Nokea
Which hormonal effect is noted during the menstrual cycle?
- A. Luteinizing hormone (LH) and follicle-stimulating hormone (FSH) secretion rise
- C. A negative feedback mechanism is exhibited by the anterior pituitary gland and ovaries.
- D. The posterior pituitary gland secretes LH.
Correct Answer: A
Rationale: The correct answer is A because during the menstrual cycle, LH and FSH secretion rise to stimulate ovarian follicle development and trigger ovulation. This process is crucial for maintaining the menstrual cycle. Choice B is incorrect as it is incomplete. Choice C is incorrect as negative feedback is primarily between the hypothalamus, pituitary gland, and ovaries, not just the anterior pituitary gland and ovaries. Choice D is incorrect because LH is primarily secreted by the anterior pituitary gland, not the posterior pituitary gland.
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Cilia is abundant in the:
- A. Urinary tract
- B. Intestinal tract
- C. Fallopian tube
- D. Male reproductive ducts
Correct Answer: C
Rationale: The correct answer is C: Fallopian tube. Cilia are hair-like structures that line the fallopian tube to help move the egg from the ovary to the uterus. This movement is crucial for fertilization to occur. The other choices, A, B, and D, are incorrect because cilia are not typically abundant in the urinary tract, intestinal tract, or male reproductive ducts, respectively. These regions do not require the same kind of movement facilitated by cilia in the fallopian tube.
Which statement with regard to reproductive anatomy and physiology is inaccurate?
- A. Female patients who are past puberty and sexually active can become pregnant
- C. Puberty symptoms are more prominent in males than females.
- D. Females enter puberty earlier than their male counterparts.
Correct Answer: C
Rationale: The correct answer is C. Puberty symptoms are actually more prominent in females than males due to the complex hormonal changes leading to the development of secondary sexual characteristics. This is because the female reproductive system is more intricate and involves a more gradual and prolonged process compared to males. Choice A is true as sexually active females can indeed become pregnant. Choice D is also accurate as females generally enter puberty earlier than males.
You are taking care of a patient who has had a colporrhaphy. Which option would indicate a priority assessment during the postoperative period?
- A. Documentation of a pessary in the operative procedure notes by the physician
- B. Removal of vaginal packing as ordered by the physician
- C. Use of a cell saver for transfusion therapy in the postoperative period
- D. Order for removal of staples 2 to 3 days post-procedure
Correct Answer: B
Rationale: The correct answer is B: Removal of vaginal packing as ordered by the physician. This is a priority assessment because leaving the vaginal packing in place for too long can lead to complications such as infection or tissue damage. It is important to follow the physician's orders for timely removal to prevent these risks.
A: Documentation of a pessary in the operative notes is important for accuracy but not a priority assessment in the postoperative period.
C: The use of a cell saver for transfusion therapy is not directly related to the immediate postoperative care of a colporrhaphy patient and is not a priority assessment in this context.
D: The removal of staples 2 to 3 days post-procedure is important but not as time-sensitive as the removal of vaginal packing. It can be done at a later stage without immediate risk to the patient.
The region between the vaginal orifice and the anus is called the:
- A. Mons pubic
- B. Labia majora
- C. Labia minora
- D. Perineum
Correct Answer: D
Rationale: The perineum is the region between the vaginal orifice and the anus.
The breastfeeding position that is good to relieve plugged milk ducts and engorged breasts is
- A. cradle hold
- B. football hold
- C. side-lying hold
Correct Answer: B
Rationale: The football hold allows better access and drainage of blocked ducts.