After a 26-yr-old patient has been treated for pelvic inflammatory disease, the nurse will plan to teach about the

Correct Answer: B

Rationale: The correct answer is B - potential complication of infertility. Pelvic inflammatory disease (PID) can lead to scarring and damage to the reproductive organs, increasing the risk of infertility. Teaching about this potential complication is crucial for the patient's understanding of the long-term consequences of PID. Option A (use of hormone therapy) is not directly related to PID treatment. Option C (irregularities in the menstrual cycle) may occur but is not the primary concern post-PID treatment. Option D (changes in secondary sex characteristics) is not a common complication of PID. Therefore, option B is the most appropriate choice for teaching post-PID treatment.

Correct Answer: A

Rationale: Testosterone is secreted by Leydig cells in the testes. Leydig cells are interstitial cells located between the seminiferous tubules. They are responsible for producing and secreting testosterone, which plays a crucial role in stimulating the development of male secondary sexual characteristics and maintaining male reproductive functions. Sertoli cells provide nourishment and support for developing sperm cells but do not secrete testosterone. Spermatocytes and early spermatids are involved in the process of spermatogenesis and do not secrete testosterone. Therefore, the correct answer is A because Leydig cells are specifically known for their role in testosterone production.

Correct Answer: C

Rationale: The correct answer is C (Day 14). On day 14 of a typical 28-day female reproductive cycle, the level of luteinizing hormone (LH) is most likely to be highest. This is because day 14 corresponds to ovulation, which is triggered by a surge in LH. Ovulation occurs when the mature egg is released from the ovary, and LH surge is crucial in this process. Therefore, the peak level of LH is expected on day 14. Incorrect Choices: A: Day 5 - Too early in the cycle for LH surge. B: Day 7 - Still early in the cycle for LH surge. D: Day 21 - LH surge typically occurs around day 14, not day 21.

Correct Answer: B

Rationale: The correct answer is B: Stratum functionalis is shed during menstrual phase. The endometrium is composed of two layers - the stratum functionalis and the stratum basalis. The stratum functionalis is the layer that undergoes cyclic changes during the menstrual cycle, thickening and then shedding during menstruation. This process is essential for preparing the endometrium for potential implantation of a fertilized egg. Choice A is incorrect because the endometrium is actually lined by simple columnar epithelium with ciliated cells. Choice C is incorrect because the decidua is the name for the endometrium during pregnancy, but it is not specific to forming the decidua of the placenta. Choice D is incorrect because the arcuate artery is a branch of the uterine artery that runs along the myometrium, not penetrating the endometrium directly.

Correct Answer: A

Rationale: The correct answer is A: Cervical cancer. Cervical cancer can cause abnormal vaginal bleeding due to the presence of cancerous cells in the cervix. This can lead to spotting or bleeding between periods. Endometrial cancer (choice B) and endometrial carcinoma (choice D) specifically involve the endometrium, not the cervix. Leiomyoma (choice C) refers to uterine fibroids, which can cause heavy menstrual bleeding but are not typically associated with vaginal bleeding outside of menstruation. Therefore, the correct choice is A as it directly relates to per vaginal bleeding, while the other choices are not directly linked to this symptom.