Unit 3 Chapter 52-Reproductive System

The nurse is assisting a 30-year-old client in scheduling an appointment for a cervical biopsy. The nurse would recommend that the client schedule the testing at which time? A) 1 week after completion of the client's menstrual cycle B) 2 weeks before the onset of the client's menstrual cycle C) 3 weeks after the onset of the client's menstrual cycle D) 2 weeks after the cessation of the client's menstrual cycle

A) 1 week after completion of the client's menstrual cycle

The nurse is caring for a client scheduled for a transrectal ultrasonography. Which instruction is essential in obtaining an accurate test? A) Administer an enema prior to arrival. B) Administer a low-dose sedative prior to arrival. C) Avoids fluids after midnight. D) Empty the bladder prior to the exam.

A) Administer an enema prior to arrival.

Which of the following would be most important for the nurse to include to ensure a thorough baseline history related to the reproductive system? A) Age of menarche B) Nutritional history C) Exercise and fitness routine D) Cultural history

A) Age of menarche

Which of the following would the nurse expect to be done to assess the size of the prostate? A) Digital rectal examination B) Transillumination C) Pelvic examination D) Bladder percussion

A) Digital rectal examination

The physician and nurse are completing a physical examination of the male genitalia. Which assessment findings are documented? Select all that apply. A) Inspection for urethral drainage B) Cultures C) Digital rectal examination D) Transillumination E) Palpation of the testes F) Prostate-specific antigen level

A) Inspection for urethral drainage C) Digital rectal examination D) Transillumination E) Palpation of the testes

The expert nurse is assisting a novice nurse insert a Foley catheter. The novice nurse has tried unsuccessfully to insert the catheter, and the expert nurse is providing verbal guidance while spreading which area to reveal the urethral opening? A) Labia majora and minora B) Meatus C) Clitoris D) Fourchette

A) Labia majora and minora

The nurse is preparing the female client for a pelvic examination. In which position will the nurse assist the client? A) Lithotomy position B) Supine position C) Trendelenburg's position D) Lateral recumbent

A) Lithotomy position

When instructing clients at a prenatal class, the nurse is most correct to state which medical name as being removed during circumcision? A) The prepuce B) The glans C) The shaft D) The corpora cavernosa

A) The prepuce

The nurse is providing teaching to a client who is scheduled for a mammogram. Which of the following would the nurse include as a way to avoid artifacts on the x-ray film? A) "Don't wear any jewelry around your neck on the day of the test." B) "Avoid using a deodorant with aluminum hydroxide." C) "Make sure not to eat or drink for 4 hours before the test." D) "Drink at least 1 quart of water 45 minutes to 1 hour before the test."

B) "Avoid using a deodorant with aluminum hydroxide."

The nurse is completing community education when asked by a client without health insurance why a mammogram is needed if the women are completing breast self-examinations at home. The nurse is most correct to respond stating which of the following? A) "Mammograms are just better." B) "Mammograms can detect cysts or tumors too small to palpate." C) "Mammograms provide a baseline that shows changes in breast tissue." D) "Mammograms provide a reassurance that the breast is free of cancer."

B) "Mammograms can detect cysts or tumors too small to palpate."

The nurse is obtaining a health history from a 58-year-old client stating that he is having difficulty obtaining an erection during sexual activity. The client asks how an "erectile medication" works and if there are any side effects to the medication. The nurse explains the action of the medication and directions for use and warns of which side effect related to the client's history? A) Asthma with beta-adrenergic inhaler use B) Angina with nitrate use C) Chronic pain with narcotic use D) Arthritis with corticosteroid use

B) Angina with nitrate use

The nurse is obtaining a history from a male client who states having difficulty achieving and sustaining an erection. When reviewing the medication history, which medication classification does the nurse anticipate? A) Bronchodilators B) Antihypertensives C) Cardiac dysrhythmics D) Antibiotics

B) Antihypertensives

A client presents with symptoms of menstrual difficulties and infertility. Which hormone is essential in the maintenance of the endometrium? A) Estrogen B) Progesterone C) Testosterone D) Prolactin

B) Progesterone

A nurse is employed by a fertility clinic. Diagnostic testing is being completed to determine the source of the male not producing viable sperm to enable ovum fertilization. Which male structures does the nurse consider if the problem is narrowed to sperm survivability? A) Bartholin glands B) Prostate gland C) Cowper's glands D) Vas deferens

B) Prostate gland

During a physical examination, the nurse inspects the eternal genitalia of a male client. Which of the following would the nurse identify as an abnormality? A) Absence of urethral discharge B) Skin lesions C) Prepuce covering the glans penis D) Slightly pendulous scrotum

B) Skin lesions

A nurse is caring for a client following a culdoscopy. Which assessment data would the licensed practical nurse report to the registered nurse? A) Pain level of 7 on the 0-to-10 pain scale B) Skin, cold; pulse, 110 beat/minute; blood pressure, 104/64 mm Hg C) Dark drainage noted on surgical pad D) Fleshy smell noted to perineal region

B) Skin, cold; pulse, 110 beat/minute; blood pressure, 104/64 mm Hg

An instructor is preparing a teaching plan for a group of students about reproductive structures and sexual arousal. Which female reproductive structure would the instructor include? A) The mons pubis B) The clitoris C) Labia minora D) Labia majora

B) The clitoris

The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated. The client asks, "Which diagnostic test produces definitive results if cancer is present?" The nurse is most correct to state which of the following? A) Transrectal ultrasonography B) Tissue biopsy C) Tumor marker studies D) Digital rectal exam

B) Tissue biopsy

The nurse is instructing a couple in the early stages of infertility testing who has just found that the male has a slightly low sperm count. Which easy change can a nurse suggest to a male client? A) Avoid riding on motorcycles. B) Wear loose fitting underwear instead of tight ones. C) Take a general multivitamin. D) Increase sexual intercourse to every day.

B) Wear loose fitting underwear instead of tight ones.

Which of the following client statements indicates successful teaching of a client who is scheduled to have a Pap test? A) "I'll schedule the test for the time when I have my next menstrual period." B) "I need to refrain from sexual intercourse for at least 1 week before the test." C) "I will stop using any vaginal medications at least 48 hours before the test." D) "I need to use a vinegar and water douche the morning of the test."

C) "I will stop using any vaginal medications at least 48 hours before the test."

The nurse is obtaining a health history at the client's annual gynecologic exam. Which of the following statements regarding a Papanicolaou test (Pap test) for cancer screening would delay the exam? A) "I had sexual intercourse several days ago." B) "I voided before entering the exam room." C) "My menstrual period began yesterday." D) "I use no vaginal sprays or creams."

C) "My menstrual period began yesterday."

A 52-year-old client asks the nurse how she is to remember when to schedule her clinical breast examination. Which response by the nurse is most correct? A) "The office staff can schedule your clinical breast examination twice a year." B) "The diagnostic center will send you a reminder card to complete the annual examination." C) "The clinical breast evaluation will be completed with annual gynecologic examination." D) "You can complete the examination at home and report if you found anything abnormal."

C) "The clinical breast evaluation will be completed with annual gynecologic examination."

Which of the following instructions would be appropriate to include when preparing a woman for an abdominal ultrasound? A) Restrict solid food intake for 2 hours before the test. B) Refrain from douching for at least 1 week before the test. C) Drink at least 1 quart of water an hour before the test. D) Empty the bladder immediately before the test.

C) Drink at least 1 quart of water an hour before the test.

The nurse is describing various terms related to the male reproductive system. Which term would the nurse use to describe the discharge of semen from the penis? A) Erection B) Emission C) Ejaculation D) Engorgement

C) Ejaculation

The client is asking the nurse to explain the typical treatment expected when a class 4 Papanicolaou test is reported. The nurse is most correct to state which of the following? A) No further treatment is considered. B) The test will need repeated in 3 months. C) Further evaluation is needed for potential malignancy. D) Chemotherapy is needed and radiation is suggested.

C) Further evaluation is needed for potential malignancy.

The nurse is relating health education to male students when asked where sperm is actually made. Which location is most correct? A) In the male reproductive system B) Sperm are present from birth. C) In the testes within the scrotum D) In the seminiferous tubules

C) In the testes within the scrotum

What information would the nurse give the client when the client inquires what makes breast milk production? A) Estrogen B) Progesterone C) Prolactin D) Testosterone

C) Prolactin

The nurse is caring for a client who states having an irregular menstrual period. Which diagnostic test provides information of the body's ability to ovulate? A) Thyroid level B) Serum luteinizing hormone C) Serum follicle-stimulating hormone D) Estrogen level

C) Serum follicle-stimulating hormone

A mother of an adolescent female is asking the nurse for guidelines of when her daughter should have her first Papanicolaou test (Pap test) and then the subsequent frequency. The nurse is most correct to state which? A) The first Pap test should be at age 16 years and then annually thereafter. B) The first Pap test should be no later than 18 years of age and then every other year afterward. C) The first Pap test should be no later than age 21 years and then every 3 to 5 years afterward. D) The first Pap test should be within the first year of menstruation and annually afterward.

C) The first Pap test should be no later than age 21 years and then every 3 to 5 years afterward.

The nurse is outlining the female internal reproductive structures on a diagram. Where on the diagram would the nurse highlight the typical site of ovum fertilization? A) The nurse would highlight the uterus. B) The nurse would highlight the cervix. C) The nurse would highlight the fallopian tube. D) The nurse would highlight the ovaries.

C) The nurse would highlight the fallopian tube.

The nurse is conducting a health history when the client states that her last menstrual period was 6 months ago. Upon further questioning, the client also states that symptoms of hot flashes and mood fluctuations. Which question should the nurse ask next? A) "Do you feel like hurting yourself?" B) "Are you finished having children?" C) "When was your first menstrual period?" D) "Are you taking any hormone replacement therapy?"

D) "Are you taking any hormone replacement therapy?"

A nurse is caring for a client who is being evaluated for a lump found on the lateral aspect of the right breast. The client is anxious and asks the nurse if the next step is to have a mastectomy. Which is the nurse's best response? A) "Yes, breast lumps are abnormal and will need to be removed." B) "The doctor will need a biopsy first to see if the lump is cancerous." C) "The doctor will answer your questions when he or she arrives." D) "Many times, an ultrasound is done to distinguish between a tumor and cyst."

D) "Many times, an ultrasound is done to distinguish between a tumor and cyst."

Which nursing question is essential when caring for a client prior to a pelvic examination? A) "Are you sexually active?" B) "Do you have any sexually transmitted diseases?" C) "Would you like to have assistance to get in position for the exam?" D) "Would you like to void at this time?"

D) "Would you like to void at this time?"

A group of students are reviewing information related to the male reproductive system structures. The students demonstrate understanding of the information when they identify which structure as an accessory organ? A) Vas deferens B) Epididymis C) Scrotum D) Seminal vesicles

D) Seminal vesicles