Normal Anatomy and Physiology of the Female Pelvis

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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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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.

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.

The pectoral girdle consists of the:

  • A. Sternum and scapula
  • B. Clavicle and scapula
  • C. Sternum and clavicle
  • D. Scapula and humerus
Correct Answer: B

Rationale: The correct answer is B: Clavicle and scapula. The pectoral girdle consists of the clavicle (collarbone) and the scapula (shoulder blade). The clavicle articulates with the sternum, providing a connection between the upper limb and the axial skeleton. The scapula forms the shoulder joint with the humerus. The sternum is part of the axial skeleton and not directly part of the pectoral girdle. The humerus is a bone of the upper arm and not part of the pectoral girdle. Therefore, the correct answer is B as it accurately represents the bones that make up the pectoral girdle.

An Rh-negative mother who has given birth to an Rh-positive infant and has no evidence of sensitization (i.e., maternal indirect Coombs test negative) should be administered

  • A. Rh immune globulin (Rhogam) within 72 hours of delivery
  • B. no additional medication
  • C. cross-matched packed red blood cells within 4 hours of delivery
Correct Answer: A

Rationale: Administering Rh immune globulin prevents maternal sensitization and future hemolytic disease of the newborn.

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.

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