The OB-GYN nurse knows that the proliferative phase of the menstrual cycle includes what changes? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Thin, clear cervical mucus
2. Spinnbarkheit as ovulation nears
3. No ferning pattern of cervical mucus
4. A pH change to 7.5
5. Epithelium warps into folds.
1,2,4
Rationale 1: Just before ovulation, the cervical mucus becomes thin, clear, watery, and more alkaline, making the mucus more favorable to spermatozoa.
Rationale 2: As ovulation nears, the cervical mucous shows increased elasticity, called spinnbarkheit.
Rationale 3: On microscopic examination, the mucus shows a characteristic ferning pattern during the proliferative phase.
Rationale 4: The cervical mucosa pH increases from below 7 to 7.5 at the time of ovulation.
Rationale 5: Progesterone causes such marked swelling and growth during the secretory phase that the epithelium is warped into folds.
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The nurse is contributing to the plan of care for a patient who has systemic lupus erythematosus and recommends including Disturbed Body Image. Which of the following would be the appropriate long-term patient outcome for this diagnosis?
a. Verbalizes feelings about body changes b. Returns to previous social involvement c. Uses normal coping mechanisms d. Engages in diversional activities.
A client with benign hypertrophy of the prostate has heard claims that the herb saw palmetto can help relieve his symptoms. The client is eager to know more about this herb
Which of the following pieces of information should the nurse provide the client regarding the use of the herb? A) Take the herb as tea, prepared in hot water. B) Improvement can be seen within 2 to 3 weeks. C) It may delay the need for prostatic surgery. D) Stop the herb after 3 months of intake.
When giving a narcotic to a laboring woman, the nurse should inject the medication at the beginning of a contraction so that
a. Full benefit of the medication is received during that contraction. b. Less medication will be transferred to the fetus. c. The medication will be rapidly circulated. d. The maternal vital signs will not be adversely affected.
When involved with discharge planning for a patient recovering from a mild cerebrovascular accident, the nurse should understand that Medicare provides
a. longer stays for Medicare patients in acute inpatient settings. b. increased use of extended care units for rehabilitation needs. c. inappropriate early discharge of large numbers of patients. d. universal coverage for U.S. citizens and permanent residents.