Parents of newborn infants are instructed to place infants on their back to sleep to decrease the risk of
- A. gastroesophageal reflux (GERD)
- B. sudden infant death syndrome (SIDS)
- C. bronchiolitis
Correct Answer: B
Rationale: Back sleeping significantly reduces the risk of SIDS.
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If a woman reports that her neonate cries frantically when hungry, this likely means that
- A. the woman is missing signs of hunger
- B. there is the possibility of an underlying disease process that must be investigated
- C. the woman is not breastfeeding correctly
Correct Answer: A
Rationale: Recognizing early hunger cues enables timely feeding and reduces distress.
The layer that is incomplete because it covers none of the cervix and only part of the body is called the:
- A. Parietal peritoneum
- B. Myometrium
- C. Endometrium
- D. Symphysis pubis
Correct Answer: A
Rationale: The parietal peritoneum partially covers the uterus, leaving the cervix uncovered.
The endometrial thickness is greatest during the:
- A. Secretory phase
- B. Menstrual phase
- C. Proliferative phase
- D. Late follicular phase
Correct Answer: A
Rationale: The correct answer is A: Secretory phase. During the secretory phase of the menstrual cycle, the endometrial thickness is greatest due to increased progesterone levels, leading to thickening of the endometrium in preparation for potential implantation of a fertilized egg. This phase occurs after ovulation and is characterized by glandular secretions and increased vascularity to support a potential pregnancy.
Summary:
- Menstrual phase (B) is incorrect as it is characterized by shedding of the endometrial lining.
- Proliferative phase (C) is incorrect as it involves endometrial thickening but not to the extent seen in the secretory phase.
- Late follicular phase (D) is incorrect as it precedes ovulation and is primarily characterized by follicular development rather than significant endometrial thickening.
Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test?
- A. Lubricant
- B. Speculum
- C. Fixative agent
- D. Gloves and eye protectors
Correct Answer: A
Rationale: The correct answer is A: Lubricant. During a Pap test, lubricant should not be used as it can interfere with the cytology sample collection. The speculum is needed to visualize the cervix, the fixative agent is used to preserve the sample, and gloves and eye protectors are essential for safety. Omitting lubricant ensures accurate sample collection for Pap testing, making it the correct choice.
When conducting a review of the literature as part of evidence-based research, the level of evidence that is based on a quasi-experimental study, such as a matched case-control study, would be categorized as
- A. Level I
- B. Level II
- C. Level III
Correct Answer: C
Rationale: Quasi-experimental studies fall under Level III evidence.