Nokea
The inner mucosal layer of the uterus that is sloughed off approximately every 28 days is called the ________.
- A. endometrium
- B. myometrium
- C. perimetrium
- D. epimetrium
Correct Answer: A
Rationale: The correct answer is A: endometrium. The endometrium is the inner mucosal layer of the uterus that sheds during menstruation. It is where implantation of a fertilized egg occurs. Myometrium (B) is the middle muscular layer, responsible for uterine contractions. Perimetrium (C) is the outer layer of the uterus. Epimetrium (D) is not a recognized term in anatomy.
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A 72-year-old woman is being assessed by the nurse for an annual physical. Which finding is of concern to the nurse?
- A. Thinning of pubic hair
- B. Increased size of the uterus
- C. Decreased size of the clitoris
- D. Loss of tone of the pelvic ligaments
Correct Answer: B
Rationale: The correct answer is B: Increased size of the uterus. In a 72-year-old woman, an increased size of the uterus can indicate potential issues such as fibroids or endometrial hyperplasia, which may require further investigation. Thinning of pubic hair (A) is a common age-related change. Decreased size of the clitoris (C) and loss of tone of the pelvic ligaments (D) can also occur with aging but are not typically concerning findings during a routine physical exam in this age group.
A client is learning how to maintain optimum bladder function. Which of the following strategies identifies the method of pressing on the bladder while seated on the toilet?
- A. Valsalva maneuver
- B. Kegel maneuver
- C. Pelvic floor maneuver
- D. Crede's maneuver
Correct Answer: D
Rationale: Crede's maneuver involves applying manual pressure to the bladder to aid in voiding.
The female genitive ducts include the following structures:
- A. uterus;
- B. vulva;
- C. vagina;
- D. ovary
Correct Answer: D
Rationale: The correct answer is D: ovary. The female genitive ducts refer to the structures involved in the production, transport, and release of eggs. The ovary is the primary organ responsible for producing eggs. The uterus, vulva, and vagina are not directly involved in egg production but rather in the reception, nurturing, and passage of the egg. Therefore, the ovary is the correct choice as it is a key structure in the female reproductive system responsible for egg production.
After a rectal examination of a patient with obstructive jaundice, the nurse expects the stool to be what color?
- A. Tan
- B. Pale yellow
- C. Black
- D. Bright red
Correct Answer: A
Rationale: The correct answer is A: Tan. In obstructive jaundice, there is a blockage in the bile ducts, leading to reduced bile flow into the intestines. As a result, stool color changes to tan or clay-colored due to the absence of bile pigments. Pale yellow is incorrect as it suggests some bile flow. Black stool indicates upper gastrointestinal bleeding. Bright red stool indicates lower gastrointestinal bleeding.
The end of the vas deferens is a dilated sac called the _____.
- A. ductus deferens
- B. seminal vesicle
- C. ampulla
- D. ejaculatory duct
Correct Answer: C
Rationale: The correct answer is C: ampulla. The ampulla is a dilated portion at the end of the vas deferens where it joins with the duct of the seminal vesicle to form the ejaculatory duct. This structure serves as a storage and mixing area for sperm and seminal fluid before ejaculation. The other choices, A: ductus deferens, is another name for the vas deferens itself; B: seminal vesicle is a gland that produces seminal fluid but is not the dilated sac at the end of the vas deferens; D: ejaculatory duct is formed by the union of the vas deferens and the duct of the seminal vesicle, it is not the dilated sac itself.