A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?

Restore menstrual regularity

Induce ovulation

Improve insulin uptake

Alleviate hirsutism

Answer and Explanation

The Correct Answer is A

Choice A rationale
Oral contraceptives are often used in the treatment of PCOS to restore menstrual regularity. They do this by regulating the hormonal imbalances that cause the irregular periods seen in PCOS678910.
Choice B rationale
While oral contraceptives can indirectly lead to ovulation in some women with PCOS by regulating their menstrual cycles, they are not typically used to directly induce ovulation. Other medications, such as clomiphene or letrozole, are more commonly used for this purpose.

Choice C rationale
While insulin resistance is a common feature of PCOS, oral contraceptives are not typically used to improve insulin uptake. Other medications, such as metformin, are more commonly used for this purpose.
Choice D rationale
While oral contraceptives can help alleviate hirsutism (excessive hair growth) in women with PCOS by reducing levels of circulating androgens, this is typically considered a secondary benefit rather than the primary rationale for their use.

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Correct Answer is D

Explanation

Choice A rationale
A Pap smear is not helpful in identifying ovarian cancer. It is used to detect cervical cancer, not ovarian cancer.
Choice B rationale
While the CA-125 blood test can indicate the presence of ovarian cancer if the levels are elevated, it is not a reliable screening test. This is because high levels of CA-125 can also be caused by common conditions such as endometriosis and pelvic inflammatory disease.
Choice C rationale
Genetic testing for two genes (BRCA1 and BRCA2) can identify an increased risk for developing ovarian cancer, but it does not diagnose the disease itself.
Choice D rationale
Currently, there is no reliable screening test for ovarian cancer. The most effective strategies for early detection are being aware of the symptoms and maintaining regular check-ups with your healthcare provider.

A. Unlabored irregular respirations B. Grunting C. 5-second apneic periods D. Nasal flaring E. Use of accessory muscles

Correct Answer is ["B","D","E"]

Explanation

Choice A rationale
Unlabored irregular respirations are not typically associated with respiratory distress in a neonate. In fact, newborns naturally have irregular breathing patterns, which can range from fast and shallow to slow and deep.
Choice B rationale
Grunting is a common symptom of respiratory distress in neonates. This is an involuntary noise that a baby makes when exhaling. It’s the baby’s attempt to keep air in the lungs to help them stay open and filled with air.
Choice C rationale
While apneic periods (pauses in breathing) can occur in neonates, a 5-second pause is within the normal range. Apnea of concern in neonates, particularly those with respiratory distress, is usually defined as cessation of breathing for 20 seconds or longer, or a shorter pause if it is accompanied by a slow heart rate or low oxygen levels.
Choice D rationale
Nasal flaring, where the nostrils spread open during breathing, is another common sign of respiratory distress in neonates. It’s an indication that the baby is having to work harder to breathe.
Choice E rationale
Use of accessory muscles is a sign of respiratory distress in neonates. This means the baby is using additional muscles (other than the diaphragm and chest muscles) to breathe. This can be seen as indrawing or retractions, where the skin pulls in between the ribs or the neck sinks in with each breath.

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A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?

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Naxlex Comprehensive Predictor Exams

The daughter of a woman who has been diagnosed with ovarian cancer asks the nurse about screening for this cancer. What would be the most appropriate response by the nurse?

Correct Answer is D

Explanation

What are the clinical presentations of respiratory distress in a neonate? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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