Nokea
PID is an infection of the pelvic organs, excepting the uterus. The nurse's role in caring for a client hospitalized with PID includes which of the following?
- A. The nurse inquires if the client has douched within the last 48 hours
- B. The nurse advises a douche every hour prior to being examined
- C. The nurse avoids administering analgesics
- D. The nurse avoids washing the perineal area
Correct Answer: A
Rationale: Inquiring about recent douching helps understand potential contributing factors to the infection.
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Two inner folds, or ___________ minora, cover and protect the vaginal opening
- A. uterus
- B. fallopian tubes
- C. labia
- D. vagina
Correct Answer: C
Rationale: The correct answer is C: labia. The labia minora are two inner folds that cover and protect the vaginal opening. This is because the labia minora are part of the external female genitalia and specifically designed to provide protection to the vaginal opening.
A: Uterus - Incorrect. The uterus is a separate organ and is not involved in covering or protecting the vaginal opening.
B: Fallopian tubes - Incorrect. The fallopian tubes are part of the reproductive system but are not located near the vaginal opening or involved in its protection.
D: Vagina - Incorrect. While the vagina is connected to the vaginal opening, it is not the structure that directly covers and protects it.
Testosterone produces negative feedback to:
- A. the anterior pituitary to turn off follicle stimulating hormone secretion
- B. the anterior pituitary to turn off both luteinizing hormone and follicle stimulating hormone secretion
- C. Sertoli cells turn off inhibin secretion
- D. the anterior pituitary to turn off luteinizing hormone secretion
Correct Answer: D
Rationale: Step-by-step rationale:
1. Testosterone inhibits the release of luteinizing hormone (LH) through negative feedback.
2. LH is produced by the anterior pituitary.
3. Therefore, testosterone exerts negative feedback on the anterior pituitary to turn off LH secretion.
4. This maintains hormonal balance in the body.
Summary of other choices:
A. Incorrect because testosterone primarily affects LH secretion, not follicle stimulating hormone (FSH).
B. Incorrect as it inaccurately suggests that testosterone turns off both LH and FSH secretion.
C. Incorrect because Sertoli cells are involved in spermatogenesis, not LH regulation.
Spasm of sternocleidomastoid muscle in the neck causes:
- A. Talipes equinovarus
- B. Torticollis
- C. Cleft lip
- D. Kyphosis
Correct Answer: B
Rationale: The correct answer is B: Torticollis. Spasm of the sternocleidomastoid muscle in the neck causes the head to tilt to one side and the chin to rotate to the opposite side, leading to a condition known as torticollis. Talipes equinovarus (A) is a foot deformity, cleft lip (C) is a congenital facial anomaly, and kyphosis (D) is an abnormal curvature of the spine. These conditions are not directly related to the spasm of the sternocleidomastoid muscle in the neck.
A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated three tampons in the past 2 hours. The nurse estimates that the amount of blood loss over the past 2 hours is _____ mL.
- A. 20 to 30
- B. 40 to 60
- C. 30 to 40
- D. 60 to 90
Correct Answer: B
Rationale: The correct answer is B (40 to 60 mL) because a typical tampon can absorb around 20 mL of blood. If the woman has saturated three tampons in 2 hours, that would be 3 tampons x 20 mL each = 60 mL. This indicates a significant blood loss. The other choices are incorrect because they do not account for the volume of blood absorbed by the tampons and underestimate the amount of blood loss. Choice A is too low, choices C and D are too high. The correct estimation of 40 to 60 mL aligns with the information provided and reflects the severity of the situation.
When do the testes begin to descend?
- A. at birth
- B. two months after birth
- C. two months prior to birth
- D. in the fifth month of pregnancy
Correct Answer: D
Rationale: The correct answer is D: in the fifth month of pregnancy. The testes begin to descend from the abdomen into the scrotum during the fifth month of pregnancy. This process is crucial for proper development and function of the testes. Descending at this stage allows for the testes to be positioned outside the body, which is essential for sperm production as it requires a slightly lower temperature than the internal body temperature.
Summary:
A: at birth - Incorrect, as the descent of the testes occurs during fetal development, not at birth.
B: two months after birth - Incorrect, as the descent happens during pregnancy, not after birth.
C: two months prior to birth - Incorrect, as the descent occurs during pregnancy, not prior to birth.