Nokea
Which statement regarding the uterus is true:
- A. it is pear-shaped;
- B. the superior extremity is represented by the corpus;
- C. the vagina is inserted on the inferior extremity;
- D. it is located laterally in the pelvis;
Correct Answer: A
Rationale: The correct answer is A: it is pear-shaped. The uterus is indeed pear-shaped in structure, with a wider upper part called the corpus and a narrower lower part called the cervix. The pear shape allows for the expansion required during pregnancy. The other choices are incorrect: B is inaccurate as the superior extremity is the fundus, not the corpus; C is incorrect as the vagina is connected to the cervix, not the inferior extremity; D is wrong as the uterus is located centrally in the pelvis.
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Mrs. Kwame is scheduled for a hysterectomy for stage III cancer of the cervix. What information will help her request appropriate p.r.n. pain medication?
- A. Understanding prescribed drug action
- B. Support and reassurance from the nurse
- C. The nurse's beliefs and preferences regarding use of narcotics
- D. Prescribed medication should be administered freely during the first 24 hours postoperatively
Correct Answer: A
Rationale: Understanding how prescribed drugs work helps patients manage pain effectively.
Which of the following would a nurse suggest for a client with an inflammation of the prostate gland?
- A. Treat the client and also his sexual partners.
- B. Avoid standing for long periods and foods that cause diarrhea.
- C. No masturbation or sexual intercourse until treated.
- D. Avoid foods that may cause acidity.
Correct Answer: C
Rationale: Abstinence from sexual activity until treatment is complete helps prevent exacerbation and transmission.
Circumcision is the process of removing:
- A. Glans penis
- B. Scrotum
- C. Foreskin
- D. Vas deferens
Correct Answer: C
Rationale: The correct answer is C: Foreskin. Circumcision involves the surgical removal of the foreskin, the retractable double-layered fold of skin that covers the head of the penis. This procedure is commonly practiced for cultural, religious, or medical reasons. Removing the glans penis (A) or scrotum (B) would be highly inappropriate and damaging. The vas deferens (D) is a duct that carries sperm from the testes, which is not involved in circumcision. Therefore, the correct anatomical structure that is removed during circumcision is the foreskin.
The nurse recognizes which patient has the highest risk of endometrial cancer?
- A. A 24-year-old woman with menarche at age 9
- B. A 30-year-old woman who started menstruating at age 19
- C. A 42-year-old woman who reached menopause at age 40
- D. A 64-year-old woman who had irregular, heavy menstrual cycles
Correct Answer: A
Rationale: The correct answer is A because early menarche (age 9) and late menopause increase the lifetime exposure of estrogen, a known risk factor for endometrial cancer. Choice B has a later menarche age, reducing estrogen exposure. Choice C's early menopause decreases estrogen exposure. Choice D's irregular cycles may indicate hormonal imbalances but don't directly relate to increased estrogen exposure.
Where do sperm cells attain fertilization competence and motility?
- A. rete testis
- B. epididymis
- C. vas deferens
- D. seminiferous tubule
Correct Answer: B
Rationale: The correct answer is B: epididymis. Sperm cells attain fertilization competence and motility in the epididymis. Here's the rationale:
1. Sperm cells are produced in the seminiferous tubules of the testes.
2. They then move to the epididymis for maturation, where they gain motility and the ability to fertilize an egg.
3. The epididymis provides the ideal environment for sperm to undergo final maturation processes.
4. The rete testis is a network of tubules where sperm are transported from the seminiferous tubules, not where they gain fertilization competence.
5. The vas deferens is a duct that carries sperm from the epididymis to the urethra, not where sperm attain fertilization competence.