Nokea
The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which finding is cause for immediate action by the nurse?
- A. Vaginal dryness
- B. No Papanicolaou test for 3 years
- C. Bleeding from the vagina
- D. Leakage of urine
Correct Answer: C
Rationale: The correct answer is C: Bleeding from the vagina. This finding is concerning in a postmenopausal woman as it could indicate underlying serious conditions such as endometrial cancer. Immediate action is needed to investigate the cause and provide appropriate care.
A: Vaginal dryness is common in postmenopausal women and can be managed with lubricants or hormone therapy.
B: Not having a Pap test for 3 years is important for cervical cancer screening but does not require immediate action.
D: Leakage of urine, while a concern, does not require immediate action as it is not directly related to a potentially life-threatening condition.
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The prostate:
- A. is located under the urinary bladder;
- B. is located around the initial segment of the urethra;
- C. is an accessory gland of the male reproductive system;
- D. secretes androgenic hormones;
Correct Answer: C
Rationale: Step-by-step rationale:
1. The prostate is an accessory gland because it produces and secretes fluid that nourishes and protects sperm.
2. It is not located under the urinary bladder (A) but surrounds the initial segment of the urethra (B).
3. The prostate does not secrete androgenic hormones (D); instead, it secretes prostate-specific antigen (PSA) and enzymes.
4. Thus, the correct answer is C because it accurately describes the function of the prostate as an accessory gland of the male reproductive system.
Choose the correct sequence of events in the post-fertilization cleavage process.
- A. Zygote - morula- 2 cells- 4 cells- 8 cells- blastula
- B. 2 cells- 4 cells- 8 cells- zygote- morula- blastul
- C. Zygote- 2 cells- 4 cells- 8 cells- morula- blastul
- D. 8 cells-4 cells-2 cells-morula-zygote-blastula
Correct Answer: A
Rationale: The correct sequence is A: Zygote - morula - 2 cells - 4 cells - 8 cells - blastula. After fertilization, the zygote undergoes cleavage to form the morula, which then divides into 2 cells, then 4 cells, and further into 8 cells. These cells then rearrange to form the blastula. This sequence aligns with the natural progression of post-fertilization cleavage in embryonic development.
Choices B, C, and D are incorrect because they do not follow the correct chronological order of events in post-fertilization cleavage. In these sequences, the order of cell divisions is mixed up, leading to an inaccurate representation of the cleavage process. It is crucial to understand the logical progression of events in embryonic development to identify the correct sequence of post-fertilization cleavage.
A client with the herpes simplex virus type 2 (HSV-2) undergoes a viral shedding. Which of the following statements is true when caring for a client with HSV-2?
- A. An outbreak of the HSV-2 infection is often self-limiting and hence a treatment may be unnecessary.
- B. Clients don't seek treatment because of embarrassment.
- C. Healthcare providers and laboratories are not required by law to report.
- D. Reporting is up to the client, not the provider.
Correct Answer: A
Rationale: HSV-2 outbreaks are often self-limiting, though antiviral medications can help manage symptoms.
The menstrual cycle is a result of
- A. the female body preparing to give birth
- B. the female body preparing to produce milk
- C. the female body preparing for pregnancy
- D. the female body preparing for old age
Correct Answer: C
Rationale: The correct answer is C because the menstrual cycle is the female body's way of preparing for pregnancy through ovulation and the shedding of the uterine lining if fertilization does not occur. Choice A is incorrect as menstruation is not directly related to giving birth. Choice B is incorrect as milk production occurs after childbirth, not during the menstrual cycle. Choice D is incorrect as the menstrual cycle is not related to preparing for old age, but rather for reproductive purposes.
Which of the following assessments does a nurse obtain to ensure a thorough baseline history of a client?
- A. Age of menarche, the first menstruation
- B. Accident history
- C. Mother's past menstruation patterns
- D. Frequency of sexual activities
Correct Answer: A
Rationale: The age of menarche is a critical piece of information for understanding a woman's reproductive health history.