Karch Chapter 39: Introduction to the Reproductive System Prep U
By about which day in the menstrual cycle does ovulation occur? a) 21 b) 28 c) 5 d) 14
14
In an ideal 28-day menstrual cycle, the secretory phase occurs during which of the following days? a) 8 to 14 b) 15 to 28 c) 1 to 7 d) 1 to 14
15 to 28
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? a) Irritability and insomnia b) Hot flashes c) Urinary incontinence d) Breast development
Breast development
Which phase of the human sexual response results from massive sympathetic stimulation? a) Stimulation b) Plateau c) Resolution d) Climax
Climax
The layer of the uterus that is influenced by hormone changes in preparation for possible conception and pregnancy is: a) Fundus b) Myometrium c) Endometrium d) Perimetrium
Endometrium
Which hormone would be initially responsible for hormone secretion from the ovaries and testes? a) Luteinizing hormone b) Interstitial cell-stimulating hormone c) Gonadotropin-releasing hormone d) Follicle-stimulating hormone
Gonadotropin-releasing hormone
Which of the following hormones are not released during childhood? a) Parathyroid b) Growth hormone (GH) c) Thyroid d) Gonadotropin-releasing hormone (GnRH)
Gonadotropin-releasing hormone (GnRH)
When stimulation levels off during the human sexual response, the person is said to be in which of the following phases? a) Plateau b) Climax c) Stimulation d) Resolution
Plateau
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? a) Estrogen b) Progesterone c) Follicle-stimulating hormone d) Luteinizing hormone
Progesterone
During fetal development, the descent of the testes into what structure helps prevent injury to the sperm-producing cells? a) Urethra b) Scrotum c) Epididymis d) Vas deferens
Scrotum
When describing the human sexual response cycle, which of the following would a nurse include as occurring first? a) Stimulation b) Recovery c) Plateau d) Climax
Stimulation
Hormonal regulation of reproductive functions in both the male and the female are complicated processes. In the male where are the male sex hormones produced? a) Bulbourethral glands b) Testes c) Cowper's glands d) Seminal vesicles
Testes
If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the a) corpus albicans. b) menarche. c) Graafian follicle. d) maturing follicle.
corpus albican
The main male sex hormone is: a) testosterone b) estrogen c) follicle-stimulating hormone (FSH) d) aldosterone
testosterone
Secondary male sexual characteristics can be maintained by which of the following after puberty? a) Estrogens b) Follicle-stimulating hormone c) Androgens d) Luteinizing hormone
Androgens
The nurse is reviewing the structure and function of various organs in the female reproductive system. Which information should the nurse include about the ovum in the review with the client? a) Ovum is smaller than the sperm cell b) Consists of protoplasm enclosed within a three-layered cell wall c) Contains a small nucleus, within which is a nucleolus called the germinal spot d) All the ova a female will ever have are present at birth
All the ova a female will ever have are present at birth
Secondary male sexual characteristics can be maintained by which of the following after puberty? a) Follicle-stimulating hormone b) Luteinizing hormone c) Estrogens d) Androgens
Androgens
The nurse is describing changes in the male that occur with aging and parallel the changes that occur in women. The nurse is describing which of the following? a) Andropause b) Menarche c) Menopause d) Androgen
Andropause
Which of the following would a nurse attribute to estrogen? a) Thickened cervical mucus b) Increased appetite c) Increased body temperature d) Breast growth
Breast growth
During pregnancy, which of the following becomes a massive endocrine gland? a) Placenta b) Umbilical cord c) Uterus d) Embryo
Placenta
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 to the nurse that the teaching was successful? a) Testes b) Prostate gland c) Seminal vesicles d) Scrotum
Testes
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. a) Spinal curvature b) Breast development c) Pubic and axillary hair d) Wider hip structure e) Lower percentage of body fat tissue
• Breast development • Pubic and axillary hair • Wider hip structure
Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which of the following hormones? (Select all that apply.) a) Estrogen b) Progesterone c) Luteinizing hormone (LH) d) Testosterone e) Follicle-stimulating hormone (FSH)
• Luteinizing hormone (LH) • Follicle-stimulating hormone (FSH)
Castration prior to puberty results in which of the following? (Select all that apply.) a) Viable sperm production b) Increased testosterone production c) Sterility d) Failure to develop normal male characteristics e) All the above
• Sterility • Failure to develop normal male characteristics
Which of the following would a nurse attribute to the effect of testosterone? (Select all that apply.) a) Increased skin elasticity b) Increased hematocrit c) Facial hair growth d) Vocal cord thickening e) Increased high-density lipoprotein levels
• Vocal cord thickening • Increased hematocrit • Facial hair growth