Nokea
The vulva consists of which structure?
- A. Labia majora, minora, clitoris, mons pubis, and vestibular glands
- B. Penis, scrotum, and prostate gland
- C. Internal female structures, including the uterus and ovaries
- D. Openings of the urethra and vagina
Correct Answer: A
Rationale: The correct answer is A because the vulva comprises the labia majora, labia minora, clitoris, mons pubis, and vestibular glands. The labia majora and minora are outer and inner folds of skin, the clitoris is a sensitive organ, the mons pubis is a fatty area overlying the pubic bone, and the vestibular glands secrete lubrication. Choices B, C, and D are incorrect because they do not accurately represent the structures of the vulva. B refers to male reproductive structures, C to internal female organs, and D to specific openings rather than the entire vulva.
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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.
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.
The drug of choice to treat a gonorrhea infection is
- A. penicillin G (Pfizerpen).
- B. tetracycline (Achromycin).
- C. ceftriaxone (Rocephin).
- D. acyclovir (Zovirax).
Correct Answer: C
Rationale: Step-by-step rationale:
1. Gonorrhea is caused by a bacteria called Neisseria gonorrhoeae.
2. Over time, Neisseria gonorrhoeae has developed resistance to penicillin and tetracycline.
3. Ceftriaxone is the recommended treatment due to its effectiveness against resistant strains.
4. Acyclovir is used to treat viral infections, not bacterial infections like gonorrhea.
Summary:
- Penicillin and tetracycline are no longer effective due to resistance.
- Ceftriaxone is the current drug of choice for gonorrhea treatment.
- Acyclovir is not used for bacterial infections like gonorrhea.
Which of the following functions is not usually associated with the uterus?
- A. Menstruation
- B. Fertilization
- C. Gestation
- D. All of the above functions are associated with the uterus.
Correct Answer: B
Rationale: Fertilization typically occurs in the fallopian tubes, not the uterus.
What lifestyle change would the nurse recommend for a patient who presents with multiple symptoms of perimenopause?
- A. Switch to flannel sheets and use extra blankets to stay warm at night.
- B. Avoid sexual intercourse until vaginal dryness passes.
- C. Have a glass of wine each night before bed to reduce insomnia.
- D. Begin a regular exercise routine.
Correct Answer: D
Rationale: The correct answer is D because regular exercise can help alleviate symptoms of perimenopause such as hot flashes, mood swings, and weight gain. Exercise can also improve sleep quality and overall well-being. Switching to flannel sheets (A) and using extra blankets are not addressing the root cause of the symptoms. Avoiding sexual intercourse (B) is not necessary and may not address the symptoms effectively. Drinking wine (C) can disrupt sleep patterns and may not provide long-term relief for perimenopausal symptoms.