Normal Anatomy and Physiology of the Female Pelvis

Normal Anatomy and Physiology of the Female Pelvis Related

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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.

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What lifestyle change would the nurse recommend for a patient who presents with multiple symptoms of perimenopause?

  • A. Switch to flannel sheets and use extra blankets to stay warm at night.
  • B. Avoid sexual intercourse until vaginal dryness passes.
  • C. Have a glass of wine each night before bed to reduce insomnia.
  • D. Begin a regular exercise routine.
Correct Answer: D

Rationale: The correct answer is D because regular exercise can help alleviate symptoms of perimenopause such as hot flashes, mood swings, and weight gain. Exercise can also improve sleep quality and overall well-being. Switching to flannel sheets (A) and using extra blankets are not addressing the root cause of the symptoms. Avoiding sexual intercourse (B) is not necessary and may not address the symptoms effectively. Drinking wine (C) can disrupt sleep patterns and may not provide long-term relief for perimenopausal symptoms.

In caring for a newborn male's recently circumcised penis (non-Plastibell technique), the infant's caregivers are advised to

  • A. apply a small amount of petroleum ointment to the glans with diaper changes
  • B. avoid cleaning the penis with warm water
  • C. pull off the thin, yellowish film that forms on the glans
Correct Answer: A

Rationale: Petroleum ointment protects the healing circumcision site and prevents sticking to the diaper.

An ectopic pregnancy can occur in the:

  • A. Uterus
  • B. Pelvic cavity
  • C. Uterine tubes
  • D. Either B or C are correct.
Correct Answer: D

Rationale: An ectopic pregnancy can occur in the pelvic cavity or uterine tubes.

The postmenstrual phase of the menstrual cycle is also called:

  • A. Menses
  • B. The follicular phase
  • C. The preovulatory phase
  • D. The luteal phase
Correct Answer: B

Rationale: The postmenstrual phase is also referred to as the follicular phase.

A young woman is giving her menstrual history to the nurse. She is concerned about a short-lived pain that sometimes occurs on either the right or left side of her lower abdomen about 2 weeks before her period is due to begin. What is the nurse’s best response?

  • A. “This pain is probably related to ovulation and is not uncommon.”
  • B. “The pain may be caused by abnormal hormone levels, so the levels should be checked.”
  • C. “Don’t worry, this is to be expected in young women.”
  • D. “There might be some structural abnormality that should be assessed further.”
Correct Answer: A

Rationale: The correct answer is A: "This pain is probably related to ovulation and is not uncommon." This response is the best because the pain described by the young woman aligns with symptoms of ovulation pain, known as mittelschmerz. This type of pain typically occurs around the time of ovulation and is considered normal. It is a common experience for many women and does not usually indicate any underlying health issues.

Choice B is incorrect because abnormal hormone levels are not typically the cause of ovulation pain. Choice C is incorrect as dismissing the woman's concerns without providing reassurance or information is not appropriate. Choice D is incorrect as there is no indication from the history provided that there is a structural abnormality that needs further assessment.

In summary, the correct response acknowledges the normalcy of the pain experienced by the young woman and provides reassurance based on the symptoms described.

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