411 Chapter 3

A sexually active 14-year-old male presents at the local clinic seeking birth control. What reproductive education would the nurse provide for this client at this time? Select all that apply.

Beginning next year, the client should begin monthly testicular self-examinations. It is normal for the left testicle to hang lower that the one on the right. The sperm are formed and matured within the testes.

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?

a primary function of the female breast is to produce milk

A client is at the clinic for her annual pelvic exam and asks the nurse about ovulation and where the eggs come from. What educational information would the nurse share with this client?

a woman is born with all the ova that she will ever have and they are stored within the ovaries

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?

all the ova a female will ever have are present at birth

A client asks the nurse about cervical mucus changes that occur during the menstrual cycle. Which statement should the nurse expect to include in the client's teaching plan?

as ovulation approaches, cervical mucus us abundant and stretchable

a nurse is providing information regarding ovulation to a couple who want to have a baby. Which should the nurse tell the clients

at ovulation, a mature follicle ruptures, releasing an ovum

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?

breast development

The nurse is educating a pregnant woman regarding expectations immediately after the birth of her baby. What information would the nurse include in the teaching plan regarding colostrum?

colostrum is yellow fluid that precedes breast milk and is healthy for the baby

what is colostrum?

dark yellow fluid that contains more minerals and protein, but less sugar and fat, than mature breast milk.. it is initially produced during pregnancy

role of the nurse when caring for menopausal women

educating and counseling them about the multitude of options available for disease prevention, treatment for menopausal symptoms, and health promotion during this time of change in their lives.

The nurse provides client education regarding the uterine corpus. Which part may fluctuate with changes of hormonal levels in the absence of pregnancy?

endometrium

the __________ is the mucosal layer that lines the uterine cavity in non-pregnant women

endometrium

the _________, which lies against the testes, is a coiled tube almost 20 ft long the collects sperm from the testes and provides the space and environment for sperm to mature

epididymis

the incision made into the perineal tissue to provide more space for the presenting part of the delivering fetus is called an ______________

episiotomy

In the resolution phase of sexual response, which response would be most commonly noted in the male?

erection is lost

A couple comes to the clinic asking questions regarding getting pregnant. The nurse explains that fertilization normally occurs in what structure of the woman's body?

fallopian tube

The mother of a 10-year-old female brings the girl to the clinic for a routine health visit. During the visit, the mother asks the nurse, "I'm wondering, can you tell me when my daughter might have her first period?" When responding to the mother, the nurse would integrate understanding of which factor as being most important in determining the age at which menstruation would

genetics

which hormone is secreted from the hypothalamus in a pulsatile manner throughout the reproductive cycle

gonadotropin-releasing hormone

Gonadotropin-releasing hormone (GnRH)

induced the release of FSH and LH to assist with ovulation

estrogen

inhibits FSH production and stimulates LH production

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of high school students. What would be the best response by a high school student about the function of the vagina?

it receives sperm, provides an exit for menstrual flow, and serves as the birth canal

progesterone

maintains the uterine decimal lining and reduces uterine contractions, allowing pregnancy to be maintained

A nurse is obtaining a health history from a female client who reports that she started menstruating at age 11 years. The nurse would document this as:

menarche, age 11

which client should the nurse assess first

nonpregnant client with a cervical mucous pH level of 3.8--> cervical mucous should be alkaline to protect sperm

A client is trying to have a baby and wants to know the best time to have intercourse to increase the chances of pregnancy. Which time for intercourse is ideal to help her chances of conceiving?

one or two days before ovulation

Ideal to help a woman chance of conceiving

one or two days before ovulation

A nurse is reviewing the medical record of a woman who has given birth vaginally. The record reveals that the client required a right mediolateral episiotomy during birth. When assessing the client, the nurse would inspect which area to evaluate the status of the episiotomy?

perineum

Follicle-stimulating hormone (FSH)

primarily responsible for the maturation of the ovarian follicle

function of the testes

produce sperm and synthesize testosterone, which is the primary male sex hormone

hormone of pregnancy because it reduces uterine contractions during pregnancy

progesterone

______________stimulates the production of milk within a few days after childbirth

prolactin

in the male, the __________ gland lies just under the bladder in the pelvis and surrounds the middle portion of the urethra

prostate

luteinizing hormone (LH)

required for the final maturation of preovulatory follicles and luteinization of the ruptured follicle

the vagina is a tubular, fibromuscular organ lined with mucous membrane that lies in a series of transverse folds called__________________

rugae

the ________ is the thin-skinned sac that surrounds and protects the testes

scrotum

during cold conditions, how does the the body react to maintain scrotal temperature

scrotum is pulled closer to the body

Which statement best expresses the role of the corpus luteum?

secretes progesterone to promote the preparation of the endometrium for implantation

role of the corpus luteum

secretes progesterone to promote the preparation of the endometrium for implantation

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 estrogen and progesterone

A women has been assessing her basal body temperature for 4 months. Upon reviewing her temperature history log, the nurse notes no change in her daily temperatures. Which should the nurse expect the health are provider to order first?

serum progesterone levels

An adult client currently has low levels of estrogen and progesterone. At this point in the menstrual cycle, the client will likely:

shed her uterine lining

glands, located on either side of the female urethral opening, secrete small amount of mucous to keep the opening moist and lubricated for the passage of urine

skene

Which client should the nurse flag for the health care provider to assess first?

the male client with three palpable masses in the testes

A client asks the nurse about how the testes function in reproduction. Which is the nurse's bestreply?

the testes serve as the production center for sperm

function of the bulbourethral, or Cowper, glands?

two small structures about the size of peas, located inferior to the prostate gland. Mucous like fluid is secreted in response to sexual stimulation and lubricates the head of the penis in preparations for sexual intercourse.

in the male, the _________ is the terminal duct of the reproductive and urinary systems, serving as a passageway for semen and urine

urethra

the _________ is a pear shaped muscular organ at the top of the vagina

uterus

A nurse is assessing a 45 year old client. the client asks for information regarding the changes that are most likely to occur with menopause. Which should the nurse tell the client

uterus shrinks and gradually atrophies