Which of the following does not contribute to the increase in the thickness of the endometrium during the endometrial cycle?
- A. Growth of the endometrium
- B. Fluid retention in the endometrium
- C. Endometrial gland growth
- D. All of the above contribute to the increase in the thickness of the endometrium during the endometrial cycle.
Correct Answer: D
Rationale: All listed factors contribute to the increase in the thickness of the endometrium.
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During the postovulatory phase of the cycle, the greatest percentage of progesterone is produced by the:
- A. Corpus albicans
- B. Corpus luteum
- C. Primary graafian follicle
- D. Uterus
Correct Answer: B
Rationale: The corpus luteum is the primary source of progesterone during the postovulatory phase.
Methylergonovine (Methergine®) may be administered to a woman after delivery in order to
- A. promote uterine contractions
- B. relieve pain and discomfort
- C. reduce maternal hypertension
Correct Answer: A
Rationale: Methylergonovine stimulates uterine contractions to control postpartum bleeding.
The dark red uterine discharge expelled in the first 2-3 days postpartum is
- A. lochia rubra
- B. lochia serosa
- C. lochia alba
Correct Answer: A
Rationale: Lochia rubra is the dark red uterine discharge that occurs in the first few days postpartum, consisting mainly of blood and uterine tissue.
If a woman in labor is receiving a benzodiazepine to relieve anxiety, nausea, and pain, the medication that should also be available on the unit is
- A. flumazenil
- B. naloxone
- C. N-acetylcysteine
Correct Answer: A
Rationale: Flumazenil reverses benzodiazepine effects in case of overdose or adverse reactions.
What is the primary structural difference between the male and female urethra?
- A. The male urethra has two functions, whereas the female urethra has one.
- B. The male urethra is up to three times as long as the female urethra.
- C. The female urethra is less protected than the male urethra.
- D. The female urethra is connected directly to the bladder.
Correct Answer: B
Rationale: The correct answer is B: The male urethra is up to three times as long as the female urethra. This is because the male urethra serves a dual function - for both urine and semen passage, requiring a longer length for transportation. In contrast, the female urethra is shorter and primarily functions for urine passage only. Choices A, C, and D are incorrect as they do not address the primary structural difference in length between the male and female urethra.