OB Ch 2

A nurse is planning to teach couples about the physiology of the sex act. What correct information will the nurse provide?

"An ovum must be fertilized within 24 hours of ovulation."

A 12-year-old female pediatric patient experienced menarche 3 months ago. Her mother voices concern to the pediatric office nurse regarding the irregularity of her daughter's menstrual cycle. What is the nurse's best response?

"Early cycles are often irregular."

The nurse is aware that the diagonal conjugate is 12 centimeters. What is the measurement in centimeters of the obstetric conjugate?

10-10.5

A female patient reports her menstrual cycle consistently occurs every 32 days. What day of her cycle can the woman anticipate ovulation?

18

How long does sperm remain viable in the female reproductive tract?

4 days

What will the nurse explain to a 12-year-old patient when describing what characterizes nocturnal emissions?

Absence of sperm in ejaculate

Which hormone initiates the maturation of the ovarian follicle?

Follicle-stimulating hormone

In males the follicle-stimulating hormone (FSH) and the luteinizing hormone (LH) from the anterior pituitary stimulate testosterone production in the ________ cells of the testes.

Leydig

A group of nursing students plans to teach a class of sixth-grade girls about menstruation. What correct information will the nursing students teach to the class?

Menarche usually occurs around 12 years of age.

A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. What would be an important point to teach this mother?

Milk is produced in ducts and lobules regardless of breast size.

A mother asks the nurse, "When will I know my child has entered puberty?" What will the nurse state based on an understanding of changes associated with puberty?

Secondary sex characteristics, such as pubic hair, appear."

The nurse uses a diagram to demonstrate the fimbriae when teaching nursing students about the female anatomy. What is true about fimbriae?

They are fingerlike projections that "capture" the ovum.

What statement indicates a woman has correct information about oogenesis?

Women have all of their ova at the time they are born.

A newly married couple tells the nurse they would like to wait a few years before starting a family. Which statement made by the man indicates an understanding about sexual activity and pregnancy?

a man can secrete semen before ejaculation

A patient is being seen by her health care provider for a suspected vaginal infection. What will the nurse include when educating this patient on factors that affect the vaginal pH? (Select all that apply.)

a. Antibiotic therapy b. Frequent douching e. Use of vaginal sprays

The nurse conducting a sex education class for junior high students describes some cultural rites celebrating the entry to adulthood. What information would the nurse include? (Select all that apply.)

a. Bar mitzvah b. Displays of bravery d. Ritual circumcision e. Displays of self-defense

The nurse is reading a pregnant patient's history and physical. What information does the nurse recognize might indicate the need for a cesarean delivery? (Select all that apply.)

a. History of childhood rickets b. Immobile coccyx e. Pelvic fracture 3 years ago

The nurse outlines the phases of the sexual response. Arrange the phases in order of occurrence. Put a comma and space between each answer choice (a, b, c, d, etc.)

a. Nipples become erect. e. skin flushes b. Involuntary muscle spasms occur. c. Engorgement resolves. d. Heart rate slows.

What are considered to be functions of the fallopian tubes? (Select all that apply.)

a. Passage for sperm to meet ova b. Passage for ovum to uterus c. Safe environment for zygote e. Site for fertilization

The nurse explains that testosterone is responsible for males exceeding females in which aspects? (Select all that apply.)

a. Strength b. Height d. Hematocrit levels

The nurse is providing an inservice to students beginning their obstetric clinical rotation. Using a diagram, the nurse points out parts of the female pelvis. What will the nurse include? (Select all that apply.)

a. Two innominates c. Sacrum e. Coccyx

The nurse is educating a pregnant patient who expects to breastfeed. The nurse knows that when a patient breastfeeds, which portions of the breast secrete milk?

alveoli

When the nurse reads in the history and physical of a pregnant patient that she has a platypelloid pelvis, the nurse is aware that this pelvis has a narrow _____________ diameter, making a vaginal birth unlikely.

anteroposterior

A 10-year-old girl asks the nurse, "What is the first sign of puberty?" What is the correct nursing response?

breast development

The ___________ is a period of years during which the woman's ability to reproduce gradually declines.

climacteric

Where are the secretions responsible for nourishing sperm excreted from?

cowper's gland

When describing the female reproductive tract to a pregnant woman, the nurse would explain that which uterine layer is involved in implantation?

endometrium

A pregnant woman asks the nurse, "Will I be able to have a vaginal delivery?" The nurse knows that which is the most favorable pelvic type for vaginal birth?

gynecoid

The nurse has explained menstruation to a 13-year-old girl. What statement indicates the girl needs additional education?

i should expect heavy bleeding with clots

A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone?

increase in muscle mass and strength

The nurse encourages the members of a prenatal class to seriously consider breastfeeding. What does breast milk provide in addition to nourishment for the infant?

maternal antibodies

What signifies the end of puberty for a male?

mature sperm are formed

The nurse is assisting with pelvic inlet measurements on a pregnant woman. What measurement will provide the nurse with information about whether the woman can deliver vaginally?

obstetric conjugate

Where the labia majora and the labia minora meet is known as the fourchette or ___________________ __________.

obstetrical perineum

For what is the decrease in estrogen and progesterone during the menstrual cycle responsible?

shedding of the endometrium

The nurse is educating high school students about puberty. What will the nurse indicate regulates the production of sperm and secretion hormones?

testes

The nurse is speaking with a couple trying to conceive a child. What will the nurse remind the couple is a factor that can decrease sperm production?

the testes being too warm