Nokea
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.
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If a woman’s menstrual cycle began on June 2, on which date should ovulation mostly likely have occurred?
- A. Jun-10
- B. Jun-16
- C. Jun-29
- D. Jul-05
Correct Answer: B
Rationale: The menstrual cycle is typically 28 days, with ovulation occurring around day 14. In this case, if the cycle started on June 2, ovulation would likely occur around June 16, which is 14 days after the start. Choice A (Jun-10) is too early for ovulation. Choice C (Jun-29) and D (Jul-05) are too late based on the standard 28-day cycle. Therefore, choice B (Jun-16) is the correct answer based on the expected timing of ovulation in a typical menstrual cycle.
The expected physiologic weight loss in the term newborn's first week of life is
- A. up to 20% of birth weight
- B. no weight loss
- C. up to 10% of birth weight
Correct Answer: C
Rationale: Newborns typically lose up to 10% of their birth weight in the first week due to fluid loss and limited intake.
If the postpartum uterine fundus is boggy on palpation, the nurse does which of the following?
- A. notifies the physician immediately
- B. massages the uterus until it feels firm
- C. re-examines the fundus in 15-20 minutes
Correct Answer: B
Rationale: Massaging a boggy fundus helps stimulate uterine contractions and prevent postpartum hemorrhage.
If the fundal height is halfway between the woman's symphysis pubic and umbilicus, the approximate weeks of gestation are
- A. 8
- B. 12
- C. 16
Correct Answer: B
Rationale: Fundal height correlates roughly with weeks of gestation, with 12 weeks corresponding to midway between the symphysis and umbilicus.
Neonatal jaundice that is present in the first 24 hours of life is considered
- A. physiologic
- B. pathologic
- C. unconjugated
Correct Answer: B
Rationale: Jaundice appearing within the first 24 hours is pathologic and requires further evaluation.