Nokea
The patient is unable to tolerate a bimanual pelvic examination due to pain in ovaries and fallopian tubes. Which disorder does the nurse suspect?
- A. Tertiary syphilis
- B. Genital herpes
- C. Human papillomavirus (HPV) infection
- D. Pelvic inflammatory disease
Correct Answer: D
Rationale: The correct answer is D: Pelvic inflammatory disease (PID). PID is characterized by inflammation and infection of the female reproductive organs, including ovaries and fallopian tubes, leading to pain during bimanual pelvic examination. This is due to the inflammatory response in the pelvic area. Tertiary syphilis (A), genital herpes (B), and HPV infection (C) do not typically present with acute pelvic pain during examination. Syphilis affects multiple organ systems, herpes presents with genital lesions, and HPV usually does not cause acute pelvic pain. Therefore, PID is the most likely diagnosis based on the symptoms described.
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The lateral extremity of the Fallopian tube:
- A. opens in the abdominal cavity;
- B. captures the ovule released by the ovary;
- C. displays flared edges;
- D. is linked to the uterus through the uterine ostium;
Correct Answer: D
Rationale: Step-by-step rationale for why choice D is correct:
1. The lateral extremity of the Fallopian tube is connected to the uterus through the uterine ostium.
2. This connection allows the passage of the ovum from the Fallopian tube to the uterus for implantation.
3. The uterine ostium serves as the entry point for the ovum to travel from the Fallopian tube to the uterus.
4. Therefore, choice D is correct as it accurately describes the anatomical connection between the Fallopian tube and the uterus.
Summary:
- Choice A is incorrect because the lateral extremity of the Fallopian tube does not open in the abdominal cavity.
- Choice B is incorrect because the Fallopian tube does not capture the ovule released by the ovary.
- Choice C is incorrect because the lateral extremity of the Fallopian tube does not display flared edges.
- Choice D is correct as it accurately describes the anatomical connection
Absence of menstruation
- A. Rhinorrhea
- B. Amenorrhea
- C. Menorrhagia
- D. Leucorrhea
Correct Answer: B
Rationale: The correct answer is B: Amenorrhea. Amenorrhea refers to the absence of menstruation, which can be caused by various factors such as hormonal imbalances, stress, pregnancy, or medical conditions. Rhinorrhea (A) is the medical term for a runny nose, unrelated to menstruation. Menorrhagia (C) is excessive menstrual bleeding, the opposite of absence of menstruation. Leucorrhea (D) is a vaginal discharge, not related to the absence of menstruation. Therefore, B is the correct answer as it directly addresses the absence of menstruation.
To avoid a perineal tear the obstetrician cuts the perineum posteriorly before delivery. This process is called
- A. Perineorrhaphy
- B. Episiotomy
- C. Cesarean section
- D. Tubal ligation
Correct Answer: B
Rationale: The correct answer is B: Episiotomy. An episiotomy is a surgical incision made in the perineum during childbirth to enlarge the vaginal opening and prevent severe perineal tears. This procedure is performed to facilitate the delivery of the baby and reduce the risk of complications for both the mother and the baby. Perineorrhaphy (A) is a surgical repair of a perineal tear or episiotomy after childbirth, not the procedure of making the incision. Cesarean section (C) is a surgical procedure to deliver a baby through an incision in the mother's abdomen and uterus, not related to perineal tears. Tubal ligation (D) is a permanent form of female sterilization by blocking or sealing the fallopian tubes to prevent pregnancy, not relevant to perineal tears during childbirth.
Process of giving birth is termed as
- A. Lactation
- B. Gestation
- C. Micturition
- D. parturition
Correct Answer: D
Rationale: The correct answer is D: parturition. Parturition refers to the process of giving birth. It involves the series of events that lead to the expulsion of the fetus from the mother's womb. Lactation (choice A) is the production of milk by the mammary glands after birth. Gestation (choice B) is the period of development of the fetus in the womb. Micturition (choice C) is the process of urination and is not related to childbirth. Therefore, the term that specifically describes the process of giving birth is parturition.
Which of the following instructions would a nurse give a client undergoing treatment for an HSV-2 infection?
- A. Have an annual Papanicolaou smear to detect cervical cancer.
- B. Have an annual mammogram to detect breast cancer.
- C. Increase the frequency of breast self-examination for early detection of any breast disorders.
- D. Undergo an HIV detection test every six months.
Correct Answer: A
Rationale: Regular Pap smears are important for detecting cervical changes related to HSV-2.