ATI RN
Normal Anatomy and Physiology of the Female Pelvis Questions
Question 1 of 5
A patient who is experiencing trouble becoming pregnant reported that she has only two to three menstrual periods per year. What is an initial explanation for this problem?
Correct Answer: A
Rationale: The correct answer, A, is the initial explanation because irregular menstrual periods suggest infrequent ovulation, making it difficult to predict the fertile window for conception. Lack of gonadotropin-releasing hormone (B) would result in no ovulation at all. Blocked fallopian tubes (C) would prevent the egg from reaching the uterus, causing infertility. If only one ovary is functioning (D), the patient would still ovulate regularly from that ovary.
Question 2 of 5
Which phases are included in the ovarian cycle?
Correct Answer: D
Rationale: The correct answer is D because the ovarian cycle includes the follicular phase (development of ovarian follicles) and the luteal phase (release of the egg and formation of the corpus luteum). The other choices are incorrect because: A: Proliferative and secretory phases refer to phases of the menstrual cycle, not the ovarian cycle. B: Estrogen and progesterone are hormones involved in the ovarian cycle, but they do not represent the phases themselves. C: Endometrial and luteal phases involve the uterus and not specifically the ovary.
Question 3 of 5
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?
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.
Question 4 of 5
What lifestyle change would the nurse recommend for a patient who presents with multiple symptoms of perimenopause?
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.
Question 5 of 5
What question is most important for the nurse to ask a patient who presents with pelvic pain for the past year?
Correct Answer: A
Rationale: The correct answer is A because determining if the pain is associated with bowel movements or urination can help identify potential causes such as gastrointestinal or genitourinary issues. This information can guide further assessment and treatment. Choice B is incorrect as unexplained weight loss is not directly related to pelvic pain assessment. Choice C is incorrect as asking about pain relief medication does not address the underlying cause of the pelvic pain. Choice D is incorrect as the number of sexual partners is not the most relevant question when assessing pelvic pain unless specific symptoms suggest a sexually transmitted infection.