ATI RN
Normal Anatomy and Physiology of the Female Pelvis Questions
Question 1 of 5
Which hormonal effect is noted during the menstrual cycle?
Correct Answer: A
Rationale: The correct answer is A because during the menstrual cycle, LH and FSH secretion rise to stimulate ovarian follicle development and trigger ovulation. This process is crucial for maintaining the menstrual cycle. Choice B is incorrect as it is incomplete. Choice C is incorrect as negative feedback is primarily between the hypothalamus, pituitary gland, and ovaries, not just the anterior pituitary gland and ovaries. Choice D is incorrect because LH is primarily secreted by the anterior pituitary gland, not the posterior pituitary gland.
Question 2 of 5
A young female patient comes to the health unit at school to discuss her irregular periods. In providing education regardinNg thRe feImalGe reBpr.odCuctMive cycle, the nurse describes the regular U S N T O and recurrent changes related to the ovaries and the uterine endometrium. Although this is generally referred to as the menstrual cycle, the ovarian cycle includes which phases? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Follicular phase. The ovarian cycle consists of two main phases: the follicular phase and the luteal phase. During the follicular phase, the ovarian follicles mature in preparation for ovulation. This phase is characterized by rising levels of estrogen. The luteal phase follows ovulation and is characterized by the formation of the corpus luteum and increased progesterone levels to support a potential pregnancy. The ovulatory phase is not a distinct phase of the ovarian cycle but rather the event of ovulation itself. Proliferative phase is a term used to describe changes in the uterine endometrium, not the ovarian cycle. Therefore, the correct answer is A, as it accurately reflects the phases of the ovarian cycle.
Question 3 of 5
While performing a self-breast exam, the patient notes an area on the right breast that is nodular, with some associated tenderness. This is a new onset finding because the exams were
Correct Answer: A
Rationale: The correct answer is A because a new nodular area with tenderness in the breast is concerning for a potential breast abnormality or pathology. The nurse should advise the patient to report these findings promptly to a healthcare provider for further evaluation, which may include a clinical breast exam, imaging studies, and possibly a biopsy if warranted. Choices B, C, and D are incorrect because B jumps to a conclusion without proper assessment or evaluation, C downplays the significance of the findings without proper validation, and D provides inaccurate information about the association of tenderness with ovulation, which is not relevant in this context.
Question 4 of 5
Which are the most common sites of breast cancer metastasis?
Correct Answer: B
Rationale: The correct answer is B: Bones and liver. Breast cancer commonly metastasizes to bones and liver due to their rich blood supply, making them favorable sites for cancer cells to spread. Bones provide a supportive environment for cancer growth, while liver offers a hospitable environment for circulating cancer cells. Other choices are incorrect as breast cancer rarely metastasizes to kidneys, heart, blood vessels, or skin. Kidneys are not common sites for breast cancer spread, and heart and blood vessels lack the conducive environment for cancer growth. Skin metastasis in breast cancer is rare and usually indicates advanced disease.
Question 5 of 5
Which statement regarding primary dysmenorrhea is most accurate?
Correct Answer: D
Rationale: The correct answer is D because primary dysmenorrhea is often caused by excessive endometrial prostaglandin production, leading to increased uterine contractions and pain. This is supported by research and clinical evidence. A: Incorrect. Not all women experience primary dysmenorrhea; it varies in prevalence. B: Incorrect. Oral contraceptives can help manage dysmenorrhea by reducing prostaglandin production. C: Incorrect. Primary dysmenorrhea is more common in nulliparous women, not multiparous women. In summary, D is correct due to the established link between excessive prostaglandin and primary dysmenorrhea, while the other choices are inaccurate based on current knowledge and research.