When in the reproductive cycle is there marked growth of ovarian ...

[nevelica]

When in the reproductive cycle is there marked growth of ovarian material and regrowth of the endometrium, ending with the release of the ovum?
 
  a. Menstrual phase
  b. Follicular phase
  c. Luteal phase
  d. Fertilization

Question 2

A patient diagnosed with hypertension is taking an angiotensin-converting enzyme (ACE) inhibitor. When planning care, which of the following outcomes would be appropriate for the patient?
 
  a. BP will be lower than 135/85 on all occasions.
  b. BP will be normal after 2 to 3 weeks on medication.
  c. Patient will not experience dizziness on rising.
  d. Urine output will increase to at least 50 mL/hr.

[momtoalll]

Answer to Question 1

B
The luteal phase occurs after the menstrual phase. At this time, the endometrial lining builds back up after being shed with menstruation. Ovarian follicles mature until the ovum is released. The luteal phase occurs after ovulation. In this phase, if fertilization does not occur, progesterone drops and menses begins again. Fertilization occurs at the time of ovulation at which a sperm joins with the mature egg and the endometrium is ripe to support the embryo.

Answer to Question 2

A
Goals must be clearly stated so that it is easy to evaluate whether they have been met. BP . . . lower than 135/85 . . . is clearly stated and easily evaluated. In contrast, BP will be normal . . . does not clearly state the desired endpoint. Freedom from dizziness on rising is probably not achievable because ACE inhibitors are vasodilating agents, which may cause vessel dilation and hypotension, especially when the patient arises from a seated or lying position. Patients should be warned of this effect. The expected/desired effect of the ACE inhibitor is to lower the blood pressure; the urine output is minimally relevant in determining that outcome, if at all.