Elsevier Adaptive Quizzing: Sexuality

Which behavior patterns may be exhibited by teenagers in late adolescence? Select all that apply. One, some, or all responses may be correct. 1. Concealed temper 2. Introspective nature 3. Consistent emotions 4. Feeling of inadequacy 5. Intense daydreaming

Answer: 1. Concealed temper 3. Consistent emotions Rationale: Psychologically, teenagers in their late adolescence exhibit a consistency of emotions and are more likely to conceal their feelings, including anger. An introspective nature and feelings of inadequacy are expressed by teenagers in their middle adolescence. Intense daydreaming is associated with teenagers in their early adolescence.

Which medication may cause Ebstein anomaly as a teratogenic effect and is contraindicated in breast-feeding clients? 1. Lithium 2. Ibuprofen 3. Vitamin A 4. Nitrofurantoin

Answer: 1. Lithium Rationale: Lithium may cause Ebstein anomaly as a teratogenic effect. This medication is also contraindicated in breast-feeding clients. Ibuprofen is a nonsteroidal anti-inflammatory drug that may cause the premature closer of the ductus arteriosus as a teratogenic effect. This medication is safe for breast-feeding clients to use. Vitamin A may cause heart defects as a teratogenic effect. Nitrofurantoin may cause heart defects.

Which hypothalamic hormone would the nurse identify as helping treat postpartum uterine atony and hemorrhage? 1. Oxytocin 2. Indomethacin 3. Dinoprostone 4. Methylergonovine

Answer: 1. Oxytocin Rationale: Oxytocin is a hypothalamic secretory hormone that helps treat postpartum uterine atony and hemorrhage. Indomethacin helps maintain pregnancy in preterm labor. Dinoprostone causes ripening of the cervix during labor. Methylergonovine is an ergot alkaloid that helps treat postpartum uterine atony and hemorrhage.

Which condition contraindicates the use of ginseng herbal therapy? 1. Pregnancy 2 Schizophrenia 3. Bipolar depression 4. Alzheimer disease

Answer: 1. Pregnancy Rationale: Pregnancy is contraindicated for ginseng herbal therapy. Schizophrenia, biplar depression, and Alzheimer disease are contraindicated for St. John's Wort herbal therapy.

The nurse is educating new parents about circumcision. Which structure of the penis would the nurse tell the parents is removed during circumcision? 1. Glans 2. Prepuce 3. Epididymis 4. Vas deferens

Answer: 2. Prepuce Rationale: Circumcision is a procedure that involves removal of the prepuce, a skin fold over the glans. The glans is the tip of the penis. The epididymis is the internal structure that promotes transportation of the sperm. The vas deferens carries the sperm from the epididymis to the ejaculatory duct.

Which term would the nurse use in a report to describe the absence of menstraul periods in a 35-year-old nonpregnant client? 1. Rhinorrhea 2. Menopause 3. Amenorrhea 4. Dyspareunia

Answer: 3. Amenorrhea Rationale: The absence of menstraul periods in a nonpregnant client younger than 55 years old is called amenorrhea. Rhinorrhea is an allergic state that is manifested by a runny nose. Menopause is cessation of menstruation after 55 years of age. Dyspareunia is pain during sexual intercourse.

Which medication is administered to women after delivery to prevent postpartum uterine atony and hemorrhage? 1. Dinoprostone 2. Mifepristone 3. Indomethacin 4. Methylergonovine

Answer: 4. Methylergonovine Rationale: Methylergonovine is given to prevent postpartum uterine atony and hemorrhage but should not be used for the augmentation of labor or during a spontaneous abortion. Dinoprostone is used to terminate a pregnancy. Mifepristone is also used to induce an elective termination of a pregnancy. Indomethacin is used to maintain a pregnancy during preterm labor.

Which is a complication that may develop in the child with hypospadias with chordee? 1. Renal failure 2. Testicular cancer 3. Testicular torsion 4. Sexual difficulties

Answer: 4. Sexual difficulties Rationale: Chordee can affect the child's future reproductive capabilities, which are related to the inability to inseminate directly. Kidney function is not affect by hypospadias with chordee. The incidence of testicular cancer is not increased; nor is the risk for testicular torsion.

Which statement is true regarding varicoceles? 1. Varicoceles are commonly seen in prepubertal children. 2. Varicoceles result in a partial or complete venous occlusion. 3. Varicoceles result in a red, warm, and edematous scrotum. 4. Varicoceles cause an elongation of the veins of the spermatic cord.

Answer: 4. Varicoceles cause an elongation of the veins of the spermatic cord. Rationale: Varicocele is characterized by a dilation and elongation of the veins of the spermatic cord that is presently superior to a testicle. This condition is rarely seen in prepubertal children. Testicular torsion results in partial or complete venous occlusion. In cases of severe torsion, the scrotum becomes red, warm, and edematous.

Which identity may fail to develop if an adolescent lacks physical evidence of maturity? 1. Sexual 2. Group 3. Family 4. Health

Answer: 1. Sexual Rationale: A lack of physical evidence of maturity can predispose the adolescent to a failure to establish a sexual identity. Adolescents depend on these physical clues because they want assurance of maleness or femaleness and do not wish to be different from their peers. In an adolescent who does not hav a feeling of acceptance and belonging, establishment of a group identity may fail to occur. Failure of a family to foster an adolescent's independence yet balance the family structure may hamper the development of family identity. Healthy adolescents evaluate their own health on the basis of feelings of well-being, ability to function normally, and absence of symptoms.

Which medication may cause malformations of the male external genitalia? 1. Etretinate 2. Dutasteride 3. Methimazole 4. Propylthiouracil

Answer: 2. Dutasteride Rationale: Dutasteride is a 5-alpha-reductase inhibitor that causes malformations of external genitalia in males. Etretinate is a vitamin A derivative that may cause multiple central nervous system defects. Methimazole and propylthiouracil are antithyroid medications that may cause goiters and hypothyroidism.

Which over-the-counter medications are used to treat vulvovaginal candidiasis? Select all that apply. One, some, or all responses may be correct. 1. Tinidazole 2. Miconazole 3. Clotrimazole 4. Azithromycin 5. Metronidazole

Answer: 2. Miconazole 3. Clotrimazole Rationale: Miconazole and clotrimazole are standard over-the-counter medications used to treat candidiasis. Tinidazole is used to treat trichomoniasis. Azithromycin is used to treat chlamydia. Metronidazole is used to treat bacterial vaginosis and trichomoniasis.

Which medication is used to prevent preterm labor? 1. Oxytocin 2. Nifedipine 3. Raloxifene 4. Clomiphene

Answer: 2. Nifedipine Rationale: Nifedipine is used to prevent preterm labor because it inhibits myometrial activity by blocking the influx of calcium. Oxytocin may be used to induce labor. Raloxifene is used to prevent postmenopausal osteoporosis. Clomiphene is used to cause ovulation.

Which part of the female reproductive system produces testosterone? 1. Uterus 2. Ovary 3. Fallopian tube 4. Ovarian follicle

Answer: 2. Ovary Rationale: Testosterone is an androgen, and in females, androgens are produced by the ovaries and adrenal glands. The uterus holds the fetus during pregnancy. Fallopian tubes facilitate fertilization of oocyte and sperm. An ovarian follicle is a collection of oocytes in the ovary.

Which medication would the nurse identify as being used both for cervical ripening during labor and as a stomach protectant? 1. Raloxifen 2. Clomiphene 3. Misoprostol 4. Dinoprostone

Answer: 3. Misoprostol Rationale: Misoprostol can be used for cervical ripening and as a stomach protectant. Raloxifene is used to prevent postmenopausal osteoporosis. Clomiphene is used for ovulation. Dinoprostone can be used for cervical ripening, but this medication does not act as a stomach protectant.

Which hormone is crucial in maintaining the implanted ovum at its site? 1. Inhibin 2. Estrogen 3. Progesterone 4. Testosterone

Answer: 3. Progesterone Rationale: Progesterone is necessary to maintain an implanted egg. Inhibin regulates the release of follicle-stimulating hormone and gonadotropin-releasing hormone. Estrogen plays a vital role in the development and maintenance of secondary sexual characteristics. Testosterone is important for bone strength and development of muscle mass.

Which medication would the nurse identify as being used to manage nonmetastatic gestational trophoblastic disease? 1. Oxytocin 2. Mifepristone 3. Dinoprostone 4. Methylergonovine

Answer: 3. Dinoprostone Rationale: Dinoprostone is a synthetic medication dervied from naturally occurring prostaglandins. This medication is used to manage nonmetastatic gestational trophoblastic disease. Methylergonovine is used to treat postpartum hemorrhage. Oxytocin is used for labor induction. Mifepristone is used to induce an abortion.

Which client may have concerns related to sexuality when hospitalized with a chronic illness? 1. An 8 year old 2. A 10 year old 3. A 12 year old 4. An 18 year old

Answer: 4. An 18 year old Rationale: An 18-year-old client is an adolescent, which is the stage of development where concerns about sexuality may occur when the client is hospitalized with a chronic illness. The other clients are not developmentally characterized as adolescents; therefore, the nurse would not anticipate an 8-year-old, 10-year-old, or 12-year-old child to have this concern.

Which term refers to the Cowper gland? 1. Skene gland 2. Prostate gland 3. Bartholin gland 4. Bulbourethral gland

Answer: 4. Bulbourethral gland Rationale: Cowper glands are accessory glands of the male reproductive system; they are also referred to as the bulbourethral glands. Skene glands are a part of the female reproductive system. The prostate gland is also a gland of the male reproductive system. Bartholin glands are part of the female reproductive system

Which are the actions of oxytocin? Select all that apply. One, some, or all responses may be correct. 1. Promotes milk ejection during lactation 2. Controls uterine bleeding after delivery 3. Induces labor when uterine contractions are weak 4. Prevents uterine fibrosis in women of reproductive age 5. Prevents high-risk intrauterine fetal positions before delivery

Answer: 1. Promotes milk ejection during lactation 2. Controls uterine bleeding after delivery 3. Induces labor when uterine contractions are weak Rationale: Oxytocin is a hormone supplement that is indicated for milk ejection during lactation because it promotes the movement of milk from the mammary glands to the nipples. Oxytocin also controls uterine bleeding after delivery. Oxytocin stimulates uterine contraction during childbirth, which induces labor when uterine contractions are weak. Oxytocin is contraindicated in uterine fibrosis. Hormones cannot prevent high-risk intrauterine fetal positions before delivery.

Which hormone may cause vaginal carcinoma in a female child after birth? 1. Estrogen 2. Progesterone 3. Androgens 4. Diethylstilbestrol

Answer: 4. Diethylstilbestrol Rationale: Diethylstilbestrol has a teratogenic effect that may cause vaginal carcinoma in a female child after birth. Progesterone and androgens may cause masculinization of a female fetus. Estrogen may cause congenital defects in the female reproductive system.