A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality.
When talking about the role of hormones in sexual development, which hormone does the nurse teach the class is the most important for developing and maintaining the female reproductive organs?.

Follicle-stimulating hormone.

Androgens.

Progesterone.

Estrogen.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Follicle-stimulating hormone is important for the development of the ovarian follicles, but it’s not the most important for maintaining the female reproductive organs.

Choice B rationale:

Androgens are male hormones and are not the most important for developing and maintaining the female reproductive organs.

Choice C rationale:

Progesterone is important for maintaining the endometrium, but it’s not the most important.

Choice D rationale:

Estrogen is the most important hormone for developing and maintaining the female reproductive organs. It promotes the growth and development of the female secondary sexual characteristics and the growth of the endometrium.

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Correct Answer is D

Explanation

Choice A rationale:

Asking “Why are you crying?” may seem insensitive as it’s clear the client is upset due to the loss.

Choice B rationale:

Saying “A baby still wasn’t formed in your uterus.”. might be factually correct, but it can be hurtful as it dismisses the emotional attachment the client may have had.

Choice C rationale:

Offering a pill for pain might be practical, but it doesn’t address the emotional pain the client is likely experiencing.

Choice D rationale:

Saying “I’m sorry you lost your baby.”. acknowledges the client’s loss and offers sympathy, showing empathy and understanding.

A. Notify the primary care provider immediately. B. Perform a vaginal exam. C. Change the linen saver pad. D. Check the fetal heart rate.

Correct Answer is D

Explanation

Choice A rationale:

Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.

Choice B rationale:

A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.

Choice C rationale:

Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.

Choice D rationale:

Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.

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Naxlex Comprehensive Predictor Exams

Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which response by the nurse would be most appropriate?.

Correct Answer is D

Explanation

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

Correct Answer is D

Explanation

A nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which movements would the nurse include? Select all that apply.

A client is in active labor. Checking the EFM tracing, the nurse notes variables that are abnormal. What would be the nurse's first nursing intervention?

While waiting for the placenta to deliver during the third stage of labor, the nurse must assess the new mother's vital signs every 15 minutes. What sign would indicate impending shock?.

A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence. To promote adherence, which area would be most important for the nurse to assess?.

A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?.

A nurse is providing care to a woman in labor. After the assessment of the fetus, the nurse documents the fetal lie. Which term would the nurse use?

A nurse is caring for several women in labor. The nurse determines that which woman is in the latent phase of labor?.

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:.