Nokea
Perineal pain in the first 4-6 hours after vaginal delivery are initially managed with
- A. oral analgesic medications
- B. ice packs to the perineum
- C. frequent perineal pad changes
Correct Answer: B
Rationale: Ice packs are effective in reducing swelling and providing relief from perineal pain immediately after delivery.
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Which of the following organs is not considered part of the "duct system" of the female reproductive system?
- A. Vagina
- B. Uterine tubes
- C. Uterus
- D. All of the above are considered part of the "duct system."
Correct Answer: D
Rationale: All listed organs are part of the duct system.
What type of medication would the nurse prepare to speak about with a patient recently diagnosed with endometriosis?
- A. oral contraceptives
- B. selective serotonin inhibitors
- C. dopamine agonist
- D. bisphosphonates
Correct Answer: A
Rationale: The correct answer is A: oral contraceptives. Oral contraceptives are commonly prescribed for managing endometriosis by regulating the menstrual cycle and reducing symptoms. They help control estrogen levels, which can alleviate pain and inflammation associated with endometriosis. Selective serotonin inhibitors (B) are used for treating depression and anxiety, not endometriosis. Dopamine agonists (C) are used for conditions like Parkinson's disease and hyperprolactinemia, not endometriosis. Bisphosphonates (D) are used to treat osteoporosis, not endometriosis. Therefore, oral contraceptives are the most appropriate medication to discuss with a patient diagnosed with endometriosis.
The physician diagnoses a 3-cm cyst in the ovary of a 28-year-old patient. You expect the initial treatment to include
- A. initiating hormone therapy.
- B. scheduling a laparoscopy to remove the cyst.
- C. examining the patient after her next menstrual perio
Correct Answer: C
Rationale: The correct answer is C because examining the patient after her next menstrual period allows for monitoring the cyst's size and nature. This approach is conservative and avoids unnecessary interventions like hormone therapy or surgery. Monitoring the cyst over time can help determine if it is benign or requires further treatment. Initiating hormone therapy (choice A) is not necessary at this point and may not address the cyst. Scheduling a laparoscopy to remove the cyst (choice B) is invasive and premature without first observing the cyst's behavior. Waiting for the next menstrual period allows for a more informed decision-making process based on the cyst's response to hormonal changes.
The infantile form of Tay-Sachs disease is classified as a
- A. chromosomal abnormality
- B. blood disorder
- C. metabolic defect
Correct Answer: C
Rationale: Tay-Sachs is a lysosomal storage disorder caused by enzyme deficiency.
The myometrium of the uterus responds to which hormone?
- A. Prostaglandins and oxytocin
- B. Progesterone and estrogen
- C. Oxytocin, relaxin, and prostaglandin E
- D. Progesterone and testosterone
Correct Answer: A
Rationale: The correct answer is A: Prostaglandins and oxytocin. Prostaglandins and oxytocin are the primary hormones that stimulate contractions in the myometrium of the uterus during labor. Progesterone and estrogen (choice B) are involved in the menstrual cycle and maintaining pregnancy, not in uterine contractions. Oxytocin, relaxin, and prostaglandin E (choice C) have roles in labor but are not the primary hormones that directly act on the myometrium. Progesterone and testosterone (choice D) do not directly influence uterine contractions.