Nokea
Which one of the following is NOT one
- A. spermatid of the secondary sex characteristics
- B. primary spermatocyte typical of males?
- C. secondary spermatocyte
- D. deepening voice
Correct Answer: A
Rationale: The correct answer is A because a spermatid is a mature male germ cell that arises from the process of spermatogenesis, not a secondary sex characteristic.
- B is incorrect as a primary spermatocyte is indeed typical of males in the process of spermatogenesis.
- C is incorrect as a secondary spermatocyte is an intermediate stage in spermatogenesis.
- D is incorrect as deepening voice is a secondary sex characteristic associated with male puberty.
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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.
On which day of the female's uterine (menstrual) cycle does ovulation typically occur?
- A. Day 7
- B. Day 14
- C. Day 21
- D. Day 24
Correct Answer: B
Rationale: The correct answer is B: Day 14. Ovulation typically occurs around day 14 of a female's menstrual cycle. This is because ovulation is triggered by a surge in luteinizing hormone (LH) which usually happens midway through the cycle. Ovulation marks the release of an egg from the ovary, making conception possible. Days 7, 21, and 24 are not typically associated with ovulation as they are either too early or too late in the menstrual cycle for the surge in LH to occur. It is important to note that the timing of ovulation can vary among individuals and cycles, but day 14 is considered the average for a 28-day menstrual cycle.
Before intercourse, a woman irrigates her vagina with a solution that lowers the pH of the vaginal fluid to 4.5. What will be the effect on sperm cells in the vagina?
- A. Metabolic rate will increase
- B. Rate of movement will decrease
- C. Formation of prostaglandin E2 will increase
- D. Rate of oxygen consumption will increase
Correct Answer: B
Rationale: The correct answer is B: Rate of movement will decrease. Sperm cells require a slightly alkaline environment to maintain their motility. Lowering the pH to 4.5 will create an acidic environment, causing decreased sperm motility. Choice A is incorrect as lowering pH doesn't affect metabolic rate. Choice C is incorrect because prostaglandin E2 formation is not directly related to pH changes. Choice D is incorrect as oxygen consumption rate of sperm cells is not affected by vaginal pH.
Which of the following suggestions should a nurse give a client with a prostate cancer to deal with his impotency?
- A. Abstain from any sexual activity.
- B. Demonstrate sexual feelings in ways other than intercourse.
- C. Practice sexual intercourse at least two to three times daily until successful.
- D. Perform pelvic floor retraining exercises.
Correct Answer: B
Rationale: Exploring alternative ways to express intimacy can help cope with impotence.
A 50-year-old patient asks the nurse about her risk of developing a cancer of the reproductive system. What is the appropriate response by the nurse?
- A. Human papilloma virus infection and cigarette smoking are major risk factors for cervical cancer.
- B. Some of the risk factors for endometrial cancer include being age 40 or older and having a history of infertility.
- C. Ovarian cancer is not often seen in women under age 50 or those who have a family history of breast cancer.
- D. Women who have had menstrual irregularities for many years are at lower risk of developing any of the reproductive system cancers.
Correct Answer: A
Rationale: Step 1: Human papilloma virus (HPV) infection and cigarette smoking are major risk factors for cervical cancer.
Step 2: The patient is 50 years old, which puts her at risk for cervical cancer.
Step 3: HPV infection and smoking increase the risk of cervical cancer.
Step 4: Therefore, the appropriate response by the nurse is A.
Summary:
B: Endometrial cancer risk factors include obesity, not age 40, and infertility is not a primary risk factor.
C: Ovarian cancer can occur in women under 50 and family history of breast cancer is not a definitive protective factor.
D: Menstrual irregularities do not necessarily lower the risk of reproductive system cancers.