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

Correct Answer: B

Rationale: The correct answer is B, slight chills and fever. This finding may indicate an infection, which can be a serious complication post-endometrial biopsy. Fever and chills can be signs of systemic infection, requiring immediate medical attention to prevent further complications. Mild cramping (A) is a common post-procedure symptom. Spotting of blood (C) is also normal after an endometrial biopsy. Fatigue (D) after anesthesia is expected and not an immediate concern unless severe or persistent.

Correct Answer: D

Rationale: The correct answer is D: GnRH. Gonadotropin-releasing hormone (GnRH) is released from the hypothalamus, stimulating the pituitary gland to produce FSH and LH, which then trigger the changes of puberty. FSH and LH are not the initial hormones that start puberty, but rather the result of GnRH stimulation. Testosterone and ICSH are also involved in puberty but are not the primary hormone that initiates the process.

Correct Answer: A

Rationale: The correct answer is A: uterine tube. During ovulation, the mature oocyte is released from the ovary and travels through the uterine tube (fallopian tube) towards the uterus for potential fertilization. The uterine tube is the pathway for the oocyte to reach the uterus. Choices B, C, and D are incorrect because the oocyte does not directly pass into the uterus, pelvic cavity, or ovary during ovulation.

Correct Answer: A

Rationale: In pharmacology, understanding the functions of estrogen is crucial as it plays a significant role in the reproductive system. The correct answer, "A) decreases adipose," is not a function of estrogen. Estrogen is actually known to promote the storage of adipose tissue, especially in areas like the hips and thighs. Option B, "breast development," is a well-known function of estrogen. Estrogen stimulates the growth of breast tissue during puberty and pregnancy. Option C, "increased skin blood vessels," is also a function of estrogen. Estrogen helps to maintain healthy skin by increasing blood flow to the skin, which contributes to its overall health and appearance. Option D, "enlarges clitoris," is not a function of estrogen. The enlargement of the clitoris is associated with the effects of testosterone, not estrogen. Educationally, understanding the functions of estrogen is essential for healthcare professionals, especially in fields like obstetrics and gynecology. Having a clear grasp of estrogen's effects on the body can help in diagnosing and treating various reproductive system disorders.

Correct Answer: B

Rationale: The correct answer is B: endometrium. After fertilization, the blastocyst travels through the uterine tubes and implants into the endometrium for further development. The endometrium is the inner lining of the uterus where implantation occurs to establish pregnancy. The uterine tubes (choice A) are the site of fertilization, but not implantation. The cervix (choice C) is the lower part of the uterus that connects to the vagina and does not play a role in implantation. The ovary (choice D) is where the egg is released during ovulation and not the site of implantation.