Chapter 50: Male and Female Reproductive Systems

The nurse examines four patients in a primary health care center. The nurse suspects that which patient has penile cancer? A. Presence of ulceration with induration and nodularity in the penile area B. Presence of localized swelling in the penis with a retracted tight foreskin C. Presence of a papular ulceration with pus and lack of induration at the penile area D. Presence of a flat wart-like nodule in the penile area

A. Presence of ulceration with induration and nodularity in the penile area

The nurse is obtaining a health history for a female patient. Which patient statements regarding menstruation may indicate the need to further evaluate the patient's reproductive system? Select all that apply. A. "I had my first period when I was nine years old." B. "My menstrual blood is mainly dark red in color." C. "My periods are heaviest during the first two days." D. "My menstrual blood typically contains a lot of clots." E. "I usually soak a pad every four hours during my periods."

A. "I had my first period when I was nine years old." D. "My menstrual blood typically contains a lot of clots."

A patient reports frequent itching and a white, thick, curd-like vaginal discharge. What does the nurse expect to find while examining the patient? A. Macules in the vulva B. A beefy red-colored vulva C. Firm ulcers within the vulva D. A warty appearance in the vulva

B. A beefy red-colored vulva

The nurse suspects that a patient is at a high risk of developing osteoporosis. The nurse made this conclusion based on which statement made by the patient? A. "I do not perform any weight-bearing exercises." B. "I take folic acid supplements on a regular basis." C. "I take cod liver oil supplements on a regular basis." D. "I refrain from following drastic diets for weight loss."

A. "I do not perform any weight-bearing exercises."

The nurse is caring for a pregnant patient who is scheduled for an ultrasound examination. To obtain clear images of the organs that are being examined what instructions should the nurse provide to the patient? A. "Refrain from voiding before the test." B. "Refrain from lying in a supine position during the test." C. "Refrain from consuming coffee 24 hours before the test." D. "Refrain from taking folic acid supplements two hours before the test."

A. "Refrain from voiding before the test."

The nurse on a labor and delivery unit is teaching a childbirth education class. Which statement by a patient indicates that teaching is successful? A. "The main purpose of reproductive organs is to secrete hormones and produce eggs and sperm." B. "The female reproductive system produces eggs, protects sperm, and secretes hormones." C. "The male reproductive system produces sperm, transports eggs, and secretes hormones." D. "The testes are responsible for preserving and protecting the fertilized ova."

A. "The main purpose of reproductive organs is to secrete hormones and produce eggs and sperm."

A female patient who has missed her periods undergoes a urinary test for human chorionic gonadotropin (hCG). The test results are negative. What is the best statement to help explain the test to the patient? A. "We will repeat this test after a week." B. "The test shows that you are not pregnant." C. "We may have to evaluate you further for amenorrhea." D. "The test shows that you may get your periods very soon."

A. "We will repeat this test after a week."

A couple is having difficulty conceiving. A semen analysis was performed. Which value is of concern? A. 55% motility B. Volume 4.5 mL C. Sperm count 30 million/mL D. 60% normal structure

A. 55% motility

How many hours does the ovum stay viable for fertilization post release? A. 72 hours B. 74 hours C. 76 hours D. 78 hours

A. 72 hours

Which female patient should the nurse exclude when providing rubella immunizations? A. A 28-year-old patient who is 3 months pregnant B. A 15-year-old patient who is not sexually active C. A 25-year-old patient who is planning to conceive D. A 30-year-old patient who never had the infection

A. A 28-year-old patient who is 3 months pregnant

Which male patient is most susceptible to experiencing erectile dysfunction as a consequence of his drug regimen? A. A patient who has been prescribed a beta-adrenergic blocker for hypertension B. A patient who uses a proton pump inhibitor (PPI) to control his acid reflux C. A patient who is taking a cephalosporin antibiotic to treat cellulitis D. A patient who takes a selective serotonin reuptake inhibitor (SSRI) to treat his depression

A. A patient who has been prescribed a beta-adrenergic blocker for hypertension

The nurse is caring for a patient with schizophrenia who is being treated with phenothiazine therapy. The patient's care plan should include what intervention to reduce the risk of galactorrhea? A. Assess the patient's thyroid levels regularly. B. Apply hydrogel pads to the patient's breast. C. Administer estrogen-containing contraceptives. D. Provide hot compression to the patient's breast.

A. Assess the patient's thyroid levels regularly.

The nurse is teaching a patient about breast self-examination. Which points should the nurse include while educating this patient? Select all that apply. A. Compress the nipples to detect discharge. B. Inspect the breast for dimpling and unusual lesions visually. C. Palpate for lumps with the palmar aspect of the hand. D. Palpate the breast in a random pattern. E. Observe for abnormalities with arms overhead.

A. Compress the nipples to detect discharge. B. Inspect the breast for dimpling and unusual lesions visually. E. Observe for abnormalities with arms overhead.

What is an abnormal finding the nurse should identify during physical assessment of the female reproductive system? A. Dimpling of breast B. Dark pink genitalia C. Watery cervical mucus D. Triangular hair distribution

A. Dimpling of breast

A school nurse, teaching a health class to adolescent males, explains that spermatozoa become motile and fertile during the 2 to 10 days they are stored in which male reproductive organ? A. Epididymis B. Vas deferens C. Prostate gland D. Urethra

A. Epididymis

The nurse reviews a patient's laboratory report, which includes: serum estradiol 80 pg/mL; progesterone 97 ng/dL; testosterone 500 ng/dL; and follicle-stimulating hormone (FSH) 12.4 mU/mL. Which finding indicates that the patient has a risk of testicular cancer? A. Estradiol level B. Progesterone level C. Testosterone level D. Follicle-stimulating hormone (FSH) level

A. Estradiol level

A clinic nurse encounters a 15-year-old girl reporting that she has no pubic or axillary hair and has not yet experienced growth of her breasts. The nurse knows that this indicates the patient probably lacks which hormone? A. Estrogen B. Progesterone C. Oxytocin D. Prolactin

A. Estrogen

Which feature is a trademark of the resolution phase of male sexual response? A. Flaccid penis B. Erection of the penis C. Increase in the size of the testes D. Reddish purple discoloration of glans

A. Flaccid penis

What is the function of the structure indicated in the picture? A. Holds the testes B. Produces sperm C. Produces semen D. Transports sperm

A. Holds the testes

The registered nurse provides education to a student nurse about the menstrual cycle. Which phase mentioned by the student nurse indicates that the teaching is effective regarding menstrual cycle? A. A plateau phase B. A secretory phase C. An excitatory phase D. A resolution phase

B. A secretory phase

The nurse is counseling a 33-year-old patient about using combined oral contraceptives while smoking. What topics should the nurse include for this patient regarding her age, taking oral contraceptives, and continuing to smoke? Select all that apply. A. Increased risk of morbidity B. Early menopause C. Delayed conception D. Increased risk of spina bifida in the fetus F. Increased risk of neural tube defects in the fetus

A. Increased risk of morbidity B. Early menopause C. Delayed conception

Preoperative teaching for a patient having a diagnostic laparoscopic procedure should include which of the following? Select all that apply. A. Information regarding the procedure B. Informing patient she may experience shoulder pain C. Instructing patient not to eat or drink for 24 hours D. Instructions on changing abdominal dressing postoperatively E. Explain that the patient will be receiving sedation during procedure F. Instructions to go to the emergency room if there is any shoulder pain

A. Information regarding the procedure B. Informing patient she may experience shoulder pain E. Explain that the patient will be receiving sedation during procedure

A patient presents to the ambulatory care clinic for a Papanicolaou (Pap) test. What should the nurse tell the patient about this test? Select all that apply. A. It is a microscopic study of exfoliated cells. B. A vaginal specimen is cultured. C. There is a direct microscopic examination. D. Cells are obtained directly from the endocervix and ectocervix. E. Avoid douching for 24 hours before examination.

A. It is a microscopic study of exfoliated cells. D. Cells are obtained directly from the endocervix and ectocervix. E. Avoid douching for 24 hours before examination.

The nurse is teaching a patient about menarche, menstruation, and ovulation. Which hormone would the nurse describe as enabling ovarian follicles to ovulate? A. Luteinizing hormone (LH) B. Interstitial cell-stimulating hormone (ICSH) C. Gonadotropin-releasing hormone (GnRH) D. Follicle-stimulating hormone (FSH)

A. Luteinizing hormone (LH)

Which phase of a woman's sexual response is characterized by expansion of the vagina? A. Plateau phase B. Orgasmic phase C. Excitation phase D. Resolution phase

A. Plateau phase

A male patient is experiencing urethral discharge, and the nurse suspects that the patient has a Chlamydia infection. What should the nurse include in the specimen collection procedure? Select all that apply. A. Recognize that collection of a rectal specimen may be needed. B. Obtain specific contact and sexual history. C. Remind the patient to lie still during the procedure. D. Instruct the patient to void before collecting the specimen. E. Instruct the patient to perform douching before the specimen collection.

A. Recognize that collection of a rectal specimen may be needed. B. Obtain specific contact and sexual history.

While reviewing the laboratory reports of a patient, the nurse notes abnormally low levels of luteinizing hormone (LH) in the blood. Which physiologic event of the menstrual cycle may be affected by this assessment finding? A. Release of the ovum B. Thickening of the endometrium C. Initiation of ovarian follicle maturation D. Transfer of ovum into the fallopian tubes

A. Release of the ovum

Conditions to be considered when evaluating infertility in a male include which of the following? Select all that apply. A. Retrograde ejaculation B. Use of propranolol C. Insulin-dependent diabetes D. History of varicella as a young man E. Regular use of marijuana

A. Retrograde ejaculation B. Use of propranolol C. Insulin-dependent diabetes

Why do estrogen and progesterone levels decline after the secretory phase of the menstrual cycle? A. The absence of fertilization B. The maturation of the ovarian follicles C. The decreased stimulation of luteinizing hormone (LH) D. The decreased stimulation of follicle-stimulation hormone (FSH)

A. The absence of fertilization

While assessing the scrotum of a patient, the nurse notes that the left side of the scrotal sac is hanging lower than the right. What should the nurse infer from this finding? A. The patient is normal. B. The patient has an inguinal hernia. C. The patient has an undescended testis. D. The patient is at risk for testicular cancer.

A. The patient is normal.

A female patient wishes to use oral contraceptive pills. Which findings in the patient's health history may indicate a need for alternative contraception methods? Select all that apply. A. Tobacco use B. Diabetes mellitus C. High blood pressure D. Elevated liver enzymes E. Gall bladder stones and inflammation F. Chronic obstructive pulmonary disease

A. Tobacco use D. Elevated liver enzymes E. Gall bladder stones and inflammation F. Chronic obstructive pulmonary disease

A primary health care provider suspects that a woman's fetus is developing outside the womb. Which procedure will be helpful in confirming the suspicion? A. Transvaginal ultrasound B. Ultrasound-guided biopsy C. Magnetic resonance imaging D. Computed tomography of the pelvis

A. Transvaginal ultrasound

Changes that often occur in the postmenopausal female include which of the following? Select all that apply. A. Vaginal dryness B. Decreased bone mass C. Increased estrogen level D. Genital atrophy E. Increased sexuality F. Decreased androgen level

A. Vaginal dryness B. Decreased bone mass D. Genital atrophy

To detect the presence of malignancies of a patient's reproductive system, the nurse expects that which laboratory tests will be prescribed? Select all that apply. A. α-Fetoprotein (AFP) B. Prostate-specific antigen (PSA) C. Follicle stimulating hormone (FSH) D. Human chorionic gonadotropin (hCG) E. Luteinizing hormone (LH)

A. α-Fetoprotein (AFP) B. Prostate-specific antigen (PSA) D. Human chorionic gonadotropin (hCG)

The female patient has been told she will have blood drawn for a test and asks the nurse, "What is a prolactin assay for?" What is the best response by the nurse? A. "It will tell you if you are pregnant." B. "It is used to detect a cause of amenorrhea." C. "It will tell us if you have a reproductive malignancy." D. "It can indicate if you need to be tested for a sexually transmitted infection."

B. "It is used to detect a cause of amenorrhea."

When teaching teenagers about sexual health at the local community center, the nurse knows that which statement indicates a need for further teaching? A. "It is normal if my menstrual flow lasts about six days." B. "My period started at age 10, and that is the average age of menarche." C. "A heavy menstrual flow is the complete soaking of two pads in two hours." D. "Menstrual discharge is blood, mucus, vaginal cells, and occasional clots."

B. "My period started at age 10, and that is the average age of menarche."

A nonpregnant patient seen in the women's clinic asks the nurse how big her uterus is. How does the nurse respond? A. "It is about the size and shape of a large orange. B. "Your uterus is about the size and shape of a pear." C. "In most women the uterus is about the size of a cantaloupe." D. "Because you are not pregnant, your uterus is the size of a grapefruit."

B. "Your uterus is about the size and shape of a pear."

While assessing the reproductive system of an older adult female patient, the nurse observes that the urinary bladder is protruded through the vaginal wall. What is the likely cause of the assessment finding? A. Decreased skin turgor B. Decreased muscle tone C. Decreased subcutaneous fat D. Decreased myometrial thickness

B. Decreased muscle tone

A female patient tells the nurse, "I need to change my perineal pad every hour during the first two days of my menstrual period." What action should the nurse take? A. Check the patient's blood glucose level. B. Determine if the patient is taking thiazide diuretics. C. Suggest the patient to use tampons instead of pads. D. Inform the patient that stress increases menstrual flow.

B. Determine if the patient is taking thiazide diuretics.

A patient reports dark green discharge from the nipples and presence of lumps in the breast. Upon assessing the patient, the nurse finds that the patient does not have scales on the nipples or inflammation of the breast. The nurse suspects that the patient has which condition? A. Mastitis B. Ductal ectasia C. Paget's disease D. Intraductal papilloma

B. Ductal ectasia

A male patient with a history of transient ischemic attacks (TIAs) is undergoing rehabilitation following an ischemic stroke. The patient's medical history is likely to be related to what health problems? A. Inguinal hernia B. Erectile dysfunction C. Testosterone deficiency D. Benign prostatic hyperplasia (BPH)

B. Erectile dysfunction

Which term is associated with cessation of menstruation? A. Menarche B. Menopause C. Dyspareunia D. Amenorrhea

B. Menopause

At the clinic, the mother asks the nurse how to teach her daughter about menstruation. What should the nurse include when assisting this mother? A. The length of the menstrual cycle should be 28 days. B. Menstrual cycles are often irregular for the first one to two years. C. The female loses approximately 1 cup of blood with each menstrual period. D. Follicle stimulating hormone (FSH) causes full maturity of the follicle for ovulation.

B. Menstrual cycles are often irregular for the first one to two years.

The nurse is counseling a patient trying to get pregnant with a 28-day menstrual cycle. When should the nurse advise the patient to have unprotected sex? A. Daily B. On the 14th day C. Immediately after menstruation D. Five days before the expected menstruation

B. On the 14th day

When teaching nursing students about the male sexual response, what should the nurse call the phase that has ejaculation? A. Plateau phase B. Orgasmic phase C. Resolution phase D. Excitement phase

B. Orgasmic phase

Which part of the female reproductive system produces androgens in females? A. Uterus B. Ovaries C. Vagina D. Fallopian tube

B. Ovaries

Which structure is removed during a male circumcision? A. Glans B. Prepuce C. Epididymis D. Vas deferens

B. Prepuce

While documenting the progesterone levels of a group of patients, each in a different phase of the menstrual cycle, a nurse observes that one patient has abnormal findings. Which patient's reports indicate abnormal levels for progesterone? A. Pt A. Follicular 58 ng/dL B. Pt B. Postmenopause 70 ng/dL C. Pt C. Luteal phase 201 ng/dL D. Pt D. Follicular phase 62 ng/dL

B. Pt B. Postmenopause 70 ng/dL

The nurse is performing an admission assessment of a male patient before bladder resection surgery. What assessment finding of the patient's genitourinary system constitutes an unexpected finding? A. The patient's left testicle hangs lower than his right. B. Pubic hair is absent from the patient's genital region. C. The patient's intestines are not palpable through the inguinal rings. D. The patient's foreskin can be retracted manually to expose the meatus.

B. Pubic hair is absent from the patient's genital region.

When assessing a 68-year-old male patient on the medical-surgical unit, the nurse knows that which reproductive system change is normal? A. Decreased penis size B. Increased testosterone C. Increased breast tissue D. Increased urinary tract infections (UTIs)

C. Increased breast tissue

In teaching a class regarding reproduction, the nurse informs the group that the location where fertilization usually takes place is A. The posterior body of the uterus B. The outer third of the fallopian tubes C. At the fimbriae of the fallopian tubes D. The perimetrium of the uterus

B. The outer third of the fallopian tubes

The medical reports of a patient with severe abdominal pain indicate elevated levels of CA-125 in the blood. The nurse anticipates that which diagnostic tests will be prescribed to further evaluate the patient's condition? Select all that apply. A. Dark-field microscopy B. Ultrasound examination C. Ultrasound-guided biopsy D. Magnetic resonance imaging (MRI) E. Computed tomography of pelvis (CT)

B. Ultrasound examination D. Magnetic resonance imaging (MRI) E. Computed tomography of pelvis (CT)

A patient underwent a testicular examination. Which finding would the nurse expect to be a cause for concern? A. Absence of foreskin B. Undescended testis C. Left testis lower than the right testis D. Coarse pubic hair in a diamond-shaped pattern

B. Undescended testis

Which structural damage to the part shown in the figure can result in impaired milk production during lactation? A. pectoralis major muscle B. alveolus C. areola D. nipple

B. alveolus

Which structure indicated in the figure massages the ovaries to facilitate extraction of a mature ovum? A. ovaries B. fimbriae C. uterus D. cervix

B. fimbriae

Which structure indicated in the picture protects the vaginal introitus? A. vaginal introitus B. hymen C. vestibule D. Bartholin's gland

B. hymen

Which organ secretes the hormone that suppresses the production of follicle-stimulating hormone (FSH)? A. ureter B. ovaries C. uterus D. vagina

B. ovaries

Which patient statement about the female reproductive system indicates to the nurse that further teaching is necessary? A. "The cervix allows sperm to enter the uterus and menses to be expelled." B. "The vagina consists of cervical mucus and desquamated epithelium that protect against infection." C. "Clitoral stimulation and secretions are important in providing lubrication during sexual intercourse." D. "The fallopian tubes are responsible for the transportation and implantation facilitation of the ovum."

C. "Clitoral stimulation and secretions are important in providing lubrication during sexual intercourse."

A female patient has sought care because of urinary incontinence. The woman states that running or jumping often precipitates leakage of urine, an event that has been occurring with increasing regularity in recent months. Which assessment question is most relevant to try to determine the cause of the patient's problem? A. "Do you find that you are prone to frequent urinary tract infections (UTIs)?"' B. "Do you know if your mother or sisters have experienced similar problems?" C. "Did you experience any muscle damage when giving birth to your children?" D. "Do you participate in a regular program of physical exercise and stretching?"

C. "Did you experience any muscle damage when giving birth to your children?"

The nurse obtains the health history of a patient with a reproductive disorder. To obtain cognitive-perceptual data related to the patient's health, what questions should the nurse ask? Select all that apply. A. "Do you fall asleep soon after having sexual intercourse?" B. "What is stressful in your life right now?" C. "Do you ever feel dizzy during sexual intercourse?" D. "Do you experience pain during sexual activity?" E. "How do you handle health problems when they occur?"

C. "Do you ever feel dizzy during sexual intercourse?" D. "Do you experience pain during sexual activity?"

The nurse is explaining to a student nurse why an older female patient has a reduction in breast size. Which statement does the nurse include? A. "Genital atrophy occurs from lack of sexual activity." B. "Sex hormone levels are reduced and decrease bone mass." C. "Estrogen levels are reduced and associated with menopause." D. "Decreased muscle tone of the breast causes sagging of the breast."

C. "Estrogen levels are reduced and associated with menopause."

The nurse provides education to a female patient six months after the patient experienced menarche. The patient states, "I am having irregular menstrual cycles." How should the nurse respond? A. "Irregular cycles may cause vaginal dryness." B. "After they have begun, irregular cycles will continue." C. "It is normal to have irregular cycles for 1 to 2 years after menarche." D. "Irregular cycles indicate a decline in ovarian function."

C. "It is normal to have irregular cycles for 1 to 2 years after menarche."

While the nurse is assessing a patient who is 16 weeks pregnant, which patient statement prompts the nurse to investigate further? A. "I still haven't felt the baby move yet, and I'm starting to get worried." B. "I'm sleeping more, and I rarely get sick; my appetite has picked up as well." C. "Last week I took care of my 3-year-old niece from overseas to practice caring for children." D. "I've already started buying stuff for the baby; I picked up a car seat at a garage sale last week."

C. "Last week I took care of my 3-year-old niece from overseas to practice caring for children."

When assessing a patient's past health history, the nurse knows to follow up on which patient statement? A. "I was screened for prostate cancer five years ago." B. "I'm a true vegetarian and have been for over 30 years." C. "My mother died from breast cancer, and my grandfather had prostate cancer." D. "My brothers and sister all have diabetes, and I am being treated for hypertension."

C. "My mother died from breast cancer, and my grandfather had prostate cancer."

The nurse is educating a group of sixth-grade girls about the menstrual cycle. Which statement will the nurse include? A. "The average menstrual period lasts about seven to 10 days." B. "The menstrual starts about four to six days into the next month." C. "The length of the menstrual cycle is usually seven to 14 days." D. "The first day of the menstrual cycle is the last menstrual period date."

D. "The first day of the menstrual cycle is the last menstrual period date."

What is the function of the structure indicated in the picture? A. Produces ova B. Massages the ovaries C. Allows entry of sperm D. Accommodates the fetus

C. Allows entry of sperm

Screening measures that should be taken by women to maintain health include which of the following? Select all that apply. A. Annual mammogram beginning at age 30 B. Hysterosalpingogram with bilateral oophorectomy C. Breast self-examinations beginning at age 20 D. Annual clinical breast examination beginning at age 40 E. A Papanicolaou (PAP) examination every three years between ages 21 and 29 F. An annual PAP examination after age 65 with a negative history

C. Breast self-examinations beginning at age 20 D. Annual clinical breast examination beginning at age 40 E. A Papanicolaou (PAP) examination every three years between ages 21 and 29

The nurse provides information about a healthy diet to a 57-year-old female patient. What should the nurse instruct the patient to increase in the diet? A. Carbohydrates B. Protein C. Calcium D. Fiber-rich foods

C. Calcium

A source of progesterone that maintains a vascular state of the uterus is: A. Prolactin B. Oxytocin C. Corpus luteum D. Follicle-stimulating hormone

C. Corpus luteum

Which gland's secretion contributes to the ejaculate that comes out of the urethra? A. Skene's gland B. Thyroid gland C. Cowper's gland D. Bartholin's gland

C. Cowper's gland

During which phase of the menstrual cycle does the ovum begin to mature? A. Luteal B. Ischemic C. Follicular D. Secretory

C. Follicular

Which is the manifestation of bacterial vaginosis? A. Bloody vulvar discharge B. Thick, white vulvar discharge C. Gray vulvar discharge with a fishy odor D. Yellow vulvar discharge with an unpleasant odor

C. Gray vulvar discharge with a fishy odor

The nurse is assessing a patient who has short menstrual cycles and has not become pregnant after trying to conceive for six months. In which phase of the menstrual cycle is progesterone at its highest? A. Proliferative phase B. Follicular phase C. Luteal phase D. Ischemic phase

C. Luteal phase

Which hormone initiates milk production during lactation? A. Inhibin B. Estrogen C. Prolactin D. Progesterone

C. Prolactin

While assessing a female patient who reports severe abdominal pain, the nurse finds that the patient has consistent tenderness in the left lower quadrant of the abdomen. The nurse suspects that the patient has what condition? A. Cystitis B. Vaginitis C. Salpingitis D. Endometritis

C. Salpingitis

Which is a male reproductive sex gland? A. Penis B. Scrotum C. Seminal vesicles D. Ductus (vas) deferens

C. Seminal vesicles

After reviewing a couple's history, the nurse suspects that the couple's fertility test results are inaccurate. Which assessment finding led the nurse to this conclusion? A. The couple had intercourse during the time of ovulation. B. The couple came to the clinic for the Sims-Huhner test seven hours after intercourse. C. The male partner brought the specimen sample to the clinic 12 hours after ejaculation. D. The female partner scheduled an endometrial biopsy 16 days after her menstrual period.

C. The male partner brought the specimen sample to the clinic 12 hours after ejaculation.

While examining a patient, the nurse finds that the patient has painless chancres on the outer genitals. The nurse anticipates that which test will be recommended initially before treatment is started? A. Prostate-specific antigen (PSA) test B. Human chorionic gonadotropin (hCG) test C. Venereal Disease Research Laboratory (VDRL) test D. Fluorescent treponemal antibody absorption (FTA-Abs) test

C. Venereal Disease Research Laboratory (VDRL) test

Damage to which structure can impair the transport of sperm upon maturation? A. prostate gland B. Cowper's gland C. epididymis D. scrotum

C. epididymis

Which structure indicated in the figure is the primary reproductive organ in a female? A. vagina B. fallopian tube C. ovary D. uterus

C. ovary

After assessing a patient at a fertility clinic, the healthcare provider orders a semen analysis. Which instruction does the nurse give the patient about collecting a semen analysis? A. "Clean the tip of the penis thoroughly with the povidone solution provided." B. "Ejaculate once before collection, wait four hours, then provide the ejaculate for testing." C. "Avoid drinking alcohol 24 hours prior to collection, and provide two ejaculate samples." D. "Do not ejaculate two to three days before collection and return to the office within an hour after collection."

D. "Do not ejaculate two to three days before collection and return to the office within an hour after collection."

The nurse obtains the health history of a patient. Which response by the patient helps the nurse to understand the values and beliefs of the patient? A. "I feel slight pain during sexual intercourse." B. "My dietician instructed me to eat a calcium-rich diet." C. "My father is undergoing treatment for prostate cancer." D. "I prefer using herbal remedies instead of allopathic medications."

D. "I prefer using herbal remedies instead of allopathic medications."

A school nurse is teaching a health class to middle school children. The nurse explains that follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are secreted by which endocrine gland(s)? A. Hypothalamus B. Ovaries and testes C. Posterior pituitary D. Anterior pituitary

D. Anterior pituitary

A couple is having difficulty conceiving. The health care provider says the cause can be endocrine in nature. The nurse prepares to educate the couple on the functions of their glands. Which gland may be causing the problems? A. Thyroid B. Thymus C. Adrenal glands D. Anterior pituitary gland

D. Anterior pituitary gland

What is the other name of the Cowper's gland? A. Skene's gland B. Prostate gland C. Bartholin's gland D. Bulbourethral gland

D. Bulbourethral gland

The nurse reviews the breast examination reports of four patients. Which patient's assessment findings are associated with hyperfunction of the adrenal glands? A. Thick, sticky nipple secretions along with small rubbery fluid-filled lumps B. Papillomatosis growths around the nipples and bloody nipple secretions C. Erythema and gray-colored secretions from the nipples, erythema, induration, and pain D. Clear, unilateral milky nipple secretions with slight scaling

D. Clear, unilateral milky nipple secretions with slight scaling

What could be the reason that a patient has pain and swelling in the left scrotum? A. Hydrocele B. Chancroid C. Pediculosis D. Epididymitis

D. Epididymitis

When conducting the assessment interview of a couple at the infertility clinic, the nurse knows that which sexual response facilitates the transportation of sperm into the vagina and cervix? A. Plateau phase B. Orgasmic phase C. Resolution phase D. Excitement phase

D. Excitement phase

What test is MOST RELIABLE in confirming a diagnosis of syphilis? A. Rapid plasma reagin (RPR) B. A nucleic acid amplification test (NAAT) C. Venereal Disease Research Laboratory (VDRL) D. Fluorescent treponemal antibody absorption (FTA-abs)

D. Fluorescent treponemal antibody absorption (FTA-abs)

Which hormone stimulates the production of estrogen and progesterone after fertilization? A. Luteinizing hormone (LH) B. Follicle-stimulating hormone (FSH) C. Gonadotropin-releasing hormone (GnRH) D. Human chorionic gonadotropin hormone (hCG)

D. Human chorionic gonadotropin hormone (hCG)

A nurse is explaining the menstrual cycle to a group of young women. The teaching includes the facts that the corpus luteum begins to degenerate, estrogen and progesterone levels fall, and the blood supply to the endometrium is reduced during which phase? A. Menstrual B. Proliferative C. Secretory D. Ischemic

D. Ischemic

What should the nurse examine to assess the external genitalia in a female patient? A. Pelvis B. Cervix C. Areola D. Mons pubis

D. Mons pubis

Which term refers to the fatty layer over the pubic bone in the female reproductive system? A. Cervix B. Coccyx C. Clitoris D. Mons pubis

D. Mons pubis

Which diagnostic test is prescribed for a patient with suspected cervical cancer? A. Prolactin test B. Ultrasound scan C. Sims-Huhner test D. Papanicolaou test

D. Papanicolaou test

The nurse examines a group of male patients. Which patient's assessment finding indicates an age-related change? A. Patient A: 36 - Descended testes B. Patient B: 42 - Prepuce over the glands C. Patient C: 58 - Symmetric scrotum D. Patient D: 67 - Prostate enlargement

D. Patient D: Prostate enlargement

Which hormonal release results in thick cervical secretion after ovulation? A. Thyroxin B. Oxytocin C. Prolactin D. Progesterone

D. Progesterone

Which phase of the sexual response involves returning of the clitoris, vagina, and uterus into preexcitation state? A. Plateau phase B. Orgasmic phase C. Excitation phase D. Resolution phase

D. Resolution phase

When taking care of a pregnant patient, the nurse working at the reproductive clinic understands that FSH (follicle-stimulating hormone) contributed to which aspect of reproduction? A. Ovulation B. Fertilization C. Menstruation D. Sperm production

D. Sperm production

A patient is diagnosed with bacterial vaginosis. What kind of vulvar discharge would the nurse expect to find in this patient? Select all that apply. A. Bloody discharge B. White, thick, curdy discharge C. Frothy, green malodorous discharge D. Thin, gray or white discharge with copious flow E. Malodorous or fishy discharge

D. Thin, gray or white discharge with copious flow E. Malodorous or fishy discharge

Which structural damage as shown in the picture may result in impairment of fertilization? A. rectum B. urethra C. urinary bladder D. fallopian tubes

D. fallopian tubes