Chapter 3: Anatomy and Physiology of the Reproductive System

A nurse is examining a female client and tests the clients vaginal pH. Which finding would the nurse interpret as normal?

4.5

The nurse is reviewing the process of egg maturation and ovulation with a client. What occurs during ovulation in the ovarian cycle that the nurse should include in the teaching session with the client?

About day 14, a surge of hormones cause the ovum to burst through the ovary.

A nurse is describing the structure and function of the reproductive system to an adolescent health class. How would the nurse describe the secretion of the seminal vesicles?

Alkaline

A nurse is teaching a group of female adolescents and young adult females about the female sexual response. The nurse determines that the teaching was successful when the group identifies which structure as being most erotically sensitive?

Clitoris

A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects that the client has an infection. When gathering additional information, which of the following would the nurse be least likely to identify as placing the client as risk for an infection?

Last menstrual period about 5 days ago

When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?

Proliferative

A woman comes to the clinic complaining that she has little sexual desire. As parts of the clients evaluation, the nurse would anticipate the need to evaluate which hormone level?

Testosterone

Which female reproductive tract structure would the nurse describe to a group of young women as containing rug that enable it to dilate during labor and birth?

Vagina

A nursing instructor is describing the hormones involved in the menstrual cycle to a group of nursing students. The instructor determines the teaching was successful when the students identify follicle-stimulating hormone as being secreted by which of the following?

Anterior pituitary gland

The nurse is assessing a 13-year-old girl who has had her first menses. Which of the following events would the nurse expect to have occurred first?

Development of breast buds

A nurse is asked to be a guest speaker for a parents' meeting at the local middle school. Part of the presentation is to focus on the events girls will experience when going through puberty. Place the events in the order that the nurse would address them, from first to last. Use all options.

Development of the breast Appearance of pubic hair Appearance of axillary hair Growth spurt Menstruation

After teaching a group of students about female reproductive anatomy, the instructor determines that the teaching was successful when the students identify which of the following as the site of fertilization?

Fallopian tubes

When describing the ovarian cycle to a group of students, which phase would the instructor include?

Luteal phase

The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation?

Luteinizing hormone

When describing the hormones involved in the menstrual cycle, a nurse identifies which hormone as responsible for initiating the cycle?

Luteinizing hormone

A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the client's next menses to begin on

May 24

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman first

Menstrual period

When teaching a group of female adolescents about reproduction and reproductive organs, the nurse describes the vulva. Which structure(s) would the nurse identify as being included? Select all that apply.

Mons pubis Labia Clitoris

A nurse is conducting a class for a group of teenage girls about female reproductive anatomy and physiology. Which of the following would the nurse include as an external female reproductive organ? Select all that apply.

Mons pubis, Labia, Clitoris

When describing the male sexual response to a group of students, the instructor determines that the teaching was successful when they identify emission as which of the following?

Movement of sperm from the testes and fluid into the urethras

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

A nurse is conducting a health class about the reproductive system for a group of high school students. The nurse determines that the teaching was successful when the students identify which structure(s) as part of the external male reproductive system? Select all that apply.

Penis Scrotum

A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. I've also been waking up at night feeling really hot and sweating. The nurse interprets these findings as which of the following?

Perimenopause

After teaching a group of pregnant women about breastfeeding, the nurse determines that the teaching was successful when the group identifies which hormone as being inhibited during pregnancy but is important for the production of breast milk after birth?

Prolactin

A nurse is assessing a 49-year-old client who has come to the clinic for her annual physical exam. The client tells the nurse, "I usually sleep about 8 hours a night without any problems but there are some nights where I wake up drenched in perspiration. And some days I feel on edge for no apparent reason." Additional assessment reveals use of a vaginal lubricant during sexual intercourse. The client also reports occasional flatus without constipation or bloating and continuation of her menstrual cycle every 32 days with a moderate flow. The nurse suspects that the client may be perimenopausal based on which finding(s)? Select all that apply.

Reports of night sweats Unexplained irritabilty Use of vaginal lubrication

The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate that the teaching was successful?

Testes

The nurse is reviewing the process of oocyte maturation and ovulation with a client. What occurs during the follicular phase of the ovarian cycle that the nurse should include in the teaching session?

Under the influence of follicle-stimulating hormone, several follicles begin to ripen, and the ovum with each begins to mature.

The nurse is creating a diagram that illustrates the components of the male reproductive system. Which structure would be inappropriate for the nurse to include as an accessory gland?

Vas deferens

A group of nursing students are reviewing information about the male reproductive structures. The students demonstrate understanding of the information when they identify which of the following as accessory organs? Select all that apply.

Vas deferens, Bulbourethral glands, Prostate gland

A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality. When talking about the role of hormones in sexual development, which hormone does the nurse teach the class is the most important for developing and maintaining the female reproductive organs?

estrogen

A woman is diagnosed with a vaginal infection. After teaching the client about measures to reduce her risk, the nurse determines that the client needs additional teaching when she states which factor as increasing her risk?

menstruation

After explaining the function of the seminal vesicles to a class, the instructor determines the need for additional teaching when the students identify which action as a function of the seminal vesicles?

reduces sperm motility

A nurse is completing a continuing education program about the male and female reproductive organs. After reviewing the information, the nurse demonstrates understanding of the information by identifying which structures as male accessory organs? Select all that apply.

vas deferens bulbourethral glands prostate gland