Nokea
Which condition would prevent the use of a vaginal hysterectomy?
- A. A woman with more than four pregnancies
- B. Large uterine fibroids
- C. Menorrhagia for over 6 months
- D. Women over the age of 50
Correct Answer: B
Rationale: In the case of large uterine fibroids, a vaginal hysterectomy is not an option.
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Which patient is most at risk for the infection of epididymitis?
- A. 17-year-old athlete who trains for several hours a day
- B. 22-year-old who has been exposed to mumps
- C. 45-year-old who was circumcised at the age of 10
- D. 50-year-old who has smoked for 30 years
Correct Answer: A
Rationale: Symptoms can occur after trauma to the genital area, after instrumentation of the urethra and cystoscopy, and after physical exertion or prolonged sexual activity.
Although menopause is a normal part of aging, why do some women enter menopause at an earlier age?
- A. Having become sexually active at an early age
- B. Living at high altitudes
- C. Excessive use of alcohol
- D. Morbid obesity
Correct Answer: B
Rationale: Early menopause may be brought on at an earlier age because of living in high altitudes, smoking, cancer treatment, and family history.
Which action is the sixth step in the process of the menstrual cycle to produce menses?
- A. Egg matures in the graafian follicle.
- B. Corpus luteum is formed from old follicle.
- C. Estrogen from the maturing follicle causes vascularization of the uterine lining.
- D. Anterior pituitary releases luteinizing hormone (LH), releasing the ovum.
- E. Anterior pituitary releases follicle-stimulating hormone (FSH).
- F. Corpus luteum releases estrogen and progesterone.
- G. Corpus luteum disintegrates causing a decrease in progesterone.
Correct Answer: F
Rationale: The anterior pituitary releases FHS, which allows the egg to mature in the graafian follicle; estrogen from the maturing follicle causes vascularization of the uterine lining; the anterior pituitary releases LS to release the ovum into the fallopian tubes and into the uterus; corpus luteum (made up of the old graafian follicle) releases estrogen and progesterone. The corpus luteum disintegrates, causing a decrease in progesterone and the lining of the uterus is shed as menses.
The young woman comes to the free clinic for the complaint of stomach cramps. During the examination, the nurse recommends that she be tested for chlamydia. The woman says 'I don't need any test...I don't have any symptoms for a sexual infection...I just came for irregular bleeding.' Which response is most informative?
- A. Well, if you get more symptoms come back for testing.'
- B. The health care provider may have to order medicine for syphilis and chlamydia. You probably have that too. You need to be tested today!'
- C. Testing is not mandatory...I probably wouldn't bother either since you have no symptoms.'
- D. The irregular bleeding may be part of a chlamydia infection.'
Correct Answer: D
Rationale: Chlamydia frequently displays no signs or symptoms in women. Some patients do have symptoms of vaginal pruritis, burning, dull pelvic pain, low-grade fever, vaginal discharge or irregular bleeding.
Which statement indicates that the patient who has had an abdominal hysterectomy needs further home teaching?
- A. I understand I can lift as much as 20 lb.'
- B. I'm leaving today to stay with my daughter who lives 20 miles away. My husband plans to drive the family car.'
- C. The health care provider said I can't have sexual intercourse for 4 to 6 weeks.'
- D. I'm going to miss wearing my girdle or knee-high hose.'
Correct Answer: A
Rationale: If there has been an abdominal incision, there may be further restrictions on heavy lifting (nothing over 10 lb).