Normal Anatomy and Physiology of the Female Pelvis

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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.

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When using the BUBBLE-HE mnemonic to remember the steps to a comprehensive postpartal assessment, the initial BUB refers to

  • A. breasts, uterus, bladder
  • B. bowels, urine, and breasts
  • C. bowels, uterus, and bonding
Correct Answer: A

Rationale: BUB stands for Breasts, Uterus, Bladder in the BUBBLE-HE mnemonic.

If a woman's white blood cell count was 20,000 after delivery and increased to 40,000 by the second day, this likely indicates

  • A. normal postpartal elevation
  • B. acute infection
  • C. chronic infection
Correct Answer: A

Rationale: Leukocytosis is a normal physiological response to childbirth and resolves gradually.

Obesity during pregnancy is associated with an increased risk of

  • A. fetuses that are small-for-gestational age
  • B. cesarean birth
  • C. rapid postpartum weight loss
Correct Answer: B

Rationale: Obesity during pregnancy is associated with an increased risk of cesarean birth due to complications such as macrosomia and labor dystocia.

All of the following are elements of the postpartum breast assessment EXCEPT:

  • A. firmness, tenderness, and redness
  • B. engorgement and nipple soreness/cracking
  • C. lumps indicating possible cancerous growths
Correct Answer: C

Rationale: Lumps indicating possible cancerous growths are not typically part of a routine postpartum breast assessment.

The postmenstrual phase of the menstrual cycle is also called:

  • A. Menses
  • B. The follicular phase
  • C. The preovulatory phase
  • D. The luteal phase
Correct Answer: B

Rationale: The postmenstrual phase is also referred to as the follicular phase.

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