The region between the vaginal orifice and the anus is called the:
- A. Mons pubic
- B. Labia majora
- C. Labia minora
- D. Perineum
Correct Answer: D
Rationale: The perineum is the region between the vaginal orifice and the anus.
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What question is most important for the nurse to ask a patient who presents with pelvic pain for the past year?
- A. Is the pain associated with having a bowel movement or passing urine?
- B. Have you had any unexplained weight loss?
- C. Have you tried taking ibuprofen or acetaminophen?
- D. Do you have many sexual partners?
Correct Answer: A
Rationale: The correct answer is A because determining if the pain is associated with bowel movements or urination can help identify potential causes such as gastrointestinal or genitourinary issues. This information can guide further assessment and treatment.
Choice B is incorrect as unexplained weight loss is not directly related to pelvic pain assessment. Choice C is incorrect as asking about pain relief medication does not address the underlying cause of the pelvic pain. Choice D is incorrect as the number of sexual partners is not the most relevant question when assessing pelvic pain unless specific symptoms suggest a sexually transmitted infection.
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.
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.
Amniotic fluid index of 18 cm in the 3rd trimester is interpreted as:
- A. Hydrops fetalis
- B. Normal amniotic fluid volume
- C. Reduced amniotic fluid volume
- D. Increased amniotic fluid volume
Correct Answer: B
Rationale: The correct answer is B: Normal amniotic fluid volume. An amniotic fluid index of 18 cm in the 3rd trimester is considered within the normal range (5-25 cm). This level indicates adequate amniotic fluid for fetal development and is not indicative of hydrops fetalis (A), reduced amniotic fluid volume (C), or increased amniotic fluid volume (D). It is crucial to monitor amniotic fluid levels as deviations from the normal range can impact fetal well-being.
The epithelial type CORRECTLY matched with its occurrence is:
- A. Stratified squamous – tongue
- B. Simple columnar – corneal epithelium
- C. Transitional epithelium – Fallopian tube
- D. Pseudostratified columnar – the vocal cords
Correct Answer: A
Rationale: The correct answer is A: Stratified squamous - tongue. The tongue is lined with stratified squamous epithelium to protect against mechanical stress and abrasion due to its constant movement and exposure to food. Simple columnar epithelium lines the corneal epithelium. Transitional epithelium is found in the urinary system, not the Fallopian tube. Pseudostratified columnar epithelium is typically found in the respiratory tract, not the vocal cords.