Nokea
The drug-exposed infant is most likely to have symptoms of withdrawal in the newborn period after chronic intrauterine exposure to
- A. caffeine
- B. marijuana
- C. oxycodone
Correct Answer: C
Rationale: Opioids like oxycodone can cause neonatal abstinence syndrome, characterized by withdrawal symptoms.
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Before the nurse encourages this patient to begin annual screening, it is important for her to understand the reasons why women avoid testing. These reasons include which of the following? (Select all that apply.)
- A. Fear of x-ray exposure
- B. Expense of the procedure
- C. Reluctance to hear bad news
- D. Having heard that the test is painful
Correct Answer: B
Rationale: The correct answer is B: Expense of the procedure. This is correct because cost can be a significant barrier to healthcare access, including screening tests. Women may avoid testing due to financial constraints.
A: Fear of x-ray exposure is not typically a reason for avoiding annual screening, as modern screening methods use minimal radiation.
C: Reluctance to hear bad news may be a concern, but it is not a common reason for avoiding testing altogether.
D: Having heard that the test is painful is not a typical reason for avoiding annual screening, as most screening tests are not painful.
When suspecting an ovarian cyst on the basis of abdominal pain, what other causes need to be ruled out due to the severity of the condition? Select all that apply.
- A. ectopic pregnancy
- B. inflamed appendix
- C. ovarian torsion
- D. submucosal fibroid
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C.
A: Ectopic pregnancy can present similarly to an ovarian cyst with abdominal pain. It is a life-threatening emergency due to the risk of rupture.
B: Inflamed appendix can mimic symptoms of an ovarian cyst, such as lower abdominal pain. Appendicitis can lead to serious complications without prompt treatment.
C: Ovarian torsion can cause sudden, severe abdominal pain similar to that of an ovarian cyst. It requires immediate medical attention to prevent ovarian damage or necrosis.
D: Submucosal fibroid is a benign growth in the uterus and would not typically cause symptoms that mimic an ovarian cyst.
A woman who is charting her basal temperature during her cycle notes a sudden increase of 0.6°F in her waking temperature on the 15th day of her menstrual cycle. Which hormone is the cause of this finding?
- A. FSH
- B. Progesterone
- C. Estrogen
- D. Prostaglandin
Correct Answer: B
Rationale: The correct answer is B: Progesterone. On the 15th day of the menstrual cycle, the woman would have ovulated, leading to the release of the egg and the formation of the corpus luteum. The corpus luteum produces progesterone, which causes an increase in basal body temperature. FSH (A) is responsible for stimulating the growth of ovarian follicles, not the temperature increase. Estrogen (C) levels peak before ovulation but do not cause the post-ovulation temperature rise. Prostaglandin (D) is involved in various physiological processes but not directly related to the basal temperature increase post-ovulation.
In the postpartal period, the uterine fundus should no longer be palpable after
- A. 14 days
- B. 10 days
- C. 7 days
Correct Answer: B
Rationale: The fundus typically descends into the pelvis and is no longer palpable by 10 days postpartum.
The neonate usually passes meconium within
- A. 6 to 8 hours
- B. 8 to 24 hours
- C. 48 to 72 hours
Correct Answer: B
Rationale: Most neonates pass meconium within the first 24 hours of life.