Nokea
Shortly before menstruation:
- A. Blood levels of estrogen and progesterone decrease
- B. Blood levels of estrogen and progesterone increase
- C. Blood levels of FSH stabilize
- D. The corpus luteum secretes progesterone
Correct Answer: A
Rationale: Before menstruation, blood levels of estrogen and progesterone decrease, leading to the shedding of the endometrium.
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Which statement with regard to reproductive anatomy and physiology is inaccurate?
- A. Female patients who are past puberty and sexually active can become pregnant
- C. Puberty symptoms are more prominent in males than females.
- D. Females enter puberty earlier than their male counterparts.
Correct Answer: C
Rationale: The correct answer is C. Puberty symptoms are actually more prominent in females than males due to the complex hormonal changes leading to the development of secondary sexual characteristics. This is because the female reproductive system is more intricate and involves a more gradual and prolonged process compared to males. Choice A is true as sexually active females can indeed become pregnant. Choice D is also accurate as females generally enter puberty earlier than males.
When using the BUBBLE-HE mnemonic to remember the steps to a comprehensive postpartal assessment, the initial BUB refers to
- A. breasts, uterus, bladder
- B. bowels, urine, and breasts
- C. bowels, uterus, and bonding
Correct Answer: A
Rationale: BUB stands for Breasts, Uterus, Bladder in the BUBBLE-HE mnemonic.
What lifestyle change would the nurse recommend for a patient who presents with multiple symptoms of perimenopause?
- A. Switch to flannel sheets and use extra blankets to stay warm at night.
- B. Avoid sexual intercourse until vaginal dryness passes.
- C. Have a glass of wine each night before bed to reduce insomnia.
- D. Begin a regular exercise routine.
Correct Answer: D
Rationale: The correct answer is D because regular exercise can help alleviate symptoms of perimenopause such as hot flashes, mood swings, and weight gain. Exercise can also improve sleep quality and overall well-being. Switching to flannel sheets (A) and using extra blankets are not addressing the root cause of the symptoms. Avoiding sexual intercourse (B) is not necessary and may not address the symptoms effectively. Drinking wine (C) can disrupt sleep patterns and may not provide long-term relief for perimenopausal symptoms.
After using a breast pump, the woman should
- A. rinse removable parts in cold water, then wash with warm soapy water
- B. wash removable parts in very hot soapy water
- C. immediately sterilize the removable parts in boiling water
Correct Answer: A
Rationale: Proper cleaning prevents contamination while preserving the integrity of pump components.
The wide upper portion of the uterus is called the cervix.
- A. TRUE
- B. FALSE
- C. NA
- D. NA
Correct Answer: B
Rationale: The wide upper portion of the uterus is called the fundus, not the cervix.