Nokea
What is the primary function of the endometrial layer of the uterus?
- A. Increase in density and content during each menstrual cycle
- B. Prepare to receive and nourish a fertilized ovum (blastocyst)
- C. Produce the hormones that regulate ovulation
- D. Maintain pregnancy
Correct Answer: B
Rationale: The correct answer is B: Prepare to receive and nourish a fertilized ovum (blastocyst). The primary function of the endometrial layer of the uterus is to provide a suitable environment for implantation and nourishment of a fertilized egg. During the menstrual cycle, the endometrial layer thickens in preparation for potential pregnancy. If fertilization occurs, the blastocyst implants into the endometrium for further development. Choices A, C, and D are incorrect as the endometrial layer does not primarily function to increase in density during each cycle, produce ovulation-regulating hormones, or maintain pregnancy, respectively.
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What condition would the nurse suspect in a patient who presents with very painful menstrual cramps that prevent them from working each month?
- A. amenorrhea
- B. dysmenorrhea
- C. premenstrual syndrome
- D. abnormal uterine bleeding
Correct Answer: B
Rationale: The correct answer is B: dysmenorrhea. Dysmenorrhea refers to painful menstrual cramps that can be severe enough to interfere with daily activities like work. This condition is common and can be caused by increased prostaglandin levels leading to uterine contractions. Amenorrhea (A) is the absence of menstruation, not painful cramps. Premenstrual syndrome (C) involves a variety of physical and emotional symptoms before menstruation, but not necessarily severe cramps. Abnormal uterine bleeding (D) refers to irregular or excessive bleeding, not specifically related to cramps.
The female reproductive system differs from the male reproductive system in that it:
- A. Produces gametes
- B. Provides protection for the developing offspring
- C. Provides nutrition to the developing offspring
- D. Does both B and C.
Correct Answer: D
Rationale: The female reproductive system provides both protection and nutrition to the developing offspring, unlike the male reproductive system.
To prevent contamination and encourage drying of the umbilical cord stump, caregivers should be advised to
- A. give the newborn daily tub baths
- B. pull on the cord stump daily
- C. fold diapers down to avoid covering the cord stump
Correct Answer: C
Rationale: Keeping the cord stump exposed to air promotes drying and reduces infection risk.
A sign of impaired attachment between the postpartum mother and her infant is
- A. decreasing maternal interaction with the infant over time
- B. maternal request to rest and refuse visitors
- C. maternal encouragement for family members to hold the infant
Correct Answer: A
Rationale: Decreased interaction may indicate difficulties in bonding between the mother and infant.
A postpartum patient who has had a vaginal birth asks the nurse, I was wondering if my cervix will return to its previous shape before I had the baby? Which is the best response by the nurse?
- A. The cervix will now have a slit-like shap
- C. The cervix will be round and smooth after healing occurs.
- D. The cervix will remain 50% effaced now that you have had a baby.
Correct Answer: A
Rationale: The correct answer is A: The cervix will now have a slit-like shape. After giving birth, the cervix undergoes changes in shape and size to adapt to the delivery process. It becomes slit-like instead of round to allow for easier dilation in future pregnancies. This response is correct as it addresses the anatomical changes that occur postpartum.
Choice B is incorrect because it does not provide an explanation of the postpartum cervix shape changes.
Choice C is incorrect because it describes the cervix in a way that does not reflect the usual postpartum changes.
Choice D is incorrect because it refers to effacement, which is the thinning of the cervix during labor and not a permanent change postpartum.