Nokea
At the time of ovulation, each secondary oocyte is surrounded by a single layer of cells known as a(n) ________.
- A. vesicular (Graafian) follicle
- B. primary follicle
- C. primordial follicle
- D. uterine (fallopian) follicle
Correct Answer: A
Rationale: The correct answer is A: vesicular (Graafian) follicle. At the time of ovulation, the secondary oocyte is surrounded by this structure, which is a mature follicle containing a fluid-filled antrum. This structure is essential for the release of the oocyte during ovulation. The other choices, B: primary follicle, C: primordial follicle, and D: uterine (fallopian) follicle, are incorrect because primary follicles are immature, primordial follicles are the earliest stage of follicle development, and uterine (fallopian) follicle is not a correct anatomical term.
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You obtain all of these assessment data about your client with continuous bladder irrigation (CBI) after a transurethral resection of the prostate (TURP). Which information indicates the most immediate need for nursing intervention?
- A. The client states he feels a continuous urge to void.
- B. The catheter drainage is light pink with occasional clots.
- C. The catheter is pulled taut and taped to the client's thigh.
- D. The client complains of painful bladder spasms.
Correct Answer: D
Rationale: Painful bladder spasms can indicate complications such as clot formation or obstruction, requiring immediate attention.
A 24-yr-old woman says she wants to begin using oral contraceptives. Which information from the nursing assessment is important to report to the health care provider before a prescription is considered?
- A. The patient quit smoking 5 months previously.
- B. The patient’s blood pressure is 150/86 mm Hg.
- C. The patient has not been vaccinated for rubella
- D. The patient has chronic iron-deficiency anemia
Correct Answer: B
Rationale: Step 1: Elevated blood pressure (BP) is a contraindication for oral contraceptives due to increased risk of cardiovascular events.
Step 2: BP of 150/86 mm Hg falls in the hypertensive range.
Step 3: Reporting high BP to the healthcare provider is crucial for assessing the patient's cardiovascular risk.
Step 4: Other choices are not immediate contraindications for oral contraceptives: A - Smoking cessation is a positive factor, C - Rubella vaccination can be addressed separately, D - Iron-deficiency anemia can be managed alongside oral contraceptives.
Which structure provides a temporary
- A. seminal gland storage site for immature sperm?
- B. tunica albuginea
- C. ductus deferens
- D. ductus deferens
Correct Answer: A
Rationale: The correct answer is A, seminal gland, which provides a temporary storage site for immature sperm. Seminal glands are responsible for producing seminal fluid which nourishes and protects the sperm. The immature sperm are stored in the seminal gland until they mature. The other choices, B tunica albuginea, is a tough layer surrounding the testes, not involved in sperm storage. C ductus deferens is a tube that transports mature sperm from the epididymis to the urethra, not for storage of immature sperm. D is a duplicate of C, so it is incorrect.
Infants of mothers who had adequate nutrition during pregnancy do not require iron supplements or a diet rich in iron until about 3 months of age. Why is this?
- A. Growth of the infant does not require iron until after the 3rd month
- B. The fetal liver stores enough iron to meet the infant’s needs until the third month
- C. Synthesis of new red blood cells begins after 3 months
- D. Muscle cells that develop before the 3rd month do not contain myoglobin
Correct Answer: B
Rationale: The correct answer is B: The fetal liver stores enough iron to meet the infant’s needs until the third month. During pregnancy, the fetus accumulates iron stores in the liver from the mother, which can sustain the infant's iron needs for the first few months of life. This stored iron is gradually utilized by the infant as the maternal iron supply diminishes post-birth.
Explanation of why the other choices are incorrect:
A: Growth of the infant does require iron even in the early months for various metabolic processes and functions.
C: Synthesis of new red blood cells starts shortly after birth, not necessarily after 3 months.
D: Myoglobin is not directly related to iron supplementation needs in infants and is unrelated to the timing of iron supplementation requirements.
Foetal portion of placenta includes
- A. Decidua parietalis
- B. Chorion frondosum
- C. Decidua basalis
- D. Anchoring villi
Correct Answer: B
Rationale: The correct answer is B: Chorion frondosum. The foetal portion of the placenta is formed by the chorion frondosum, which consists of the chorionic villi that develop from the trophoblast. These villi are involved in the exchange of nutrients and waste products between the mother and the foetus.
A: Decidua parietalis is the maternal portion of the placenta, not the foetal portion.
C: Decidua basalis is also part of the maternal portion, not the foetal portion.
D: Anchoring villi are structures that help anchor the placenta to the uterine wall, but they are not specific to the foetal portion.
In summary, the correct answer is B because the chorion frondosum is specifically responsible for the foetal part of the placenta, while the other choices refer to maternal components or structures not directly related to the foetal portion.