Nokea
Which of the following structures is not in the urogenital triangle of the perineum?
- A. Anus
- B. Labia
- C. Vaginal orifice
- D. Urinary opening
Correct Answer: A
Rationale: The anus is not located in the urogenital triangle of the perineum.
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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.
A young female patient comes to the health unit at school to discuss her irregular periods. In providing education regardinNg thRe feImalGe reBpr.odCuctMive cycle, the nurse describes the regular U S N T O and recurrent changes related to the ovaries and the uterine endometrium. Although this is generally referred to as the menstrual cycle, the ovarian cycle includes which phases? (Select all that apply.)
- A. Follicular
- B. Ovulatory
- C. Luteal
- D. Proliferative
Correct Answer: A
Rationale: The correct answer is A: Follicular phase. The ovarian cycle consists of two main phases: the follicular phase and the luteal phase. During the follicular phase, the ovarian follicles mature in preparation for ovulation. This phase is characterized by rising levels of estrogen. The luteal phase follows ovulation and is characterized by the formation of the corpus luteum and increased progesterone levels to support a potential pregnancy. The ovulatory phase is not a distinct phase of the ovarian cycle but rather the event of ovulation itself. Proliferative phase is a term used to describe changes in the uterine endometrium, not the ovarian cycle. Therefore, the correct answer is A, as it accurately reflects the phases of the ovarian cycle.
For both males and females, which is the first hormone secreted to initiate puberty?
- A. Follicle-stimulating hormone (FSH)
- B. Estrogen
- C. Testosterone
- D. Gonadotropin-releasing hormone (GnRH)
Correct Answer: D
Rationale: The correct answer is D: Gonadotropin-releasing hormone (GnRH). GnRH is the first hormone secreted to initiate puberty. It acts on the pituitary gland to stimulate the release of FSH and LH, which then stimulate the production of sex hormones like estrogen and testosterone. FSH and LH regulate the maturation of ovarian follicles in females and sperm production in males. Estrogen and testosterone are produced in response to FSH and LH, so they are not the first hormones secreted to initiate puberty. Thus, GnRH is the primary hormone that kickstarts the puberty process by signaling the release of FSH and LH.
Which of the following ligaments does not assist in holding the ovaries in place?
- A. Broad
- B. Mesovarian
- C. Ovarian
- D. Round
Correct Answer: D
Rationale: The round ligament does not assist in holding the ovaries in place.
The recreational drug that most increases the risk of spontaneous abortion is
- A. marijuana
- B. methamphetamine
- C. MDMA
Correct Answer: B
Rationale: Methamphetamine use poses significant risks to pregnancy, including miscarriage.