Nokea
A mother who gives birth by cesarean delivery is encouraged to
- A. ambulate as soon as possible after delivery
- B. delay seeing her infant until she is no longer requiring pain medications
- C. take shallow, purse-lip breaths to minimize pain
Correct Answer: A
Rationale: Early ambulation helps prevent complications like DVT and promotes recovery.
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What is the primary function of the corpus luteum?
- A. Produce a mature ovum
- B. Produce progesterone and estrogen
- C. Stimulate initial growth of the endometrium
- D. Promote maturation of the next follicle
Correct Answer: B
Rationale: The primary function of the corpus luteum is to produce progesterone and estrogen. Progesterone supports the maintenance of the endometrium for potential implantation of a fertilized egg. Estrogen also plays a role in the menstrual cycle. The other choices are incorrect because:
A: The ovum is produced in the ovary, not the corpus luteum.
C: The endometrial growth is primarily influenced by estrogen and progesterone, not the corpus luteum.
D: The maturation of the next follicle is regulated by hormones like follicle-stimulating hormone (FSH) and luteinizing hormone (LH), not the corpus luteum.
The nurse is reviewing information in anticipation of providing education to her patient. What is an accurate statement about ovarian cancer?
- A. The symptoms of ovarian cancer are easy to detect because they are very specific to the disease process.
- B. The symptoms of ovarian cancer are difficult to detect because they are vague and nonspecific.
- C. There are no symptoms of ovarian cancer.
- D. There are screening tests available for ovarian cancer that make it easy to detect.
Correct Answer: B
Rationale: The correct answer is B because the symptoms of ovarian cancer are often vague and nonspecific, leading to challenges in early detection. Symptoms such as bloating, pelvic pain, difficulty eating, and frequent urination can be mistaken for other conditions. This lack of specific symptoms makes it difficult for individuals to recognize the signs of ovarian cancer. Choice A is incorrect because the symptoms are not easy to detect. Choice C is incorrect as ovarian cancer does present symptoms. Choice D is incorrect as there are no reliable screening tests for ovarian cancer, which contributes to the difficulty in early detection.
The middle school nurse is reviewing the phases of the endometrial cycle with a group of female students. Which statement by a student will the nurse need to correct?
- A. The proliferative phase occurs when the ovum is maturing.
- B. The expulsion phase occurs when the ovum is discharged from the ovary.
- C. The secretory phase occurs during the second half of the menstrual cycl
Correct Answer: A
Rationale: The correct answer is A. The proliferative phase occurs before ovulation when the endometrium thickens to prepare for implantation. This is not directly related to the maturation of the ovum. The other choices are incorrect because: B refers to ovulation, not expulsion of the ovum; C correctly states the secretory phase timing; D is incomplete.
Choose the girl who is most likely to have secondary amenorrhea.
- A. Amanda, 15 years old, who is trying out for the school track team for girls
- B. Brittney, 17 years old, who is preparing for a national gymnastic tournament
- C. Chloe, 16 years old, who controls type 1 diabetes mellitus with insulin
- D. Deanna, 16 years old, who is a member of an Irish dance team
Correct Answer: B
Rationale: Intense physical activity and low body fat, common in gymnasts, can lead to secondary amenorrhea due to hormonal imbalances.
Necrotizing enterocolitis in a preterm infant is usually caused by
- A. ischemic bowel
- B. severe constipation
- C. generalized infection
Correct Answer: A
Rationale: Ischemia compromises intestinal integrity, predisposing to necrotizing enterocolitis.