Nokea
The hormone produced by the corpus
- A. implantation luteum that helps maintain pregnancy
- B. cleavage is called ________.
- C. fertilization
- D. estrogen
Correct Answer: A
Rationale: The correct answer is A. The hormone produced by the corpus luteum that helps maintain pregnancy is progesterone. After ovulation, the ruptured follicle forms the corpus luteum, which secretes progesterone to support the uterine lining for potential implantation. Choice B is incorrect as cleavage refers to early cell divisions in embryo development. Choice C is incorrect as fertilization is the fusion of sperm and egg. Choice D is incorrect as estrogen is primarily produced by the ovaries.
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A patient asks when she can stop having Pap (Papanicolaou) tests. What is the nurse’s most appropriate response?
- A. Until you are no longer sexually active.
- B. Through age 65.
- C. Until you begin menopause.
- D. Through the end of menopause.
Correct Answer: B
Rationale: The correct answer is B: Through age 65. This is because current guidelines recommend that women continue to have Pap tests every 3-5 years until age 65, assuming previous tests have been normal. This age cutoff is based on the decreasing risk of cervical cancer with age and the low likelihood of developing new HPV infections after this age. Choices A, C, and D are incorrect because they do not align with the most up-to-date screening recommendations and may lead to unnecessary testing or missed opportunities for appropriate screening.
The mother of an 18-year-old girl asks the nurse which screening her daughter should receive now based on evidence-based recommendations. Which suggestion by the nurse is best?
- A. Papanicolaou test
- B. Human papilloma virus (HPV) test
- C. Mammogram
- D. No screenings at this time
Correct Answer: D
Rationale: The correct answer is D because evidence-based recommendations do not support routine screening for cervical cancer (Papanicolaou test) or breast cancer (mammogram) in asymptomatic individuals under 21. HPV test is not recommended as a standalone screening for young women. No screenings at this time aligns with current guidelines to avoid unnecessary testing and potential harm in low-risk populations. It's important to focus on preventive measures such as vaccinations and healthy lifestyle choices rather than invasive screenings for this age group.
When instructing a patient about the risk factors associated with breast cancer, which one of the following should be identified as a myth?
- A. Breast cancer often follows an injury to the breast
- B. The incidence of breast cancer increases with age
- C. Women whose mothers or sisters have had breast cancer are twice as likely to develop it
- D. A diet high in animal fat has been linked with an increased incidence of breast cancer
Correct Answer: A
Rationale: The idea that breast cancer often follows an injury to the breast is a myth; there is no evidence supporting this claim.
On which day of the female's uterine (menstrual) cycle does ovulation typically occur?
- A. Day 7
- B. Day 14
- C. Day 21
- D. Day 24
Correct Answer: B
Rationale: The correct answer is B: Day 14. Ovulation typically occurs around day 14 of a female's menstrual cycle. This is because ovulation is triggered by a surge in luteinizing hormone (LH) which usually happens midway through the cycle. Ovulation marks the release of an egg from the ovary, making conception possible. Days 7, 21, and 24 are not typically associated with ovulation as they are either too early or too late in the menstrual cycle for the surge in LH to occur. It is important to note that the timing of ovulation can vary among individuals and cycles, but day 14 is considered the average for a 28-day menstrual cycle.
After a client has had a needle biopsy of the prostate gland using the transrectal approach, which statement is essential to include in the client teaching plan?
- A. The doctor will call you about the test results in a day or two.
- B. Serious infections frequently occur as a complication of this test.
- C. You will need to call the doctor if you have a fever or chills.
- D. It is normal to have rectal bleeding for a few days after the test.
Correct Answer: C
Rationale: Fever and chills may indicate infection, a potential complication requiring prompt medical attention.