When palpating the epididymis, the nurse considers which finding to be abnormal?
- A. The epididymis is located on the posterolateral surface of each testis.
- B. The epididymis feels like a tubular, comma-shaped structure.
- C. The epididymis collapses on palpation.
- D. The epididymis has an irregular, nodular surface.
Correct Answer: D
Rationale: The correct answer is D because an epididymis with an irregular, nodular surface is abnormal and may indicate a pathology such as epididymitis or a tumor. Step 1: Normal epididymis should feel smooth and firm, not irregular. Step 2: Nodular surface suggests a growth or inflammation. Step 3: Abnormal findings should prompt further evaluation. Incorrect choices: A is correct anatomical location, B describes the normal shape, and C collapsing is not a typical finding.
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The mammary gland:
- A. is an erectile organ;
- B. is part of the internal genital organs;
- C. is an accessory gland of the female reproductive system;
- D. is a pair organ;
Correct Answer: C
Rationale: Step-by-step rationale:
1. The mammary gland is not an erectile organ, eliminating choice A.
2. It is not part of the internal genital organs, ruling out choice B.
3. The mammary gland is indeed an accessory gland of the female reproductive system, making choice C correct.
4. Lastly, the mammary gland is a pair of organs, which supports choice D as incorrect.
Therefore, choice C is correct as the mammary gland functions as an accessory gland in the female reproductive system.
The male gonads develop in the _______________ before descending down into the scrotum
- A. Pelvic cavity
- B. Peritoneal cavity
- C. Abdominal cavity
- D. Cul- d
Correct Answer: C
Rationale: The correct answer is C: Abdominal cavity. During embryonic development, the male gonads (testes) initially form in the abdominal cavity near the kidneys. They then descend through the inguinal canal into the scrotum. The pelvic cavity (choice A) is below the abdominal cavity, the peritoneal cavity (choice B) is a part of the abdominal cavity, and the cul-de-sac (choice D) is a pouch in the pelvic cavity. The key point is understanding the anatomical path of descent of the male gonads from the abdominal cavity to the scrotum.
Endometrium
- A. Lined by simple columnar epithelium
- B. Stratum functionalis is shed during menstrual phase
- C. Forming decidua of placenta during pregnancy
- D. Is penetrated by arcuate artery
Correct Answer: B
Rationale: The correct answer is B: Stratum functionalis is shed during menstrual phase. The endometrium is composed of two layers - the stratum functionalis and the stratum basalis. The stratum functionalis is the layer that undergoes cyclic changes during the menstrual cycle, thickening and then shedding during menstruation. This process is essential for preparing the endometrium for potential implantation of a fertilized egg.
Choice A is incorrect because the endometrium is actually lined by simple columnar epithelium with ciliated cells. Choice C is incorrect because the decidua is the name for the endometrium during pregnancy, but it is not specific to forming the decidua of the placenta. Choice D is incorrect because the arcuate artery is a branch of the uterine artery that runs along the myometrium, not penetrating the endometrium directly.
When a male is castrated before puberty, he becomes:
- A. Female
- B. Cretin
- C. Eunuch
- D. Potent
Correct Answer: C
Rationale: The correct answer is C: Eunuch. When a male is castrated before puberty, he becomes a eunuch because castration removes the testes, leading to a lack of testosterone production and loss of male secondary sexual characteristics. This results in a eunuch having a more neutral appearance and lacking the ability to reproduce.
A: Choosing "Female" is incorrect because castration does not change the individual's genetic sex.
B: Selecting "Cretin" is incorrect as cretinism is a condition caused by severe thyroid hormone deficiency, not related to castration.
D: Opting for "Potent" is incorrect as castration leads to the loss of reproductive ability, making the individual infertile.
A nurse is teaching a client in the doctor's office about genital warts. Which of the following is the best discharge instruction to give to a client with genital warts?
- A. Advise all sexual contacts to be examined and treated.
- B. Antiviral IV drugs are recommended to prevent viral shedding.
- C. Topical applications of the antiviral drugs are recommended for clinical benefits.
- D. Use of alcohol, peroxide, witch hazel, and warm air from a hair dryer are recommended to keep the lesions dry.
Correct Answer: A
Rationale: Notifying and treating all sexual contacts is essential to prevent further spread of genital warts.