Nursing Elites

1. What laboratory values are not typically elevated in a patient with PCOS?

• A. LH
• B. Androgens
• C. Estrogens
• D. Prolactin

Correct answer: D

Rationale: The correct answer is D: Prolactin. Prolactin levels are not typically elevated in patients with PCOS. Elevated LH and androgens are commonly seen in PCOS patients. While estrogen levels can vary in PCOS, they are not consistently low or high in all cases.

2. Which of the following is not a barrier method of birth control?

• A. Vaults
• B. Diaphragms
• C. Sterilization
• D. Cervical caps

Correct answer: C

Rationale: The correct answer is C, Sterilization. Sterilization is a permanent form of birth control that involves surgical procedures to prevent pregnancy by blocking the fallopian tubes or vas deferens. Barrier methods physically prevent sperm from reaching the egg, such as vaults, diaphragms, and cervical caps. These devices create a barrier to sperm, unlike sterilization. Therefore, choices A, B, and D are all considered barrier methods of birth control.

3. Which female reproductive organ is positioned directly posterior to the bladder?

• A. Uterine tube
• B. Vagina
• C. Uterus
• D. Ovaries

Correct answer: C

Rationale: The correct answer is the uterus. The uterus is positioned directly posterior to the bladder in the female reproductive system. The uterine tube (choice A) is also known as the fallopian tube, which is not positioned directly posterior to the bladder. The vagina (choice B) is located below the uterus and not directly posterior to the bladder. The ovaries (choice D) are located on either side of the uterus, but they are not positioned directly posterior to the bladder.

4. Which of the following is the most effective method of contraception?

• A. Barrier methods
• B. Hormonal pills
• C. Intrauterine devices (IUDs)
• D. Sterilization

Correct answer: D

Rationale: Sterilization is considered the most effective method of contraception because it permanently prevents pregnancy. Barrier methods, hormonal pills, and IUDs are highly effective as well, but they are reversible methods and may have a higher failure rate compared to sterilization.

5. Inevitable abortion occurs when:

• A. The ovum dies in utero and the decidua capsularis remains intact.
• B. The cervix is open, and the products of conception are about to be expelled.
• C. The products of conception are expelled before the 20th week of gestation.
• D. The fetus dies and is expelled in the first trimester.

Correct answer: B

Rationale: Inevitable abortion occurs when the cervix is open, and the products of conception are about to be expelled. This is a critical point in the process of spontaneous abortion, indicating that expulsion of the products of conception is imminent. Choice A is incorrect as it describes a missed abortion where the ovum dies but the decidua capsularis remains intact. Choice C is incorrect as it describes an incomplete abortion where the products of conception are expelled before the completion of 20 weeks of gestation. Choice D is incorrect as it describes a missed abortion where the fetus dies and is expelled in the first trimester.

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