The physical examination of a 3-month-old male infant determines that the urethral opening is on the dorsal aspect of the glans penis. This finding could be consistent with:
phimosis.
hypospadias.
epispadias.
a hydrocele.
The Correct Answer is C
Rationale:
A. Phimosis is the inability to retract the foreskin over the glans and does not involve abnormal placement of the urethral opening.
B. Hypospadias is a congenital condition in which the urethral opening is located on the ventral (underside) aspect of the penis, not the dorsal side.
C. Epispadias is a rare congenital anomaly in which the urethral opening is located on the dorsal (top) aspect of the penis. Early recognition is important for surgical planning and preventing urinary complications.
D. A hydrocele is a fluid-filled sac around the testicle and does not affect the location of the urethral meatus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Surgical management (orchiopexy) is the standard treatment for cryptorchidism, but pharmacologic therapy can be considered in certain cases.
B. Low-dose testosterone is sometimes used to stimulate testicular descent, but its effectiveness is less established than HCG.
C. Human chorionic gonadotropin (HCG) can be used to induce testicular descent in some cases of cryptorchidism, particularly when the testes are palpable in the inguinal canal. HCG stimulates Leydig cells to produce testosterone, promoting testicular descent.
D. Somatotropin (growth hormone) has no role in the management of cryptorchidism.
Correct Answer is C
Explanation
Rationale:
A. Short stature is not a defining complication of late preterm infants; it relates more to long-term growth patterns.
B. Meconium aspiration can occur in term or post-term infants but is not specifically more common in late preterm infants.
C. Respiratory complications are a primary concern for late preterm infants due to incomplete lung maturation. They are at higher risk for respiratory distress syndrome, transient tachypnea of the newborn, and other pulmonary issues compared with full-term infants.
D. While late preterm infants are considered “near term,” they are generally at lower risk for the full spectrum of prematurity-related complications seen in infants <34 weeks, although some minor complications can occur.
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