Nokea
The final stage in the process of ovarian follicle development is the:
- A. Corpus hemorrhagicum
- B. Corpus luteum
- C. Corpus albicans
- D. Mature follicle
Correct Answer: C
Rationale: The corpus albicans represents the final stage after the corpus luteum degenerates.
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A young woman is giving her menstrual history to the nurse. She is concerned about a short-lived pain that sometimes occurs on either the right or left side of her lower abdomen about 2 weeks before her period is due to begin. What is the nurse’s best response?
- A. “This pain is probably related to ovulation and is not uncommon.â€
- B. “The pain may be caused by abnormal hormone levels, so the levels should be checked.â€
- C. “Don’t worry, this is to be expected in young women.â€
- D. “There might be some structural abnormality that should be assessed further.â€
Correct Answer: A
Rationale: The correct answer is A: "This pain is probably related to ovulation and is not uncommon." This response is the best because the pain described by the young woman aligns with symptoms of ovulation pain, known as mittelschmerz. This type of pain typically occurs around the time of ovulation and is considered normal. It is a common experience for many women and does not usually indicate any underlying health issues.
Choice B is incorrect because abnormal hormone levels are not typically the cause of ovulation pain. Choice C is incorrect as dismissing the woman's concerns without providing reassurance or information is not appropriate. Choice D is incorrect as there is no indication from the history provided that there is a structural abnormality that needs further assessment.
In summary, the correct response acknowledges the normalcy of the pain experienced by the young woman and provides reassurance based on the symptoms described.
Retroflexion, or backward flexion, is the normal position of the uterus.
- A. TRUE
- B. FALSE
- C. NA
- D. NA
Correct Answer: B
Rationale: Retroflexion is not the normal position of the uterus.
A woman who has taken methadone during pregnancy and wants to breastfeed should
- A. take the lowest dose of methadone
- B. continue the same dose of methadone
- C. stop taking methadone
Correct Answer: B
Rationale: Continuing methadone at the same dose is safe for breastfeeding mothers and their infants.
The urethral orifice is _____ to the vagina opening.
- A. Posterior
- B. Anterior
- C. Medial
- D. Lateral
Correct Answer: B
Rationale: The urethral orifice is anterior to the vaginal opening.
For both males and females, which is the first hormone secreted to initiate puberty?
- A. Follicle-stimulating hormone (FSH)
- B. Estrogen
- C. Testosterone
- D. Gonadotropin-releasing hormone (GnRH)
Correct Answer: D
Rationale: The correct answer is D: Gonadotropin-releasing hormone (GnRH). GnRH is the first hormone secreted to initiate puberty. It acts on the pituitary gland to stimulate the release of FSH and LH, which then stimulate the production of sex hormones like estrogen and testosterone. FSH and LH regulate the maturation of ovarian follicles in females and sperm production in males. Estrogen and testosterone are produced in response to FSH and LH, so they are not the first hormones secreted to initiate puberty. Thus, GnRH is the primary hormone that kickstarts the puberty process by signaling the release of FSH and LH.