Nokea
All of the following clinical features would be expected with 'postpartum blues' (adjustment reaction with depressed mood) EXCEPT
- A. frequent tearfulness
- B. irritability
- C. suicidal ideation
Correct Answer: C
Rationale: Suicidal ideation is not typical of postpartum blues and may indicate a more serious condition like postpartum depression or psychosis.
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Which of the following functions is not usually associated with the uterus?
- A. Menstruation
- B. Fertilization
- C. Gestation
- D. All of the above functions are associated with the uterus.
Correct Answer: B
Rationale: Fertilization typically occurs in the fallopian tubes, not the uterus.
What lifestyle change would the nurse recommend for a patient who presents with multiple symptoms of perimenopause?
- A. Switch to flannel sheets and use extra blankets to stay warm at night.
- B. Avoid sexual intercourse until vaginal dryness passes.
- C. Have a glass of wine each night before bed to reduce insomnia.
- D. Begin a regular exercise routine.
Correct Answer: D
Rationale: The correct answer is D because regular exercise can help alleviate symptoms of perimenopause such as hot flashes, mood swings, and weight gain. Exercise can also improve sleep quality and overall well-being. Switching to flannel sheets (A) and using extra blankets are not addressing the root cause of the symptoms. Avoiding sexual intercourse (B) is not necessary and may not address the symptoms effectively. Drinking wine (C) can disrupt sleep patterns and may not provide long-term relief for perimenopausal symptoms.
Males are usually taller than females when they reach their adult height because:
- A. Their growth in height occurs early in puberty and continues briefly after puberty.
- B. Their secretion of testosterone delays closure of the epiphyses of the long bones.
- C. Their puberty changes begin approximately 2 years later than in the average female.
- D. The puberty growth spurt begins later and continues for a longer time.
Correct Answer: C
Rationale: Males typically begin puberty later than females, allowing for a longer pre-pubertal growth period and greater final height.
It is not uncommon for at least some fibers of the levator ani to become stretched or damaged in women who have experienced vaginal delivery of a full-term infant. What are the possible results of this damage?
- A. Urinary or fecal incontinence, dysmenorrhea, or salpingitis
- B. Prolapse of the uterus into the vagina, rectal prolapse through the anus, or hydrosalpinx
- C. Prolapse of the uterus into the vagina, rectal prolapse through the anus, or salpingitis
- D. Urinary or fecal incontinence, prolapse of the uterus into the vagina, or rectal prolapse through the anus
Correct Answer: D
Rationale: Damage to the levator ani can result in urinary or fecal incontinence, prolapse of the uterus, or rectal prolapse.
If a nursing neonate has a 5:1 suck/swallow ratio, this indicates
- A. non-nutritive suckling
- B. normal suckling
- C. fast but adequate suckling
Correct Answer: B
Rationale: A 5:1 ratio reflects coordinated sucking and swallowing, indicative of efficient feeding.