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Nursing Council of New Zealand Nursing and Midwifery - Reviews


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Nursing Council of New Zealand Nursing and Midwifery - Test Reviews Sample Questions

You are educating a menopausal woman about hormone replacement therapy (HRT). In talking about the risks and benefits of HRT which of the following statements is NOT correct?



Correct Answer:
hrt is related to an increase in risk of osteoporosis.


hormone replacement therapy (hrt) is a treatment used to alleviate symptoms of menopause by supplementing the body with estrogen, progesterone, or a combination of both. understanding the risks and benefits of hrt is crucial for making informed decisions about its use.

the statement "hrt is related to an increase in risk of osteoporosis" is not correct. in fact, the opposite is true. hrt is commonly prescribed to help prevent the bone loss that can occur with menopause. during menopause, the decrease in estrogen levels can lead to a reduction in bone density, increasing the risk of osteoporosis. by supplementing the body’s estrogen, hrt helps maintain bone density and reduce the risk of fractures.

regarding the other statements, hrt has been associated with both benefits and certain risks. for instance, it can indeed help prevent bone loss and also improve menopausal symptoms such as hot flashes, night sweats, and vaginal dryness. it can improve sleep and potentially overall health and vitality in some women.

however, hrt is also related to an increased risk of several significant health issues. studies have shown that it can increase the risk of breast cancer, especially with long-term use. the risk varies depending on the type of hormones used and the duration of therapy. additionally, hrt is associated with an increased risk of heart disease and stroke, particularly when started in women more than 10 years post-menopause or in older women.

in conclusion, while hrt can be highly effective at preventing bone loss and alleviating symptoms of menopause, it is important to evaluate the risks, especially concerning cardiovascular health and cancer. decisions regarding the use of hrt should be made on an individual basis in consultation with a healthcare provider, considering all potential risks and benefits.

After the birth you will count the number of vessels in the umbilical cord. There should by how many vessels?



Correct Answer:
3


in a typical, healthy umbilical cord, there should be three vessels: two arteries and one vein. these vessels play crucial roles in the fetal development process. the arteries are responsible for carrying deoxygenated blood and waste products from the fetus to the placenta, where these are exchanged for oxygen and nutrients. the vein, on the other hand, carries oxygenated blood rich in nutrients from the placenta back to the fetus. this exchange is vital for the proper growth and development of the fetus throughout pregnancy.

the presence of three vessels in the umbilical cord is a standard indicator of normal fetal development. however, some umbilical cords have only two vessels, typically missing one artery. this condition is known as a two-vessel cord or a single umbilical artery. approximately 1% of singleton pregnancies and about 5% of multiple pregnancies exhibit this anomaly. though many babies with a two-vessel cord are born healthy, the condition is associated with a higher risk of congenital abnormalities, particularly affecting the gastrointestinal tract, genitourinary system, and cardiovascular system.

due to the potential for associated health issues, it is recommended that any umbilical cord with only two vessels be examined more closely. a thorough pathology examination of two-vessel cords can provide crucial insights into any underlying anomalies or developmental issues. additionally, further testing and monitoring of the infant might be suggested to ensure that any potential health concerns are addressed promptly. this proactive approach helps in managing any complications that might arise from the anomalies associated with a two-vessel umbilical cord.