A 68-yr-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger. Which is the nurse’s best response to the patient’s concern?

Correct Answer: B

Rationale: The correct answer is B: "Many men need additional sexual stimulation with aging." With aging, physiological changes can affect sexual response. Additional stimulation may be required due to lower hormone levels and decreased sensitivity. This response acknowledges the patient's concern and provides a factual explanation. Incorrect answers: A: "Interest in sex frequently decreases as men get older." - While libido may decrease with age, it doesn't directly address the patient's concern about sexual response. C: "Erectile dysfunction is a common problem with older men." - Erectile dysfunction is only one aspect of sexual response and may not be the main issue for the patient. D: "Tell me more about how your sexual response has changed." - While this shows empathy, it doesn't provide information or address the potential need for additional stimulation.

Correct Answer: D

Rationale: The final stage of labor is the delivery of the placenta. This occurs after the baby is born. The placenta is essential for providing nutrients and oxygen to the baby during pregnancy, but once the baby is born, it needs to be expelled from the mother's body. This process is crucial to prevent postpartum complications. A: Dilation of the cervix occurs in the first stage of labor. B: Delivery of the infant happens in the second stage of labor. C: Contraction of the uterus is a continuous process throughout labor but does not signify the final stage. In summary, the correct answer is D because it represents the final step in the labor process, while the other options pertain to earlier stages of labor.

Correct Answer: D

Rationale: The correct answer is D: 92 chromatids. In mitosis, each chromosome consists of two sister chromatids. Since the cell begins with 46 chromosomes, there are a total of 92 chromatids present. This is because each chromosome duplicates during the S phase of interphase, resulting in two identical sister chromatids held together by a centromere. Therefore, the total number of chromatids in the cell at the beginning of mitosis is twice the number of chromosomes. Choices A, B, and C are incorrect because they do not account for the duplication of chromatids that occurs during the cell cycle.

Correct Answer: D

Rationale: The correct answer is D because the pulsation of the uterine artery can indeed be palpated at the posterior fornix of the vagina. This is an important anatomical landmark used in gynecological examinations. A: The ovarian vessels are located in the suspensory ligament of the ovary, not the ovarian ligament. B: The normal position of the uterus is anteverted and anteflexed. C: The Pouch of Douglas is a potential space between the uterus and rectum, not a structure that physically separates them.

Correct Answer: A

Rationale: The correct answer is A: Pyosalpinx. Salpingitis is inflammation of the fallopian tubes, which can lead to the accumulation of pus within the tube, known as pyosalpinx. This is a common complication of salpingitis due to the infection causing the tubes to become blocked and filled with pus. Peritonitis (B) is inflammation of the peritoneum, not directly related to salpingitis. Endometriosis (C) is a separate condition where endometrial tissue grows outside the uterus. Infertility (D) can be a complication of salpingitis, but pyosalpinx is a more direct and immediate consequence.