The patient is unable to tolerate a bimanual pelvic examination due to pain in ovaries and fallopian tubes. Which disorder does the nurse suspect?

Correct Answer: D

Rationale: The correct answer is D: Pelvic inflammatory disease (PID). PID is characterized by inflammation and infection of the female reproductive organs, including ovaries and fallopian tubes, leading to pain during bimanual pelvic examination. This is due to the inflammatory response in the pelvic area. Tertiary syphilis (A), genital herpes (B), and HPV infection (C) do not typically present with acute pelvic pain during examination. Syphilis affects multiple organ systems, herpes presents with genital lesions, and HPV usually does not cause acute pelvic pain. Therefore, PID is the most likely diagnosis based on the symptoms described.

Correct Answer: D

Rationale: The correct answer is D because palpable inguinal lymph nodes could indicate an underlying infection or malignancy, requiring further evaluation by the healthcare provider. This finding is concerning and needs attention. A: One testis hanging lower than the other is a normal variation and does not typically require reporting. B: Genital hair distribution being diamond-shaped is a common pattern and is not an abnormal finding that necessitates reporting. C: Clear discharge at the penile meatus could be normal or due to benign conditions such as urethral irritation, so it may not require immediate reporting unless other concerning symptoms are present.

Correct Answer: D

Rationale: The final stage of labor is the delivery of the placenta. This occurs after the baby is born. The placenta is essential for providing nutrients and oxygen to the baby during pregnancy, but once the baby is born, it needs to be expelled from the mother's body. This process is crucial to prevent postpartum complications. A: Dilation of the cervix occurs in the first stage of labor. B: Delivery of the infant happens in the second stage of labor. C: Contraction of the uterus is a continuous process throughout labor but does not signify the final stage. In summary, the correct answer is D because it represents the final step in the labor process, while the other options pertain to earlier stages of labor.

Correct Answer: D

Rationale: The correct answer is D: 92 chromatids. In mitosis, each chromosome consists of two sister chromatids. Since the cell begins with 46 chromosomes, there are a total of 92 chromatids present. This is because each chromosome duplicates during the S phase of interphase, resulting in two identical sister chromatids held together by a centromere. Therefore, the total number of chromatids in the cell at the beginning of mitosis is twice the number of chromosomes. Choices A, B, and C are incorrect because they do not account for the duplication of chromatids that occurs during the cell cycle.

Correct Answer: D

Rationale: The correct answer is D because the pulsation of the uterine artery can indeed be palpated at the posterior fornix of the vagina. This is an important anatomical landmark used in gynecological examinations. A: The ovarian vessels are located in the suspensory ligament of the ovary, not the ovarian ligament. B: The normal position of the uterus is anteverted and anteflexed. C: The Pouch of Douglas is a potential space between the uterus and rectum, not a structure that physically separates them.