Nokea
If, on the first post-partum day, the woman's fundus is firm and lochia appears normal but the woman complains of perineal discomfort and BP falls to 88/50 and pulse increases to 2, the nurse should suspect a(n)
- A. uterine hemorrhage
- B. vaginal laceration
- C. hematoma
Correct Answer: C
Rationale: Hematoma formation can cause localized pain and systemic signs of shock.
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If a woman complains of persistent constipation in the postpartal period, the best treatment approach is usually a(n)
- A. increase in fluid intake
- B. high fiber diet
- C. stool softener
Correct Answer: B
Rationale: A high-fiber diet promotes regular bowel movements and alleviates constipation.
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.
Which phases are included in the ovarian cycle?
- A. Proliferative and secretory phases
- B. Estrogen and progesterone phases
- C. Endometrial and luteal phases
- D. Follicular and luteal phases
Correct Answer: D
Rationale: The correct answer is D because the ovarian cycle includes the follicular phase (development of ovarian follicles) and the luteal phase (release of the egg and formation of the corpus luteum). The other choices are incorrect because:
A: Proliferative and secretory phases refer to phases of the menstrual cycle, not the ovarian cycle.
B: Estrogen and progesterone are hormones involved in the ovarian cycle, but they do not represent the phases themselves.
C: Endometrial and luteal phases involve the uterus and not specifically the ovary.
Following spontaneous rupture of the membranes during labor, if the fetal heart rate becomes markedly bradycardic with variable decelerations, this likely indicates
- A. cord prolapse
- B. placenta previa
- C. fetal head compression
Correct Answer: A
Rationale: Variable decelerations with bradycardia suggest cord compression, possibly due to prolapse.
An ectopic pregnancy can occur in the:
- A. Uterus
- B. Pelvic cavity
- C. Uterine tubes
- D. Either B or C are correct.
Correct Answer: D
Rationale: An ectopic pregnancy can occur in the pelvic cavity or uterine tubes.