Nokea
What does FSH primarily act to stimulate?
- A. Development of the uterine endometrium
- B. Release of the mature ovum
- C. Maturation of the ovarian follicle
- D. Development of the ovary
Correct Answer: C
Rationale: FSH primarily acts to stimulate the maturation of the ovarian follicle. FSH facilitates the growth and development of the follicle in the ovary, leading to the release of a mature ovum during ovulation. This process is essential for successful reproduction. Choice A is incorrect because the development of the uterine endometrium is primarily influenced by estrogen and progesterone. Choice B is incorrect as the release of the mature ovum is triggered by the surge in luteinizing hormone (LH), not FSH. Choice D is incorrect as the development of the ovary itself is not a direct function of FSH.
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The nurse is reviewing normal female development with a mother of a 10-year-old daughter. The mother states, I noticed that my daughter developed breast buds about a year ago. When do you think she will start her menstrual cycle? What is the nurse’s best response?
- A. In about a year.
- B. Likely any time now.
- C. Does your daughter know what to expect?
- D. It is impossible to predict when she will start her cycl
Correct Answer: B
Rationale: The correct answer is B: Likely any time now.
Rationale:
1. Breast development typically precedes menarche by about 2-2.5 years in most girls.
2. Breast buds appearing a year ago indicate the onset of puberty.
3. Thus, it is likely that menarche (first menstrual cycle) will occur soon.
Summary:
A: In about a year - Too specific, timing varies among individuals.
C: Does your daughter know what to expect? - Does not address the timing of menarche.
D: It is impossible to predict when she will start her cycle - Incorrect, general patterns can be observed.
The endometrial thickness is greatest during the:
- A. Secretory phase
- B. Menstrual phase
- C. Proliferative phase
- D. Late follicular phase
Correct Answer: A
Rationale: The correct answer is A: Secretory phase. During the secretory phase of the menstrual cycle, the endometrial thickness is greatest due to increased progesterone levels, leading to thickening of the endometrium in preparation for potential implantation of a fertilized egg. This phase occurs after ovulation and is characterized by glandular secretions and increased vascularity to support a potential pregnancy.
Summary:
- Menstrual phase (B) is incorrect as it is characterized by shedding of the endometrial lining.
- Proliferative phase (C) is incorrect as it involves endometrial thickening but not to the extent seen in the secretory phase.
- Late follicular phase (D) is incorrect as it precedes ovulation and is primarily characterized by follicular development rather than significant endometrial thickening.
When expressing milk from the breast, a woman should
- A. alternate between the C and the U hold in fixed positions
- B. start with the C hold but move about the breast clockwise
- C. use the C hold and hold the hand in a fixed position
Correct Answer: B
Rationale: Rotating hand placement ensures even emptying of the breast.
A female patient who has gone through puberty and started menstruating without any problems has developed cessation of periods after 2 years of normal cycles. Which finding would indicate a possible cause for this occurrence?
- A. Lag in development of secondary sexual characteristics
- B. Overproduction of androgenic hormones
- C. Negative pregnancy test
- D. Clinical diagnosis of primary amenorrhea
Correct Answer: B
Rationale: The correct answer is B: Overproduction of androgenic hormones. The cessation of periods after normal cycles can be due to conditions like polycystic ovary syndrome (PCOS), where there is an excess of androgenic hormones. This can disrupt the menstrual cycle. Other choices are incorrect because:
A: Lag in development of secondary sexual characteristics is more indicative of delayed puberty, not cessation of periods after normal cycles.
C: Negative pregnancy test only rules out pregnancy as a cause, not addressing the cessation of periods issue.
D: Clinical diagnosis of primary amenorrhea refers to the absence of periods by age 16 without prior menstruation, not the cessation of periods after normal cycles.
Mammary glands are considered accessory organs of the female reproductive system.
- A. TRUE
- B. FALSE
- C. NA
- D. NA
Correct Answer: A
Rationale: Mammary glands are indeed considered accessory organs of the female reproductive system.