ATI RN
Normal Anatomy and Physiology of the Female Pelvis Questions
Question 1 of 5
Arrange the steps of the female menstrual cycle in the correct order of occurrence.
Correct Answer: A,D,C,B
Rationale: The correct order of the female menstrual cycle is: A (Menstrual phase) -> D (Proliferative phase) -> C (Secretory phase) -> B (Premenstrual phase). 1. Menstrual phase (A) involves shedding of the uterine lining. 2. Proliferative phase (D) follows, where the lining thickens in preparation for implantation. 3. Secretory phase (C) occurs next, characterized by further thickening and vascularization of the endometrium. 4. Finally, premenstrual phase (B) occurs, leading to the shedding of the uterine lining if fertilization does not occur. Other choices are incorrect because they do not follow the chronological sequence of events in the menstrual cycle.
Question 2 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 3 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 4 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.
Question 5 of 5
A patient presenting with chronic pelvic pain and heavy menstrual bleeding will be evaluated for what conditions? Select all that apply.
Correct Answer: A,B,D
Rationale: The correct answer includes endometriosis, uterine fibroids, and uterine polyps due to their association with chronic pelvic pain and heavy menstrual bleeding. Endometriosis causes inflammation and scarring, leading to pain and abnormal bleeding. Uterine fibroids are non-cancerous growths in the uterus that can cause pain and heavy periods. Uterine polyps are overgrowths of the endometrial lining that can result in heavy bleeding. Ovarian cysts, although they can cause pelvic pain, are not typically associated with heavy menstrual bleeding.