Unit 7
A 29year old client had a papanicolaou smear performed during her most recent visit to her primary care provider. This diagnostic procedure aims to identify
Atypical cervix cellular changes
A female client is scheduled or laparoscopic removal of an ectopic pregnancy. Which assessment finding would indicate the need for the nurse to prepare the client for a laparotomy?
BP 90/50
How long can the sperm live in a women?
1-2days
Spermatogenesis begins at what age?
10 or 11
full maturity of spermatogenesis is complete by when in males?
16
Sperm production requires the temperature to be what compared to body temperature?
2-3*C below
How many chromosomes does a sperm carry?
23
how long are men fertile after a vasectomy?
4-5 weeks
Sex is determined during what week of pregnancy?
7th
How long does it take for sperm to grow and mature?
90days
what is acrosome?
A capsule of enzymes on the anterior portion of the sperm cell to digest enzymes to penetrate the ovum.
which client is at greatest risk for developing balanoposthitis?
A male who has an uncircumcised penis
An adult male reports painful urination, rectal pain, fever/chills, general malaise and myalgia. VS are: T 101.7*, B{ 105/74, HR 98, RR 22. What condition should the health care provider suspect?
Acute bacterial prostatitis
Which client is at highest risk for developing acute bacterial prostatitis?
An older adult male diagnosed with frequent urinary tract infections testing positive for gram-negative rods.
Based on the group that statistically has the greatest risk, the health care provider should assess which ethnic group for prostate cancer?
Black
hypogonadism, ED and DMII are all predictors of what disease?
Cardiac disease
A client complains of not being able to experience satisfactory sexual intercourse. The nurse knows that erectile dysfunction is now recognized as a marker for?
Cardiovascular disease
What condition would the nurse expect a female client with human papillomavirus (HPV) to exhibit?
Cervical intraepithelial neoplasia
Which risk factor is associated with Erectile dysfunction and considered preventable?
Cigarette smoking
A 45 yr old client reports "needing to bear down with urination," frequency, and occasional loss of urine when coughing. Based on Symptoms which diagnosis is most appropriate for this client?
Cyctocele
What is the term for the condition that involves dyspareunia and widespread vaginal burning in the absence of bacterial presence?
Generalized vulvodynia
A client is admitted with secondary orchitis. Which assessment question is most relevant?
Have you every had mumps?
A client presents with priapism. The nurse interviews the client about which potential risk factors?
History of ED, Recent intake of alcohol, hematologic disorders
Select the factor that would increase a male's risk for the development of testicular cancer.
History of cryptorchidism
The nurse in the urology clinic is reviewing the chart of a client with erectile dysfunction. Which factor in the clients history does the nurse recognize is a hormone-based condition that may contribute to erectile dysfunction?
Hypogonadism
A client is admitted with a prolonged and painful erection that has lasted longer than 4 hours. The nurse knows that this is a true urologic emergency, and that the cause is?
Impaired blood flow in the corpora cavernosa of the penis.
A female client with blocked fallopian tubes seeks assistance at a fertility clinic. Which assisted reproductive technology will bring the greatest chance for conception?
In Vitro Fertillization
The health care provider suspects a diagnosis of endometriosis. Which procedure provides a definitive diagnosis?
Laparoscopy
A client reports irregular, very painful bleeding. While taking the history of this postmenopausal client, the health care provider is alert to which high risk factor associated with ovarian cancer?
Never had any children
A 27yr old male developed mumps and was ill for several days. The client suddenly developed a fever and painful enlargement of the testes approximately 4 days after recovering. The nurse should suspect that the client has developed?
Orchitis
The nurse inserts a foley catheter in an uncircumcised male client for the treatment of urinary retention and does not place the foreskin back over the glans penis. Several hours later, the client complains of severe pain at the catheter site and, when assessed, the nurse is unable to retract the foreskin. Which problem does the nurse know has occurred?
Paraphimosis
A nurse who works on a urology-gynecology ward of a hospital is coming on shift and will be caring for a 34yr old women who has been admitted overnight for the treatment of endometriosis. Which interventions should the nurse most realistically anticipate providing over the course of the shift and the next several days?
Providing pain control; preparing the client for a laparoscopic procedure or hysterectomy
For males between 5-10yrs of age, which cause of priapism is most common?
Sickle Cell anemia.
A client is admitted with acute bacterial prostatitis. The inflammation and infection is so severe the client requires hospitalization and catheterization. What type of urinary catheterization would be recommended in this acute phase of the disorder?
Suprapubic catheter
chordee
a downward curvature of the penis
spermatogenesis is controlled by hormones from where?
anterior pituitary
paraphimosis
condition in which a retracted prepuce cannot be pulled forward to cover the glans
What is hypogonadism?
deficient hormone production and secretion causing reduced function of the gonads
what hormone allows for the formation of the urethra, prostate and external genitalia?
dihydrotestosterone (DHT)
Where do sperm mature?
epididymis
what is Cryptorchidism?
failure of testes to descend
what does spermatogenesis do?
generation of sperm
what differences is testosterone needed for?
growth of pubic, chest, and facial hair, changes in larynx, increases the thickness of the skin. increases activity f the sebaceous glands, and increases the occurrence of acne.
Define erectile dysfunction
inability to achieve and maintain an erection
Balanoposthitis
inflammation of the glans and prepuce
balanitis
inflammation of the glans penis
what is hypospadias
opening of the urethra on inferior surface of penis Due to failure of the urethral folds to close
what part of the testes produces the sperm?
seminiferous tubules
A vasectomy is the disconnection of what?
the vas deferens
The nurse on the urology unit teaches the nursing student that which test assists in detecting a recurrence of prostate cancer after prostatectomy?
PSA Level
phimosis
tightening of the prepuce foreskin that prevents retraction over the glans.
mullerian ducts develop into what?
uterus and fallopian tubes
Where are sperm stored?
vas deferens