OB CHAPTER THREE

9. The nurse is reviewing the process of oocyte maturation and ovulation with a client. What occurs during the follicular phase of the ovarian cycle that the nurse should include in the teaching session? A. Under the influence of follicle-stimulating hormone, several follicles begin to ripen, and the ovum with each begins to mature. B. The empty ruptured graafian follicle becomes the corpus luteum, and it begins to secrete progesterone and estrogen .C. About day 14, a surge of hormones cause the ovum to burst through the ovary. D. The uterus prepares for implantation of an ovum.

A

A nurse is discussing the changes in the breast that occur after birth to a group of pregnant women. One woman says, "My friend who was breastfeeding told me that at first, her breast milk was dark yellow." Which response by the nurse would be appropriate? A. "That is called colostrum. It is rich in antiboides and proteins." B. "That was just fluid that normally collects to make your breasts get bigger." C. "Your friend probably had a mild infection in her milk ducts." D. "The fluid is yellow because of the anesthesia your friend received."

A

A nurse is examining a female client and tests the client's vaginal pH. Which finding would the nurse interpret as normal? A. 4.5 B. 7 C. 8.5 D. 10

A

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. estrogen B. progesterone C. androgens D. follicle-stimulating hormone

A

A nurse is teaching a group of adolescent males about the male reproductive system. The nurse determines that the teaching was successful when the group identifies which activity(ies) as a function of the testes? Select all that apply. A. Sperm production B. Testosterone production C. Sperm transport D. Seminal fluid production E. Sperm nourishment

A, B

26. A nurse is assessing a 49-year-old client who has come to the clinic for her annual physical exam. The client tells the nurse, "I usually sleep about 8 hours a night without any problems but there are some nights where I wake up drenched in perspiration. And some days I feel on edge for no apparent reason." Additional assessment reveals use of a vaginal lubricant during sexual intercourse. The client also reports occasional flatus without constipation or bloating and continuation of her menstrual cycle every 32 days with a moderate flow. The nurse suspects that the client may be perimenopausal based on which finding(s)? Select all that apply. A. Reports of night sweats B. Unexplained irritabilty C. Use of vaginal lubrication D. Absence of bloating E. Expanded length of menstrual cycle

A, B, C

When teaching a group of female adolescents about reproduction and reproductive organs, the nurse describes the vulva. Which structure(s) would the nurse identify as being included? Select all that apply. A. Mons pubis B. Labia C. Clitoris D. Vagina E. Fallopian tubes

A, B, C

A nurse is conducting a class for a group of teenage girls about female reproductive anatomy and physiology. Which structures would the nurse include as an external female reproductive organ? Select all that apply. A. mons pubis B. labia C. vagina D. clitoris E. uterus

A, B, D

A nurse is conducting a health class about the reproductive system for a group of high school students. The nurse determines that the teaching was successful when the students identify which structure(s) as part of the external male reproductive system? Select all that apply. A. Penis B. Scrotum C. Prostate gland D. Vas deferens E. Seminal vesicles

A,B

A nurse is conducting a presentation for a group of young adults who are considering childbearing. As part of the class, the nurse describes semen as consisting of sperm and which substance(s)? Select all that apply. A. Prostatic fluid B. Seminal fluid C. Mucus from accessory glands D. Prostate-specific antigen E. Colostrum

Answer: A, B, C

A nurse has been invited to be a guest speaker for a female high school health class about the menstrual cycle and reproduction. When describing the hormones involved in the menstrual cycle, a nurse identifies which hormone as responsible for initiating the cycle? A. estrogen B. luteinizing hormone C. progesterone D. prolactin

B

A nurse is describing the hormones involved in the menstrual cycle to a group of young adult women who are planning to get pregnant. The nurse determines the teaching was successful when the group identifies the follicle-stimulating hormone as being secreted by the: A. hypothalamus. B. anterior pituitary gland. C. ovaries. D. corpus lute.

B

A nurse is describing the structure and function of the reproductive system to an adolescent health class. How would the nurse describe the secretion of the seminal vesicles? A. mucus-like B. alkaline C. acidic D. semen

B

A nurse is teaching a group of female adolescents and young adult females about the female sexual response. The nurse determines that the teaching was successful when the group identifies which structure as being most erotically sensitive? A. Labia minora B. Clitoris C. Mons pubis D. Prepuce

B

A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. "I've also been waking up at night feeling really hot and sweating. The nurse interprets these findings as: A. menopause. B. perimenopause. C. climacteric. D. menarche.

B

A woman is diagnosed with a vaginal infection. After teaching the client about measures to reduce her risk, the nurse determines that the client needs additional teaching when she states which factor as increasing her risk? A. antibiotic therapy B. menstruation C. douching D. use of feminine hygiene sprays

B

After explaining the function of the seminal vesicles to a class, the instructor determines the need for additional teaching when the students identify which action as a function of the seminal vesicles? A. nourishes the sperm B. reduces sperm motility C. aids sperm to reach the ovum D. prevents sperm destruction by female antibodies

B

The nurse is assessing a 13-year-old girl. Which event would the nurse expect to have occurred first?A. evidence of pubic hairB. development of breast buds C. onset of menses D. growth spurt

B

The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first? A. sperm emission B. penile vasodilation C. psychological release D. ejaculation

B

When describing the male sexual response to a group of students, the instructor determines that the teaching was successful when they identify emission as: A. semen forced through the urethra to the outside. abirbcom/test B. movement of sperm from the testes and fluid into the urethras. C. dilation of the penile arteries with increased blood flow to the tissues. D. body's return to the physiologic nonstimulated state.

B

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? A. menstrualB. proliferative C. secretory D. ischemic

B

A nurse is completing a continuing education program about the male and female reproductive organs. After reviewing the information, the nurse demonstrates understanding of the information by identifying which structures as male accessory organs? Select all that apply. A. testes B. vas deferens C. bulbourethral glands D. prostate gland E. penis

B, C, D

After teaching a group of adolescents about female reproductive anatomy, the nurse determines that the teaching was successful when the adolescents identify which structure as the site of fertilization?A. vagina B. uterus C. fallopian tubes D. vestibule

C

The nurse is reviewing the process of egg maturation and ovulation with a client. What occurs during ovulation in the ovarian cycle that the nurse should include in the teaching session with the client? A. Under the influence of follicle-stimulating hormone, several follicles begin to ripen, and the ovum with each begins to mature B. The empty ruptured cavity in the ovary becomes the corpus luteum and begins to secrete progesterone and estrogen .C. About day 14, a surge of hormones cause the ovum to burst through the ovary. D. The uterus is prepared for implantation of an ovum.

C

A woman comes to the clinic reporting that she has little sexual desire. As part of the client's evaluation, the nurse would anticipate the need to evaluate which hormone level? A. progesterone B. estrogen C. gonadotropin-releasing hormone D. testosterone

D

After teaching a group of pregnant women about breastfeeding, the nurse determines that the teaching was successful when the group identifies which hormone as being inhibited during pregnancy but is important for the production of breast milk after birth? A. placental estrogen B. progesterone C. gonadotropin-releasing hormone D. prolactin

D

The nurse is assessing a 12-year-old girl who has had her first menses. When reviewing the client's history, which event would the nurse expect to have most likely occurred last? A. evidence of pubic hair B. breast bud development C. growth spurt D. onset of menses

D

client with a 28-day cycle reports that she ovulated on May 10. When would the nurse expect the client's next menses to begin?A. May 24 B. May 26 C. May 30 D. June 1

a

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:A. sexual experience. B. full hormonal cycle.C. menstrual period.D. sign of breast development.

c