Nokea
In a patient with preeclampsia, the development of eclampsia is characterized by
- A. elevated liver enzymes
- B. hypertension
- C. seizures
Correct Answer: C
Rationale: Seizures define the transition from preeclampsia to eclampsia, necessitating urgent management.
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All of the following are elements of the postpartum breast assessment EXCEPT:
- A. firmness, tenderness, and redness
- B. engorgement and nipple soreness/cracking
- C. lumps indicating possible cancerous growths
Correct Answer: C
Rationale: Lumps indicating possible cancerous growths are not typically part of a routine postpartum breast assessment.
You are taking care of a patient who has had a colporrhaphy. Which option would indicate a priority assessment during the postoperative period?
- A. Documentation of a pessary in the operative procedure notes by the physician
- B. Removal of vaginal packing as ordered by the physician
- C. Use of a cell saver for transfusion therapy in the postoperative period
- D. Order for removal of staples 2 to 3 days post-procedure
Correct Answer: B
Rationale: The correct answer is B: Removal of vaginal packing as ordered by the physician. This is a priority assessment because leaving the vaginal packing in place for too long can lead to complications such as infection or tissue damage. It is important to follow the physician's orders for timely removal to prevent these risks.
A: Documentation of a pessary in the operative notes is important for accuracy but not a priority assessment in the postoperative period.
C: The use of a cell saver for transfusion therapy is not directly related to the immediate postoperative care of a colporrhaphy patient and is not a priority assessment in this context.
D: The removal of staples 2 to 3 days post-procedure is important but not as time-sensitive as the removal of vaginal packing. It can be done at a later stage without immediate risk to the patient.
Cilia is abundant in the:
- A. Urinary tract
- B. Intestinal tract
- C. Fallopian tube
- D. Male reproductive ducts
Correct Answer: C
Rationale: The correct answer is C: Fallopian tube. Cilia are hair-like structures that line the fallopian tube to help move the egg from the ovary to the uterus. This movement is crucial for fertilization to occur. The other choices, A, B, and D, are incorrect because cilia are not typically abundant in the urinary tract, intestinal tract, or male reproductive ducts, respectively. These regions do not require the same kind of movement facilitated by cilia in the fallopian tube.
Which of the following is not part of the primary egg follicle?
- A. Germinal epithelium
- B. Oocyte
- C. Follicular cells
- D. All of the above are part of the primary egg follicle.
Correct Answer: A
Rationale: The germinal epithelium is not part of the primary egg follicle.
Which of the following hormones causes ejection of milk into the mammary ducts, making it accessible for the infant?
- A. Progesterone
- B. Oxytocin
- C. Prolactin
- D. Estrogen
Correct Answer: B
Rationale: Oxytocin stimulates the ejection of milk into the mammary ducts.