HD Module 1 Reproductive System A&P

A nurse is discussing sexual intercourse during pregnancy with a client. Which statement by the client would indicate that learning has occurred?

"As long as the baby and I continue to do well, I can have intercourse".

When assessing an adolescent for the use of safer sex practices, which should be the nurses first question?

"Have you engaged in oral, vaginal or anal sex?"

A woman tells the nurse that both she and her husband like to continue sexual relations during her menstrual period. They have a monogamous relationship. She asks if this will harm her. Which would be the best response?

"If this is satisfying for you and your partner, then there is no harm in it".

The nurse educates a client who is confused about her ovarian cycle. Which client statement would best validate her understanding of the education?

"Two hormones control my ovulation, follicle-stimulating hormone (FSH) and luteinizing hormone (LH)".

A mother comes to the clinic nurse concerned about whether her adolescent daughter is sexually active. She requests a physical examination of the daughters hymen. Which statement by the nurse accurately addresses this issue?

A torn hymen can result from a heavy exertion or the use of tampons and is not a reliable method of determining virginity.

The nurse is reviewing the structure and function of various organs in the female reproductive system. Which information should the nurse include about the ovum in the review with the client?

All the ova a female will ever have are present at birth

The average age when menopause occurs is

Between ages 47 and 55

The nurse is teaching a client about fertility and the various phases of the menstrual cycle. The nurse should point out that ovulation usually occurs on which day of a 28 day cycle?

Day 14

The school nurse is preparing to illustrate the menstrual cycle to a group of high school students. Which change in the hormones will the nurse point out as being responsible for the onset of menstruation?

Decrease in progesterone

The nurse is assessing a 13 year old girl. Which event would the nurse expect to have occurred first?

Development of breast buds

A group of nursing students are preparing a presentation for a health fair illustrating what happens to the body during pregnancy. Which structure will the students point out is influenced the most by hormones to prepare for conception?

Endometrium

The seminiferous tubules are tiny coils of tissue where spermatogenesis occurs. Where do the sperm mature?

Epididymis

The nursing instructor is teaching a session comparing the various phases of the menstrual and uterine cycles. The instructor determines the session is successful when the students correctly chooses which hormone that is responsible for regulating the proliferative phase of the uterine cycle?

Estrogen

A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality. When talking about the role of hormones in sexual development, which hormone does the nurse teach the class is the most important for developing and maintaining the female reproductive organs? a) Progesterone b) Androgens c) Estrogen d) Follicle-stimulating hormone

Estrogen Correct Explanation: Progesterone is the most important hormone for conditioning the endometrium in preparation for implantation of the fertilized ovum. Estrogens are responsible for developing and maintaining the female reproductive organs. Androgens, secreted by the ovaries in small amounts, are involved in the early development of the follicle and affect the female libido. Follicle-stimulating hormone is responsible for stimulating the ovaries to secrete estrogen. p73

A couple comes to the clinic asking questions regarding getting pregnant. The nurse explains that fertilization normally occurs in what structure of the woman's body?

Fallopian tube

The nurse completes an assessment of an adolescent patients menstrual pattern. Which finding should the nurse identify as being within normal limits?

Flow usually lasts 4 to 6 days

An adolescent describes her menstrual pattern to you. Which of the following observations is typical of a usual menstrual pattern?

Flow usually lasts 4 to 6 days.

A nursing student is preparing an exhibit for a school health fair on the male reproductive system. The student should point out which pituitary hormone as being necessary in the process of sperm production?

Follicle-stimulating hormone

The nursing instructor is illustrating the various phases of the uterine cycle to a group of nursing students. The instructor determines the session is successful when the students correctly chooses which action occurring during the secretory phase?

If fertilization does not occur, the corpus luteum degenerates and hormonal levels fall

An anatomy professor is teaching about the female reproductive system to a class of pre-nursing students. One student asks, "Where is the opening to the vagina?" The best answer the professor can give is:

In what is called the vestibule, which is located between the labia minora

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of high school students. Which response by a high school student about the function of the clitoris would be accurate?

It is a small erectile structure that responds to sexual stimulation

A young male asks the nurse at the clinic about what he can do to maintain his sperm production. The nurse would instruct him to take which action?

It is recommended that men wear boxer-style underwear

function of vagina

It receives sperm, provides an exit for menstrual flow and serves as the birth canal

As part of caring for childbearing families, the nurse must be able to educate families regarding which topic?

Knowledge of reproductive anatomy and physiology

A nursing instructor is teaching a group of nursing students about the various hormones involved in the females menstrual cycle. The instructor determines the session is successful when the students correctly point out which hormone indicates ovulation?

Luteinizing hormone

The nursing instructor is teaching a class on the menstrual cycle. The instructor determines the class is successful when the class correctly chooses which hormone that is responsible for imitating ovulation?

Luteinizing hormone

A client with a 28 day cycle reports that she ovulated on May 10. When would the nurse expect the clients next menses to begin?

May 24

A 47 year old woman is being seen at the local clinic reporting irregular menstrual cycles. The nurse would explain to the client that the irregularity is most likely due to

Menopause

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first

Menstrual period

The vagina is at risk for infection because of its location and because it opens to the outside of the body. What is a protective mechanism of the vagina to keep from becoming infected? a) Normal vaginal pH is acidic (4 to 5), which protects from infection b) Produces its own natural antibiotics c) Normal vaginal flora act as phagocytes of invading bacteria d) Maintains an alkaline pH of 7 to 8, which destroys invading bacteria

Normal vaginal pH is acidic (4 to 5), which protects from infection Explanation: Normally, the vagina maintains an acidic pH of 4 to 5, which protects the vagina from infection. (p 65)

In the female reproductive system, the hormones estrogen and progesterone are produced by the:

Ovaries

In taking a client history, a client tells the nurse she is having a vaginal itching and irritation. Which reported practice could be contributory to this problem?

Previous history of taking clindamycin

The nurse is preparing to teach a client and her partner about the hormones involved in menstruation. Which hormone will the nurse point out is secreted by the corpus luteum?

Progesterone

When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?

Proliferative

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus?

Receives the fertilized ovum and provides housing and nourishment for a fetus

The nurse is explaining the various male internal reproductive structures in a high school health class. The nurse determines the class is successful when the class correctly chooses which structure as responsible for sperm production?

Seminiferous tubules

A client is at the clinic for her yearly physical and is found to be anemic. What information from her history would most likely be a contributory factor to this finding?

She reports that her menstrual cycle is irregular and often lasts 7 to 10 days

An adult client currently has low levels of estrogen and progesterone. At this point in the menstrual cycle, the client will likely

Shed her uterine lining

An adolescent client asks the nurse about how the ovaries work. The nurse would include which information in her reply?

Storage of ova and maturation of them is one of the main functions of the ovaries

A 16 year old girl confides in a nurse that she recently had sex for the first time and is concerned because she noticed some blood coming from her vagina afterward. She said that her period had been over 2 weeks at the time. Which is most likely the cause of the bleeding?

Tearing of the hymen during sexual intercourse

Hormonal regulation of reproductive functions in both the male and female are complicated processes. In the male, where are the sex hormones produced?

Testes They have 2 important functions: 1) Production of androgens (Male sex hormones) 2) formation and maturation of spermatozoa

A 13 year old boy has begun showing signs of puberty, including appearance of axillary and facial hair, as well as a change in his voice. He asks the nurse what exactly is causing these changes in his body. The nurse should mention which primary hormone that is responsible for these changes?

Testosterone

A woman is going through the luteal phase of her ovarian cycle. What changes are taking place during this period of time?

The follicle develops into the corpus luteum

A client asks the nurse about how the testes function in reproduction. Which is the nurses best reply?

The testes serve as the production center for sperm

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the correct response by a nursing student about the function of the ovaries?

They produce female gametes or ova and secrete female sex hormones

There are two major functions of the reproductive system, continuation of the species and sexual pleasure. In the male, the reproductive system has a third function. What is the third function?

Urinary elimination

When describing the process of fertilization, the nurse would explain that it normally occurs in which structure?

fallopian tube