Nokea
A client has been advised to use a pessary to provide support to the uterus. The nurse educates the client about pessary management and the precautions related to its use. In which of the following situations should the client report to the physician?
- A. Regarding a Pap test of the client
- B. Regarding the maintenance of a pessary
- C. When a white or yellow discharge from the vagina develops
- D. Regarding a culture and sensitivity test of vagina
Correct Answer: C
Rationale: Abnormal discharge can indicate infection or other complications requiring medical attention.
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To avoid a perineal tear the obstetrician cuts the perineum posteriorly before delivery. This process is called
- A. Perineorrhaphy
- B. Episiotomy
- C. Cesarean section
- D. Tubal ligation
Correct Answer: B
Rationale: The correct answer is B: Episiotomy. An episiotomy is a surgical incision made in the perineum during childbirth to enlarge the vaginal opening and prevent severe perineal tears. This procedure is performed to facilitate the delivery of the baby and reduce the risk of complications for both the mother and the baby. Perineorrhaphy (A) is a surgical repair of a perineal tear or episiotomy after childbirth, not the procedure of making the incision. Cesarean section (C) is a surgical procedure to deliver a baby through an incision in the mother's abdomen and uterus, not related to perineal tears. Tubal ligation (D) is a permanent form of female sterilization by blocking or sealing the fallopian tubes to prevent pregnancy, not relevant to perineal tears during childbirth.
A 68-yr-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger. Which is the nurse’s best response to the patient’s concern?
- A. “Interest in sex frequently decreases as men get older.”
- B. “Many men need additional sexual stimulation with aging.”
- C. “Erectile dysfunction is a common problem with older men.”
- D. “Tell me more about how your sexual response has change
Correct Answer: B
Rationale: The correct answer is B: "Many men need additional sexual stimulation with aging." With aging, physiological changes can affect sexual response. Additional stimulation may be required due to lower hormone levels and decreased sensitivity. This response acknowledges the patient's concern and provides a factual explanation.
Incorrect answers:
A: "Interest in sex frequently decreases as men get older." - While libido may decrease with age, it doesn't directly address the patient's concern about sexual response.
C: "Erectile dysfunction is a common problem with older men." - Erectile dysfunction is only one aspect of sexual response and may not be the main issue for the patient.
D: "Tell me more about how your sexual response has changed." - While this shows empathy, it doesn't provide information or address the potential need for additional stimulation.
___________is an organelle that helps the sperm to penetrate the ovum.
- A. Acrosome
- B. Zona pellucida
- C. Megalis
- D. None of the above
Correct Answer: A
Rationale: The correct answer is A: Acrosome. The acrosome is an organelle in the head of the sperm that contains enzymes which help the sperm penetrate the outer layer of the ovum during fertilization. It plays a crucial role in the fertilization process.
Explanation of other choices:
B: Zona pellucida is the outer membrane of the ovum that the sperm needs to penetrate, not an organelle within the sperm itself.
C: Megalis is not a relevant organelle involved in fertilization.
D: None of the above is incorrect as the acrosome is the specific organelle that aids in sperm penetration of the ovum.
A 67-year-old man who was admitted for a transurethral resection and fulguration of a stage A bladder tumor is ready for discharge. In his discharge teaching plan the nurse should reinforce the importance of his physician for
- A. periodic cystoscopies
- B. headaches
- C. routine urinalysis
- D. increased daily urinary output
Correct Answer: A
Rationale: Periodic cystoscopies are important to monitor for recurrence of bladder tumors.
Which of the following are not parts of the clitoris?
- A. corpora cavernosa
- B. crura
- C. glans
- D. corpus spongiosum
Correct Answer: D
Rationale: The correct answer is D: corpus spongiosum. The clitoris does not have a corpus spongiosum. The clitoris is made up of the corpora cavernosa, crura, and glans. The corpus spongiosum is a part of the male anatomy, specifically found in the penis, and is responsible for maintaining erection by filling with blood during arousal. Therefore, the corpus spongiosum is not a part of the clitoris and is the correct answer.