Nokea
The dark red uterine discharge expelled in the first 2-3 days postpartum is
- A. lochia rubra
- B. lochia serosa
- C. lochia alba
Correct Answer: A
Rationale: Lochia rubra is the dark red uterine discharge that occurs in the first few days postpartum, consisting mainly of blood and uterine tissue.
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A 58-year-old postmenopausal woman presents with a sensation of pelvic heaviness and states she feels like something is sitting in her vagina. On examination, the provider notes a visible protrusion of the bladder into the anterior vaginal wall. What structural disorder of the female reproductive system is consistent with these findings?
- A. pelvic floor prolapse
- B. DES exposure
- C. vaginal septum
- D. bladder fistula
Correct Answer: A
Rationale: The correct answer is A: pelvic floor prolapse. This condition is characterized by weakening of the pelvic floor muscles and ligaments, leading to descent of pelvic organs such as the bladder into the vagina. The patient's symptoms of pelvic heaviness and sensation of something in her vagina are classic signs of pelvic floor prolapse. Examination findings of visible protrusion of the bladder into the anterior vaginal wall further support this diagnosis.
Explanation of incorrect choices:
B: DES exposure - This is not a structural disorder of the female reproductive system. DES exposure is associated with adverse effects on reproductive health but does not present with visible bladder protrusion.
C: Vaginal septum - This is a congenital anomaly where the vagina is divided by a septum. It does not typically present with bladder protrusion.
D: Bladder fistula - This is an abnormal connection between the bladder and another structure. While it can cause urinary symptoms, it does not typically present with visible bladder protrusion into the vagina.
What condition would the nurse include when teaching a patient about the potential complications of polycystic ovary syndrome (PCOS)?
- A. breast cancer
- B. cirrhosis of the liver
- C. insulin resistance
- D. insomnia
Correct Answer: C
Rationale: The correct answer is C: insulin resistance. PCOS is associated with insulin resistance, leading to an increased risk of type 2 diabetes. This is crucial for the nurse to include in patient education. A: breast cancer is not a common complication of PCOS. B: cirrhosis of the liver is not directly related to PCOS. D: insomnia is not a typical complication of PCOS. In summary, insulin resistance is the primary concern in PCOS due to its impact on metabolic health.
Which of the following statements about the nurse's medical record documentation is correct?
- A. it provides an accurate account of patient status and response to care
- B. it consists of both objective and subjective notes regarding the patient and care provided
- C. the physician's medical record documentation is more important than the nurse's medical record documentation in legal proceeding
Correct Answer: A
Rationale: Accurate documentation is crucial for legal and clinical purposes, providing a clear record of patient care.
Each of the following structures is a part of the vulva except the:
- A. Mons pubis
- B. Labia majora
- C. Perineum
- D. Clitoris
Correct Answer: C
Rationale: The perineum is not part of the vulva but rather the area between the vaginal orifice and the anus.
What is the primary structural difference between the male and female urethra?
- A. The male urethra has two functions, whereas the female urethra has one.
- B. The male urethra is up to three times as long as the female urethra.
- C. The female urethra is less protected than the male urethra.
- D. The female urethra is connected directly to the bladder.
Correct Answer: B
Rationale: The correct answer is B: The male urethra is up to three times as long as the female urethra. This is because the male urethra serves a dual function - for both urine and semen passage, requiring a longer length for transportation. In contrast, the female urethra is shorter and primarily functions for urine passage only. Choices A, C, and D are incorrect as they do not address the primary structural difference in length between the male and female urethra.