Nokea
Rita Chen, who is 25 years old and knows that she is not pregnant, is concerned because she has not had a menstrual period for three months. Her doctor described this condition as ______.
- A. dysmenorrhea
- B. amenorrhea
- C. menometrorrhagia
- D. polymenorrhoea
Correct Answer: B
Rationale: The correct answer is B: amenorrhea. Amenorrhea refers to the absence of menstrual periods, which is the condition Rita Chen is experiencing. Dysmenorrhea is painful periods, not absence of periods. Menometrorrhagia is excessive and prolonged menstrual bleeding. Polymenorrhoea is frequent menstrual periods, not absence of periods. In this case, Rita's lack of periods for three months aligns with the definition of amenorrhea.
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During ovulation, the oocyte passes into the _____.
- A. uterine tube
- B. uterus
- C. pelvic cavity
- D. ovary
Correct Answer: A
Rationale: The correct answer is A: uterine tube. During ovulation, the mature oocyte is released from the ovary and travels through the uterine tube (fallopian tube) towards the uterus for potential fertilization. The uterine tube is the pathway for the oocyte to reach the uterus. Choices B, C, and D are incorrect because the oocyte does not directly pass into the uterus, pelvic cavity, or ovary during ovulation.
After a client has had a needle biopsy of the prostate gland using the transrectal approach, which statement is essential to include in the client teaching plan?
- A. The doctor will call you about the test results in a day or two.
- B. Serious infections frequently occur as a complication of this test.
- C. You will need to call the doctor if you have a fever or chills.
- D. It is normal to have rectal bleeding for a few days after the test.
Correct Answer: C
Rationale: Fever and chills may indicate infection, a potential complication requiring prompt medical attention.
Which of the following is not a role of semen?
- A. Semen dilutes sperm.
- B. The acidity of semen helps neutralize the pH environment of a female's vagina
- C. Semen contains enzymes that enhance sperm motility.
- D. Semen contains antibiotic chemicals that destroy bacteria
Correct Answer: C
Rationale: The correct answer is C because semen does not contain enzymes that enhance sperm motility. Sperm motility is primarily influenced by the structure and health of the sperm themselves. Semen aids in sperm transport, provides nutrients, buffers the acidic vaginal environment, and contains antibiotics. Enzymes in semen primarily help with liquefaction of semen after ejaculation, not sperm motility. Choices A, B, and D are incorrect because semen does dilute sperm, neutralizes the acidic vaginal environment, and contains antibiotic chemicals, respectively.
A client diagnosed with a vaginal fistula is at risk for low self-esteem. Which of the following would be an appropriate recommendation for the client?
- A. Wear disposable, absorbent incontinence briefs
- B. Avoid the use of commercial deodorizers at home
- C. Abstain from sexual intercourse
- D. Avoid frequent douches
Correct Answer: A
Rationale: Disposable, absorbent incontinence briefs can help manage symptoms and improve comfort and confidence.
The mother of an 18-year-old girl asks the nurse which screening her daughter should receive now based on evidence-based recommendations. Which suggestion by the nurse is best?
- A. Papanicolaou test
- B. Human papilloma virus (HPV) test
- C. Mammogram
- D. No screenings at this time
Correct Answer: D
Rationale: The correct answer is D because evidence-based recommendations do not support routine screening for cervical cancer (Papanicolaou test) or breast cancer (mammogram) in asymptomatic individuals under 21. HPV test is not recommended as a standalone screening for young women. No screenings at this time aligns with current guidelines to avoid unnecessary testing and potential harm in low-risk populations. It's important to focus on preventive measures such as vaccinations and healthy lifestyle choices rather than invasive screenings for this age group.