Nokea
The layer of uterine tissue that responds to cyclic changes in hormones secreted by the pituitary gland is the:
- A. Perimetrium.
- B. Myometrium.
- C. Endometrium.
- D. NA
Correct Answer: C
Rationale: The endometrium undergoes cyclic changes in response to estrogen and progesterone, regulated by the pituitary gland.
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Menstruation occurs because the:
- A. Hormone stimulation from the corpus luteum ceases.
- B. Blood vessels in the uterine lining become too long and twisted.
- C. Corpus luteum increases estrogen and progesterone production.
- D. Ovum has been passed from the woman's body.
Correct Answer: A
Rationale: When the corpus luteum degenerates, progesterone and estrogen levels drop, causing the uterine lining to shed.
A mother who gives birth by cesarean delivery is encouraged to
- A. ambulate as soon as possible after delivery
- B. delay seeing her infant until she is no longer requiring pain medications
- C. take shallow, purse-lip breaths to minimize pain
Correct Answer: A
Rationale: Early ambulation helps prevent complications like DVT and promotes recovery.
Women may experience exacerbation of autoimmune disorders, such as lupus erythematosus, after labor and delivery because
- A. the woman's immune system is no longer suppressed
- B. the woman is in a weakened condition
- C. the woman is experiencing increased stress and anxiety
Correct Answer: A
Rationale: Immune suppression lifts postpartum, potentially triggering autoimmune flares.
The nurse is reviewing information in anticipation of providing education to her patient. What is an accurate statement about ovarian cancer?
- A. The symptoms of ovarian cancer are easy to detect because they are very specific to the disease process.
- B. The symptoms of ovarian cancer are difficult to detect because they are vague and nonspecific.
- C. There are no symptoms of ovarian cancer.
- D. There are screening tests available for ovarian cancer that make it easy to detect.
Correct Answer: B
Rationale: The correct answer is B because the symptoms of ovarian cancer are often vague and nonspecific, leading to challenges in early detection. Symptoms such as bloating, pelvic pain, difficulty eating, and frequent urination can be mistaken for other conditions. This lack of specific symptoms makes it difficult for individuals to recognize the signs of ovarian cancer. Choice A is incorrect because the symptoms are not easy to detect. Choice C is incorrect as ovarian cancer does present symptoms. Choice D is incorrect as there are no reliable screening tests for ovarian cancer, which contributes to the difficulty in early detection.
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.