On inspection of the external male genitalia, the nurse notes which finding as abnormal?
- A. The scrotum is covered with dark rugous skin.
- B. The skin covering the penis is hairless and loose.
- C. The urinary meatus is located on the upper surface of the penis.
- D. The left side of the scrotum hangs slightly lower than the right.
Correct Answer: C
Rationale: The correct answer is C because the urinary meatus should be located at the tip of the penis, not on the upper surface. This abnormality may indicate a condition like hypospadias. Option A describes normal scrotum skin. Option B describes normal penile skin. Option D describes a normal anatomical variation in scrotal positioning.
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The ducts or tubes responsible for receiving the ovulated oocyte and providing the site for fertilization are the ________.
- A. uterine (fallopian) tubes
- B. vagina
- C. ductus deferens
- D. uterus
Correct Answer: A
Rationale: The correct answer is A: uterine (fallopian) tubes. These tubes receive the ovulated oocyte from the ovary and provide the site for fertilization. The other choices are incorrect because:
B: The vagina is the birth canal and site for sperm deposition, not fertilization.
C: The ductus deferens is part of the male reproductive system, not involved in fertilization.
D: The uterus is where the fertilized egg implants and develops into a fetus, it is not the site for fertilization.
You observe a student nurse accomplishing all of these activities while caring for a client who has an intracavitary radioactive implant in place to treat cervical cancer. Which action requires that you intervene immediately?
- A. The student stands next to the client for 5 minutes while assisting with her bath.
- B. The student asks the client how she feels about losing her child-bearing ability.
- C. The student assists the client to the bedside commode for a bowel movement.
- D. The student offers to get the client whatever she would like to eat or drink.
Correct Answer: A
Rationale: Standing next to the client increases the student's exposure to radiation, requiring immediate correction.
The medical term expressing surgical fixation of the breast(s) is __________
- A. mammoplasty
- B. Mastopexy
- C. hysteropexy
- D. vaginoplasty
Correct Answer: A
Rationale: The correct answer is A: mammoplasty. "Mammo-" refers to the breast, and "-plasty" indicates surgical repair or reconstruction. This term specifically denotes surgical fixation of the breast(s).
B: Mastopexy refers to a breast lift, not fixation.
C: Hysteropexy involves fixing the uterus, not the breast.
D: Vaginoplasty refers to surgical reconstruction of the vagina, not the breast.
The purpose of the urethra is to
- A. carry only urine
- B. carry only semen
- C. carry a mixture of semen and urine
- D. carry both semen and urine but not at the same time
Correct Answer: D
Rationale: The correct answer is D. The urethra is a tube that carries both urine from the bladder and semen from the reproductive system. This is essential for the excretion of waste (urine) and reproduction (semen). Choice A is incorrect because the urethra carries both urine and semen. Choice B is incorrect as the urethra carries both substances, not just semen. Choice C is incorrect because the urethra carries semen and urine separately, not as a mixture. Overall, choice D is correct because the urethra can carry both semen and urine, just not simultaneously.
The superior region of the vagina is the _____.
- A. vaginal orifice
- B. cervix
- C. hymen
- D. vaginal rugae
Correct Answer: B
Rationale: The correct answer is B: cervix. The cervix is the lower portion of the uterus that protrudes into the vaginal canal. It is located at the superior region of the vagina. The vaginal orifice (A) refers to the opening of the vagina, not the superior region. The hymen (C) is a thin membrane that partially covers the vaginal opening and is not related to the superior region. Vaginal rugae (D) are the ridges or folds in the vaginal wall that allow for expansion, which are not specific to the superior region.