Primary amenorrhea may be attributed to:
polycystic ovarian syndrome (PCOS).
hyperprolactinemia.
Turner's syndrome.
ovarian failure.
The Correct Answer is C
Rationale:
A. Polycystic ovarian syndrome (PCOS) typically causes secondary amenorrhea, not primary amenorrhea, as menstruation usually begins normally.
B. Hyperprolactinemia can lead to secondary amenorrhea by disrupting the hypothalamic-pituitary-ovarian axis.
C. Turner's syndrome, a chromosomal disorder (45,X), is a common cause of primary amenorrhea due to gonadal dysgenesis, resulting in absent or delayed puberty.
D. Ovarian failure usually leads to secondary amenorrhea after menarche, rather than primary amenorrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Intra-articular corticosteroid injections are generally reserved for persistent or severe cases that do not respond to conservative therapy; they are not first-line.
B. COX-2 inhibitors are a type of NSAID but are not typically first-line due to cost and cardiovascular risk considerations in otherwise healthy adolescents.
C. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, are the initial pharmacologic treatment for epicondylitis. They reduce inflammation and relieve pain, complementing rest, activity modification, and physical therapy.
D. Oral acetaminophen with codeine is not recommended initially due to risks of opioid use, side effects, and limited anti-inflammatory effects.
Correct Answer is D
Explanation
Rationale:
A. While the newborn liver has some immaturity, the main reason for vitamin K administration is not liver production alone.
B. Hemolysis of fetal red blood cells does not significantly affect coagulation factor levels requiring vitamin K.
C. Newborns receive vitamin K through breast milk or formula, but the immediate postnatal administration is not due to dietary deficiency.
D. Newborns are born with a sterile gut, lacking the intestinal flora that synthesize vitamin K. This predisposes them to vitamin K deficiency and increases the risk of hemorrhagic disease of the newborn, so prophylactic vitamin K is administered shortly after birth.
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