A 19-yr-old patient calls the school clinic and tells the nurse, “My menstrual period is very heavy this time. I have to change my tampon every 4 hours.” Which action should the nurse take next?

Correct Answer: C

Rationale: The correct answer is C: Ask the patient how heavy her usual menstrual flow is. This is the best course of action as it allows the nurse to gather more information about the patient's menstrual history and determine if the current heavy flow is a deviation from her normal pattern. By obtaining information on the patient's usual menstrual flow, the nurse can assess if the current situation warrants further evaluation or if it falls within the range of normal variability. Choice A is incorrect because dismissing the patient's concern without further assessment may lead to missing a potential issue. Choice B is not the best immediate action as it does not prioritize gathering more information first. Choice D is also not the optimal choice as it does not address the need for more information to assess the situation accurately.

Correct Answer: A

Rationale: The correct answer is A because spermatogonia are indeed germ cells that give rise to sperm cells through the process of spermatogenesis. They are diploid cells, not male gametes. Spermatogonia do not have flagella; instead, mature sperm cells have flagella for motility. So, the correct answer is A because spermatogonia are the precursor cells for sperm cells, they are diploid, and they do not have flagella.

Correct Answer: B

Rationale: The correct answer is B: Uterus. During a bimanual pelvic examination, the examiner can palpate the uterus between their fingers. The uterus is a key structure that can be felt for its size, shape, and position. The ovaries, fallopian tubes, and cervix are not typically felt during a bimanual exam as they are located deeper within the pelvis and are not easily palpable. Palpating the ovaries directly is not typically part of a routine pelvic examination due to their small size and position behind the uterus. The fallopian tubes are also not typically palpable during a bimanual exam as they are located laterally to the uterus. The cervix may be felt during the exam, but it is not the main structure that is typically palpated during a bimanual pelvic examination.

Correct Answer: C

Rationale: Correct Answer: C - Ectopic pregnancy Rationale: 1. IUDs do not prevent ectopic pregnancies. 2. IUD insertion increases the risk of ectopic pregnancy. 3. Ectopic pregnancy is a serious complication of IUD use. Summary of other choices: A: Young age - Age alone is not a contraindication. B: Nulliparity - Being nulliparous is not a contraindication. D: Abnormal uterine bleeding - It is a relative, not absolute contraindication.

Correct Answer: A

Rationale: The correct answer is A: Bleeding. Assessing for abnormal bleeding is crucial in reproductive health as it can indicate various conditions such as hormonal imbalances, infections, or malignancies. Bleeding can provide important clues about the client's menstrual cycle, potential pregnancy complications, or underlying health issues. Pain (B) is important but may be more subjective and can be related to various factors beyond reproductive health. Sexual orientation (C) is not directly related to assessing reproductive health problems. Masses (D) can be important but may not be as common or specific as abnormal bleeding in reproductive health assessments.