The nurse is assessing a client for reproductive health problems. What assessments are most important? (Select all that apply.)
- A. Bleeding
- B. Pain
- C. Sexual orientation
- D. Masses
Correct Answer: A
Rationale: The correct answer is A: Bleeding. Assessing for abnormal bleeding is crucial in reproductive health as it can indicate various conditions such as hormonal imbalances, infections, or malignancies. Bleeding can provide important clues about the client's menstrual cycle, potential pregnancy complications, or underlying health issues. Pain (B) is important but may be more subjective and can be related to various factors beyond reproductive health. Sexual orientation (C) is not directly related to assessing reproductive health problems. Masses (D) can be important but may not be as common or specific as abnormal bleeding in reproductive health assessments.
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The depression or socket in the pelvic bone into which the head of the femur articulates is called
- A. Glenoid fossa
- B. Mandibular fossa
- C. Jugular fossa
- D. Acetabulum
Correct Answer: D
Rationale: The correct answer is D: Acetabulum. The acetabulum is the depression in the pelvic bone where the head of the femur articulates. This articulation forms the hip joint. The glenoid fossa (A) is found in the scapula and articulates with the head of the humerus, not the femur. The mandibular fossa (B) is located in the temporal bone and articulates with the mandible, not the femur. The jugular fossa (C) is a groove in the temporal bone for the internal jugular vein, not related to the femur articulation. Therefore, the correct choice is D as it accurately describes the anatomical structure where the femur articulates with the pelvic bone.
The ejaculatory duct is the union of the vas deferens and _____.
- A. seminal vesicle
- B. prostate
- C. ampulla
- D. urethra
Correct Answer: A
Rationale: The correct answer is A: seminal vesicle. The ejaculatory duct is formed by the union of the vas deferens and the seminal vesicle. The seminal vesicle contributes seminal fluid that mixes with sperm from the vas deferens to form semen. The prostate gland surrounds the ejaculatory duct but does not directly join it. The ampulla is an enlarged portion of the vas deferens but does not directly connect to the ejaculatory duct. The urethra is the tube that carries urine and semen out of the body but is not part of the ejaculatory duct. Therefore, the correct answer is A because the seminal vesicle directly joins with the vas deferens to form the ejaculatory duct.
Which of the following is true about placenta?
- A. It produces the hormone hCG.
- B. It stimulates development of the follicle
- C. Implantation site for developing embryo.
- D. It stimulates development of corpus luteum
Correct Answer: A
Rationale: The correct answer is A: It produces the hormone hCG. The placenta is responsible for producing the hormone human chorionic gonadotropin (hCG), which is essential for maintaining pregnancy by supporting the corpus luteum to produce progesterone. This hormone is also detected in pregnancy tests.
Choice B is incorrect because the placenta does not stimulate development of the follicle; rather, it supports the corpus luteum. Choice C is incorrect as the implantation site for the developing embryo is the endometrium of the uterus, not the placenta itself. Choice D is incorrect because the placenta does not stimulate the development of the corpus luteum; instead, it supports its function through hCG production.
During the week following ovulation, the endometrium increases in thickness to 5 to 6 millimeters. What stimulates this increase in thickness?
- A. Luteinizing hormone
- B. Estrogen from the corpus luteum
- C. Progesterone from the corpus luteum
- D. Follicle-stimulating hormone
Correct Answer: C
Rationale: The correct answer is C: Progesterone from the corpus luteum. After ovulation, the corpus luteum forms from the ruptured follicle and secretes progesterone. Progesterone is responsible for preparing the endometrium for potential implantation of a fertilized egg by increasing its thickness. Luteinizing hormone (A) triggers ovulation but does not directly affect endometrial thickness. Estrogen from the corpus luteum (B) also plays a role in preparing the endometrium but does not specifically stimulate the increase in thickness. Follicle-stimulating hormone (D) primarily regulates the development of ovarian follicles and does not directly influence endometrial thickness.
A nurse teaches a male client how to perform a testicular self-exam in an effort to identify lumps that may be present in the testes. What does the nurse teach the client regarding normal testes size?
- A. Both testes should be the same size
- B. One testis is usually larger than the other
- C. One testis usually has a lump; the other does not
- D. Both testes usually have lumps
Correct Answer: B
Rationale: It is normal for one testicle to be slightly larger than the other.