Adaptive Quiz 10: Sexuality

Which vaccine is used to prevent a human papilloma virus infection? Varivax RotaTeq Gardasil Hepatitis A vaccine

Gardasil Gardasil is a quadrivalent vaccine used to prevent genital cancers and warts caused by human papilloma virus. Varivax is associated with protection from the varicella virus; this vaccine is sometimes given in combination with the MMR vaccine. The RotaTeq vaccine is used to vaccinate against a rotavirus infection. The hepatitis A vaccine is used to protect against the hepatitis A virus.

The nurse is educating a couple concerning the process of fertilization. The nurse explains to the couple that which component stimulates the release of estrogen and progesterone after fertilization? Inhibin Testosterone Follicle-stimulating hormone (FSH) Human chorionic gonadotropin (hCG)

Human chorionic gonadotropin (hCG) After fertilization, human chorionic gonadotropin (hCG) stimulates the corpus luteum to produce estrogen and progesterone. Inhibin is a hormone produced by the ovarian follicles; it inhibits the secretion of follicle-stimulating hormone (FSH) and gonadotropin-releasing hormone (GnRH). Testosterone does not affect the release of estrogen and progesterone. Follicle-stimulating hormone (FSH) stimulates the growth and maturity of the ovarian follicle necessary for ovulation.

A client fears pregnancy despite the use of oral contraceptives. Which blood test would the primary healthcare provider order for the client? Prolactin test Testosterone test Progesterone test Human chorionic gonadotropin (hCG) test

Human chorionic gonadotropin (hCG) test A human chorionic gonadotropin (hCG) test is used to detect pregnancy; therefore, the primary healthcare provider orders an hCG test for the client. A prolactin test is used to detect amenorrhea. A testosterone test is used to determine ovarian dysfunction. A progesterone test is used to determine the occurrence of ovulation.

A client reports swelling of the scrotum with no pain. Which condition does the nurse anticipate in the client? Chancroid Hydrocele Spermatocele Incarcerated hernia

Hydrocele Unilateral or bilateral swelling of the scrotum without pain is a clinical manifestation of a hydrocele; therefore, this is what the nurse anticipates the client to have. Chancroid is manifested by papular or irregularly shaped nonindurated, pus-filled ulcers on the penis. A translucent, wormlike appearance of the scrotum is a characteristic of spermatocele. Swelling and pain in the scrotum are the clinical manifestations of incarcerated hernia.

Which method of contraception may provide adolescents with the longest duration of protection? NuvaRing Levonorgestrel implant Spermicidal suppositories Levonorgestrel intrauterine system

Levonorgestrel intrauterine system The levonorgestrel intrauterine system is a T-shaped intrauterine system which releases levonorgestrel. It must be placed within seven days of menses and provides protection up to five years. The NuvaRing, a flexible, soft, and transparent ring placed in the vagina, must be replaced every three weeks. The levonorgestrel implant is a small rod that provides protection for up to three years. Spermicidal suppositories are inserted into the vagina to kill sperm and provide protection for only a short duration.

Which part of the female reproductive system produces testosterone in females? Uterus Ovary Fallopian tube Ovarian follicle

Ovary Testosterone is an androgen, and in females, androgens are produced by the ovaries and adrenal glands. The uterus holds the fetus during pregnancy. Fallopian tubes facilitate fertilization of oocyte and sperm. An ovarian follicle is a collection of oocytes in the ovary.

The nurse is assessing an elderly male. Which finding is seen with aging? Symmetrical testes Reduced size of testes Presence of pubic hair Presence of foreskin on the penis

Reduced size of testes A reduction in the size of the testes is a characteristic of aging. The testes are symmetrical in shape and length; any change in their symmetry denotes an abnormality. Presence of pubic hair is normal. The penis is covered with foreskin; however, circumcised men do not have foreskin. An easily retractable foreskin is an age-related finding.

A female client has severe cramping, pain, backache, and a migraine headache that presents with anxiety and mood swings. Which medication does the nurse think will be prescribed first to reduce the symptoms? Sertraline Buspirone Ibuprofen Spironolactone

Sertraline A client with severe cramps, backache, and a migraine with anxiety and mood swings likely has premenstrual syndrome (PMS). Selective serotonin reuptake inhibitors (SSRIs) such as sertraline are effective in relieving the symptoms of severe PMS. Buspirone is useful only to relieve anxiety in the client with PMS. Ibuprofen is used to reduce physiologic symptoms. Diuretics such as spironolactone are effective in reducing fluid overload.

An adolescent has pain, swelling, and inflammation of the testis, abdominal pain, and occasional immobilization of the scrotum. Which condition does the adolescent likely have? Varicocele Epididymitis Testicular torsion Testicular cancer

Testicular torsion Testicular torsion manifests as pain, inflammation, and hanging of the scrotum. The scrotum may become immobile an absence of the cremasteric reflex. Nausea, vomiting, and abdominal pain are accompanied along with the scrotal pain. Varicocele is the elongation, dilation, and twisting of the veins of the spermatic chord superior to the testicle. Epididymitis is the inflammation of the epididymis as a result of bacterial infection, chemical irritant, or local trauma. With epididymitis, there is no abdominal pain associated with the testicular pain. Testicular cancer may or may not cause pain, and nodular mass-like structures are present in the scrotum.

An adolescent client presents to the clinic with complaints of absence of menses for two months. What should the nurse do next? The nurse should ask the adolescent to take a pregnancy test. The nurse should help evaluate the adolescent's stress factor. The nurse and the adolescent should make a proper dietary and exercise plan. The nurse should refer the adolescent to use biofeedback or massage therapy.

The nurse should ask the adolescent to take a pregnancy test. Absence of menstrual flow can be due to pregnancy, so the nurse should first ask the adolescent to take a pregnancy test. Finding this out is the priority, and once the pregnancy test is done, the nurse can perform other interventions. If it is not due to pregnancy, amenorrhea can be due to extreme stress, so the nurse may help the adolescent find the stress factor and ways cope with it. Exercise-associated amenorrhea is common in female athletes and to overcome it, the nurse should help the adolescent make a proper dietary and exercise plan. In the case of extreme stress, the nurse can recommend that the adolescent use biofeedback or massage therapy to help reduce stress.