ovaries are not attached to the uterine ducts.
If a woman complains that she is exhausted because the neonate nurses so frequently during the night that the woman cannot get any sleep, the nurse should advise the woman to
- A. give bottle feedings during the night so the neonate will sleep longer
- B. nurse the infant on a strict 3- to 4-hour schedule
- C. sleep when the baby sleeps, day and night
Correct Answer: C
Rationale: Resting when the baby sleeps helps manage fatigue during the demanding postpartum period.