OB Chapter 5
Which of a client's cells are most likely to reproduce by meiosis? Ova Endometrium Breast tissue Cervix
Ova
The nurse is teaching a couple trying to conceive about the changes in the cervical mucus near the time of ovulation. The nurse determines the session is successful when the couple correctly choose mucus in which form as indicating ovulation has occurred? Mucus is not visible at ovulation Scant amount Thin and copious Thick and tacky
Thin and copious
A male client in the hospital receives a visit from his current partner, another male. The client identifies himself as a male and was born with male genitalia. The nurse recognizes that the client could be which of the following sexual orientations? Select all that apply. heterosexual bisexual homosexual transgender
bisexual homosexual
A nurse is preparing a presentation for a group of young adults about the sexual response cycle. Place the events in the sequence that they would occur. Use all options.
desire excitement plateau orgasm resolution
A student nurse is assigned to care for a woman who is being admitted for delivery of her baby. Where would the nurse expect to find the urethral meatus? below the vaginal opening above the clitoris on the true perineum within the vestibule
within the vestibule
A group of nursing students are comparing male and female reproductive organs. The instructor determines the class is successful when the students correctly deduce the male glans penis is complementary to which female structure? labia majora vagina vulva clitoris
clitoris
The nurse is teaching an adolescent client about fertility and the various phases of the menstrual cycle. The client has a 28-day menstrual cycle. Which statement is a priority for the nurse to include in the teaching? "Day 10 is part of the proliferative phase of your menstrual cycle." "Days 1 through 5 are the days you will typically experience menstrual flow." "Days 27 and 28 are when you have declining hormonal secretions." "Day 14 of your menstrual cycle is normally when you will ovulate."
"Day 14 of your menstrual cycle is normally when you will ovulate."
A nurse is providing education to a client with infertility concerns. Which statement by the client indicates appropriate understanding of the Spinnbarkeit Test? "I will need to purchase a microscope and look for a fern-like pattern from a sample of my cervical mucus to indicate when I am ovulating." "At midpoint in my menstrual cycle, I need to come to the clinic for a cervical exam looking for color changes to my cervical mucus." "I will need to purchase an over-the-counter ovulation kit that will tell me when I am currently ovulating." "Halfway in my cycle I will need to check my cervical mucus to see if I can stretch it into long strands, indicating I am close to ovulating.
"Halfway in my cycle I will need to check my cervical mucus to see if I can stretch it into long strands, indicating I am close to ovulating.
A parent is worried about her 14-year-old child's recent interest, and possible participation, in sexual activities. Which response by the nurse is appropriate? "It would be best to monitor all of your child's daily activities in which the child may have unsupervised contact." "How do you know that your child is possibly engaging in sexual activity?" "I can help you and your child develop strategies that will be in the child's best interests." "Your biggest concern at this time should be sexually transmitted infections."
"I can help you and your child develop strategies that will be in the child's best interests."
The nurse is speaking to a client regarding sexual history. The client states, "I was born with a penis but I should have had a vagina." Which question would the nurse ask next? "That is great. Are you considering transitioning?" "How old were you when you decided that this is how you felt?" "Others that I know feel that way. It is not easy." "I understand what you are saying. Tell me how you are feeling."
"I understand what you are saying. Tell me how you are feeling."
The nursing instructor has completed a teaching session on the female reproductive system. The instructor determines more teaching is necessary when a student indicates which action occurs in the menstrual cycle? "In the proliferative phase, the uterine lining begins to regenerate as a result of increased estrogen." "In the ischemic phase, the uterine lining becomes ischemic because of increased estrogen and progesterone." "In the luteal phase, the follicle develops into the corpus luteum." "In the follicular stage, the follicle begins to mature in response to increased estrogen."
"In the ischemic phase, the uterine lining becomes ischemic because of increased estrogen and progesterone."
A 12-year-old girl expresses concern to the nurse because she has not begun her period yet. The nurse notes that the girl has grown 6 inches in the past year and a half and is beginning to develop breast buds. Which response by the nurse is appropriate? "The average age to being you period is 12. I will notify the primary health care provider." "It's difficult to say when you'll get your period but you should not be concerned at this time." "It is normal for females to begin menstruating between the ages of 12 and 15." "You sound concerned about not having your period. Is there a bigger issue bothering you?"
"It is normal for females to begin menstruating between the ages of 12 and 15."
The caregiver of a 10-year-old male client tells the nurse, "He is already showing signs of puberty. He has facial hair and his voice has changed. I want to have his hormone levels tested." Which response by the nurse is appropriate? "I will let the health care provider know you are concerned." "This is normal for his age. Puberty can begin as early as 8 years of age." "I agree. His testosterone levels are probably elevated." "Do you know if his father experienced similar changes early in childhood?"
"This is normal for his age. Puberty can begin as early as 8 years of age."
The nurse educates a client who is confused about her ovarian cycle. Which client statement would best validate her understanding of the education? "When I ovulate, there is a follicle on my uterus that forms showing that an ova was released." "Two hormones control my ovulation, follicle-stimulating hormone (FSH) and luteinizing hormone (LH)." "My menstrual cycles are controlled by progesterone production." "I will ovulate every month on Day 21 of my cycle."
"Two hormones control my ovulation, follicle-stimulating hormone (FSH) and luteinizing hormone (LH)."
A 14-year-old male client voices concern that the testes seem to have enlarged over the past few months and, of most concern, one testicle seems to be larger than the other. How will the nurse respond? "What you are describing is very common but it is important to have the health care provider assess." "If you are not having any discomfort, do not worry. Their size will gradually decrease." "What you are experiencing are normal pubescent physical changes." "To be sure, I think you need to see a specialist as soon as pos
"What you are describing is very common but it is important to have the health care provider assess."
The nurse is educating a female client diagnosed with human papillomavirus (HPV). Which information will the nurse include in the client's education plan? "You will be prescribed an antiviral medication to take that will clear your infection." "During colder weather, you will note more outbreaks than during warmer weather." "Your best option is to surgically remove genital warts to prevent you from spreading the disease." "You should be sure to receive consistent testing for cervical cancer."
"You should be sure to receive consistent testing for cervical cancer."
During a prenatal visit, a pregnant woman tells the nurse, "I have had to buy some new bras because my breasts are getting bigger. I know this is supposed to happen, but what is going on in my body?" Which response by the nurse would be appropriate? "Breast milk is being made already so it will be ready for your newborn." "Your breasts are growing because fatty tissue is replacing the gland tissue." "All the good things in breast milk are collecting in your breasts." "Your hormones are causing the glands in your breasts to grow."
"Your hormones are causing the glands in your breasts to grow."
When a woman is planning pregnancy, what is her window around ovulation to have intercourse? 1 day before ovulation to 3 days after ovulation 1 day before ovulation to 1 day after ovulation 2 days before to 1 day after ovulation 3 days before to 2 days after ovulation
2 days before to 1 day after ovulation
A sex education class is being conducted at a local women's center. The attendees ask the nursing instructor about why they experience sensations of increased warmth during sex and redness of the neck and chest. Which information would the nurse provide to explain this experience? Select all that apply. Vessels in the pelvis are receiving more blood and can cause a warm sensation. Respirations will decrease during sex, which allows the body to warm up faster. The blood pressure will increase, which can cause a feeling of warmth. A person's heart rate increases during sex, making them warmer. The color change is coincidental and not a part of the sexual response.
A person's heart rate increases during sex, making them warmer. The blood pressure will increase, which can cause a feeling of warmth. Vessels in the pelvis are receiving more blood and can cause a warm sensation.
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 identify which information? Progesterone is primarily responsible for the growth of breast tissue. A primary function of the female breast is to produce milk. Striated muscle in the nipples contract, causing them to become erect. The breasts contain a limited supply of blood vessels.
A primary function of the female breast is to produce milk.
The nurse is reviewing hormonal regulation of the female reproductive system with a group of nursing students. A student nurse states, "Progesterone prepares a woman's uterus to receive and welcome a fertilized ovum." Which action will the nurse complete based on the student's response? Ask the student to stay after class to discuss more in-depth. Correct the student's misunderstanding of the hormone's function. Ask the student if she has been pregnant in the past. Applaud the student for understanding the material.
Applaud the student for understanding the material.
The nurse is examining a pregnant female in her third trimester and measuring to determine if fetal growth has increased. Where would the nurse place the measuring tape? At the top of the fundus At the level of the corpus Just below the pubis symphysis At the uterine isthmus
At the top of the fundus
A nurse is conducting an orientation at a health clinic for newly hired nurses comparing normal and abnormal findings from a female physical assessment. The nurse determines the session is successful when they correctly point out which structure's secretions assist with sexual intercourse? labia minora Bartholin glands introitus vestibule
Bartholin glands
In the resolution phase of sexual response, which response would be most commonly noted in the male? Rectal muscles contract Erection is lost Testes are elevated against the perineum Scrotal sac thickens
Erection is lost
The nurse is teaching a group of women about the hormone that makes the ovum within the ovaries mature each month. Which hormone is responsible for stimulating the ovum? Progesterone Luteinizing hormone Follicle-stimulating hormone Estrogen
Follicle-stimulating hormone
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? It produces female gametes or ova and secretes female sex hormones. It is a small erectile structure that responds to sexual stimulation. It receives the fertilized ovum and provides housing and nourishment for a fetus. It receives sperm, provides an exit for menstrual flow, and serves as the birth canal.
It receives the fertilized ovum and provides housing and nourishment for a fetus.
As part of caring for childbearing families, the nurse must be able to educate families regarding which topic? The best hospital for delivery of their babies Knowledge of reproductive anatomy and physiology The cost of obstetrical and neonatal care Proper selection of a physician
Knowledge of reproductive anatomy and physiology
A 15-year-old male client is experiencing nocturnal emissions. What nursing intervention would be appropriate for this client? Ask the parents to consult with a specialist. Tell the client to limit physical activity in the evening. No intervention is necessary as this is a normal phenomenon. Ask the primary care provider to perform a physical examination.
No intervention is necessary as this is a normal phenomenon.
The vagina is at risk for infection because of its location and because it opens to the outside of the body. What is a protective mechanism of the vagina to keep it from becoming infected? It maintains an alkaline pH of 7 to 8, which destroys invading bacteria. Normal vaginal pH is acidic (4 to 5), which protects from infection. Normal vaginal flora act as phagocytes of invading bacteria. It produces its own natural antibiotics.
Normal vaginal pH is acidic (4 to 5), which protects from infection.
The nurse is educating a pregnant woman who is planning to breast feed her newborn about the events associated with it. Which hormone would the nurse explain as being reponsible for the let-down reflex? Oxytocin Testosterone Progesterone Estrogen
Oxytocin
The alkaline fluids secreted by the prostate and Cowper glands serve what functions related to sperm? Select all that apply. Provide nourishment of the sperm Cool the sperm prior to ejaculation Help mature the sperm Protect the sperm from the acidic vaginal environment Enhance sperm motility
Provide nourishment of the sperm Protect the sperm from the acidic vaginal environment Enhance sperm motility
A newly married female is talking to the nurse about her desire to get pregnant soon. Which suggestion would the nurse make to assist this client? If ovulation occurs on Day 14 of her menstrual cycle, she should have intercourse one week later on Day 21. It is recommended to check her mucus and have intercourse when the mucus is opaque and scant. Sexual intercourse should occur between Day 13 and 15 of her menstrual cycle. If she has irregular menstrual cycles, that should not interfere with her conceiving as long as she has intercourse on the same days every month.
Sexual intercourse should occur between Day 13 and 15 of her menstrual cycle.
The school nurse is preparing a teaching session for a group of adolescent girls explaining the menstrual cycle. The nurse determines the session is successful when the young students correctly choose which fact? Total blood loss each month averages 45 to 80 ml of blood. The average menstrual flow lasts 4 to 6 days. Menarche is the start of puberty. The average age for menarche is 11 to 13 years.
The average menstrual flow lasts 4 to 6 days.
A client is attempting to become pregnant and is using varied methods to identify ovulation. What assessment finding would most clearly suggest that the client is ovulating? The client menstruated eight days ago The client has clear, thin cervical mucus The client's progesterone levels are peaking Cervical mucus is absent
The client has clear, thin cervical mucus
A young male client asks the nurse about circumcision, since he was never circumcised as an infant. Which rationale would be appropriate for exploring circumcision in an adult male? The client is experiencing premature ejaculation. The foreskin appears to cover the glans of the penis. The client has experienced recurring infections of the glans. His scrotum appears uneven with one testicle higher than the other.
The client has experienced recurring infections of the glans.
A school nurse is teaching a sex education class for middle school children. When providing education about menstruation, what information should the nurse include? Select all that apply. The hypothalamus, pituitary gland, ovaries, and uterus control menstruation. Menstrual blood loss is typically 100 ml. With the increase of progesterone, menses begins. Women should calculate ovulation on the 14th day of their cycle. Menstruation has four cycles.
The hypothalamus, pituitary gland, ovaries, and uterus control menstruation. Women should calculate ovulation on the 14th day of their cycle.
Which of the following occurs in the male during the resolution phase of the sexual response cycle? The penis becomes erect due to increased pelvic congestion of blood. The male experiences a period during which he is incapable of sexual response. The male orgasm occurs usually with ejaculation of semen from the penis. Involuntary spasmodic contractions occur in the penis.
The male experiences a period during which he is incapable of sexual response.
A client asks the nurse about how the testes function in reproduction. Which is the nurse's best reply? The testes serve as a reservoir for seminal fluid. The hormone estrogen is produced there. The testes provide stimulus for sexual activity. The testes serve as the production center for sperm.
The testes serve as the production center for sperm.
The nurse is explaining about the function of the mons pubis to a client. Which explanation describes the function of the mons pubis? To enhance sexual pleasure To protect the pelvic bones during sexual intercourse To allow for stretching during birth To serve as the receptacle for sperm
To protect the pelvic bones during sexual intercourse
The vagina is a hostile environment for sperm. What characteristic of semen protects sperm from the vaginal environment? acidic fluid presence of testosterone alkaline fluid secretions from seminiferous tubules
alkaline fluid
The nurse at a health fair is teaching about the various changes of puberty. Which sequence of events will be best for the nurse to present when illustrating pubertal changes in females? Appearance of pubic hair, menarche, breast budding menarche, breast budding, appearance of pubic hair appearance of pubic hair, breast budding, menarche breast budding, appearance of pubic hair, menarche
breast budding, appearance of pubic hair, menarche
A nurse is caring for an adolescent girl experiencing menstruation for the first time. What are the changes that occur in the body at this stage that the nurse should share with the adolescent girl? hot flashes urinary incontinence irritability and insomnia breast development
breast development
The nurse cares for multiple female clients. Which client is at the highest risk for developing cervical cancer? client who received the human papillomavirus (HPV) vaccine and has a family history of breast cancer client who smokes 2 packs of cigarettes a day and birthed a newborn at 39 weeks' gestation when 15 years of age client who consumes alcohol 2 to 3 times per week and has an intrauterine device (IUD) client who has been taking oral contraceptives for 2 years and became sexually active at 16 years of age
client who smokes 2 packs of cigarettes a day and birthed a newborn at 39 weeks' gestation when 15 years of age
When developing a program for STI prevention, which action would need to be done first? increasing the availability of resources getting individuals to change their behaviors interfering with the mode of transmission educating on how to promote sexual health
educating on how to promote sexual health
The nurse is teaching a group of college students about the four phases of the sexual response. Which phase will the nurse point out as producing an elevation in heart rate, blood pressure, and respirations? excitement orgasm resolution plateau
excitement
After teaching a health education class on the female reproductive cycle, the nurse determines that the teaching was effective when the group identifies which phase as belonging to the ovarian cycle?
follicular phase
The nurse is reviewing the role of the mammary glands in the reproductive process with a birth class. What should the nurse tell the class is the name of the ducts in the mammary glands that form a small reservoir for milk? lobules lactiferous nipple areola
lactiferous
A 47-year-old woman is being seen at the local clinic reporting irregular menstrual cycles. The nurse would explain to the client that the irregularity is most likely due to: menopause. hormonal fluctuations. pregnancy. an underlying endocrine problem.
menopause.
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 ejaculation psychological release sperm emission
penile vasodilation
The nurse is answering questions from a newborn's parents concerning a circumcision. Which structure will the nurse point out is removed during the procedure? rugae tunica albuginea prepuce corpus spongiosum
prepuce
Male and female reproductive systems are complementary; for example, male testes and female ovaries; male scrotum and female labia majora; and male glans penis and female clitoris. What part of the female system is homologous to the spermatic cord in the male? cardinal ligaments round ligaments uterosacral ligaments broad ligament
round ligaments
After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies which action as the primary function of the ovaries? secreting mucus that supplies lubrication for intercourse secreting estrogen and progesterone implanting a fertilized ovum carrying the ovum to the endometrium
secreting estrogen and progesterone
The nurse is discussing sexual health with high school students, and states that the hypothalamus, pituitary gland, and gonads all contribute to hormonal regulation of the female reproductive system. What would be the best information for the nurse to include in the education session about the main effects of the gonadotropic hormones? stimulation of the formation of ova; stimulation of the secretion of hormones from sex organs; stimulation of the development of secondary female sexual characteristics stimulation of the formation of ova; stimulation of the development of secondary female sexual characteristics; stimulation and functions primarily during pregnancy stimulation of the formation of ova; stimulation of the secretion of hormones from sex organs; stimulation and functions primarily during pregnancy stimulation of the secretion of hormones from sex organs; stimulation of the development of secondary female sexual characteristics; stimulation and functions primarily during pregnancy
stimulation of the formation of ova; stimulation of the secretion of hormones from sex organs; stimulation of the development of secondary female sexual characteristics
The school nurse is teaching a health education class on the male reproductive system. The nurse determines the class is successful when the students correctly point out which structure produces sperm? prostate gland scrotum testes seminal vesicles
testes
In OB class, the nursing instructor is discussing the female reproductive anatomy. In order to understand the anatomy and function of the uterus, the instructor explains that there are four sections in the uterus. Which of the following are sections of the uterus? Select all that apply. fallopian tubes uterine isthmus fundus cervix corpus
uterine isthmus fundus cervix corpus
