Reproductive Exam

A nurse is providing education to a client with infertility concerns. Which statement by the client indicates appropriate understanding of the Spinnbarkeit Test?

"Halfway in my cycle I will need to check my cervical mucus to see if I can stretch it in to long strands, indicating I am close to ovulating."

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

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

After teaching a woman who has chosen the vaginal ring as her method of contraception, the nurse determines that the client needs additional teaching when she makes which statement?

"I will insert a new ring at the same time and day of every week."

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?

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

The nurse is providing teaching to an adolescent girl on the function of the female reproductive system. Which statement by the client best reflects understanding of the material presented?

"My menstrual cycle lasts about 4 to 6 days each month but varies sometimes, which is normal."

Which statement would be most appropriate when explaining endometriosis as a cause of a woman's infertility?

"Ovulation does take place; however, the misplaced endometrial tissue interferes with transport of the ovum."

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 client asks the nurse questions about female hygiene and wants to know if she should douche to clean her vagina. Which response by the nurse would be most appropriate?

"You do not need to douche; the vagina is self-cleaning."

A client asks the nurse questions about female hygiene. She wants to know if she should douche to clean her vagina. How should the nurse respond?

"You do not need to douche; the vagina is self-cleaning."

The nurse is assessing a male client who is concerned about his ability to produce enough sperm to have a child. He tells the nurse, "I have had some issues in my younger years." What questions would be important for the nurse to ask this client? Select all that apply.

-"Have you ever had any type of trauma or surgery on or near your testicles?" -"Are you exposed to X-rays or other radioactive substances?" -"Do you use drugs or use alcohol excessively?

The nurse is instructing a client with dysmenorrhea on how to manage her symptoms. Which suggestions should the nurse include in the teaching plan? Select all that apply.

-Increase water consumption. -Use heating pads or take warm baths. -Increase exercise and physical activity.

A clinic nurse is interviewing a young client during a subfertility work up. When the client asks the nurse what causes infertility, the nurse informs the client that the problem can rest with the man, the woman, or both. What does the nurse tell the client are common problem areas related to the woman? Select all that apply.

-impaired implantation -ovulation -tubal transport

A nurse is conducting a class and is describing the spermatic cord. Which structures would the nurse identify as being involved? Select all that apply.

-vas deferens -blood vessels -nerves

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:

48 hours.

The client has heard of extended oral contraceptive regimens and desires more information. The nurse explains that these regimens consist of active combination pills, followed by placebo pills. How many days of active combination pills and placebo pills are contained in these regimens?

84 active; 7 placebo

ACDHO stands for

A - anxiety: difficulty sleeping, tenseness, mood swings, and clumsiness; C - cravings: for sweets, salty foods, chocolate; D - depression: feelings of low self-esteem, anger, easily upset; H - hydration: weight gain, abdominal bloating, breast tenderness; and O - other: hot flashes or cold sweats, nausea, change in bowel habits, aches or pains, dysmenorrhea, acne breakout.

A sex education class is being conducted at a local women's center. The attendees ask the professional conducting the class about why they experience sensations of increased warmth during sex and redness of the neck and chest. Which information would the professional provide to explain this experience? Select all that apply.

A person's heart rate increases during sex, making them warmer. The blood pressure will increase, which can cause a feeling of warmth. Vessels in the pelvis are receiving more blood and can cause a warm sensation.

The nurse is reviewing a client's electronic medical record and notices that the client has recently experienced dyspareunia. The nurse knows that this is an effect of aging on the female reproductive system. What is the best description of dyspareunia that the nurse can share with the nursing student who is going to see this client with the nurse?

A woman experiences painful intercourse.

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?

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

A client asks the nurse about cervical mucus changes that occur during the menstrual cycle. Which statement should the nurse expect to include in the client's teaching plan?

As ovulation approaches, cervical mucus is abundant and stretchable.

A nurse is providing information regarding ovulation to a couple who want to have a baby. Which fact should the nurse tell the clients?

At ovulation, a mature follicle ruptures, releasing an ovum.

The nurse is educating a pregnant woman regarding expectations immediatley after the birth of her baby. Which would the nurse include in the teaching plan regarding colostrum?

Colostrum is yellow fluid that preceeds breast milk and is healthy for the baby

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

Epididymis

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

Erection is lost

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?

Flow usually lasts 4 to 6 days.

What is an advantage of a cervical cap over a diaphragm?

It can be left in place longer.

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.

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?

It receives the fertilized ovum and provides housing and nourishment for a fetus.

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

Knowledge of reproductive anatomy and physiology

Which of a client's cells are most likely to reproduce by meiosis?

Ova

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

Penile sinuses fill up with blood.

Which body structure controls reproductive hormone production and function for both males and females?

Pituitary gland

A nurse is developing a plan of care for a 7-year-old client with precious puberty. Which would be the priority nursing diagnosis for this client?

Risk for disturbance in body image related to early development of secondary sex characteristics.

During cold conditions, how does the body react to maintain scrotal temperature?

Scrotum is pulled closer to the body.

A newly married female is talking to the nurse about her desire to get pregnant soon. Which suggestion would the nurse make to assist this client?

Sexual intercourse should occur between Day 13 and 15 of her menstrual cycle.

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.

The uterus has specific functions in the female body. Which would not be a function of the uterus?

Stretch during childbirth to accommodate a full-term infant

A 30-year-old client would like to try using basal body temperature (BBT) as a fertility awareness method. Which instruction should the nurse provide the client?

Take temperature before rising, and record it on a chart.

The client presents reporting irregular menstrual cycles, bleeding between periods, mood swings, hot flashes and vaginal tenderness. After an examination, the nurse suspects abnormal uterine bleeding. Which approach would be inappropriate?

Tell the client to learn to live with it.

A client is attempting to become pregnant and is using varied methods to identify ovulation. What assessment finding would most clearly suggest that the client is ovulating?

The client has clear, thin cervical mucus

Which statement best expresses the role of the corpus luteum?

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

When teaching a couple trying to conceive about the changes in cervical mucous near the time of ovulation, the nurse should include which information?

The mucous is thin and copious due to the elevated estrogen levels.

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

The testes serve as the production center for sperm.

The nurse is teaching a couple trying to conceive about the changes in the cervical mucus near the time of ovulation. The nurse determines the session is successful when the couple correctly choose mucus in which form as indicating ovulation has occurred?

Thin and copious

The nurse is explaining about the function of the mons pubis to a client. Which explanation describes the function of the mons pubis?

To protect the pelvic bones during sexual intercourse

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?

Urinary elimination

What are the primary physiologic responses in the sexual response cycle seen in both males and females?

Vasocongestion and myotonia

The nurse is explaining the phases of the uterine cycle to a client. What action during the proliferative phase of the uterine cycle should the nurse include in the teaching session with the client?

While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth.

A woman is 40 years old and a heavy smoker. She has a single sexual partner but has very irregular menstrual cycles. She wants a highly reliable contraceptive. Which method would be the best recommendation?

a diaphragm and spermicide

A female client is having a procedure this morning that involves radiologic examination of the fallopian tubes using a radiopaque medium. What procedure should the nurse document as being performed?

a hysterosalpingography

A client is taking oral contraceptives. Which symptom should the nurse report to the primary care provider?

abdominal pain

Using a condom is considered what type of birth control method?

barrier

When do condoms need to be applied to be effective?

before penile-vulvar contact

A 52-year-old client is perimenopausal and asks about the severity of her symptoms. What can the nurse accurately tell her is the one of the potentially life-threatening effects of menopause?

bone mineral density decreases

The nurse at a health fair is teaching about the various changes of puberty. Which sequence of events will be best for the nurse to present when illustrating pubertal changes in females?

breast budding, appearance of pubic hair, menarche

A nurse is caring for an adolescent girl experiencing menstruation for the first time. What are the changes that occur in the body at this stage that the nurse should share with the adolescent girl?

breast development

Prevention of pregnancy is a major factor in the sex lives of many couples. One method of contraception is the female condom. It is a thin tube made of polyurethane, with flexible rings at both ends. What is a disadvantage of the female condom?

can slip into the vagina during vigorous intercourse

A woman is to receive methotrexate and misoprostol to terminate a first-trimester pregnancy. When preparing the teaching plan for this client, the nurse understands that misoprostol works by:

causing uterine contractions to expel the uterine contents.

A client is being prepared for artificial insemination. Which finding is the most suggestive to determine if the client is ovulating?

change in the cervical mucus

A group of nursing students are comparing the male and female reproductive organs. The instructor determines the class is successful when the students correctly deduce the male glans penis is complementary to which female structure?

clitoris

The public health nurse is teaching a community class of couples on fertility awareness-based methods. The nurse determines that additional teaching is needed when one of the couples states that they will be using which method?

coitus interruptus method

Which method of contraception is considered a barrier method?

condom

When assessing a client with symptoms of premenstrual syndrome (PMS), the nurse uses the ACDHO tool. The nurse questions the client about which symptom when addressing the "C" in the tool?

cravings

A nurse is teaching a group of young adults about the sexual cycle. The nurse determines that the teaching was successful when the group identifies the five phases as they occur. Place the phases below in the correct order from first to last. All options must be used.

desire excitement plateau orgasm resolution

The nurse is prepraing to assess a young woman's external genitalia. The nurse predicts the client is currently in the most fertile phase of the menstrual cycle based on which assessment finding of the vaginal mucus drainage?

distensible, stretchable quality

A nurse is reviewing the history and physical examination of a client diagnosed with secondary dysmenorrhea for possible associated causes. Which etiology would the nurse need to keep in mind as being the most common?

endometriosis

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

endometrium

The nurse is planning to speak at a local community center to a group of middle-aged women about osteoporosis. Which measure would the nurse be sure to include as effective in reducing the risk for osteoporosis?

engaging in daily weight-bearing exercise

The nurse is teaching a group of college students about the four phases of the sexual response. Which phase will the nurse point out as producing an elevation in heart rate, blood pressure, and respirations?

excitement

When educating a client about the four phases of sexual response, the nurse states that one phase of the response cycle is marked by an increase in heart rates, blood pressure, and respiration in both sexes. To which phase is the nurse referring?

excitement

Which definition best explains the term "subfertility/infertility"?

failure to achieve pregnancy after 1 year of unprotected intercourse

After teaching a health education class on the female reproductive cycle, the nurse determines that the teaching was effective when the group identifies which phase as belonging to the ovarian cycle?

follicular phase

A nurse is conducting an orientation program at a local women's health clinic for a group of newly hired nurses. The nurse is reviewing the structure and function of the female reproductive system with the group. The nurse determines that the teaching was successful when the group identifies which structure as the half-moon-shaped area behind the vaginal opening?

fourchette

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

gonadotropin-releasing hormone (GnRH)

A husband is worried he has an inadequate sperm count. Which circumstance would be most important for the nurse to ask about during his health history?

if he works at a desk job

A nurse is putting together educational material for clients who desire to learn about how to get pregnant. Part of this information will explain that fertilization occurs:

in the fallopian tubes.

The nurse is providing contraception counseling to a perimenopausal woman who has had negative reactions to oral contraceptives in the past and would like a long-term, nonhormone-based method that has a high rate of success. Neither she nor her husband wants to undergo surgery, however. Which method should the nurse recommend?

intrauterine device

A nurse is conducting a class for a group of female adolescents about the structures of the female reproductive tract. The nurse determines that the teaching was successful when the class identifies which structure as containing sweat and sebaceous glands?

labia majora

The nurse is reviewing the role of the mammary glands in the reproductive process with a birth class. What should the nurse tell the class is the name of the ducts in the mammary glands that form a small reservoir for milk?

lactiferous

A male client visits a fertility clinic after one year of attempting unsuccessfully to impregnate his wife. What is a risk factor associated with male infertility?

no or few sperm cells produced

After teaching a group of women about reproduction and the structures involved, the nurse determines that the teaching was successful when the group identifies which female reproductive structure as comparable to the male testes?

ovaries

A nurse is teaching a client about the reproductive system and the hormones involved. The nurse would include which structures as the source of these hormones? Select all that apply.

ovaries hypothalmus pituitary

A woman has just been prescribed clomiphene citrate to stimulate ovulation. Which possible effect should the nurse warn the woman about?

overstimulation of the ovary resulting in potential multiple births

A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. She states, "I've also been waking up at night feeling really hot and sweating." How should the nurse interpret these findings?

perimenopause

A nurse is preparing a teaching plan for a woman who is planning to become pregnant. Which hormone secreted by the corpus luteum would the nurse include in the discussion when describing how the endometrium is prepped for egg implantation?

progesterone

The nurse is reviewing with a group of high school students that the hypothalamus, pituitary gland, and gonads all contribute to hormonal regulation of the female reproductive system. Based on this information, what is the specific hormone that functions primarily during pregnancy?

progesterone

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

prolactin.

The nurse is teaching a family planning class at a health fair. Which physiologic change during the plateau stage of sexual response will the nurse point out?

retraction of the clitoris

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?

secreting estrogen and progesterone

A couple who is in for fertility testing ask the nurse what tests are commonly performed to assess fertility. The nurse replies that there are only three primary tests that are used. What are these tests?

semen analysis, ovulation monitoring, and tubal patency assessment

A woman has been assessing her basal body temperature for 4 months. Upon reviewing her temperature history log, the nurse notes no change in her daily temperatures. Which should the nurse expect the health care provider to prescribe first?

serum progesterone level

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.

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?

slit-like

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

The school nurse is teaching a health education class on the male reproductive system. The nurse determines the class is successful when the students correctly point out which structure produces sperm?

testes

The nursing instructor is teaching a group of nursing students about the menstrual cycle. The instructor determines the session is successful when the students correctly choose which action as responsible for the increased thickness of the endometrium?

the increasing level of estrogen

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

the increasing level of estrogen.

A school nurse is talking to an adolescent, who asks her about why she has monthly menstrual cycles. The best explanation that the nurse can offer the adolescent regarding the menstrual phase is to tell her that:

the uterine lining is being shed due to lowering of hormone levels.

Which description characterizes cervical mucus during ovulation?

thin and watery

A client desires protection from unwanted pregnancies. However, the client does not enjoy sex when her partner wears a male condom. Also, the client experiences breast tenderness, headache, and nausea after taking oral contraceptives. Which method would be the most likely choice for the couple to help them enhance their sexual experience as well as prevent any side effects?

transdermal contraceptive

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?

vagina

A nurse is instructing a client on birth control methods. The client asks about the cervical mucus method. When should the nurse tell the client she is fertile in relation to her mucus?

when it is thin, watery, and copious

When caring for a client with reproductive issues, the nurse is required to clear up misconceptions. This enables new learning to take hold and a better client response to whichever methods are explored and ultimately selected. Which misconceptions will the nurse needs to clear up? Select all that apply.

-Douching after sex will prevent pregnancy. -Irregular menstruation prevents pregnancy. -Taking birth control pills protects against sexually transmitted infections (STIs).

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.

-vas deferens -bulbourethral glands -prostate gland

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?

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

The nurse is teaching a group of women about the hormone(s) that makes the ova within the ovaries mature each month. Which hormone is responsible for stimulating the ovum?

Follicle-stimulating hormone

A nurse is teaching a group of adolescent girls about the menstrual cycle. The nurse would integrate information about which hormones as being predominant during the cycle? Select all that apply.

GnRH FSH LH

Why is fertility testing initiated with sperm analysis of the male partner?

Sperm analysis is one of the easiest tests to complete.

A young male client asks the nurse about circumcision, since he was never circumcised as an infant. Which rationale would be appropriate for exploring circumcision in an adult male?

The client has experienced recurring balanoposthitis and phimosis.

The vagina is a hostile environment for sperm. What characteristic of semen protects sperm from the vaginal environment?

alkaline fluid

The nurse is assessing a female client who is having difficulty experiencing an orgasm. Which action should the nurse point out as necessary for an orgasm in females?

clitoral stimulation

When describing the external female reproductive organs, the nurse would include which areas? Select all that apply.

clitoris vestibule labia majora perineum

A client reports that she has multiple sex partners and has a lengthy history of various pelvic infections. She would like to know if there is any temporary contraceptive method that would suit her condition. Which method should the nurse suggest for this client?

condoms

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:

menarche, age 11.

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?

one or two days before ovulation

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?

prepuce

After ovulation the ovary forms a yellow body called the corpus luteum out of the empty egg follicle. What does the corpus luteum produce?

progesterone

A nurse is conducting an orientation at a health clinic for newly hired nurses comparing normal and abnormal assessment findings on a female physical assessment. The nurse determines the session is successful when they correctly point out which structure's secretions assist with sexual intercourse?

Bartholin's glands

A male client has requested information on vasectomy. What information should the nurse give the client?

It is usually done as an office procedure.

A nurse is assessing a female client. When obtaining the client's history, the client tells the nurse that her menstrual cycle is usually 30 days and that she expects her next menstruation on March 20. Based on the client's information and the nurse's understanding of the female reproductive cycle, the nurse would identify ovulation as most likely occurring at which time?

March 6

Which statement should be incorporated into the teaching plan developed to present instruction about the female menstrual cycle to nursing students?

Menses ensues when the levels of estrogen and progesterone fall.

A couple is considering vasectomy as a contraception option. However, the husband is nervous about how such a procedure would affect his sexual functioning. Which information should the nurse mention to the man?

The man will still have full erection capacity.

A client regularly travels internationally for work and has a lot of job anxiety. She also uses an electric heating blanket every night she is at home. Which of these fertility awareness methods would the nurse discourage her from using?

basal body temperature (BBT) method

A nurse is working with a couple who is dealing with infertility. Which aspect would be most important for the nurse to consider?

culture

A nurse is conducting an in-service education program about the female reproductive cycle for a group of nurses working at a women's health clinic. When describing the phases of the endometrial cycle, the nurse would explain that the proliferative phase of the endometrial cycle corresponds to which phase in the ovarian cycle?

follicular

A mother brings her 10-year-old daughter to the clinic for a routine visit. The mother tells the nurse that she has noticed her daughter beginning to develop and asks the nurse about when her daughter may begin menstruating. The nurse understands that many factors are involved in determining the age at which menstruation begins. Which factor would the nurse include in the response as most important?

genetics

Which hormone stimulates the release of the follicle-stimulating hormone (FSH) from both male and female glands?

gonadotropin-releasing hormone (GnRH)

The nurse, while teaching a group of pregnant women about the production of breast milk, describes colostrum and compares it with mature breast milk. Which characteristic would the nurse identify as associated with colostrum?

high mineral content

A nurse caring for a 43-year-old client explains to the client that ovarian functions gradually decrease around this age. What is the implication of decreased ovarian function?

inability to become pregnant

A nurse is reviewing the medical record of a woman who has given birth vaginally. The record reveals that the client required a right mediolateral episiotomy during birth. When assessing the client, the nurse would inspect which area to evaluate the status of the episiotomy?

perineum

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

the male client with three palpable masses in the testes

A male client asks the nurse to explain which structure is cut during a vasectomy. What response should the nurse give the client?

the vas deferens

A 12-year-old girl expresses concern to the nurse because she has not begun her period yet, whereas almost all of her friends have already begun menstruating. She asks when the nurse thinks she will begin her period. The nurse notes that the girl has grown 6 inches in the past year and a half and has developed breast buds and pubic hair in the past year. Which response would be best for the nurse to give the girl?

"Your body is giving a lot of signs that you will probably start your period in no more than a year, which is completely normal."

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?

At the top of the fundus

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?

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

A woman visits the family-planning clinic to request a prescription for birth control pills. Which factor would indicate that an ovulation suppressant would not be the best contraceptive method for her?

She has a family history of thromboembolism.

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.

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?

The uterus shrinks and gradually atrophies.

The nurse is leading a seminar for parents on the changes that happen during puberty. Which list of the sequence of pubertal changes is accurate?

breast budding, appearance of pubic hair, menarche in girls

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?

genetics

A nurse is asked to teach a woman to take her basal body temperature daily to assess the time of ovulation. She can detect her day of ovulation, following ovulation, because her temperature will:

increase a degree.

A nurse is preparing a presentation for a local community women's group about menopause. When describing the body system changes that occur, the nurse would include which changes? Select all that apply.

increased abdominal fat decreased bone density vaginal dryness hot flashes

A 52-year-old client is seeking treatment for menopause. She is not very active and has a history of cardiac problems. Which therapy option should the nurse recognize as contraindicated for this client?

long-term hormone replacement therapy

The client is interested in using an injectable contraceptive that works by suppressing pituitary secretions. The nurse provides the client with literature and discusses which contraceptive with her?

medroxyprogesterone acetate

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

A client is diagnosed with endometriosis. As part of the teaching plan, the nurse is explaining the condition, including the ways that the diagnosis would be confirmed. The nurse determines that the teaching was successful when the client states that which test would confirm the diagnosis?

pelvic laparoscopy

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

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

progesterone

A nurse is conducting a health class for a group of adolescents about male and female reproduction. When describing the testes, the nurse would explain that these organs are important for manufacturing which hormone?

testosterone

A couple has chosen fertility awareness as their method of contraception. The nurse explains that the unsafe period for them during the menstrual cycle would be at which time?

three days before and three days after ovulation