Which of these includes the other terms?
- A. labia
- B. clitoris
- C. vulva
- D. vestibular glands
Correct Answer: C
Rationale: The correct answer is C: vulva. The vulva includes the labia, clitoris, and vestibular glands. The labia are the outer folds of skin, the clitoris is a highly sensitive erectile structure, and the vestibular glands are located around the vaginal opening. The vulva encompasses all these structures, making it the most inclusive term among the options provided. The other choices are incorrect because they are specific structures that are part of the vulva but do not encompass all the other terms listed.
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The Fallopian tubes:
- A. are pair muscular-membranous ducts;
- B. are part of the female genital ducts;
- C. are located between ovary and uterus;
- D. capture the ovule released by the ovary;
Correct Answer: C
Rationale: The correct answer is C because the Fallopian tubes are indeed located between the ovary and the uterus. This is essential for the transportation of the released ovum from the ovary to the uterus for possible fertilization. Choice A is incorrect as the Fallopian tubes are not solely muscular-membranous ducts; they have ciliated epithelial cells aiding in the movement of the ovum. Choice B is too broad, as the Fallopian tubes are just one part of the female reproductive system. Choice D is incorrect because the Fallopian tubes do not capture the ovule; rather, they provide a pathway for its transport.
A nurse expects to find which manifestations in the male patient who has both Chlamydia and gonorrhea?
- A. Painful urination and purulent urethral discharge
- B. A single, firm painless open sore on the shaft of the penis
- C. Red superficial vesicles on the shaft of the penis
- D. A single or a cluster of wartlike growth in the anal-rectal area
Correct Answer: A
Rationale: The correct answer is A because painful urination and purulent urethral discharge are classic manifestations of both Chlamydia and gonorrhea in male patients. Painful urination, known as dysuria, is a common symptom of these sexually transmitted infections due to inflammation of the urethra. Purulent urethral discharge is also typical and results from the infection of the urethral mucosa.
Option B is incorrect as a single, firm, painless open sore on the shaft of the penis is a classic presentation of syphilis, not Chlamydia or gonorrhea. Option C is incorrect as red superficial vesicles on the shaft of the penis are characteristic of genital herpes. Option D is incorrect as a single or a cluster of wartlike growth in the anal-rectal area is typical of genital warts caused by human papillomavirus (HPV).
In inspecting the scrotum, the nurse documents which finding as normal?
- A. The epididymides are round, solid nodular masses.
- B. The scrotum is deeply pigmented with a rugous surface.
- C. The scrotal skin is a lighter color than the body skin.
- D. The vas deferens is palpable bilaterally.
Correct Answer: B
Rationale: The correct answer is B because a deeply pigmented scrotum with a rugous surface is considered normal. This indicates good blood supply and melanin production. A: Epididymides should feel smooth and distinct, not as solid nodular masses. C: Scrotal skin should be the same color or slightly darker than the body skin. D: The vas deferens should not be palpable in a normal scrotal exam.
Regarding respiratory system of fetus
- A. Respiratory bud starts to appear at the ventral wall of foregut at approximately week 10 of gestation
- B. There are 4 stages of development of respiratory system
- C. Development of respiratory tract is not complete until the last week of fetal development.
- D. Epithelial respiratory is derived from endodermal
Correct Answer: A
Rationale: The correct answer is A because the respiratory bud does indeed start to appear at the ventral wall of the foregut around week 10 of gestation. This marks the beginning of respiratory system development. Choice B is incorrect as there are actually 5 stages of respiratory system development. Choice C is also incorrect as the development of the respiratory tract is not fully complete until after birth, not just in the last week of fetal development. Choice D is incorrect because the epithelial respiratory lining is derived from endoderm, not endodermal.
An 86-year-old woman had an anterior and posterior colporrhaphy (A and P repair) several days ago. The client has been unwilling to ambulate or cough effectively. Her retention catheter was discontinued 8 hours ago. Which information obtained during your assessment has the most immediate implications for her care?
- A. Oral temperature is 100.7°F.
- B. Abdomen is firm and tender to palpation above the symphysis pubis.
- C. Breath sounds are decreased with fine crackles audible at both bases.
- D. Apical pulse is 86 and slightly irregular.
Correct Answer: B
Rationale: A firm, tender abdomen suggests urinary retention, requiring immediate action.