Normal Anatomy and Physiology of the Female Pelvis

Normal Anatomy and Physiology of the Female Pelvis Related

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What question is most important for the nurse to ask a patient who presents with pelvic pain for the past year?

  • A. Is the pain associated with having a bowel movement or passing urine?
  • B. Have you had any unexplained weight loss?
  • C. Have you tried taking ibuprofen or acetaminophen?
  • D. Do you have many sexual partners?
Correct Answer: A

Rationale: The correct answer is A because determining if the pain is associated with bowel movements or urination can help identify potential causes such as gastrointestinal or genitourinary issues. This information can guide further assessment and treatment.

Choice B is incorrect as unexplained weight loss is not directly related to pelvic pain assessment. Choice C is incorrect as asking about pain relief medication does not address the underlying cause of the pelvic pain. Choice D is incorrect as the number of sexual partners is not the most relevant question when assessing pelvic pain unless specific symptoms suggest a sexually transmitted infection.

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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.

A woman who develops postpartal DVT should be carefully monitored for signs of

  • A. pulmonary embolus
  • B. infection
  • C. hemorrhage
Correct Answer: A

Rationale: Pulmonary embolism is a life-threatening complication of deep vein thrombosis.

Asymmetric intrauterine growth restriction is caused by problems that occur during the

  • A. first trimester
  • B. second trimester
  • C. third trimester
Correct Answer: C

Rationale: Third-trimester issues like placental insufficiency contribute to asymmetric IUGR.

If shoulder dystocia occurred during delivery, the newborn should be examined for

  • A. fractured clavicle and Erb's palsy
  • B. skull fracture and cerebral palsy
  • C. spinal cord injury and paralysis
Correct Answer: A

Rationale: Shoulder dystocia can result in brachial plexus injuries and clavicular fractures.

If a neonate exhibits neck rigidity after birth, this may indicate injury to the

  • A. sternocleidomastoid muscle
  • B. levator scapula muscle
  • C. platysma muscle
Correct Answer: A

Rationale: Sternocleidomastoid injury can result in torticollis, presenting as neck stiffness.

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