Nokea
What fatty acids (classified as hormones) are found in many body tissues with complex roles in many reproductive functions?
- A. GnRH
- B. Prostaglandins (PGs)
- C. FSH
- D. Luteinizing hormone (LH)
Correct Answer: B
Rationale: Prostaglandins (PGs) affect smooth muscle contraction and changes in the cervix.
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A health care provider performs a clinical breast examination on a woman diagnosed with fibroadenomHow would the nurse explain the defining characteristics of a fibroadenoma?
- A. Inflammation of the milk ducts and glands behind the nipples
- B. Thick, sticky discharge from the nipple of the affected breast
- C. Lumpiness in both breasts that develops 1 week before menstruation
- D. Single lump in one breast that can be expected to shrink as the woman ages
Correct Answer: D
Rationale: Fibroadenomas are usually solitary lumps that shrink as the woman ages. They are benign and distinct from other conditions like mammary duct ectasia or fibrocystic changes.
The nurse is providing care for the 34-year-old patient diagnosed with polycystic ovarian syndrome .Which interventions would correlate to the common symptoms of this syndrome? Select all that apply.
- A. The patient has been unsuccessful with the ability to conceive
- B. The patient has a history of painful and irregular menstrual cycles.
- C. The patient has noticed a drastic weight loss and dry skin.
- D. The patient has chronic back pain and gastrointestinal issues
Correct Answer: A
Rationale: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder in women of reproductive age that can present with a variety of symptoms. Common symptoms of PCOS include irregular menstrual cycles, weight gain, acne, excessive hair growth, and infertility. Therefore, interventions that may correlate with these common symptoms can include lifestyle modifications like weight management, exercise, dietary changes, hormonal medications to regulate menstrual cycles, and fertility treatments if conception is desired. Treating the symptoms can help improve the patient's quality of life and overall health outcomes.
What is the primary difference between hospital care and home health care?
- A. Home care is routinely and continuously delivered by professional staff.
- B. Home care is delivered on an intermittent basis by professional staff.
- C. Home care is delivered for emergency conditions.
- D. Home care is not available 24 hours a day.
Correct Answer: B
Rationale: Home care is provided intermittently by health professionals, who visit clients for specific needs. Hospital care, in contrast, involves continuous professional staff presence. Home care is typically not designed for emergency situations, which require immediate hospital care.
Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to N R I G B.C M U S N T O have a cesarean birth”?
- A. “Everything will be OK.”
- B. “Don’t worry about it. It will be over soon.”
- C. “What concerns you most about a cesarean birth?”
- D. “The physician will be in later and you can talk to him.”
Correct Answer: C
Rationale: The most therapeutic response by the nurse when the patient expresses fear about having a cesarean birth is to offer an open-ended question that explores the patient's concerns further. By asking, "What concerns you most about a cesarean birth?" the nurse acknowledges the patient's fears, encourages communication, and allows the patient to express her feelings and fears in more detail. This response shows empathy and enables the nurse to better address the specific worries and anxieties the patient may have about the procedure. The other options do not effectively address the patient's fears and do not promote therapeutic communication.
The nurse should be cognizant of which postpartum physiologic alteration?
- A. Cardiac output, pulse rate, and stroke volume all return to prepregnancy normal values within 48 hours of childbirth.
- B. Respiratory function returns to nonpregnant levels by 6 to 8 weeks after childbirth.
- C. Lowered white blood cell count after pregnancy can lead to false-positive results on tests for infections.
- D. Hypercoagulable state protects the new mother from thromboembolism, especially after a cesarean birth.
Correct Answer: B
Rationale: Respiratory function returns to nonpregnant levels by 6 to 8 weeks after childbirth.