Chapter 39

Adrenal gland

A boy is learning about his body. Where would this boy learn that androgens are released into the bloodstream?

Fallopian tube

A group of nursing students are reviewing information about the structure and function of the female reproductive system in preparation for an examination. The students demonstrate understanding when they identify what as an internal structure?

Menarche

A group of students are reviewing information about the menstrual cycle. The students demonstrate understanding when they identify what as the onset of the menstrual cycle?

androgens

After puberty, secondary male sexual characteristics can be maintained by:

Secretion of estrogen and progesterone

After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies what as a primary function of the ovaries?

Progesterone

After teaching a group of students about female reproductive hormones, the instructor determines that the teaching was successful when the students identify which hormone as being primarily responsible for maintaining pregnancy?

14

By about which day in the menstrual cycle does ovulation occur?

Fallopian tube

During anatomy class, the students learn that what structure in the body is a muscular tube with a ciliated lining that is constantly moving?

Follicle-stimulating hormone (FSH) Luteinizing hormone (LH)

Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which hormones? (Select all that apply.)

corpus albicans.

If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the:

15 to 28

In an ideal 28-day menstrual cycle, the secretory phase occurs during which days?

Increased body temperature

In describing the effects of progesterone, which would be appropriate to include?

Sympathetic nervous system

The human sexual response involves the activation of which system?

increasing level of estrogen.

The increase in thickness of the endometrial layer during the first half of the menstrual cycle is controlled by the:

Andropause

The nurse is describing changes in the male that occur with aging and parallel the changes that occur in women. The nurse is describing:

They produce inhibin a substance that in turn affects sperm production

The nurse is discussing infertility issues with a couple. What information should the nurse provide the couple concerning the effect of Sertoli cells of male sperm?

Uterus

The organ that holds a developing fetus is the:

Beginning stimulation of the sympathetic nervous system Leveling off of stimulation Massive sympathetic stimulation Resolution of sympathetic effects

The phases of the human sexual response are listed below. Place them in their proper sequence.

Wider hip structure Pubic and axillary hair Breast development

The pubescent girl exhibits many changes as a result of estrogen production. Her mother asks the nurse what secondary sexual characteristics to look for in her daughter. What is the best information for the nurse to provide to the mother about secondary sexual characteristics? (Select all that apply.)

Stress

What factor might influence the release of the hormones necessary for the human reproductive cycle?

Hormone levels decrease significantly.

What happens with the hormones associated with pregnancy once the fetus and the placenta have been expelled from the uterus?

Breast growth

What would a nurse attribute to estrogen?

Vocal cord thickening Increased hematocrit Facial hair growth

What would a nurse attribute to the effect of testosterone? (Select all that apply.)

Sterility Failure to develop normal male characteristics

What would castration prior to puberty result in? (Select all that apply.)

Leydig cells

Which cells in the testes produce testosterone?

Gonadotropin-releasing hormone (GnRH)

Which hormones are not released during childhood?

An ovum contains one-half of the genetic material to produce a whole cell.

Which statements about the female reproductive system structures is most accurate?

Luteinizing hormone

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

Penile vasodilation

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?

Inability to become pregnant

A nurse caring for a 43-year-old client explains to the client that ovarian functions gradually decrease around this age. What is the implication of decreased ovarian function?

Fallopian tube

When describing the process of fertilization, the nurse would explain that it normally occurs in which structure?

Plateau

When stimulation levels off during the human sexual response, the person is said to be in which of the following phases?

Placenta

After teaching a group of students about the events that occur with fertilization and implantation of an ovum, the instructor determines that the teaching has been effective when the students identify what as an endocrine structure?

Receives the fertilized ovum and provides housing and nourishment for a fetus

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?

Menarche

When the nurse is interviewing an adolescent, the patient states that she experienced her first menstrual cycle at age 11. The nurse documents this as:

May 24.

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:

Excessive eating

A group of students are reviewing factors that can affect reproductive ability. The students demonstrate a need for additional teaching when they identify what as decreasing reproductivity?

A primary function of the female breast is to produce milk.

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 state:

Scrotum

During fetal development, the descent of the testes into what structure helps prevent injury to the sperm-producing cells?

Placenta

During pregnancy, what becomes a massive endocrine gland?

Stimulation

The nurse is discussing the human response to sexual stimulation with a client experiencing an arousal problem. In which phase of sexual response should the client begin to feel the effects of the sympathetic nervous system?