On inspection of a male infant's penis, the NP notes that the urethral orifice appears on the ventral surface of the glans. This finding is consistent with:
a chordee
hypospadias.
epispadias.
cryptorchidism.
The Correct Answer is B
Rationale:
A. A chordee refers to a downward curvature of the penis, often associated with hypospadias, but it is not defined by the location of the urethral opening.
B. Hypospadias is a congenital condition in which the urethral opening is located on the ventral (underside) surface of the penis rather than at the tip of the glans. Early identification is important for surgical planning.
C. Epispadias is characterized by a urethral opening on the dorsal (top) surface of the penis.
D. Cryptorchidism refers to undescended testes and does not affect the urethral meatus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. The Sickledex test is a rapid screening tool for sickle hemoglobin but cannot definitively diagnose sickle cell disease.
B. A complete blood count (CBC) may show anemia or other hematologic abnormalities but cannot confirm the specific hemoglobin type.
C. Hemoglobin electrophoresis is the definitive test to diagnose sickle cell disease. It identifies the specific types of hemoglobin present (e.g., HbS, HbA, HbF) and distinguishes between sickle cell trait and sickle cell disease.
D. The sickle cell solubility test can indicate the presence of HbS but cannot differentiate between trait and disease and is therefore not diagnostic.
Correct Answer is C
Explanation
Rationale:
A. By 3 months, the plantar grasp reflex may still be present; disappearance occurs later.
B. At 4 months, the reflex is gradually fading but not fully absent in all infants.
C. The plantar grasp reflex, in which the infant curls the toes when the sole of the foot is stroked, typically disappears by around 8 months of age as voluntary control over the toes develops.
D. By 12 months, the reflex is expected to be fully absent, and persistence beyond this age may indicate neurologic abnormalities.
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