Ch. 64: Assessment of reproductive function

The nurse links the increase of blood clot formation in the patient who uses which type of birth control?

- combination birth control pills - estrogen patch - vaginal ring

Which statment by the patient about proper use of a diaphragm for birth control indicates the need for further teaching

- this method is close to 99% effective when used properly - i will need to keep it in place for 12 hours after intercourse - this method may not be effective when i am prescribed antibiotics

The nurse is providing education to a patient who is scheduled for a mammogram. Which information does the nurse include in the teaching session

- you should avoid using deodorant before testing - your healthcare provider will contact you with the results

The nurse is assessing an adult patient's scrotum, what are the normal findings?

-darker skin color than rest of the body - left testicle slightly lower than the right - tiny skin folds

The nurse monitors the results of which hormonal levels to confirm pregnancy and help quantify gestational age?

Human chorionic gonadotropin (HCG)

The nurse correlates secretion of breast milk to which hormone

prolactin

The nurse correlates that secretions from which gland in the male reproductive system are responsible for production of alkaline fluid that is part of the ejaculate

seminal vesicles

The nurse prepares the patient who presents with galactorrhea for which diagnostic evaluation

serum hormone testing

How should the nurse position a patient for palpation of the breast and axillae during the physical assessment

supine with arm of side being examined under her head

Which statements by the patient using a hormone releasing patch for birth control indicates the need for further teaching

this type of birth control has a low risk of blood clots

Which question is most important for the nurse to include in the assessment history for the patient who reports vaginal discharge and itching and mild dysuria for a week?

what is the color of the discharge?

Which hormone plays the major role in the production of testosterone

luteinizing hormone (LH)

Which statement by the patient scheduled for a laparoscopy indicates the need for further teaching about this procedure

"I need to notify the provider if i experience bloating and shoulder pain after the procedure"

Which statement by the patient about factors impacting male reproductive function indicates the need for further teaching

"alcohol consumption decreases estrogen production"

Which statement by the patient regarding using condoms for birth control indicates the need for additional teaching

"condoms can be used with oil-based lubricants to increase lubrication during sexual intercourse"

Which statement by the patient scheduled for a hysteroscopy indicates the need for further teaching about the procedure

"i will need to be on bedrest for a week after this procedure"

The nurse is preparing a patient for a dilation and curettage and includes which information about this procedure?

"this procedure allows assessment of endometrial linning"

Which statement by the patient scheduled for a colposcopy indicates the need for further teaching about this procedure

"this test requires general anesthesia"

Which is the recommendation regarding the age that males need to begin having digital prostate exams

50

In completing an assessment on an older adult female, the nurse correlates which findings to an age-related change to the repoductive system?

Decrease risk for vaginal infections

the nurse is conducting a genitourinary assessment for an older adult male patient. Which is an expected finding based on the patient's age?

atrophy of the penis

A disorder of which glands results in decreased secretion of mucus to lubricate the vagina during intercourse

bartholin gland

The nurse provides care to a female patient who has not given birth. Which term does the nurse use to document this information in the medical record?

nulliparous

A nurse recognized that an annual pap smear is recommended to screen for which type of cancer?

cervical

The nurse monitors for which clinical manifestation during the bimanual examination of female patient as a sign of pelvic inflammatory disease

cervical motion tenderness

The nurse recognizes that secretion from which gland in the male reproductive system is responsible fore lubrication during intercourse

cowper's gland

Which hormones control the monthly menstrual cycle?

estrogen follicle-stimulating hormone luteinizing hormone progesterone

Which hormone is responsible for the decreased secretion of luteinizing hormone

inhibin

Which hormone is responsible for ovulation

luteinizing hormone