A 2-year-old boy has been diagnosed with physiologic cryptorchidism. Considering this diagnosis, during assessment the nurse will most likely observe:

Correct Answer: C

Rationale: The correct answer is C. Physiologic cryptorchidism refers to a common condition in newborns where the testes have not descended into the scrotum but can be manually pushed down (milked) into the scrotum. This is a normal developmental process that usually resolves by the age of 3 months. Rationale: 1. Absence of the testis in the scrotum: In physiologic cryptorchidism, the testes are not palpable in the scrotum due to incomplete descent. 2. Testis can be milked down: The testes can be gently pushed down into the scrotum, indicating that they are present and capable of descending on their own. Summary of other choices: A: Testes that are hard and painful to palpation is incorrect because physiologic cryptorchidism is not associated with inflammation or pain. B: Atrophic scrotum and bilateral absence of the testis is incorrect as

Correct Answer: D

Rationale: The correct answer is D: blood hydrostatic pressure. Glomerular filtrate is produced as a result of the pressure exerted by the blood in the glomerular capillaries forcing water and small solutes into the Bowman's capsule. This pressure, known as blood hydrostatic pressure, is the driving force for the initial filtration of blood in the kidneys. Rationale: 1. A: Tubule secretion is the process by which substances are actively transported from the blood into the renal tubules, not the initial production of glomerular filtrate. 2. B: Facilitated diffusion is a passive transport process that requires specific carrier proteins, not a mechanism for producing glomerular filtrate. 3. C: Blood colloid osmotic pressure is the pressure exerted by proteins in the blood that tends to pull water back into the capillaries, opposing filtration, not causing the production of glomerular filtrate.

Correct Answer: A

Rationale: The correct answer is A: Cervix. During a speculum inspection, the nurse would expect to see the cervix at the end of the vaginal canal. The cervix is the lower part of the uterus that connects the uterus to the vagina. It appears as a small, round structure at the end of the vaginal canal. This is an important part of the female reproductive system that can be visualized during a speculum examination. Summary: B: Uterus - Incorrect as the uterus is located above the cervix and is not visible at the end of the vaginal canal. C: Ovaries - Incorrect as the ovaries are located on either side of the uterus and are not visible during a speculum examination. D: Fallopian tubes - Incorrect as the fallopian tubes are not visible during a speculum examination as they are located above the ovaries and connect the ovaries to the uterus.

Correct Answer: C

Rationale: The correct answer is C: 3; 2; 1. Gravida refers to the total number of pregnancies, including the current one. As the patient has had three pregnancies, the gravida is 3. Para indicates the number of live births, so since the patient has had two live births, the para is 2. AB represents the number of abortions or miscarriages, which is 1 in this case. Therefore, the correct way to record this patient's obstetric history is gravida 3, para 2, AB 1. Choice A (2; 2; 1) is incorrect because the patient has had three pregnancies, not two. Choice B (3; 2; 0) is incorrect as it does not account for the abortion/miscarriage that occurred. Choice D (3; 3; 1) is also incorrect because the patient has had two live births, not three.

Correct Answer: C

Rationale: Correct Answer: C - "When did you notice that your body was changing?" Rationale: 1. This question is open-ended and focuses on the preadolescent girl's personal experience, allowing her to share information at her comfort level. 2. It avoids assumptions and allows the girl to express herself without feeling pressured. 3. By asking about her own observations, it encourages self-reflection and empowers her to communicate about her body changes. Summary: A - Option A might indirectly suggest that the girl should have questions about growing up, potentially creating pressure. B - Option B assumes the mother's role as the primary source of information, potentially overlooking the girl's own experiences. D - Option D introduces the tutor's personal experience, which may lead the girl to compare her feelings to the tutor's, potentially causing unnecessary anxiety.