The nurse understands that which of the following hormones is directly responsible for maintaining the free or unbound portion of serum calcium within normal limits?
1. Thyroid hormone
2. Parathyroid hormone
3. Follicle-stimulating hormone
4. Adrenocorticotropic hormone
2
Rationale: Parathyroid hormone is responsible for maintaining serum calcium and phosphorous levels within normal range. Thyroid hormone is responsible for maintaining a normal metabolic rate in the body. Follicle-stimulating hormone and adrenocorticotropic hormone are produced by the anterior pituitary gland. They are responsible for growth and maturation of the ovarian follicle and stimulation of the adrenal glands, respectively.
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During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. What is Chadwick's sign?
a. Bluish or purplish discoloration of the vulva, vagina, and cervix b. Presence of early fetal movements c. Darkening of the areola and breast tenderness d. Palpation of the fetal outline
Which is a datum from a qualitative research study on the labor and delivery experiences of women over age 40?
A) 14.6 hours in labor B) 60-minute interviews 1 day after delivery C) "It was a lot more painful than I ever imagined." D) 15 women with a vaginal delivery
The nurse is providing education to a client who will begin birth control pills. Which statements are correct regarding how birth control pills work? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. They decrease blood flow to the ovaries. 2. They do not allow the egg to mature. 3. They prevent ovulation. 4. They make the lining of the uterus less favorable to receiving an embryo. 5. They cause permanent sterilization.
A client has occasional bouts of constipation, and asks the nurse what can be done to prevent these episodes in the future. What should the nurse instruct the client to do?
1. Establish a regular exercise regimen. 2. Include high-fiber foods, such as vegetables, fruits, and whole grains, in the diet. 3. Maintain fluid intake of 2000 to 3000 mL a day. 4. Do not ignore the urge to defecate. 5. Use over-the-counter medications to treat constipation.