NCLEX-PN Reproductive

The nursing student is assigned to care for an adolescent female client in the health care clinic, and the instructor reviews the menstrual cycle with the student. The instructor determines that the student understands the process of the secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) if the student makes which statement?

"FSH and LH are released from the anterior pituitary gland."

A client has been examined in the clinic and has been diagnosed with endometriosis. The client asks the nurse to describe this condition. Which description of endometriosis by the nurse is accurate?

"Endometriosis is the presence of tissue outside the uterus that resembles the endometrium."

The licensed practical nurse (LPN) is assisting a school nurse in conducting a session with female adolescents regarding the menstrual cycle. The LPN tells the adolescents that the normal duration of the menstrual cycle is which?

28 days

A client is seen in the health care clinic with a diagnosis of mild anemia. The anemia is believed to be a result of the menstrual period. The woman asks the nurse how much blood is lost during a menstrual period. Which is a normal amount of blood loss during a menstrual period that the nurse should compare with the client's loss?

40 mL

Which statement made by the nursing student demonstrates an understanding of the hormone oxytocin?

"It causes contractions of the uterus during birth."

A nursing student is asked to describe the corpus of the uterus. Which response by the student indicates an understanding of the anatomy of the uterus?

"It is the uppermost part of the uterus."

The nursing instructor asks the nursing student about the physiology related to the cessation of ovulation that occurs during pregnancy. Which response by the student indicates an understanding of this physiological process?

"Ovulation ceases during pregnancy because the circulating levels of estrogen and progesterone are high."

The nursing student is asked to describe the size of the uterus in a nonpregnant client. Which response by the student indicates an understanding of the anatomy of this structure?

"The uterus weighs about 2 ounces."

The nursing student is asked to describe the size of the uterus in a nonpregnant client. Which response indicates an understanding of the anatomy of this structure?

"The uterus weighs about 2 ounces."

A nursing instructor asks a nursing student to describe Montgomery's tubercles of the breast. Which response by the student indicates an understanding of this anatomical structure?

"These are sebaceous glands that are located in the areola."

The nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student responds correctly by stating that which are functions of amniotic fluid? Select all that apply.

1. Allows for fetal movement 2. Is a measure of kidney function 3. Surrounds, cushions, and protects the fetus 4. Maintains the body temperature of the fetus

The nurse in a women's health clinic is reinforcing instructions to a client that is being treated for pelvic inflammatory disease (PID). Which information would be essential for the nurse to reinforce before discharge? Select all that apply.

1. Get plenty of rest and increase fluid intake. 2. Refrain from sexual activity for 3 weeks. 3. Inform your sexual partner of the need for treatment, even if no symptoms are present.

A client presents to a women's health clinic and would like to begin taking an oral contraceptive pill (OCP). The nurse reviews the client's past medical history and suspects that oral contraceptives may not be the best option for her. Which information in the client's past medical history should trigger the nurse to question oral contraceptives for this client? Select all that apply.

1. Hepatitis 2. Cholecystitis 3. Chronic obstructive pulmonary disorder (COPD)

The nurse is caring for a female 45-year-old client. The client has 3 healthy children, all born via spontaneous vaginal birth. The client has been diagnosed with mild uterine prolapse and asks the nurse what she can do to prevent further prolapse. The nurse should include which instruction in her teaching? Select all that apply

1. Lose weight. 2. Perform Kegel exercises. 3. Eat a diet high in fiber. 4. Take a stool softener daily as needed.

The nurse at an outpatient cardiology clinic is reviewing the medical history of a 48-year-old man during a routine exam. The client is complaining of the inability to maintain an erection and asks the nurse what could be causing it. Which information should the nurse include as possible contributing factors to his erectile dysfunction? Select all that apply.

1. Weight 245 lb 2. Total cholesterol 223 mg/dL 3. Serum creatinine 1.86 mg/dL

The nurse is caring for a client with a possible ectopic pregnancy. The nurse should perform the following actions in which priority order? Arrange the actions in the order they should be performed. All options must be used.

Assess the client for signs of increased pain or vaginal bleeding. Obtain a urine specimen. Prepare the client for ultrasound. Assess the emotional state of the client.

The maternity nursing instructor asks a nursing student to identify the hormones that are produced by the ovaries. Which hormone(s) identified by the student indicates an understanding of the hormones produced by this endocrine gland?

Estrogen and progesterone

A maternity nurse is providing an in-service educational session to nursing students regarding the process of conception. The nurse determines that a nursing student understands this process if the student states that fertilization of a mature ovum occurs in which areas?

In the distal third of the fallopian tube

The nurse is teaching breast self-examination (BSE) to a client who has had a hysterectomy. Which time of the month should the nurse tell the client to perform breast self-examination?

On a specific day of the month and on that same day every month thereafter

The maternity nurse is describing the ovarian cycle to a group of nursing students and asks a nursing student to identify the phases of the cycle. Which phase stated by the nursing student indicates a need for further teaching in this area?

Proliferative phase

An adolescent is admitted to the hospital with complaints of lower right abdominal pain. The health care provider prescribes laboratory tests to rule out ectopic pregnancy rather than appendicitis. Which is most significant in ruling out an ectopic pregnancy?

Serum human chorionic gonadotropin

The nurse is collecting data from a client who is suspected of having mittelschmerz. Which should the nurse expect to note?

Sharp pain located on the right side of the pelvis

The nurse is reviewing the health record of a client who is suspected of having mittelschmerz. Which should the nurse expect to note documented in the client's record?

Sharp pain located on the right side of the pelvis

The nurse is assisting in conducting a teaching session with a group of adolescents. The nurse tells the adolescents that the hormone that induces the growth of pubic and axillary hair at puberty is which?

Testosterone