Nokea
Which condition is inappropriate to treat with exogenous progesterone?
- A. Thyroid dysfunction
- B. Recent miscarriage
- C. PCOD
- D. Oocyte retrieval
Correct Answer: A
Rationale: Thyroid dysfunction is treated with Synthroid for anovulation, not with progesterone.
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While interviewing a 31-year-old woman before her routine gynecologic examination the nurse collects data about the client's recent menstrual cycles. Which statement by the client should prompt the nurse to collect further information?
- A. My menstrual flow lasts 5 to 6 days
- B. My flow is very heavy
- C. The length of my menstrual cycles varies from 26 to 29 days
- D. I have had a small amount of spotting midway between my periods for the past 2 months
Correct Answer: B
Rationale: Heavy bleeding (menorrhagia) requires further investigation as it could indicate an underlying condition. A menstrual cycle of 5-6 days or slight spotting midway are normal.
The nurse is preparing a teaching plan for a polycystic ovary syndrome (PCOS) support group.
One of the teaching points will include diet and weight loss to decrease hirsutism and acne. What
is the reasoning for this rationale?
- A. Diet and exercise will promote weight loss, which will decrease
hyperandrogenemia - B. Diet and exercise will decrease the risk of type 2 diabetes and gestational diabetes
- C. Diet and exercise will decrease serum lipid levels and lower the risk for
cardiovascular disease. - D. Diet and exercise will increase the frequency of ovulation and menstruation and
increase fertility.
Correct Answer: E
Rationale: The correct answer is missing from the choices provided. However, I can provide a rationale for each choice:
A: Diet and exercise can help promote weight loss, which can decrease hyperandrogenemia by reducing insulin resistance and decreasing androgen levels.
B: While diet and exercise can decrease the risk of type 2 diabetes and gestational diabetes in women with PCOS, this is not directly related to reducing hirsutism and acne symptoms.
C: Diet and exercise can improve lipid levels and reduce cardiovascular risk in women with PCOS, but this is not the primary goal when addressing hirsutism and acne.
D: Diet and exercise can improve ovulation and menstrual regularity, which may help with fertility in women with PCOS, but this is not directly related to reducing hirsutism and acne.
In summary, the correct answer should focus on how diet and weight loss can specifically impact hirsutism and acne in women with PCOS.
What guidance should the nurse provide to a man who smokes two packs a day and is concerned about infertility?
- A. Your sperm count seems to be okay in the first semen analysis.'
- B. Only marijuana cigarettes affect sperm count.'
- C. Although smoking has no effect on sperm count, it can give you lung cancer.'
- D. Smoking can reduce the quality of your sperm.'
Correct Answer: D
Rationale: Cigarette smoking can affect sperm quality, including abnormal sperm, decreased count, and chromosomal damage.
At the present time, which agency governs surrogate parenting?
- A. State law
- B. Federal law
- C. Individual court decision
- D. Protective child services
Correct Answer: A
Rationale: The correct answer is A: State law. Surrogate parenting laws are primarily regulated at the state level in the United States. Each state has its own laws and regulations regarding the legality and requirements of surrogate parenting arrangements. Federal law does not specifically govern surrogate parenting. While individual court decisions may impact specific cases, they do not set overarching regulations for surrogate parenting. Protective child services focus on the welfare and protection of children in cases of abuse or neglect, not on the legality of surrogate parenting arrangements. Thus, state law is the correct answer as it is the primary authority governing surrogate parenting.
What are the most common causes for subinvolution of the uterus?
- A. Postpartum hemorrhage and infection
- B. Multiple gestation and postpartum hemorrhage
- C. Uterine tetany and overproduction of oxytocin
- D. Retained placental fragments and infection
Correct Answer: D
Rationale: Subinvolution is the failure of the uterus to return to a nonpregnant state. The most common causes are retained placental fragments and infection.