When assessing a 3-month-old male infant, the nurse practitioner suspects hypospadias because:
the urethral opening is on the dorsal aspect of the glans penis.
the urethral opening is on the ventral aspect of the glans penis.
the NP is unable to retract the foreskin over the glans penis.
the NP is unable to palpate one of the testicles.
The Correct Answer is B
Rationale:
A. A urethral opening on the dorsal aspect of the glans penis is consistent with epispadias, not hypospadias.
B. Hypospadias is a congenital condition in which the urethral opening is located on the ventral (underside) aspect of the penis, rather than at the tip of the glans. Early detection is important for surgical planning and preventing complications with urination or future sexual function.
C. Inability to retract the foreskin over the glans penis is phimosis and is not diagnostic of hypospadias.
D. Inability to palpate a testicle suggests cryptorchidism, which is unrelated to the urethral meatus position.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Polycystic ovarian syndrome (PCOS) typically causes secondary amenorrhea, not primary amenorrhea, as menstruation usually begins normally.
B. Hyperprolactinemia can lead to secondary amenorrhea by disrupting the hypothalamic-pituitary-ovarian axis.
C. Turner's syndrome, a chromosomal disorder (45,X), is a common cause of primary amenorrhea due to gonadal dysgenesis, resulting in absent or delayed puberty.
D. Ovarian failure usually leads to secondary amenorrhea after menarche, rather than primary amenorrhea.
Correct Answer is D
Explanation
Rationale:
A. Blood type, Rh factor, and antibody screens are routinely performed in the first trimester to identify potential incompatibilities and plan appropriate management.
B. Screening for STDs, including HIV, syphilis, chlamydia, and gonorrhea, is recommended early in pregnancy to ensure maternal and fetal health.
C. A purified protein derivative (PPD) test for tuberculosis may be performed in the first trimester if the patient is at risk.
D. Alpha-fetoprotein (AFP) screening is typically performed during the second trimester (around 15–20 weeks gestation) to assess for neural tube defects and other fetal abnormalities. It is not a routine first-trimester test.
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