The nurse is conducting a staff in-service on newborn defects of the genitourinary system. Which describes the narrowing of the preputial opening of the foreskin?

Correct Answer: B

Rationale: Phimosis is the term used to describe the narrowing of the preputial opening of the foreskin in males. This condition does not allow the foreskin to be fully retracted over the head of the penis, which can cause issues with hygiene and potentially lead to infections. Phimosis can occur in newborns and also persist into adulthood if not treated. It is important for healthcare providers, including nurses, to be aware of this condition in order to provide appropriate education and intervention when needed.

Correct Answer: C

Rationale: Atrial septal defect (ASD) is a congenital heart defect where there is an abnormal opening in the atrial septum, leading to a left-to-right shunt of blood. This shunt causes increased pulmonary blood flow, as oxygenated blood from the left atrium is shunted back into the right atrium and then into the pulmonary circulation. Over time, this increased pulmonary blood flow can lead to pulmonary hypertension and potentially Eisenmenger syndrome if left untreated. Pulmonic stenosis, tricuspid atresia, and transposition of the great arteries all typically result in decreased pulmonary blood flow rather than increased pulmonary blood flow.

Correct Answer: C

Rationale: Administering analgesics before removing chest tubes from a child is an important nursing consideration because the procedure may cause pain or discomfort. While it is ideal to minimize pain during and after the removal, it is essential to anticipate the possibility of discomfort and provide appropriate pain management to ensure the child's comfort and well-being. By administering analgesics before the procedure, nurses can help alleviate any potential pain and promote a more positive experience for the child.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: Acute epididymitis is inflammation of the epididymis, a coiled tube located behind the testicles that stores and carries sperm. The most common symptom of acute epididymitis is severe tenderness and swelling in the scrotum, typically on one side. Other symptoms may include redness, warmth, and pain in the affected testicle. While symptoms such as burning and pain on urination may be present in other conditions like urinary tract infections, the presence of severe tenderness and swelling in the scrotum is more indicative of acute epididymitis. The foul-smelling ejaculate and severe scrotal swelling are not typical symptoms of acute epididymitis.