Nokea
What will the nurse explain to a 12-year-old patient when describing what characterizes nocturnal emissions?
- A. A drop in testosterone level
- B. Sexual stimulation
- C. Absence of sperm in ejaculate
- D. Association with violent dreams
Correct Answer: C
Rationale: Nocturnal emissions, also known as 'wet dreams,' occur without sexual stimulation and contain no sperm.
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What physical changes of puberty will the nurse indicate are related to the production of testosterone?
- A. Stimulation of production of white cells and platelets
- B. Promotion of growth of small bones
- C. Increase in muscle mass and strength
- D. Decrease in production of sebaceous gland secretions
Correct Answer: C
Rationale: Testosterone increases muscle mass, promotes strength and growth of long bones, and enhances production of red blood cells.
What statement indicates the girl needs additional education?
- A. Periods last about 5 days.'
- B. My cycle should get regular in 6 months.'
- C. I should expect heavy bleeding with clots.'
- D. Periods come about every 4 weeks.'
Correct Answer: C
Rationale: Clots are not normally seen in menstrual discharge. A normal menstrual flow is 30 to 40 mL blood and 30 to 50 mL serous fluid.
When describing the female reproductive tract to a pregnant woman, the nurse would explain that which uterine layer is involved in implantation?
- A. Perimetrium
- B. Endometrium
- C. Myometrium
- D. Internal os
Correct Answer: B
Rationale: The endometrium is the inner mucosal layer of the uterus that is governed by cyclical hormonal changes. It is functional during menstruation and during the implantation of a fertilized ovum.
What signifies the end of puberty for a male?
- A. Facial hair is evident.
- B. Erections can be sustained.
- C. Ejaculate is greater than 5 mL.
- D. Mature sperm are formed.
Correct Answer: D
Rationale: Puberty ends for a male when mature sperm are formed by the testes.
The nurse is aware that the diagonal conjugate is 12 cm. What is the measurement in centimeters of the obstetric conjugate?
- A. 10 to 10.5
- B. 11 to 11.5
- C. 12.5 to 13
- D. 14 to 14.5
Correct Answer: A
Rationale: The obstetric conjugate is approximately 1.5 to 2 cm shorter than the diagonal conjugate.