Pharm Exam 3 Chapter 39

By about which day in the menstrual cycle does ovulation occur?

14

A group of students are reviewing material in preparation for a test on the male and female breasts. The students demonstrate understanding of the material when they state:

A primary function of the female breast is to produce milk.

The nurse is describing changes in the male that occur with aging and parallel the changes that occur in women. The nurse is describing:

Andropause

Which is analogous to female menopause in men?

Andropause

What would a nurse attribute to estrogen?

Breast growth

Which phase of the human sexual response results from massive sympathetic stimulation?

Climax

Effects of Progesterone

Decreased uterine motility Development of a secretory endometrium Thickened cervical mucus Breast growth Increased body temperature Increased appetite Depressed T-cell function Anti-insulin effect

What would castration prior to puberty result in? (Select all that apply.)

Failure to develop normal male characteristics Sterility

Damage to what component of the male reproductive system would result in a lack of testosterone?

Leydig cells

Which cells in the testes produce testosterone?

Leydig cells

A group of students are reviewing information about the menstrual cycle. The students demonstrate understanding when they identify what as the onset of the menstrual cycle?

Menarche

When the nurse is interviewing an adolescent, the patient states that she experienced her first menstrual cycle at age 11. The nurse documents this as:

Menarche

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?

Penile vasodilation

During pregnancy, what becomes a massive endocrine gland?

Placenta

The human sexual response involves the activation of which system?

Sympathetic nervous system

Castration involves the removal of what structure of the male reproductive system?

Testes

The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful?

Testes

menarche

The onset of the menstrual cycle at puberty

ovulation

The process of releasing a mature ovum into the fallopian tube each month By about day 14

menstruation

This loss of the uterine lining,

After puberty, secondary male sexual characteristics can be maintained by:

androgens.

menopause

cessation of menses the ovaries no longer produce estrogen and progesterone,

A woman develops ova, or eggs

during fetal life

The release of an egg cell from the ovary is called:

ovulation

interstitial or Leydig cells,

produce the hormone testosterone

Castration

removal of the testes

seminiferous tubules(in testes)

site of sperm production

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

Testes

During fetal development, the descent of the testes into what structure helps prevent injury to the sperm-producing cells?

Scrotum

Control of the female sex hormones starts with the release of GnRH from the hypothalamus. Because of this, the cycling of these hormones may be influenced by

stress or emotional problems.

If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the:

corpus albicans.

A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the client's next menses to begin on:

May 24.

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

Effects of Estrogen

T-cell inhibition Anti-insulin effect with increased glucose levels Proliferative endometrium Thin, clear cervical mucus Increased uterine motility Increased vascularity of the skin Increased vascularity of the skin Increased thyroid hormone globulin Closure of the epiphyses Alteration of pelvic bone structure to a wider and flaring pelvis Inhibition of calcium resorption from the bones Retention of sodium and water Increased total blood cholesterol Stimulation of protein-building Characteristic female pubic hair distribution Growth of breast tissue Growth of genitalia

The human sexual response depends on stimulation of

the sympathetic nervous system

The rhythm method of birth control depends on the effects of progesterone

to elevate body temperature.

Spring fever occurs as a result of increased light. In males, this increase in light causes an increase in the production of

testosterone.

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?

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

When stimulation levels off during the human sexual response, the person is said to be in which of the following phases?

Plateau

What factor might influence the release of the hormones necessary for the human reproductive cycle?

Stress

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.

During anatomy class, the students learn that what structure in the body is a muscular tube with a ciliated lining that is constantly moving?

Fallopian tube

In a nonpregnant woman, the levels of the sex hormones fluctuate in a cyclical fashion until

all of the ova are depleted.

In the male reproductive system,

the seminiferous tubules produce sperm and the interstitial cells produce testosterone.

Effects of Testosterone

Growth of male and sexual accessory organ Thickening of vocal cords, producing the deep, male voice Hair growth on the face, body, arms, legs, and trunk Male-pattern baldness Increased protein anabolism and decreased protein catabolism Increased bone growth in length and width, which ends when the testosterone stimulates closure of the epiphyses Thickening of the cartilage and skin, leading to the male gait Vascular thickening Increased hematocrit

The nurse is discussing the human response to sexual stimulation with a client experiencing an arousal problem. In which phase of sexual response should the client begin to feel the effects of the sympathetic nervous system?

Stimulation

A group of students are reviewing material in preparation for an examination on the sex hormones. If identified by the students as effects of testosterone, which demonstrate understanding of the information?

Thickening of skin and vocal cords Development of facial hair d. Closure of the epiphyses e. Increased hematocrit

After teaching a group of students about the effects of the various sex hormones, the instructor determines that the teaching was successful when the group identifies which as related to estrogen?

a.Increased levels of high-density lipoproteins b. Increased calcium density in the bone c. Closing of the epiphyses f. Triangle-shaped body hair distribution

The increase in thickness of the endometrial layer during the first half of the menstrual cycle is controlled by the:

increasing level of estrogen.

The menstrual cycle

is associated with changing hormone levels