Nokea
The layer of the uterus from which tissue is sloughed during menstruation is the:
- A. Endometrium
- B. Myometrium
- C. Parietal peritoneum
- D. Visceral peritoneum
Correct Answer: A
Rationale: The endometrium is the inner lining of the uterus that sheds during menstruation.
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In a patient with preeclampsia, the development of eclampsia is characterized by
- A. elevated liver enzymes
- B. hypertension
- C. seizures
Correct Answer: C
Rationale: Seizures define the transition from preeclampsia to eclampsia, necessitating urgent management.
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.
All of the following clinical features would be expected with 'postpartum blues' (adjustment reaction with depressed mood) EXCEPT
- A. frequent tearfulness
- B. irritability
- C. suicidal ideation
Correct Answer: C
Rationale: Suicidal ideation is not typical of postpartum blues and may indicate a more serious condition like postpartum depression or psychosis.
A few weeks after delivery, if a woman complains that she cannot sleep, has little appetite and has begun having anxiety attacks and fears that she cannot take adequate care of her neonate, the most likely cause is
- A. postpartum depression
- B. postpartum blues
- C. postpartum psychosis
Correct Answer: A
Rationale: Postpartum depression involves persistent mood disturbances and functional impairment.
Reddish-orange crystals noted in the urine of a 48-hour-old newborn are
- A. a sign of congenital renal disease
- B. a sign of vitamin K deficiency
- C. a normal finding
Correct Answer: C
Rationale: Uric acid crystals are commonly seen in newborn urine and are considered normal.