ob chapter 3 prep u
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? "I will always count from the end of my last menstrual cycle to determine when I will ovulate." "A vaginal discharge that is thick, scanty and white in color indicates that I am ovulating." "My menstrual cycle lasts about 4 to 6 days each month but varies sometimes, which is normal." "During ovulation, the egg is released directly into my uterus to help with fertilization."
"My menstrual cycle lasts about 4 to 6 days each month but varies sometimes, which is normal." Explanation: The normal menstrual cycle lasts an average of 4 to 6 days, but there is a variance between women and even between cycles in some women, which is normal. Counting to determine ovulation time is based upon the beginning of the menstrual cycle, not the end. The mucus during ovulation is thin, clear and somewhat stretchable. At ovulation, the ova are released into the abdominal cavity and are propelled along by tiny finger-like projections that direct it to the fallopian tube.
The nurse is preparing to assess a new client who has arrived for her initial visit with a gynecologist specializing in menopause issues. The nurse anticipates the client will be in which age group? You Selected: 47 to 55
47 to 55 Explanation: Menopause refers to the time in a women's life when reproductive capability ends. The average age at which menopause occurs is between 47 and 55 years. Although it is possible to start menopause earlier or later, 47 to 55 is the typical age.
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. 36 hours. 24 hours. 12 hours.
48 hours. Explanation: The mucus-secreting glands of the cervix are capable of storing live sperm for 48 to 72 hours (2 to 3 days), enabling pregnancy to occur after intercourse has occurred 1 or 2 days before ovulation.
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? Ova or eggs are made every month in the ovaries and released for fertilization. The ova begin being produced when the female begins her menstrual cycles. A woman is born with all the ova that she will ever have and they are stored within the ovaries.
A woman is born with all the ova that she will ever have and they are stored within the ovaries. Explanation: A woman is born with all the ova that she will ever have and they are stored within the ovaries. They are released each month throughout her life until the reproduction years are over.
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? It consists of protoplasm enclosed within a three-layered cell wall. It contains a small nucleus, within which is a nucleolus called the germinal spot. All the ova a female will ever have are present at birth. The ovum is smaller than the sperm cell.
All the ova a female will ever have are present at birth. Explanation: It is believed that all the ova a female will ever have are present at birth. The human ovum consists of protoplasm enclosed within a two-layered cell wall. The outer layer is the zona pellucida; the inner layer is the vitelline membrane. The ovum cell contains a large nucleus, within which is a nucleolus called the germinal spot. The ovum is larger than the sperm cell, and it is the only human cell normally visible to the naked eye.
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? Just below the pubis symphysis At the uterine isthmus At the level of the corpus At the top of the fundus
At the top of the fundus Explanation: The uterine fundus is located that the topmost portion of the uterus and that is where the uterus is measured to determine fetal size and gestation. The isthmus is the uterine segment that connects the cervix to the uterus. The corpus, the main body of the uterus, is not the top of the uterus. One end of the measuring tape is placed at the top of the pubic symphysis and extended to the top of the fundus.
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? You Selected: Thin and copious
During ovulation, the mucus will be distensible and stretchable. After ovulation, the mucus will be scant, thick and opaque in nature. During the proliferative phase before ovulation, it is tacky, crumbly, and yellow or white in color. During the menses, there will be no mucus noted.
Which characteristics of a female client would likely warrant intervention? Select all that apply. The client typically loses around 30 mL of blood during menstruation. A peak in luteinizing hormone levels occurs prior to the client's ovulation. Each of the client's fallopian tubes is approximately 6 cm long. The client's vaginal environment is alkaline. The client's clitoris is covered by the prepuce.
Each of the client's fallopian tubes is approximately 6 cm long. The client's vaginal environment is alkaline. Explanation: The vaginal environment is normally acidic and the fallopian tubes are usually between 8 and 14 cm in length. The clitoris is normally covered by the prepuce and blood loss during menstruation is usually between 25 and 60 mL. Luteinizing hormone levels normally peak before ovulation.
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? It produces female gametes or ova and secretes female sex hormones. It receives the fertilized ovum and provides housing and nourishment for a fetus. It receives sperm, provides an exit for menstrual flow, and serves as the birth canal. It is a small erectile structure that responds to sexual stimulation.
It receives sperm, provides an exit for menstrual flow, and serves as the birth canal. Explanation: The vagina's functions are to receive sperm, provide an exit for menstrual flow, and serve as the birth canal. The ovaries' functions are to produce female gametes or ova and secrete female sex hormones. The uterus's functions are to receive the fertilized ovum and provide housing and nourishment for a fetus. The clitoris is a small erectile structure that responds to sexual stimulation.
As part of caring for childbearing families, the nurse must be able to educate her families regarding which topic Proper selection of a physician The best hospital for delivery of their babies Knowledge of reproductive anatomy and physiology The cost of obstetrical and neonatal care
Knowledge of reproductive anatomy and physiology The obstetrical/gynecological nurse must be well versed in pregnancy and childbirth, as well as an understanding of clients of childbearing age. As a gynecological nurse, he or she must also have a good grasp of reproductive anatomy and physiology and the menstrual cycle. Helping select a physician, hospital or providing input on cost factors is not the nurse's job.
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 high-risk sexual behaviors related to early development of secondary sex characteristics. Risk for disturbance in body image related to early development of secondary sex characteristics. Risk for back pain related to early breast tissue development. Risk for anxiety related to bullying activities from development of secondary sex characteristics.
Risk for disturbance in body image related to early development of secondary sex characteristics. As the client will be able to visualize physical differences between other children and herself, it would be a priority for the nurse to recognize in the plan of care that the client may be at risk for disturbances in body image. This would allow for interventions to be put in place for the client to verbalize any concerns she might have and work to enhance body image issues as they develop.
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 high-risk sexual behaviors related to early development of secondary sex characteristics. Risk for disturbance in body image related to early development of secondary sex characteristics. Risk for back pain related to early breast tissue development. Risk for anxiety related to bullying activities from development of secondary sex characteristics.
Risk for disturbance in body image related to early development of secondary sex characteristics. Explanation: As the client will be able to visualize physical differences between other children and herself, it would be a priority for the nurse to recognize in the plan of care that the client may be at risk for disturbances in body image. This would allow for interventions to be put in place for the client to verbalize any concerns she might have and work to enhance body image issues as they develop.
Which statement best expresses the role of the corpus luteum? The corpus luteum promotes the increased production of estrogen before ovulation. The corpus luteum secretes progesterone to promote the preparation of the endometrium for implantation. During the luteal phase, the corpus luteum secretes glycogen. Increasing amounts of cervical mucus are produced as a result of the luteinizing hormone produced by the corpus luteum.
The corpus luteum secretes progesterone to promote the preparation of the endometrium for implantation. Explanation: The mature ovum is released from the ovary, resulting in the corpus luteum. Progesterone is produced by the corpus luteum. Estrogen is secreted by the ovaries. Glycogen is secreted by the endometrial glands during the luteal phase. Luteinizing hormone is not a product of the corpus luteum.
The nurse is explaining about the function of the mons pubis to a client. Which explanation describes the function of the mons pubis? To enhance sexual pleasure To serve as the receptacle for sperm To allow for stretching during childbirth To protect the pelvic bones during sexual intercourse
The mons pubis is a fatty pad that lies over the pubic symphysis and serves to protect the pelvic bones during intercourse. The vagina is the receptacle for sperm, the clitoris is the body that enhances sexual pleasure in the female and the perineum and pelvic floor are the structures that stretch during childbirth.
The nurse educates a client who is confused about her ovarian cycle. Which client statement would best validate her understanding of the education? You Selected: "Two hormones control my ovulation, follicle-stimulating hormone (FSH) and luteinizing hormone (LH)."
Two hormones control my ovulation, follicle-stimulating hormone (FSH) and luteinizing hormone (LH)." Explanation: Ovulation is controlled by FSH and LH, with the follicle-stimulating hormone encompassing days 1 to 14 of a 28-day cycle and the luteinizing hormone controlling the luteal phase, which is days 15 to 28. The follicle forms only in the ovary, not the uterus. Ovulation should occur on Day 14 of a normal 28 -day cycle. Both estrogen and progesterone are necessary to the menstrual cycle, not just progesterone.
The nurse provides client education regarding the uterine corpus. Which part may fluctuate with changes of hormonal levels in the absence of pregnancy?
endometrium Explanation: The corpus, or main body of the uterus, undergoes cyclic changes as the result of changing levels of hormones secreted by the ovaries, in preparation of a pregnancy. When fertilization does not occur, most of the endometrium is shed, and the monthly period occurs.
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 nutrition weight cultural practices
genetics Genetics is the most important factor in determining the age at which menarche starts, but geographic location, nutrition, weight, general health, nutrition, cultural and social practices, the girl's educational level, attitude, family environment, and beliefs are also important.
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: between where you pee and where you poop. in what is called the vestibule, which is located between the labia minora. by the Bartholin glands. between the labia majora and by the paraurethral glands.
in what is called the vestibule, which is located between the labia minora. Explanation: The vestibule is the area between the labia minora. The urethral meatus (opening to the urethra), paraurethral (Skene's) glands, vaginal opening or introitus, and Bartholin glands are located within the vestibule.
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? any time during the week before ovulation any time after ovulation a week after ovulation one or two days before ovulation
one or two days before ovulation Explanation: To increase the chances of conceiving, the best time for intercourse is 1 or 2 days before ovulation. This ensures that the sperm meets the ovum at the right time. The average life of a sperm cell is 2 to 3 days, and the sperm cells will not be able to survive until ovulation if intercourse occurs a week before ovulation. The chances of conception are minimal for intercourse after ovulation.
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 The ovaries are a set of paired glands resembling unshelled almonds that are the organs of gamete production in the female. They are homologous to the male testes. The fallopian tubes are the site of fertilization. The clitoris is a small, cylindrical mass of erectile tissue and nerves that is analogous to the male penis. The fundus is the upper portion of the uterus. Page 72
Which hormone is called the hormone of pregnancy because it reduces uterine contractions during pregnancy
progesterone Explanation: Progesterone is called the hormone of pregnancy because it reduces uterine contractions, thus producing a calming effect on the uterus, allowing pregnancy to be maintained. FSH is primarily responsible for the maturation of the ovarian follicle. LH is required for both the final maturation of preovulatory follicles and the luteinization of the ruptured follicle. Estrogen is crucial for the development and maturation of the follicle.
Put the phases of the menstrual cycle in correct order from first to last. All options must be used. 1 proliferative phase 2 secretory phase 3 ischemic phase 4 menses phase
proliferative phase secretory phase ischemic phase menses phase The menstrual cycle consists of four phases: 1) proliferative phase (also known as the estrogenic, follicular, or postmenstrual phase), in which the ovary begins to produce estrogen and the endometrium begins to proliferate and thicken; 2) secretory phase (also known as the progestational, luteal, premenstrual, or secretory phase), in which progesterone forms in the corpus luteum and causes the glands of the uterine endometrium to become corkscrew or twisted in appearance and dilated with quantities of glycogen; 3) ischemic phase, in which the ovary begins to regress, production of progesterone decreases, and the endometrium of the uterus begins to degenerate; and 4) menses phase, in which a mixture of blood from ruptured capillaries, mucin, fragments of endometrial tissue, and the ovum flow from the vagina.
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 seminal vesicles scrotum prostate gland
testes Explanation: The testes are responsible for sperm production. The seminal vesicles produce nutrient seminal fluid. The scrotum surrounds and protects the testes. The prostate gland and the seminal vesicles produce fluid to nourish the sperm. Reference:
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 Explanation: The vagina is a canal that connects the external genitals to the cervix. The uterus is an inverted, pear-shaped muscular organ at the top of the vagina and is subdivided into the convex portion above the uterine tubes, called the fundus, the central portion or corpus between the fundus and the cervix, and the cervix, or neck which opens into the vagina. Rugae are transverse folds in the vagina that allow it to dilate during labor and birth. Reference:
