Which of the following best reflects the frequency of reported postpartum “blues”?
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Solution
According to statistical reports, between 50% and 80% of all new mothers report some form of postpartum blues.
The ranges of 10% to 40%, 30% to 50%, and 25% to 70% are incorrect.
Which of the following are the most commonly assessed findings in cystitis?
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Solution
Manifestations of cystitis include, frequency, urgency, dysuria, hematuria nocturia, fever, and suprapubic pain.
Dehydration, hypertension, and chills are not typically associated with cystitis. High fever chills, flank pain, nausea, vomiting, dysuria, and frequency are associated with pyelonephritis.
Which of the following is TRUE in Rh incompatibility?
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Solution
On the first pregnancy of the Rh(-) mother, the fetus will not be affected
On the first pregnancy, the mother still has no contact with Rh(+) blood thus it has not antibodies against Rh(+). After the first pregnancy, even if terminated into an abortion, there is already the possibility of mixing of maternal and fetal blood so this can trigger the maternal blood to produce antibodies against Rh(+) blood. The fetus takes it’s blood type usually form the father.
Before giving a repeat dose of magnesium sulfate to a pre-eclamptic patient, the nurse should assess the patient’s condition. Which of the following conditions will require the nurse to temporarily suspend a repeat dose of magnesium sulfate?
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Solution
100 cc. urine output in 4 hours
The minimum urine output expected for a repeat dose of MgSO4 is 30 cc/hr. If in 4 hours the urine output is only 100 cc this is low and can lead to poor excretion of Magnesium with a possible cumulative effect, which can be dangerous to the mother.
Which of the following causes of infertility in the female is primarily psychological in origin?
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Solution
Vaginismus
Vaginismus is primarily psychological in origin.
Option B: Dyspareunia is usually caused by infection, endometriosis or hormonal changes in menopause although may sometimes be psychological in origin.
Option C: Endometriosis is a condition that is caused by organic abnormalities.
Papanicolaou smear is usually done to determine cancer of
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Solution
Cervix
Papanicolaou (Paps) smear is done to detect cervical cancer. It can’t detect cancer in ovaries and fallopian tubes because these organs are outside of the uterus and the abnormal cells from these organs will not be detected from a smear done on the cervix.
Which of the following can lead to infertility in adult males?
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Solution
Orchitis
Orchitis is a complication that may accompany mumps in adult males. This condition is characterized by unilateral inflammation of one of the testes which can lead to atrophy of the affected testis. About 20-30% of males who gets mumps after puberty may develop this complication.
In which of the following conditions can the causative agent pass through the placenta and affect the fetus in utero?
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Solution
Rubella
Rubella is caused by a virus and viruses have low molecular weight thus can pass through the placental barrier.
Options A, C, and D: Gonorrhea, candidiasis and moniliasis are conditions that can affect the fetus as it passes through the vaginal canal during the delivery process.
In placenta praevia marginalis, the placenta is found at the:
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Solution
Lower segment of the uterus with the edges near the internal cervical os
Placenta marginalis is a type of placenta previa wherein the placenta is implanted at the lower segment of the uterus thus the edges of the placenta are touching the internal cervical opening/os. The normal site of placental implantation is the upper portion of the uterus.
To prevent preterm labor from progressing, drugs are usually prescribed to halt the labor. The drugs commonly given are:
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Solution
Magnesium sulfate and terbutaline
Magnesium sulfate acts as a CNS depressant as well as a smooth muscle relaxant. Terbutaline is a drug that inhibits the uterine smooth muscles from contracting. On the other hand, oxytocin and prostaglandin stimulates contraction of smooth muscles.