Nokea
A prolapsed uterus results from weakening of the supporting ligaments of the uterus, which permits retroflexion (backward tilt) and descent of the uterus into the vagina.
- A. TRUE
- B. FALSE
- C. NA
- D. NA
Correct Answer: A
Rationale: Weakening of the supporting ligaments can lead to a prolapsed uterus.
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Each of the following structures is a part of the vulva except the:
- A. Mons pubis
- B. Labia majora
- C. Perineum
- D. Clitoris
Correct Answer: C
Rationale: The perineum is not part of the vulva but rather the area between the vaginal orifice and the anus.
The expected physiologic weight loss in the term newborn's first week of life is
- A. up to 20% of birth weight
- B. no weight loss
- C. up to 10% of birth weight
Correct Answer: C
Rationale: Newborns typically lose up to 10% of their birth weight in the first week due to fluid loss and limited intake.
The stimulation of initial milk production and release in the breast is accomplished by which hormones? Select all that apply.
- A. Oxytocin
- B. Progesterone
- C. Prolactin
- D. Luteinizing hormone
Correct Answer:
Rationale: Correct Answer: A (Oxytocin), C (Prolactin)
Rationale:
1. Oxytocin stimulates milk ejection (let-down reflex) by contracting the muscles around the alveoli, releasing milk.
2. Prolactin is responsible for the production of milk in the mammary glands.
Summary of Other Choices:
- Progesterone: Plays a role in preparing the breast for lactation but doesn't directly stimulate milk production.
- Luteinizing hormone: Primarily involved in ovulation and corpus luteum formation, not milk production.
Early decelerations with a normal fetal heart rate variability during labor have which of the following indications?
- A. they often indicate fetal congenital heart disease
- B. they do not indicate fetal hypoxia
- C. they may indicate fetal acidemia
Correct Answer: B
Rationale: Early decelerations are typically benign and related to head compression during contractions.
If a neonate's hemoglobin is 19.3 shortly after birth, a typical value at 7 days is
- A. 22.4 g/dL
- B. 19.3 g/dL
- C. 17.4 g/dL
Correct Answer: C
Rationale: Neonatal hemoglobin levels naturally decline as the body adjusts to extrauterine life.