The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which finding is cause for immediate action by the nurse?

Correct Answer: C

Rationale: The correct answer is C: Bleeding from the vagina. This finding is concerning in a postmenopausal woman as it could indicate underlying serious conditions such as endometrial cancer. Immediate action is needed to investigate the cause and provide appropriate care. A: Vaginal dryness is common in postmenopausal women and can be managed with lubricants or hormone therapy. B: Not having a Pap test for 3 years is important for cervical cancer screening but does not require immediate action. D: Leakage of urine, while a concern, does not require immediate action as it is not directly related to a potentially life-threatening condition.

Correct Answer: D

Rationale: The correct answer is D: blood leaves erectile tissue. During penile erection, blood flows into the erectile tissue, causing the penis to become erect. Parasympathetic stimulation and arterial dilation are essential for promoting blood flow into the penis, while venous compression helps to trap blood within the erectile tissue, sustaining the erection. However, if blood were to leave the erectile tissue, it would result in a loss of erection. Therefore, choice D is not compatible with penile erection.

Correct Answer: A

Rationale: The corona radiata cells appear at birth because they are a crucial part of the ovum and are present as soon as the ovum is released from the ovary. The other choices are incorrect because corona radiata cells are not formed at 12, 28, or 1 day after birth. They are specifically associated with the ovum and its release during ovulation, making option A the most accurate.

Correct Answer: D

Rationale: The correct answer is D: estrogen. Estrogen is the hormone that stimulates the growth and development of secondary female sex organs like the breasts, uterus, and fallopian tubes. It plays a crucial role in regulating the menstrual cycle and preparing the body for pregnancy. FSH and LH are hormones released by the pituitary gland that primarily regulate the ovarian cycle, while GnRH is a hormone released by the hypothalamus to stimulate the pituitary gland to release FSH and LH. Estrogen, being a primary female sex hormone, directly influences the development and function of secondary sex organs in females.

Correct Answer: B

Rationale: The correct answer is B, the uterine tube. Fertilization typically occurs in the uterine tube, also known as the fallopian tube, where the egg and sperm meet and fuse to form a zygote. This is the site where the fertilized egg begins its journey towards the uterus for implantation. The other choices are incorrect because fertilization does not occur in the uterus (A), ovary (C), or pelvic cavity (D). The uterus is where the fertilized egg implants and develops into a fetus, the ovary is where the egg is released during ovulation, and the pelvic cavity is a space that houses reproductive organs but not the site of fertilization.