During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the

Correct Answer: C

Rationale: Rationale: 1. Genital herpes presents as clusters of small vesicles on the genitals. 2. The vesicles are typically painful and can ulcerate. 3. The presence of vesicles is a key feature of genital herpes. 4. Peyronie's disease is characterized by penile curvature, not vesicles. 5. Genital warts are caused by HPV and present as cauliflower-like growths, not vesicles.

Correct Answer: A

Rationale: The correct answer is A: Use the Tanner scale on the five stages of sexual development. The Tanner scale is a standardized tool used to assess the stages of sexual development in children and adolescents. By using this scale, the nurse can provide the girl with a clear and objective understanding of her current stage of development and what to expect in the future. This approach helps the young girl feel informed and reassured about the normal process of puberty. Choice B is incorrect because comparing the girl's development with other girls her age may lead to unnecessary comparisons and anxiety. Choice C is incorrect as the Jacobsen table based on height and weight data is not relevant for assessing sexual development. Choice D is incorrect as simply reassuring the girl without providing detailed information may not address her concerns effectively.

Correct Answer: B

Rationale: The correct answer is B because hormone replacement therapy (HRT) commonly causes side effects such as fluid retention, breast tenderness, and vaginal bleeding. This information is important for the nurse to communicate to the patient, as it aligns with the symptoms the woman is experiencing. Choice A is incorrect as even low doses of HRT can still result in side effects. Choice C is incorrect because vaginal bleeding with HRT is not very unusual and does not necessitate immediate evaluation unless it is severe. Choice D is incorrect as adjusting the dose without proper evaluation could be dangerous and is not the appropriate first step in addressing the patient's concerns.

Correct Answer: D

Rationale: The correct answer is D because smoking increases the risk of cardiovascular complications with oral contraceptives. By asking about the number of cigarettes smoked per day, the nurse can assess the level of risk. Choice A is incorrect as it is not directly related to the safety of oral contraceptives. Choice B is important for overall sexual health but not directly related to the safety of oral contraceptives. Choice C is vague and does not provide specific information about potential risks associated with oral contraceptives.

Correct Answer: B

Rationale: The correct answer is B, placing the girl in a frog-leg position on the examining table. This position provides optimal access and visualization of the external genitalia while ensuring the child's comfort and privacy. Placing the child in the parent's lap (A) may hinder the nurse's ability to perform the examination effectively. The lithotomy position (C) with feet in stirrups is typically used for pelvic exams in older females and may not be necessary for a school-age girl. Lying flat with legs extended (D) would also not provide the necessary access and visibility required for the examination.