The nurse is assessing the sexual-reproductive functional health pattern of a 32-yr-old woman. Which question is most useful in determining the patient’s sexual orientation and related risk factors?

Correct Answer: A

Rationale: The correct answer is A because it directly asks about the patient's sexual partners without assuming their orientation. This open-ended question allows the patient to freely disclose their sexual orientation and related risk factors. Answer B assumes a preference rather than orientation. Answer C focuses on activities rather than orientation. Answer D limits the options to specific labels, which may not accurately reflect the patient's experience.

Correct Answer: C

Rationale: The correct answer is C: Luteinizing hormone (LH). LH is responsible for stimulating the development of the corpus luteum after ovulation. It triggers the release of the egg from the follicle and promotes the transformation of the follicle into the corpus luteum, which is crucial for the production of progesterone. Estrogen (A) is involved in the development of the follicle, not the corpus luteum. Progesterone (B) is produced by the corpus luteum, not responsible for its development. FSH (D) is primarily involved in stimulating the growth of ovarian follicles, not the formation of the corpus luteum.

Correct Answer: A

Rationale: The correct sequence is A: Zygote - morula - 2 cells - 4 cells - 8 cells - blastula. After fertilization, the zygote undergoes cleavage to form the morula, which then divides into 2 cells, then 4 cells, and further into 8 cells. These cells then rearrange to form the blastula. This sequence aligns with the natural progression of post-fertilization cleavage in embryonic development. Choices B, C, and D are incorrect because they do not follow the correct chronological order of events in post-fertilization cleavage. In these sequences, the order of cell divisions is mixed up, leading to an inaccurate representation of the cleavage process. It is crucial to understand the logical progression of events in embryonic development to identify the correct sequence of post-fertilization cleavage.

Correct Answer: D

Rationale: Estrogen is known to stimulate ductal proliferation in the breast tissue as part of its role in breast development and maintenance. This is crucial for preparing the breast for potential pregnancy and lactation. The other choices are incorrect because estrogen does not directly cause cystic changes in the vagina, alter the pH of cervical mucus to become more alkaline, or specifically facilitate the growth of ovarian follicles. Estrogen plays a role in ovarian follicle development, but its main function in this context is to stimulate the growth and maturation of the follicles, not just facilitate their growth.

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.