Nokea
If shoulder dystocia occurred during delivery, the newborn should be examined for
- A. fractured clavicle and Erb's palsy
- B. skull fracture and cerebral palsy
- C. spinal cord injury and paralysis
Correct Answer: A
Rationale: Shoulder dystocia can result in brachial plexus injuries and clavicular fractures.
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What question is most important for the nurse to ask a patient who presents with pelvic pain for the past year?
- A. Is the pain associated with having a bowel movement or passing urine?
- B. Have you had any unexplained weight loss?
- C. Have you tried taking ibuprofen or acetaminophen?
- D. Do you have many sexual partners?
Correct Answer: A
Rationale: The correct answer is A because determining if the pain is associated with bowel movements or urination can help identify potential causes such as gastrointestinal or genitourinary issues. This information can guide further assessment and treatment.
Choice B is incorrect as unexplained weight loss is not directly related to pelvic pain assessment. Choice C is incorrect as asking about pain relief medication does not address the underlying cause of the pelvic pain. Choice D is incorrect as the number of sexual partners is not the most relevant question when assessing pelvic pain unless specific symptoms suggest a sexually transmitted infection.
A patient presenting with chronic pelvic pain and heavy menstrual bleeding will be evaluated for what conditions? Select all that apply.
- A. endometriosis
- B. uterine fibroids
- C. ovarian cysts
- D. uterine polyps
Correct Answer: A,B,D
Rationale: The correct answer includes endometriosis, uterine fibroids, and uterine polyps due to their association with chronic pelvic pain and heavy menstrual bleeding. Endometriosis causes inflammation and scarring, leading to pain and abnormal bleeding. Uterine fibroids are non-cancerous growths in the uterus that can cause pain and heavy periods. Uterine polyps are overgrowths of the endometrial lining that can result in heavy bleeding. Ovarian cysts, although they can cause pelvic pain, are not typically associated with heavy menstrual bleeding.
The vulva consists of which structure?
- A. Labia majora, minora, clitoris, mons pubis, and vestibular glands
- B. Penis, scrotum, and prostate gland
- C. Internal female structures, including the uterus and ovaries
- D. Openings of the urethra and vagina
Correct Answer: A
Rationale: The correct answer is A because the vulva comprises the labia majora, labia minora, clitoris, mons pubis, and vestibular glands. The labia majora and minora are outer and inner folds of skin, the clitoris is a sensitive organ, the mons pubis is a fatty area overlying the pubic bone, and the vestibular glands secrete lubrication. Choices B, C, and D are incorrect because they do not accurately represent the structures of the vulva. B refers to male reproductive structures, C to internal female organs, and D to specific openings rather than the entire vulva.
Infectious mastitis in the breastfeeding mother has which of the following characteristics?
- A. it is treated by cessation of breastfeeding
- B. it usually occurs within 48 hours of delivery
- C. it can often be prevented with proper breastfeeding technique
Correct Answer: C
Rationale: Proper breastfeeding techniques can help prevent mastitis by ensuring adequate milk drainage.
What does treatment for a Bartholin’s cyst include?
- A. topical antibiotics
- B. warm compress
- C. cold packs
- D. topical steroids
Correct Answer: B
Rationale: The correct answer is B: warm compress. Warm compress helps to promote drainage and relieve pain in Bartholin's cyst. It helps to soften the cyst and facilitate its resolution. Topical antibiotics (choice A) are not typically effective as the cyst is a closed sac. Cold packs (choice C) may worsen symptoms by constricting blood vessels. Topical steroids (choice D) are not indicated for Bartholin's cyst treatment as they do not address the underlying cause.