NACE EXAM — Health Care exam material
HEAL100 · Other
HEAL100 Health Care — exam and revision material · Other
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Health Care exam material, 20 pages. Originally published on StudyMerit.
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DOMAIN 1: REPRODUCTIVE ANATOMY & PHYSIOLOGY (8 Questions) Q1 A 28-year-old female patient asks the nurse about her fertile window during the menstrual cycle. She states her cycle is typically 28 days. The nurse explains that ovulation most commonly occurs at which time? A. Day 5 of the menstrual cycle B. Day 14 of the menstrual cycle [CORRECT] C. Day 21 of the menstrual cycle D. Day 28 of the menstrual cycle Correct Answer: 8 Rationale: In a typical 28-day menstrual cycle, ovulation occurs approximately 14 days before the onset of the next menstrual period, which corresponds to day 14. This is
when the mature Graafian follicle ruptures and releases the ovum due to the luteinizing hormone (LH) surge. The fertile window spans approximately 5 days before ovulation through the day of ovulation itself. « Option A (Day 5) is incorrect because this is dunng the menstrual phase when the endometrium is shedding; follicles are just beginning to develop in the ovary. * Option C (Day 21) is incorrect because this is during the luteal phase when the corpus luteum is active; if fertilization hasn't occurred, progesterone levels begin to decline. « Option D (Day 28) is incorrect because this is typically when menstruation begins if fertilization has not occurred, marking the end of the cycle. Q2 A nursing student is reviewing the hormonal regulation of the menstrual cycle. Which hormone is primarily responsible for the proliferation and thickening of the endometrium during the proliferative phase? A. Progesterone B. Estrogen [CORRECT] C. Luteinizing hormone (LH) D. Follicle-stimulating hormone (FSH) Correct Answer: B
Rationale: Estrogen, produced by the developing ovarian follicles during the proliferative phase (days 5-14), stimulates the proliferation and thickening of the endometrium, increases uterine blood flow, and promotes the growth of endometrial glands. This prepares the uterus for potential implantation. « Option A (Progesterone) is incorrect because progesterone dominates the secretory phase (days 15-28), causing the endometrium to become secretory and vascular in preparation for implantation, not proliferative. «Option C (LH) is incorrect because LH triggers ovulation and maintains the corpus luteum; it does not directly cause endometrial proliferation. o Option D (FSH) is incorrect because FSH stimulates follicular development in the ovary but does not directly act on the endometrium. Q3 A patient is undergoing fertility evaluation. The nurse explains that fertilization normally occurs in which anatomical location? A. The uterine cavity B. The vaginal canal C. The ampulla of the fallopian tube [CORRECT] D. The ovarian cortex Correct Answer: C
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HEAL100 · Other
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