Nokea
Clinical practice that is consistent with established recommendations or standards is best characterized by
- B. recommendations that are used to standardize patient care based on evidence-based guidelines
- C. standards that are based on methods that have proven effective over a substantial period of time
Correct Answer: B
Rationale: Evidence-based guidelines are used to standardize patient care and ensure consistency in clinical practice.
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Which of the following uterine ligaments form a deep pouch known as the posterior cul-de-sac of Douglas?
- A. Broad
- B. Uterosacral
- C. Posterior
- D. Anterior
Correct Answer: C
Rationale: The posterior ligament forms the posterior cul-de-sac of Douglas.
When palpating the uterus after delivery, it is necessary to
- A. support the lower uterine segment
- B. support the upper uterine segment
- C. press down firmly with both hands
Correct Answer: A
Rationale: Supporting the lower segment prevents uterine inversion during palpation.
HELLP syndrome is characterized by (H) hemolysis, (EL) elevated liver enzymes, and (LP)
- A. lateral pain
- B. low (blood) pressure
- C. low platelet count
Correct Answer: C
Rationale: Low platelet count is a key feature of HELLP syndrome, reflecting microangiopathic hemolytic anemia.
What is the name of the so-called ovulating hormone?
- A. Estrogen
- B. Progesterone
- C. Luteinizing hormone
- D. Follicle-stimulating hormone
Correct Answer: C
Rationale: Luteinizing hormone (LH) is known as the ovulating hormone because it triggers ovulation.
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.