Nokea
Following delivery, if the fundus feels contracted and in the right position but free flow of bright red blood is evident vaginally, this is likely due to
- A. vaginal or cervical laceration
- B. normal post-delivery lochia
- C. uterine hemorrhage
Correct Answer: A
Rationale: Uncontrolled vaginal bleeding despite a firm fundus suggests genital tract trauma.
You may also like to solve these questions
Menstruation occurs because the:
- A. Hormone stimulation from the corpus luteum ceases.
- B. Blood vessels in the uterine lining become too long and twisted.
- C. Corpus luteum increases estrogen and progesterone production.
- D. Ovum has been passed from the woman's body.
Correct Answer: A
Rationale: When the corpus luteum degenerates, progesterone and estrogen levels drop, causing the uterine lining to shed.
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.
The inner part of the intervertebral disc is called the:
- A. Nucleus fibrosus
- B. Annulus fibrosus
- C. Nucleus pulposus
- D. Annulus pulposus
Correct Answer: C
Rationale: The correct answer is C: Nucleus pulposus. The nucleus pulposus is the inner gel-like core of the intervertebral disc that provides cushioning and flexibility. It consists of water, proteoglycans, and cells. The annulus fibrosus (choice B) is the outer ring of tough fibrous tissue surrounding the nucleus pulposus. Nucleus fibrosus (choice A) and Annulus pulposus (choice D) are not anatomically correct terms and do not describe the inner part of the intervertebral disc.
Perineal pain in the first 4-6 hours after vaginal delivery are initially managed with
- A. oral analgesic medications
- B. ice packs to the perineum
- C. frequent perineal pad changes
Correct Answer: B
Rationale: Ice packs are effective in reducing swelling and providing relief from perineal pain immediately after delivery.
Sticky, greenish black stool is considered characteristic of
- A. a newborn infant
- B. a breastfed infant
- C. a formula fed infant
Correct Answer: A
Rationale: Meconium, the first stool of a newborn, is sticky and greenish-black.