Nokea
The biophysical profile evaluates fetal wellbeing by combining fetal heart rate monitoring with
- A. ultrasonographic examination of established fetal parameters
- B. fetal movement counting ('kick counts')
- C. external monitoring of uterine contractions
Correct Answer: A
Rationale: The biophysical profile uses ultrasound to assess fetal movements, tone, breathing, and amniotic fluid volume, combined with heart rate monitoring.
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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.
While performing a self-breast exam, the patient notes an area on the right breast that is nodular, with some associated tenderness. This is a new onset finding because the exams were
- A. The patient calls to report her findings to the clinical nurse because this is not her typical result. What action should the nurse perform next?
- B. Refer the patient to an oncologist because the results are suspicious.
- C. Ask the patient to come in for an office visit so that the findings can be validated but tell her that this information is within the normal range of presentation.
- D. Have the patient wear a tight-fitting bra and tell her that the tenderness is associated with ovulation and will pass.
Correct Answer: A
Rationale: The correct answer is A because a new nodular area with tenderness in the breast is concerning for a potential breast abnormality or pathology. The nurse should advise the patient to report these findings promptly to a healthcare provider for further evaluation, which may include a clinical breast exam, imaging studies, and possibly a biopsy if warranted.
Choices B, C, and D are incorrect because B jumps to a conclusion without proper assessment or evaluation, C downplays the significance of the findings without proper validation, and D provides inaccurate information about the association of tenderness with ovulation, which is not relevant in this context.
Infants delivered by elective cesarean section are at increased risk for
- A. neonatal jaundice
- B. low birth weight
- C. neonatal respiratory distress
Correct Answer: C
Rationale: Infants delivered via elective cesarean section may experience delayed lung fluid clearance, increasing the risk of respiratory distress.
The hormone that stimulates the alveoli to produce milk is
- A. oxytocin
- B. estrogen
- C. prolactin
Correct Answer: C
Rationale: Prolactin drives milk synthesis in mammary glands.
If a woman's pregnancy classification is G4, T2, P1, A1, L3, the number of total pregnancies is
- A. 3
- B. 4
- C. 6
Correct Answer: B
Rationale: G4 indicates four total pregnancies, regardless of outcome.