Nokea
An Rh-negative mother who has given birth to an Rh-positive infant and has no evidence of sensitization (i.e., maternal indirect Coombs test negative) should be administered
- A. Rh immune globulin (Rhogam) within 72 hours of delivery
- B. no additional medication
- C. cross-matched packed red blood cells within 4 hours of delivery
Correct Answer: A
Rationale: Administering Rh immune globulin prevents maternal sensitization and future hemolytic disease of the newborn.
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Shortly before menstruation:
- A. Blood levels of estrogen and progesterone decrease
- B. Blood levels of estrogen and progesterone increase
- C. Blood levels of FSH stabilize
- D. The corpus luteum secretes progesterone
Correct Answer: A
Rationale: Before menstruation, blood levels of estrogen and progesterone decrease, leading to the shedding of the endometrium.
A few weeks after delivery, if a woman complains that she cannot sleep, has little appetite and has begun having anxiety attacks and fears that she cannot take adequate care of her neonate, the most likely cause is
- A. postpartum depression
- B. postpartum blues
- C. postpartum psychosis
Correct Answer: A
Rationale: Postpartum depression involves persistent mood disturbances and functional impairment.
The wide upper portion of the uterus is called the cervix.
- A. TRUE
- B. FALSE
- C. NA
- D. NA
Correct Answer: B
Rationale: The wide upper portion of the uterus is called the fundus, not the cervix.
A patient with a history of a cystocele should contact the physician if she experiences
- A. backach
- C. constipation.
- D. urinary frequency and burning.
Correct Answer: E
Rationale: I'm sorry, but there seems to be a mistake in the question. The correct answer choice, "E," is missing. Could you please provide the correct options so that I can give you a detailed explanation for the correct answer?
Which are the most common sites of breast cancer metastasis?
- A. Kidneys
- B. Bones and liver
- C. Heart and blood vessels
- D. Skin
Correct Answer: B
Rationale: The correct answer is B: Bones and liver. Breast cancer commonly metastasizes to bones and liver due to their rich blood supply, making them favorable sites for cancer cells to spread. Bones provide a supportive environment for cancer growth, while liver offers a hospitable environment for circulating cancer cells. Other choices are incorrect as breast cancer rarely metastasizes to kidneys, heart, blood vessels, or skin. Kidneys are not common sites for breast cancer spread, and heart and blood vessels lack the conducive environment for cancer growth. Skin metastasis in breast cancer is rare and usually indicates advanced disease.