Nokea
Which of the following is not found in the medulla of the ovary?
- A. Lymphatics
- B. Ovarian follicles
- C. Blood vessels
- D. All of the above are found in the medulla of the ovary.
Correct Answer: B
Rationale: Ovarian follicles are not found in the medulla of the ovary.
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Which of the following is not true concerning the uterus?
- A. It produces estrogen
- B. It sloughs compact and spongy layers of lining tissue
- C. It is the site for embryo implantation
- D. Uterine muscle contraction expels the infant
Correct Answer: A
Rationale: The uterus does not produce estrogen; this function is performed by the ovaries.
The nurse is reviewing normal female development with a mother of a 10-year-old daughter. The mother states, I noticed that my daughter developed breast buds about a year ago. When do you think she will start her menstrual cycle? What is the nurse’s best response?
- A. In about a year.
- B. Likely any time now.
- C. Does your daughter know what to expect?
- D. It is impossible to predict when she will start her cycl
Correct Answer: B
Rationale: The correct answer is B: Likely any time now.
Rationale:
1. Breast development typically precedes menarche by about 2-2.5 years in most girls.
2. Breast buds appearing a year ago indicate the onset of puberty.
3. Thus, it is likely that menarche (first menstrual cycle) will occur soon.
Summary:
A: In about a year - Too specific, timing varies among individuals.
C: Does your daughter know what to expect? - Does not address the timing of menarche.
D: It is impossible to predict when she will start her cycle - Incorrect, general patterns can be observed.
A common complication in the newborn infant of a diabetic mother is
- A. hyperglycemia
- B. anemia
- C. hypoglycemia
Correct Answer: C
Rationale: Infants of diabetic mothers often experience hypoglycemia due to high insulin levels in response to maternal hyperglycemia.
Which information should the nurse stress in teaching a patient how best to relieve the symptoms of premenstrual syndrome (PMS)?
- A. Decrease her consumption of caffein
- C. Drink a small glass of wine with her evening meal.
- D. Decrease her fluid intake to prevent fluid retention.
Correct Answer: A
Rationale: The correct answer is A: Decrease her consumption of caffeine. Caffeine can exacerbate PMS symptoms such as irritability and breast tenderness. By reducing caffeine intake, the patient may experience a reduction in these symptoms. Choice B is incomplete. Choice C is incorrect as alcohol can worsen PMS symptoms. Choice D is incorrect as decreasing fluid intake is not recommended, as it may lead to dehydration and exacerbate symptoms.
Which specific instruction should the nurse teach to assist a patient to regain control of her urinary sphincter?
- A. Perform Kegel exercises.
- B. C M U S N T O
- C. Void every hour while awak
Correct Answer: A
Rationale: Performing Kegel exercises strengthens the pelvic floor muscles, which can help improve urinary sphincter control. These exercises involve contracting and releasing the muscles that control urination. This instruction directly targets the issue of regaining control over the urinary sphincter. Choice B is nonsensical and irrelevant. Choice C, voiding every hour while awake, may not address the underlying muscle weakness causing the issue. Choice D is incomplete and does not provide any specific guidance on how to address the problem.