The nurse is reviewing discharge instructions with a client who has just experienced an endometrial biopsy. Which finding should be reported to the health care provider immediately?

Correct Answer: B

Rationale: The correct answer is B because slight chills and fever could indicate an infection post-endometrial biopsy, which requires immediate medical attention to prevent complications. Mild cramping (A) is expected after the procedure and can be managed with over-the-counter pain relievers. Spotting of blood (C) is a common side effect and should be monitored but does not require immediate reporting. Fatigue (D) after anesthesia is a normal response and should resolve with rest.

Correct Answer: D

Rationale: The correct answer is D. Crossing over between homologous chromosomes during meiosis II does not lead to genetic variation. This is because crossing over occurs during meiosis I, not meiosis II. Meiosis II is when the separated chromatids are pulled apart to form haploid cells. Independent assortment of chromosomes during meiosis (A) and random fertilization between ovum and sperm (B) both contribute to genetic variation by creating unique combinations of alleles. Crossing over between homologous chromosomes during meiosis I (C) also leads to genetic variation by exchanging genetic material between homologous chromosomes.

Correct Answer: C

Rationale: The correct answer is C because the SRY protein is responsible for causing the regression of the Wolffian duct in male development. This process leads to the formation of male reproductive structures such as the vas deferens. The other choices are incorrect because: A: Hypospadias is actually caused by the incomplete closure of the urethral groove during development. B: The connection between the tunica vaginalis and the abdominal cavity closes after the descent of the testis, not before. D: The ampulla of the fallopian tube is not involved in male reproduction; it is actually the site of fertilization in the female reproductive system.

Correct Answer: D

Rationale: Correct Answer: D - Trichomoniasis Rationale: Trichomoniasis is a sexually transmitted infection that commonly presents with vaginal discharge. The discharge is typically frothy, yellow-green, and has a strong odor. This distinguishes it from other causes of vaginal discharge. Summary of Other Choices: A: Vulvovaginal candidiasis - Typically presents with thick, white, cottage cheese-like discharge. B: Granuloma inguinale - Rare bacterial infection causing painless genital ulcers, not associated with vaginal discharge. C: Gonorrhea - May cause vaginal discharge, but typically associated with other symptoms like pelvic pain and abnormal bleeding.

Correct Answer: C

Rationale: The correct answer is C: seminiferous tubule. Spermatogenesis is the process of sperm production and occurs within the seminiferous tubules of the testes. These tubules contain specialized cells called germ cells that undergo meiosis to produce sperm. The tunica albuginea is a fibrous layer surrounding the testes, the rete testis is a network of tubules where sperm is transported, and the seminal vesicle is a gland that produces seminal fluid, not involved in sperm production. Therefore, the seminiferous tubule is the correct choice for spermatogenesis.