Nokea
You are working in the PACU caring for a 32-year-old client who has just arrived after having a dilation and curettage (D&C) to evaluate infertility. Which assessment data are of most concern?
- A. Blood pressure 162/90.
- B. Perineal pad saturated after first 30 minutes.
- C. O2 saturation 91%-95%.
- D. Sharp, continuous, level 8/10 abdominal pain.
Correct Answer: B
Rationale: Heavy bleeding could indicate hemorrhage, necessitating immediate intervention.
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PID is:
- A. Prostate inflammatory disease
- B. Pelvic infiltrative disorder
- C. Pelvic inflammatory disease
- D. Prostate inhibitory disorder
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct:
1. PID stands for Pelvic Inflammatory Disease.
2. PID is an infection of the female reproductive organs, including the uterus, fallopian tubes, and ovaries.
3. Symptoms include pelvic pain, abnormal vaginal discharge, fever, and painful urination.
4. Choice A is incorrect because PID does not specifically refer to the prostate.
5. Choice B is incorrect as PID does not involve infiltration but rather inflammation.
6. Choice D is incorrect as PID is not a disorder that inhibits the prostate.
The corpus luteum secretes whereas oogenesis will produce ___
- A. FSH. ova/ ovum.
- B. LH.
- C. 2; 2
- D. prolactin.
Correct Answer: A
Rationale: The correct answer is A because the corpus luteum secretes progesterone, not FSH. Oogenesis produces ova/ovum, not FSH, LH, or prolactin. FSH and LH are hormones produced by the pituitary gland to regulate the menstrual cycle, not by the corpus luteum or involved in ova production. Prolactin is a hormone involved in milk production, not in oogenesis or corpus luteum function. Therefore, A is correct as it correctly identifies the function of the corpus luteum and the product of oogenesis.
The evolutionary stages of the ovarian follicles are:
- A. secondary;
- B. tertiary (de Graaf);
- C. primordial;
- D. evolutionary;
Correct Answer: C
Rationale: The correct answer is C: primordial. Ovarian follicles go through several stages of development. Primordial follicles are the earliest stage, containing primary oocytes surrounded by a single layer of squamous cells. This stage represents the resting pool of follicles. Secondary follicles come next, with primary oocytes surrounded by multiple layers of granulosa cells. Tertiary (de Graaf) follicles are the most advanced stage, containing a fluid-filled antrum and a mature oocyte. Evolutionary is not a recognized stage in ovarian follicle development. Secondary is incorrect as it comes after primordial, and tertiary is incorrect as it is not the earliest stage.
PID is an infection of the pelvic organs, excepting the uterus. The nurse's role in caring for a client hospitalized with PID includes which of the following?
- A. The nurse inquires if the client has douched within the last 48 hours
- B. The nurse advises a douche every hour prior to being examined
- C. The nurse avoids administering analgesics
- D. The nurse avoids washing the perineal area
Correct Answer: A
Rationale: Inquiring about recent douching helps understand potential contributing factors to the infection.
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.