Nokea
A client is admitted to the labor and birthing suite in early labor. On review of her prenatal history, the nurse determines that the client's pelvic shape as identified in the antepartum notes is the most favorable one for a vaginal birth. Which pelvic shape would the nurse have noted?
- A. platypelloid
- B. gynecoid
- C. android
- D. anthropoid
Correct Answer: B
Rationale: The gynecoid pelvic shape is the most favorable for vaginal birth due to its optimal dimensions and orientation for the passage of the fetus. The anthropoid pelvis is also favorable for vaginal birth, but it is not the most favorable shape. The android pelvis and platypelloid pelvis are less favorable for vaginal birth, with the android pelvis having slow descent of the fetal head and the platypelloid pelvis often requiring cesarean birth.
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A patient undergoing fertility treatments asks about the role of luteinizing hormone (LH). What should the nurse explain?
- A. LH stimulates the growth of the uterine lining.
- B. LH triggers ovulation by causing the release of a mature egg from the ovary.
- C. LH suppresses follicle development in the early cycle.
- D. LH is only important during pregnancy.
Correct Answer: B
Rationale: The correct answer is B because LH triggers ovulation by causing the release of a mature egg from the ovary. LH surge occurs around mid-cycle, stimulating the mature follicle to rupture and release the egg. This is crucial for fertility and conception.
A is incorrect because LH does not stimulate the growth of the uterine lining; that is primarily regulated by estrogen and progesterone.
C is incorrect because LH actually promotes follicle development and maturation.
D is incorrect because LH is important for ovulation and not just during pregnancy.
A client is to have a hysterosalpingogram. In this procedure, the physician will be able to determine which of the following?
- A. Whether or not the ovaries are maturing properly.
- B. If the endometrium is fully vascularized.
- C. If the cervix is incompetent.
- D. Whether or not the fallopian tubes are obstructed.
Correct Answer: D
Rationale: A hysterosalpingogram uses contrast dye to visualize the fallopian tubes and uterus, identifying obstructions.
A nurse is teaching about sperm freezing for fertility preservation. What should be included in the education?
- A. Sperm freezing is only effective for men over 40 years old.
- B. Frozen sperm can be stored indefinitely with proper conditions.
- C. Sperm quality improves after freezing and thawing.
- D. Frozen sperm must be used within one year.
Correct Answer: B
Rationale: The correct answer is B because frozen sperm can indeed be stored indefinitely with proper conditions such as constant low temperatures. This allows men to preserve their fertility for an extended period. Choice A is incorrect as sperm freezing is effective for men of all ages, not just those over 40. Choice C is incorrect because sperm quality may decline slightly after freezing and thawing. Choice D is incorrect as properly stored frozen sperm can maintain viability for many years, not just within one year.
A patient undergoing ovarian stimulation is concerned about side effects. What should the nurse include in patient education?
- A. Side effects are rare and do not require monitoring.
- B. Mild bloating and mood changes are common during stimulation.
- C. The risk of ovarian hyperstimulation syndrome (OHSS) is negligible.
- D. Stimulation guarantees the production of high-quality eggs.
Correct Answer: B
Rationale: Rationale:
Bloating and mood changes are common side effects of ovarian stimulation due to hormonal changes. Educating the patient about this prepares them for possible discomfort. Incorrect choices: A is incorrect as side effects are common and may require monitoring. C is incorrect as OHSS is a potential serious complication. D is incorrect as stimulation does not guarantee egg quality.
Analyze the pedigree below. Which of the following inheritance patterns does the pedigree depict?
- A. Autosomal dominant.
- B. Mitochondrial inheritance.
- C. X-linked recessive.
- D. Y-linked trait.
Correct Answer: A
Rationale: The pattern suggests autosomal dominant inheritance.