The following structures are felt during bimanual pelvic examination

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Disorders in Reproductive System Questions

Question 1 of 5

The following structures are felt during bimanual pelvic examination

Correct Answer: B

Rationale: The correct answer is B: Uterus. During a bimanual pelvic examination, the examiner can palpate the uterus between their fingers. The uterus is a key structure that can be felt for its size, shape, and position. The ovaries, fallopian tubes, and cervix are not typically felt during a bimanual exam as they are located deeper within the pelvis and are not easily palpable. Palpating the ovaries directly is not typically part of a routine pelvic examination due to their small size and position behind the uterus. The fallopian tubes are also not typically palpable during a bimanual exam as they are located laterally to the uterus. The cervix may be felt during the exam, but it is not the main structure that is typically palpated during a bimanual pelvic examination.

Question 2 of 5

The nurse is assessing a client for reproductive health problems. What assessments are most important? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A: Bleeding. Assessing for abnormal bleeding is crucial in reproductive health as it can indicate various conditions such as hormonal imbalances, infections, or malignancies. Bleeding can provide important clues about the client's menstrual cycle, potential pregnancy complications, or underlying health issues. Pain (B) is important but may be more subjective and can be related to various factors beyond reproductive health. Sexual orientation (C) is not directly related to assessing reproductive health problems. Masses (D) can be important but may not be as common or specific as abnormal bleeding in reproductive health assessments.

Question 3 of 5

The ejaculatory duct is the union of the vas deferens and _____.

Correct Answer: A

Rationale: The correct answer is A: seminal vesicle. The ejaculatory duct is formed by the union of the vas deferens and the seminal vesicle. The seminal vesicle contributes seminal fluid that mixes with sperm from the vas deferens to form semen. The prostate gland surrounds the ejaculatory duct but does not directly join it. The ampulla is an enlarged portion of the vas deferens but does not directly connect to the ejaculatory duct. The urethra is the tube that carries urine and semen out of the body but is not part of the ejaculatory duct. Therefore, the correct answer is A because the seminal vesicle directly joins with the vas deferens to form the ejaculatory duct.

Question 4 of 5

What normally inhibits testosterone production?

Correct Answer: B

Rationale: The correct answer is B because increasing ICSH (Luteinizing Hormone) inhibits testosterone production by exerting negative feedback on the testes. ICSH stimulates Leydig cells in the testes to produce testosterone. When testosterone levels rise, it signals the pituitary gland to decrease ICSH secretion, thus inhibiting further testosterone production. A: Increasing FSH (Follicle-Stimulating Hormone) does not inhibit testosterone production. C: Decreasing ICSH would lead to reduced stimulation of Leydig cells and lower testosterone production. D: Decreasing FSH would not directly inhibit testosterone production as FSH primarily stimulates sperm production in the testes.

Question 5 of 5

The superior region of the vagina is the _____.

Correct Answer: B

Rationale: The correct answer is B: cervix. The cervix is the lower portion of the uterus that protrudes into the vaginal canal. It is located at the superior region of the vagina. The vaginal orifice (A) refers to the opening of the vagina, not the superior region. The hymen (C) is a thin membrane that partially covers the vaginal opening and is not related to the superior region. Vaginal rugae (D) are the ridges or folds in the vaginal wall that allow for expansion, which are not specific to the superior region.

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