Nokea
The postmenstrual phase of the menstrual cycle is also called:
- A. Menses
- B. The follicular phase
- C. The preovulatory phase
- D. The luteal phase
Correct Answer: B
Rationale: The postmenstrual phase is also referred to as the follicular phase.
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In caring for a newborn male's recently circumcised penis (non-Plastibell technique), the infant's caregivers are advised to
- A. apply a small amount of petroleum ointment to the glans with diaper changes
- B. avoid cleaning the penis with warm water
- C. pull off the thin, yellowish film that forms on the glans
Correct Answer: A
Rationale: Petroleum ointment protects the healing circumcision site and prevents sticking to the diaper.
All of the following are elements of the postpartum breast assessment EXCEPT:
- A. firmness, tenderness, and redness
- B. engorgement and nipple soreness/cracking
- C. lumps indicating possible cancerous growths
Correct Answer: C
Rationale: Lumps indicating possible cancerous growths are not typically part of a routine postpartum breast assessment.
An Rh-negative mother who has given birth to an Rh-positive infant and has no evidence of sensitization (i.e., maternal indirect Coombs test negative) should be administered
- A. Rh immune globulin (Rhogam) within 72 hours of delivery
- B. no additional medication
- C. cross-matched packed red blood cells within 4 hours of delivery
Correct Answer: A
Rationale: Administering Rh immune globulin prevents maternal sensitization and future hemolytic disease of the newborn.
Which hormonal effect is noted during the menstrual cycle?
- A. Luteinizing hormone (LH) and follicle-stimulating hormone (FSH) secretion rise
- C. A negative feedback mechanism is exhibited by the anterior pituitary gland and ovaries.
- D. The posterior pituitary gland secretes LH.
Correct Answer: A
Rationale: The correct answer is A because during the menstrual cycle, LH and FSH secretion rise to stimulate ovarian follicle development and trigger ovulation. This process is crucial for maintaining the menstrual cycle. Choice B is incorrect as it is incomplete. Choice C is incorrect as negative feedback is primarily between the hypothalamus, pituitary gland, and ovaries, not just the anterior pituitary gland and ovaries. Choice D is incorrect because LH is primarily secreted by the anterior pituitary gland, not the posterior pituitary gland.
The postpartum patient who has undergone a forceps-assisted vaginal delivery is at increased risk for
- A. postpartum hemorrhage
- B. eclampsia
- C. postpartum depression
Correct Answer: A
Rationale: Forceps deliveries can increase the risk of trauma and bleeding, leading to postpartum hemorrhage.