Pharm Ch 39 Prepu

A male client who takes dutasteride for benign prostatic hypertrophy calls the clinic. He says he tried to donate blood and was denied because of his medication. The client is very concerned about this and wants to know why this happened. What is the nurse's best response to the client?

"This medication can harm a developing fetus so your blood could be harmful if given to a pregnant woman."

In an ideal 28-day menstrual cycle, the secretory phase occurs during which days?

15 to 28

The nurse is reviewing the structure and function of various organs in the female reproductive system. Which information should the nurse include about the ovum?

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

Which characteristic puts a male client at greatest risk for gonadal dysfunction?

An older adult

Which statements about the female reproductive system structures is most accurate?

An ovum contains one-half of the genetic material to produce a whole cell.

A 26-year-old diagnosed with prostate cancer is scheduled to have his testes surgically removed. What information should the nurse provide the client regarding the intervention to maintain his male characteristics?

Androgen therapy will be initiated to sustain the characteristics.

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

Andropause

Which are estrogens produced by the ovaries? (Select all that apply.) (3)

Estradiol Estrone Estriol

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

Failure to develop normal male characteristics Sterility

After teaching a group of students about hormonal secretion of the reproductive system, the instructor determines that the teaching was successful when the students identify what as initiating hormone secretion from the ovaries and testes?

Gonadotropin releasing hormone

Which hormone would be initially responsible for hormone secretion from the ovaries and testes?

Gonadotropin-releasing hormone

What happens with the hormones associated with pregnancy once the fetus and the placenta have been expelled from the uterus?

Hormone levels decrease significantly.

Fertilization of the ovum and implantation in the uterine wall result in the production of what hormone?

Human chorionic gonadotropin

When teaching an adolescent about ovulation, the nurse would include that ovulation is initiated by a surge in:

LH

Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which hormones? (Select all that apply.)

LH & FSH

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

Leydig cells

Which cells in the testes produce testosterone?

Leydig cells

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

Menarche

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

Menarche

The nurse is preparing a teaching plan for a group of high school girls about the female reproductive system. Which would the nurse incorporate into the teaching?

One-half of the genetic material is contained in a single ovum.

Insufficient levels of oxytocin would affect what event related to pregnancy?

Onset of labor contractions

The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first?

Penile vasodilation

During pregnancy, what becomes a massive endocrine gland?

Placenta

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

Plateau

After describing the events of the menstrual cycle to a group of students, the instructor determines that the students have understood the information when they identify what as the initial event that occurs following fertilization and implantation?

Production of human chorionic gonadotropin

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

Receives the fertilized ovum and provides housing and nourishment for a fetus

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

Secretion of estrogen and progesterone

The nurse is discussing infertility issues with a couple. What information should the nurse provide the couple concerning the effect of Sertoli cells of male sperm?

They produce inhibin a substance that in turn affects sperm production

What would a nurse attribute to the effect of testosterone? (3)

Vocal cord thickening Increased hematocrit Facial hair growth

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

androgens

The nurse should education a client prescribed which classification of medication about its affect on sexual function?

beta-blockers

After implantation, the fertilized egg is known as a(n):

embryo

Which hormone serves to stimulate the development of female characteristics and prepares the body for pregnancy?

estrogen

An ovum is allowed to mature and is exposed to estrogen and progesterone in which endocrine gland like storage structure?

follicle

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

increasing level of estrogen.

When describing the male reproductive system, which would the nurse include as the structure responsible for secreting testosterone?

leydig cells

In the male, interstitial cell stimulating hormone is released. The nurse identifies this as:

luteinizing hormone.

Regular monthly menstrual cycles cease at the time of:

menopause

After teaching a group of students about the events that occur with fertilization and implantation of an ovum, the instructor determines that the teaching has been effective when the students identify what as an endocrine structure?

placenta

When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?

proliferative

A patient reports menstrual cramps. The nurse understands that this is due to:

prostaglandins

The release of gonadotropin releasing hormone by the hypothalamus signals the onset of:

puberty

The organ that holds a developing fetus is the:

uterus

Which hormone is involved if a couple engages in the rhythm method of birth control?

progesterone

A group of students are reviewing factors that can affect reproductive ability. The students demonstrate a need for additional teaching when they identify what as decreasing reproductivity?

Excessive eating

What factor is necessary for the triggering of menopause? (Select all that apply.) (3)

A decrease in progesterone production A depletion of female ova A decrease in available estrogen

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

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

The production of sperm would be affected if which hormone produced by the anterior pituitary gland was lacking?

FSH

Which hormone is responsible for ovulation?

Luteinizing hormone

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

corpus albicans.