Nokea
Miss Tucker, aged 27, had a cervical conization for cancer in situ. She is to be married in 4 months and the couple both want children, but she has been advised to have an immediate hysterectomy. In discussing the situation with the patient the nurse should
- A. encourage her to have the hysterectomy
- B. suggest she obtain a second medical opinion
- C. suggest that she restrict sexual activity indefinitely
- D. stress the importance of repeat examinations at 3- to 6-month intervals
Correct Answer: B
Rationale: Obtaining a second opinion allows for informed decision-making regarding treatment options.
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The presence of more oxytocin oxygen to, and remove waste from, receptors in the uterus leads to weak, irregular contractions known as the embryonic blood by the ________ ________. week of pregnancy.
- A. dystocia
- B. first
- C. Braxton Hicks
- D. second
Correct Answer: C
Rationale: The correct answer is C: Braxton Hicks contractions. These contractions are weak, irregular contractions that occur in the uterus during pregnancy. They are often referred to as "practice contractions" as the body prepares for labor. The presence of more oxygen and removal of waste from the uterus can trigger Braxton Hicks contractions.
Choice A, dystocia, refers to difficult or prolonged labor, not weak contractions. Choice B, first week, is not relevant to the question as Braxton Hicks contractions typically occur later in pregnancy. Choice D, second week, is also not correct as Braxton Hicks contractions occur later in pregnancy, typically in the third trimester.
A client is learning how to maintain optimum bladder function. Which of the following strategies identifies the method of pressing on the bladder while seated on the toilet?
- A. Valsalva maneuver
- B. Kegel maneuver
- C. Pelvic floor maneuver
- D. Crede's maneuver
Correct Answer: D
Rationale: Crede's maneuver involves applying manual pressure to the bladder to aid in voiding.
You are working as a team with an experienced nursing assistant. Considering your clients' needs for frequent assessments, monitoring, and teaching, which client is most appropriate to assign to the nursing assistant?
- A. A 34-year-old client who has just been admitted with epididymitis and an elevated temperature and needs assessment.
- B. A 43-year-old client who needs discharge teaching after having surgery to remove a stage II ovarian cancer.
- C. A 50-year-old client who has orders to ambulate in the hallway 2 days after having an abdominal hysterectomy.
- D. A 79-year-old client who is receiving continuous bladder irrigation after a transurethral resection of the prostate.
Correct Answer: C
Rationale: Ambulating a stable client is an appropriate task for a nursing assistant.
The fleshy outer part of the female reproductive system where the opening to the vagina is located:
- A. Uterus
- B. Ovary
- C. Vulva
- D. vaginitis
Correct Answer: C
Rationale: The correct answer is C: Vulva. The vulva is the fleshy outer part of the female reproductive system that includes the labia majora, labia minora, clitoris, vaginal opening, and urethral opening. It is where the opening to the vagina is located. The uterus (A) is a hollow, muscular organ where the fetus develops during pregnancy. The ovary (B) is the female reproductive organ that produces eggs and hormones. Vaginitis (D) is inflammation or infection of the vagina, not the outer part of the reproductive system. Therefore, the correct answer is C as it accurately describes the external female genitalia where the vaginal opening is situated.
The major hormone secreted from granulosa cells is
- A. Progesterone
- B. Estrogen
- C. Testosterone
- D. Aldosterone
Correct Answer: B
Rationale: The correct answer is B: Estrogen. Granulosa cells are located in the ovarian follicles and are responsible for producing estrogen, a key female sex hormone. Estrogen plays a crucial role in the menstrual cycle, pregnancy, and development of secondary sexual characteristics. Progesterone is mainly produced by the corpus luteum, testosterone is primarily produced by the testes in males, and aldosterone is synthesized in the adrenal glands. Granulosa cells do not secrete these hormones, making choices A, C, and D incorrect.