Module 16 Practice Questions

STIs are most prevalent among teenagers and young adults.

A school nurse is providing a class on sexually transmitted infections (STIs). Which statement is correct regarding STIs?

"What questions or concerns do you have about your sexual health?"

The nurse assessing an adolescent's need for further information regarding sexual health should ask which question?

endometrium

The nurse provides client education regarding the uterine corpus. Which part may fluctuate with changes of hormonal levels in the absence of pregnancy?

menopause.

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:

"Many unintended pregnancies result from the use of less effective methods of contraception."

A teenage female client tells the nurse that she is having intercourse with her boyfriend. The client asks the nurse about methods to prevent pregnancy. Which statement by the nurse would be most accurate?

It is recommended that men wear boxer-style underwear.

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?

promote general health and wellness.

The Surgeon General's Call To Action To Promote Sexual Health and Responsible Sexual Behavior was released in 2001. The goal of this document is to:

semen

The combination of seminal fluid and spermatozoa forms:

past history of a rape

The nurse is caring for a client diagnosed with vaginismus. When reviewing the client's history, what would the nurse would expect to find?

Smokes one pack of cigarettes per week

The nurse working at a family planning clinic evaluates a client's risk for complications from oral contraceptives. Which factor places the client at highest risk?

testosterone and spermatozoa.

The testes are responsible for producing:

primary impotence.

When a 19-year-old male client tells the nurse that he has never been able to achieve an erection, the nurse recognizes that the client is experiencing:

excitement phase.

When a man cannot achieve an erection, the phase of the sexual response in which the man is experiencing difficulty is:

"How do you feel about yourself as a woman?"

Which assessment question is most likely to yield clinically meaningful data about a female client's sexual identity?

the male client with three palpable masses in the testes

Which client should the nurse flag for the health care provider to assess first?

A 50-year-old woman in the process of menopause has pain and burning during intercourse.

Which example best supports the diagnosis of Sexual Dysfunction: Dyspareunia?

progesterone

Which hormone is called the hormone of pregnancy because it reduces uterine contractions during pregnancy?

gonadotropin-releasing hormone (GnRH)

Which hormone is secreted from the hypothalamus in a pulsatile manner throughout the reproductive cycle?

Sex is chromosomally determined, while gender is a psychosocial construct.

Which of the following statements best describes the relationship between biologic sex and gender identity?

Trichomoniasis

Which sexually transmitted infection has the following characteristics: thin, foamy, greenish vaginal discharge that causes itching of the vulva and vagina?

The corpus luteum secretes progesterone to promote the preparation of the endometrium for implantation.

Which statement best expresses the role of the corpus luteum?

Penile sinuses fill up with blood.

With sexual stimulation the penis becomes erect. What is the physiologic cause of an erection?

History of hypertension

A man 68 years of age comes to the clinic complaining that he is having difficulty obtaining an erection. When reviewing the client's history, what might the nurse note that contributes to impotence?

clitoris.

It is important that a nurse recognizes there are cultural differences that will have an influence on the care of the client. Some cultures practice female circumcision, which involves the removal of the:

48 hours.

It is important that couples who wish to practice natural forms of birth control understand that the mucus-secreting glands of the cervix can store live sperm for up to:

The uterus shrinks and gradually atrophies.

A nurse is assessing a 45-year-old client. The client asks for information regarding the changes that are most likely to occur with menopause. Which should the nurse tell the client?

prolactin.

A young mother is expressing frustration of not being able to breastfeed her infant. A potential cause could be the lack of the hormone:

1. Masturbation or self-stimulation is a natural and healthy outlet for sexual urges. 2. No male or female should feel pressured into sexual activity at any age. 3. Nocturnal emissions are normal in men of all ages.

"What questions or concerns do you have about your sexual health?"

The testes serve as the production center for sperm.

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

Nonspecific vaginitis

A client comes to the women's clinic and reports to the nurse that she is having a foul-smelling, thin, grayish-white vaginal discharge. What testing will the nurse prepare the client for?

A woman is born with all the ova that she will ever have and they are stored within the ovaries.

A client is at the clinic for her annual pelvic exam and asks the nurse about ovulation and where the eggs come from. What educational information would the nurse share with this client?

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

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?

one or two days before ovulation

A client is trying to have a baby and wants to know the best time to have intercourse to increase the chances of pregnancy. Which time for intercourse is ideal to help her chances of conceiving?

Trichomonas vaginalis

A client visits a community clinic reporting a foul-smelling vaginal discharge that is thin, foamy, and green in color; itching of vulva and vagina; and burning on urination. Which STI would the nurse suspect?

Alteration in Comfort: Pain

A female client experienced a pelvic fracture in a motor vehicle accident several months earlier and recovery has been slow. Among the challenges presented by this event is the fact that sexual activity causes a dull ache in her pelvis. Which nursing diagnosis is most appropriate for this client?

"Stimulation of the genitals by the mouth and tongue may be used to reach orgasm."

A female client has recently had surgery for cervical cancer and asks the nurse about other ways she can have sex with her husband. Which of the following statements by the nurse is most accurate?

Use of Kegel exercises

A female client tells the nurse that vaginal intercourse with her partner is not as exciting as it used to be. Which of the following could the nurse teach her?

"Malnutrition may cause impotence."

A gerontology nurse is discussing sexual dysfunction with an older adult male client. The nurse determines that the education has been effective when the client states:

endometrium

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?

VDRL (blood test done to detect syphilis in males and females)

A male client comes to the clinic because he thinks that he has syphilis. Which test would the nurse expect the client to have done?

Premature ejaculation

A male client informs the urology nurse that he is embarrassed because his wife rarely has time to reach sexual satisfaction, since he experiences an orgasm as soon as he enters the vagina. What is this condition best known as?

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

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

slit-like

A nurse is assisting with the pelvic examination of a female client. The client has given birth to two living children, ages 5 and 2 years. The nurse would expect the client's cervical os to appear as which shape on examination?

Assertively tell the client that this behavior is not acceptable

A nurse is caring for a 55-year-old male on an orthopedic unit. When the nurse hands the client his morning medication, he grabs her breast and squeezes it. How should the nurse best respond to this situation?

"There is no relationship between the size of a man's penis and his ability to satisfy a woman sexually."

A nurse is concluding a sex education class by discussing sexual myths. Which of the following statements by the class lead the nurse to believe that they have understood the material?

cervix

A nurse is conducting a teaching program for a group of young adult women about the structures of the female reproductive system. After describing the internal structures, the nurse determines that the teaching was successful when the group identifies which structure as the neck of the uterus?

Headache

A nurse is explaining premenstrual syndrome to a female client. The client demonstrates understands when stating what may occur in the premenstrual phase?

menarche, age 11.

A nurse is obtaining a health history from a female client who reports that she started menstruating at age 11 years. The nurse would document this as:

vagina

A nurse is teaching a group of women at the local health clinic about reproduction. After describing the various internal structures involved, the nurse determines that the teaching was successful when the group identifies which structure as connecting the external structures with the cervix?

resolution

A nurse is teaching a sex education class and is discussing sexual response. She describes a 30-minute period during which external and internal genital organs return to an unaroused state. What is this phase of sexual response known as?

loss of muscular control during orgasm causing spastic contractions

A nurse is teaching a sex education class to a group of teenage girls. They ask the nurse about the sexual response cycle in females. Which physiologic response does the nurse tell them is only seen in females?

"People whose biologic sex at birth is contrary to the gender they identify with have gender dysphoria."

A nurse reads in a client's chart that he or she has gender dysphoria. The nurse determines that the client understands the diagnosis when making what statement?

The patient may have trichomoniasis.

A patient calls the clinic and tells the nurse they have a foamy, greenish, and itchy vaginal discharge. The patient asks the nurse what the significance of this discharge is. What is the best response by the nurse?

Dyspareunia

A woman age 49 years has sought care from her primary care provider because of "intimacy problems." Upon questioning, the woman reveals that she is experiencing sexual desire, but that intercourse causes her significant pain. In the absence of sexual activity, the woman states that she does not have any significant vaginal discomfort. What would the clinician recognize that this client is most likely experiencing?

Have sex when the cervical mucus is thin, stretchy, and copious.

A young woman is trying to get pregnant. She asks the nurse to recommend a practical way that she can tell the point in her monthly cycle when she will have the best odds of getting pregnant. Which recommendation by the nurse would be best?

Monthly

After instructing the male client on the technique of a testicular self-examination, the nurse instructs the client to perform the examination how often?

secreting estrogen and progesterone

After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies which action as the primary function of the ovaries?

shed her uterine lining.

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

in what is called the vestibule, which is located between the labia minora.

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

1. Appetitive 2. Excitement 3. Orgasm 4. Resolution

Applying the American Psychiatric Association description of sexual response, place the phases in the order in which they would occur from first to last.

Knowledge of reproductive anatomy and physiology

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

Quid pro quo harassment.

During hospitalization for a suicide attempt, the client informs the nurse that she does not want to return to work because her boss expects sexual favors each week before he gives her a paycheck. The client informs the nurse that she needs the job but is embarrassed that she performs these favors. The nurse informs the client that this is illegal behavior and is called what?

On day 14

During the menstrual cycle, when does ovulation typically take place?

hypertension.

During the orgasmic phase of the sexual response, the woman may experience:

Testes

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

Clitoris

In the female reproductive system, what corresponds with the male penis?

Erection is lost

In the resolution phase of sexual response, which response would be most commonly noted in the male?

Nitrates

The clinic nurse is explaining the action of sildenafil (Viagra) to a client. The nurse should assess his medication regimen to determine if he is taking medications that are contraindicated with Viagra. Which of the following medications is contraindicated with Viagra?

1. Mons pubis 2. Labia majora 3. Clitoris 4. Skene glands

The female reproductive system is made up of both external and internal organs. Which are external organs in this system? Select all that apply.

Insertion of a copper intrauterine device (IUD)

The forensic nurse is caring for a client who was raped four days ago. Which of the following could the nurse teach the client is an effective contraceptive?

genetics

The mother of a 10-year-old female brings the girl to the clinic for a routine health visit. During the visit, the mother asks the nurse, "I'm wondering, can you tell me when my daughter might have her first period?" When responding to the mother, the nurse would integrate understanding of which factor as being most important in determining the age at which menstruation would occur?

"It has become more common for girls to start their periods as early as 9; her weight may be a contributing factor."

The mother of a 9-year-old girl is concerned because her daughter has already begun menstruating. The daughter is of normal height for her age and weighs 150 lbs (68 kg). The mother is concerned that this is not normal and asks about the factors that could be involved. Which response by the nurse would be best?

The nurse teaches parents of a 4-year-old that they may cause anxiety in the child by intolerance of inconsistency of sex-role behavior.

The nurse caring for clients in a physician's office takes into consideration developmental stage when assessing sexuality. Which is an example of a developmentally appropriate intervention?

"The best time to perform the exam is 1 week after my period."

The nurse determines that a female client understands how to perform breast self-examination when the client states:

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

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

prepuce

The nurse is answering questions from a newborn's parents concerning a circumcision. Which structure will the nurse point out is removed during the procedure?

Flow usually lasts 4 to 6 days.

The nurse is assessing a 16-year-old female on a routine well-child visit. Which assessment finding will the nurse predict this healthy female will report concerning her menstrual cycles?

vas deferens

The nurse is creating a diagram that illustrates the components of the male reproductive system. Which structure would the nurse include as a major structure to help ensure fertilization of the ovum?

"A mature sexual relationship does not require a man and woman to achieve simultaneous orgasm."

The nurse is discussing contraception with an adolescent client who asks the nurse: "What if I can't have an orgasm?" What is the nurse's best response?

1. Oral contraceptives 2. Norplant system 3. Depo-Provera 4. Vaginal ring

The nurse is discussing the use of hormonal contraception with a woman who just delivered twins and is not ready to get pregnant in the near future. Which methods might the nurse recommend? Select all that apply.

At the top of the fundus

The nurse is examining a pregnant female in her third trimester and measuring to determine if fetal growth has increased. Where would the nurse place the measuring tape?

seminiferous tubules

The nurse is explaining the various male internal reproductive sturctures 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?

Antihypertensive medication

The nurse is justified in assessing for sexual dysfunction among male clients who are receiving which of the following?

skin-to-skin contact can spread herpes and genital warts

The nurse is preparing to provide education to a group of high school students on sexually transmitted infection (STI) prevention. The nurse knows that this age group often uses oral-genital stimulation as a way to prevent pregnancy. Which concept should the nurse make sure to convey to the group?

"I can leave my diaphragm in for up to 48 hours."

The nurse is providing education about barrier contraceptives. Which statement by the client indicates a need for further education?

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

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

They produce female gametes or ova and secrete female sex hormones.

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 ovaries?

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

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?

transsexual.

The nurse is speaking to a client regarding his sexual history. The client states, "I was born with a penis but I should have had a vagina." The nurse would document the client's gender identity as:

Sexual orientation

The nurse is teaching a class about sexuality at a public health clinic. After class the nurse is approached by Cathleen, a 54-year-old female, who eventually discloses to the nurse that she is having a sexual affair with a female partner. The term for an individual's preference for a partner of a particular gender is which of the following?

Transsexual

The nurse is teaching a class about sexuality at a public health clinic. After class the nurse is approached by Cathleen, a 54-year-old female, who eventually discloses to the nurse that, while she is happily married, she feels like a man inside. Cathleen describes this as feeling "trapped" inside her female body. The term for this behavior is which of the following?

Gender identity

The nurse is teaching a class of high school students about sexuality. After class the nurse is approached by Peggy, a 16-year-old female, who eventually discloses to the nurse that she has always had an inner sense that she was a male. The term for this is which of the following?

1. "If the condom does not have a nipple receptacle, leave a small space at the end for semen to collect." 2. "Use a condom with every act of intercourse." 3. "Immediately after ejaculation remove the condom and discard it."

The nurse is teaching a male adolescent how to use a condom. Which teaching points would the nurse include? Select all that apply.

Possible complications from female genital mutilation (FGM) requiring further physical assessment

The nurse prepares to complete an exam on a 25 year old female. The client presents to the community health clinic reporting difficulty with urination. The nurse reviews the chart and sees that the client is originally from Africa. Which does the nurse suspect?

condoms.

The nurse should inform a young female client that the barrier method providing the best protection against sexually transmitted infections (STIs) is:

Normal vaginal pH is acidic (4 to 5), which protects from infection.

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 it from becoming infected?

Urinary elimination

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 this third function?

The circumference of the penis thickens at the coronal ridge and a few drops of fluid appear at the urethral meatus.

Traditionally, the male sexual response is thought to be broken up into three phases. Which occurrence is part of the plateau phase?

fallopian tube

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

is exhibiting normal behavior.

When the mother of a 2-year-old tells the pediatric nurse that the child masturbates, the nurse informs the mother that the child: