A 72-year-old woman is being assessed by the nurse for an annual physical. Which finding is of concern to the nurse?

Correct Answer: B

Rationale: The correct answer is B: Increased size of the uterus. In a 72-year-old woman, an increased size of the uterus can indicate potential issues such as fibroids or endometrial hyperplasia, which may require further investigation. Thinning of pubic hair (A) is a common age-related change. Decreased size of the clitoris (C) and loss of tone of the pelvic ligaments (D) can also occur with aging but are not typically concerning findings during a routine physical exam in this age group.

Correct Answer: A

Rationale: The correct answer is A, loss of body hair. Testosterone is responsible for thickening of the larynx, anabolism of skeletal muscle, and thickening of bones. It promotes growth and development of male secondary sexual characteristics, such as increased body hair. Therefore, loss of body hair is not a function of testosterone. Choice B, thickening of the larynx, is correct because testosterone contributes to the deepening of the voice by thickening the vocal cords. Choice C, anabolism of skeletal muscle, is correct as testosterone enhances protein synthesis in muscles, leading to muscle growth. Choice D, thickening of bones, is correct because testosterone promotes bone growth and mineralization.

Correct Answer: A

Rationale: The correct answer is A: perimetrium. The perimetrium is the outer serosal layer of the uterus, providing protection and support. The other choices are incorrect: B. cervix is the lower portion of the uterus, C. endometrium is the inner lining where implantation occurs, and D. myometrium is the middle muscular layer of the uterus. The perimetrium is the outermost layer, making it the correct choice.

Correct Answer: B

Rationale: The correct answer is B: corpus luteum. Progesterone is primarily produced by the corpus luteum, which forms from the ruptured ovarian follicle after ovulation. The corpus luteum secretes progesterone to prepare the uterus for potential implantation of a fertilized egg. The Graafian follicle (choice A) is a mature ovarian follicle that contains the egg, but it does not produce progesterone. The secondary follicle (choice C) is an immature ovarian follicle and does not produce progesterone. The adrenal cortex (choice D) is responsible for producing other hormones like cortisol and aldosterone, not progesterone.

Correct Answer: B

Rationale: The correct answer is B: relaxin. The placenta produces estrogen, progesterone, and lactogen to support pregnancy. Relaxin is primarily produced by the corpus luteum and later by the placenta. However, it is not exclusively produced by the placenta, making it the correct choice. Estrogen is crucial for fetal development and maintaining pregnancy. Progesterone helps in preparing the uterus for implantation and supporting the pregnancy. Lactogen (human placental lactogen) plays a role in regulating maternal metabolism and fetal growth.