Question 10 A pregnant client’s mother is worried that her daughter is not “big enough” at 20 weeks. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman’s umbilicus. What should the nurse report to the woman and her mother?

A 32-year-old male suffers blunt trauma to the orbit and presents with complete loss of vision in the right eye. A CT scan reveals a fracture near the optic canal. Which cranial nerve is most likely injured?

A 54-year-old man presents with facial weakness. He cannot close his right eye, raise his right eyebrow, or smile on the right side. Taste sensation is also diminished on the anterior two-thirds of the tongue. Where is the lesion most likely located?

Lesions of the trochlear nerve (CN IV) cause difficulty looking up and medially.

Identify the action/function of each cranial nerve and integrate injury to nerve with clinical presentation.

A 59-year-old man presents with progressive weakness in the hands and legs. He has muscle atrophy and fasciculations in the arms, hyperreflexia in the legs, and no sensory deficits. He was diagnosed with Amyotrophic Lateral Sclerosis (ALS). Which of the following best explains his pattern of paralysis?

A 45-year-old woman presents after being struck in the forehead with a heavy object. She has periorbital bruising (“raccoon eyes”) and clear fluid dripping from her nose that tests positive for glucose. Which calvarial fracture is most consistent with her presentation?

A patient with a large left frontal lobe mass develops weakness in the right lower extremity. Imaging reveals medial shift of the cingulate gyrus under the falx cerebri. Which vessel is most likely compressed?

A 38-year-old woman presents with rapidly progressive ascending flaccid paralysis following a respiratory infection, which. Reflexes are absent. She is alert and cranial nerves are intact. She was subsequently diagnosed with Guillain-Barré syndrome. Which of the following is most consistent with her diagnosis?

A man with a history of infertility undergoes ultrastructural examination of his sperm, revealing normal heads but absence of flagella. Which specific step of spermiogenesis is likely impaired?