Nokea
The pregnant patient tells the nurse that she has had three pregnancies and two live births to date. How does the nurse record this in the patient’s history?
- A. Gravida 3, para 3
- B. Gravida 3, para 2
- C. Gravida 2, para 3
- D. Gravida 2, para 2
Correct Answer: B
Rationale: Rationale:
1. Gravida refers to the total number of pregnancies, which is 3 in this case.
2. Para refers to the number of live births, which is 2.
3. Therefore, the correct way to record this patient's history is Gravida 3, para 2.
Summary:
A: Incorrect - para should be 2, not 3.
C: Incorrect - gravida should be 3, not 2.
D: Incorrect - gravida should be 3, not 2.
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A client is asking the nurse questions about the diagnosis of endometriosis. The nurse teaches the client that endometrial tissue is found outside the uterus and that the major symptom that a client experiences is which of the following?
- A. Pain
- B. Infection
- C. Minimal bleeding
- D. Cramping
Correct Answer: A
Rationale: Pain is the primary symptom associated with endometriosis.
Which hormone is necessary for the growth of endometrial glands, which are important for the sustenance of a growing embryo until its implantation?
- A. Luteinizing hormone (LH)
- B. Testosterone
- C. Progesterone
- D. Inhibin
Correct Answer: C
Rationale: The correct answer is C: Progesterone. Progesterone is necessary for the growth of endometrial glands as it prepares the endometrium for implantation of the embryo. LH is responsible for ovulation, not endometrial gland growth. Testosterone is a male sex hormone and not directly involved in endometrial gland growth. Inhibin regulates FSH secretion, not endometrial gland growth.
The external female reproductive organs include
- A. the vagina, the clitoris, and the mons pubis
- B. the hymen, the vaginal opening, and the uterus
- C. the vaginal opening, the labia majora, and the clitoris
- D. the hymen, the ovaries, and the clitoris
Correct Answer: C
Rationale: The correct answer is C because the external female reproductive organs typically include the vaginal opening, the labia majora, and the clitoris. The vaginal opening is where sperm enters and a baby exits during childbirth. The labia majora are the outer folds of skin that protect the vaginal and urethral openings. The clitoris is a highly sensitive sexual organ that plays a key role in sexual pleasure.
Option A is incorrect because it includes the mons pubis, which is not considered an external reproductive organ. Option B is incorrect because it includes the hymen, which is a thin membrane that may partially cover the vaginal opening but is not a consistent external organ. Option D is incorrect because it includes the ovaries, which are internal organs responsible for producing eggs, not external reproductive organs.
Vaginal discharge is one of the clinical manifestations in women with
- A. Vulvovaginal candidiasis
- B. Granuloma inguinale
- C. Gonorrhea
- D. Trichomoniasis
Correct Answer: D
Rationale: Correct Answer: D - Trichomoniasis
Rationale: Trichomoniasis is a sexually transmitted infection that commonly presents with vaginal discharge. The discharge is typically frothy, yellow-green, and has a strong odor. This distinguishes it from other causes of vaginal discharge.
Summary of Other Choices:
A: Vulvovaginal candidiasis - Typically presents with thick, white, cottage cheese-like discharge.
B: Granuloma inguinale - Rare bacterial infection causing painless genital ulcers, not associated with vaginal discharge.
C: Gonorrhea - May cause vaginal discharge, but typically associated with other symptoms like pelvic pain and abnormal bleeding.
Which one of the following hormones is not a placental hormone.
- A. oxytocin
- B. relaxin
- C. estrogen
- D. human chorionic gonadotropin hormone
Correct Answer: A
Rationale: The correct answer is A: oxytocin. Oxytocin is not a placental hormone because it is produced by the hypothalamus and stored in the posterior pituitary gland. Placental hormones are specifically produced by the placenta during pregnancy. Relaxin, estrogen, and human chorionic gonadotropin hormone are all placental hormones involved in various functions during pregnancy. Oxytocin, on the other hand, plays a role in uterine contractions during labor and milk ejection during breastfeeding, but it is not produced by the placenta.