Nokea
Which patient is most likely to develop osteoporosis?
- A. A 50-year-old patient on estrogen therapy
- B. A 55-year-old patient with a sedentary lifestyle
- C. A 65-year-old patient who walks 2 miles each day
- D. A 60-year-old patient who takes supplemental calcium
Correct Answer: B
Rationale: The correct answer is B. Osteoporosis is more common in individuals with sedentary lifestyles due to decreased bone density from lack of weight-bearing exercise. Choice A on estrogen therapy may have lower risk. Choice C, who exercises, has a reduced risk. Choice D with calcium intake may help prevent osteoporosis but not as effective as weight-bearing exercise.
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What condition would the nurse suspect in a patient who presents with very painful menstrual cramps that prevent them from working each month?
- A. amenorrhea
- B. dysmenorrhea
- C. premenstrual syndrome
- D. abnormal uterine bleeding
Correct Answer: B
Rationale: The correct answer is B: dysmenorrhea. Dysmenorrhea refers to painful menstrual cramps that can be severe enough to interfere with daily activities like work. This condition is common and can be caused by increased prostaglandin levels leading to uterine contractions. Amenorrhea (A) is the absence of menstruation, not painful cramps. Premenstrual syndrome (C) involves a variety of physical and emotional symptoms before menstruation, but not necessarily severe cramps. Abnormal uterine bleeding (D) refers to irregular or excessive bleeding, not specifically related to cramps.
Following an unmedicated delivery, a neonate should ideally begin breastfeeding during the first
- A. 10 to 20 minutes
- B. 1 to 2 hours
- C. 3 to 4 hours
Correct Answer: A
Rationale: Early initiation supports bonding, temperature regulation, and successful breastfeeding.
In the postpartal period, the uterine fundus should no longer be palpable after
- A. 14 days
- B. 10 days
- C. 7 days
Correct Answer: B
Rationale: The fundus typically descends into the pelvis and is no longer palpable by 10 days postpartum.
During a 28-day menstrual cycle, ovulation would be most likely to occur on day _____ of the cycle.
- A. 3
- B. 8
- C. 14
- D. 21
Correct Answer: C
Rationale: Ovulation typically occurs around day 14 of a 28-day menstrual cycle.
An episiotomy is an incision made:
- A. Through the body of the uterus
- B. Through the cervix of the uterus
- C. In the perineum
- D. None of the above correctly describes an episiotomy.
Correct Answer: C
Rationale: An episiotomy is an incision made in the perineum.