Nokea
The nurse is reviewing discharge instructions with a client who has just experienced an endometrial biopsy. Which finding should be reported to the health care provider immediately?
- A. Mild cramping
- B. Slight chills and fever
- C. Spotting of blood on a perineal pad
- D. Fatigue after anesthesia
Correct Answer: B
Rationale: The correct answer is B because slight chills and fever could indicate an infection post-endometrial biopsy, which requires immediate medical attention to prevent complications. Mild cramping (A) is expected after the procedure and can be managed with over-the-counter pain relievers. Spotting of blood (C) is a common side effect and should be monitored but does not require immediate reporting. Fatigue (D) after anesthesia is a normal response and should resolve with rest.
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The outside layer of the oocyte is the _____.
- A. theca interna
- B. theca externa
- C. zona pellucida
- D. antrum
Correct Answer: C
Rationale: The correct answer is C: zona pellucida. The zona pellucida is the glycoprotein layer surrounding the oocyte. It plays a crucial role in fertilization by binding sperm and facilitating the acrosome reaction. The theca interna and externa are layers surrounding the ovarian follicle, not the oocyte itself. The antrum is a fluid-filled cavity within the follicle, not the outer layer of the oocyte. Therefore, the correct choice is C as it directly relates to the outer layer of the oocyte.
A “birth control” compound for men has been sought for several decades. Which of the following would provide effective sterility?
- A. Substance that mimics the actions of luteinizing hormone
- B. Substance that blocks the actions of inhibin
- C. Substance that blocks the actions of follicle-stimulating hormone
- D. Substance that mimics the actions of gonadotropin-releasing hormone
Correct Answer: C
Rationale: The correct answer is C: Substance that blocks the actions of follicle-stimulating hormone. By blocking the actions of FSH, sperm production in the testes would be inhibited, leading to effective sterility. FSH plays a crucial role in stimulating sperm production, so blocking its actions would prevent the development of mature sperm.
Explanation for why the other choices are incorrect:
A: Substance that mimics the actions of luteinizing hormone - Mimicking LH would not necessarily lead to effective sterility in men.
B: Substance that blocks the actions of inhibin - Inhibin regulates FSH secretion but blocking it would not directly lead to effective sterility.
D: Substance that mimics the actions of gonadotropin-releasing hormone - Mimicking GnRH would not directly impact sperm production and sterility.
A client has been diagnosed with thrombophlebitis. The nurse needs to closely monitor the client for detecting, managing, and minimizing the risk for thrombophlebitis development. Which of the following nursing actions will help a nurse minimize the occurrence of thrombophlebitis in the client?
- A. Give warm sitz baths after sutures have been removed
- B. Apply an air or egg crate mattress to the bed
- C. Administer prescribed analgesics liberally
- D. Assess for and report calf pain or calf tenderness
Correct Answer: D
Rationale: Calf pain or tenderness can be indicative of deep vein thrombosis, a complication of thrombophlebitis.
_____________________ is a vascular organ that is formed within the uterine wall
- A. Amnion
- B. Chorion
- C. Placenta
- D. Endometrium
Correct Answer: C
Rationale: The correct answer is C: Placenta. The placenta is a vascular organ that develops within the uterine wall during pregnancy. It serves as a connection between the mother and fetus for nutrient and waste exchange. The amnion (A) and chorion (B) are fetal membranes, not vascular organs, and the endometrium (D) is the inner lining of the uterus where the placenta attaches.
The seminal vesicle:
- A. is located above the prostate;
- B. is a pair organ;
- C. is located medially from the deferent ducts;
- D. has endocrine role, generating the seminal fluid;
Correct Answer: B
Rationale: The correct answer is B because the seminal vesicle is indeed a pair organ, meaning there are two of them in the male reproductive system. They are located posterior to the urinary bladder and are responsible for producing and secreting a significant portion of the seminal fluid.
Choice A is incorrect because the seminal vesicles are located behind the bladder, not above the prostate. Choice C is incorrect as the seminal vesicles are located laterally, not medially from the deferent ducts. Choice D is incorrect because the seminal vesicle is not an endocrine organ; it has an exocrine function in producing seminal fluid.