Ch. 3 Prep U's [For Exam 1]
The mother of a 9-year-old girl is concerned because her daughter has already begun menstruating. The daughter is of normal height for her age and weighs 150 lbs (68 kg). The mother is concerned that this is not normal and asks about the factors that could be involved. Which response by the nurse would be best?
"It has become more common for girls to start their periods as early as 9; her weight may be a contributing factor."
A woman experiencing menopausal symptoms asks the nurse about herbal remedies for managing her symptoms. Which response by the nurse would be most appropriate?
"Most of the information about herbal therapies is based on reports by those who have used them, not scientific studies."
A client asks the nurse questions about female hygiene and wants to know if she should douche to clean her vagina. Which response by the nurse would be most appropriate?
"You do not need to douche; the vagina is self-cleaning."
It is important that couples who wish to practice natural forms of birth control understand that the mucus-secreting glands of the cervix can store live sperm for up to:
48 hours
b. If she ovulated on Saturday around 11 a.m., the egg could be fertilized any time before about 11 a.m. on Sunday.
A client who is trying not to get pregnant calls the nurse on Saturday at 11 a.m. reporting that she had unprotected sex on Thursday at 10 p.m.. She believes she has just ovulated and wants to verify that she has no risk of pregnancy. What can the nurse tell her? a. Because she did not ovulate before the unprotected coitus, she will not get pregnant. b. If she ovulated on Saturday around 11 a.m., the egg could be fertilized any time before about 11 a.m. on Sunday. c. If she ovulated on Saturday around 11 a.m., the egg could be fertilized any time before about 10 p.m. on Sunday. d. If she ovulated on Saturday around 11 a.m., the egg could be fertilized any time before about 11 a.m. on Monday.
Which client should the nurse assess first? - A 6-month postbirth client whose cervix os has a transverse slit - A nonpregnant client with a cervical mucus pH level of 3.8 - A nonpregnant client with a vaginal mucus pH level of 4.5 - A 1-day postbirth client with dark, yellow nipple secretions
A nonpregnant client with a cervical mucus pH level of 3.8
The vagina is a hostile environment for sperm. What characteristic of semen protects sperm from the vaginal environment?
Alkaline fluid
A nurse is conducting an orientation at a health clinic for newly hired nurses comparing normal and abnormal assessment findings on a female physical assessment. The nurse determines the session is successful when they correctly point out which structure's secretions assist with sexual intercourse?
Bartholin's glands
The nurse is assessing a female client who is having difficulty experiencing an orgasm. Which action should the nurse point out as necessary for an orgasm in females?
Clitoral stimulation
It is important that a nurse recognizes there are cultural differences that will have an influence on the care of the client. Some cultures practice female circumcision, which involves the removal of the:
Clitoris
A group of nursing students are preparing a presentation for a health fair illustrating what happens to the body during pregnancy. Which structure will the students point out is influenced the most by hormones to prepare for conception?
Endometrium
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 seminiferous tubules are tiny coils of tissue where spermatogenesis occurs. Where do the sperm mature?
Epididymis
The nurse is teaching a group of college students about the four phases of the sexual response. Which phase will the nurse point out as producing an elevation in heart rate, blood pressure, and respirations?
Excitement
Which hormone would the nurse explain as being primarily responsible for maturation of the ovarian follicle?
Follicle-stimulating hormone (FSH)
A nurse is conducting an in-service education program about the female reproductive cycle for a group of nurses working at a women's health clinic. When describing the phases of the endometrial cycle, the nurse would explain that the proliferative phase of the endometrial cycle corresponds to which phase in the ovarian cycle?
Follicular
The nurse, while teaching a group of pregnant woman about the production of breast milk, describes colostrum and compares it with mature breast milk. Which information about colostrum would the nurse include in the description?
High maternal antibody content
The nurse, while teaching a group of pregnant women about the production of breast milk, describes colostrum and compares it with mature breast milk. Which characteristic would the nurse identify as associated with colostrum?
High mineral content
A nurse is putting together educational material for clients who desire to learn about how to get pregnant. Part of this information will explain that fertilization occurs:
In the fallopian tubes.
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?
Inability to become pregnant
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.
A nurse is teaching a group of adolescent girls about the menstrual cycle. The nurse would integrate information about which hormones as being predominant during the cycle? Select all that apply.
LH FSH GnRH
Which statement should be incorporated into the teaching plan developed to present instruction about the female menstrual cycle to nursing students?
Menses ensues when the levels of estrogen and progesterone fall.
The nurse is answering questions from a newborn's parents concerning a circumcision. Which structure will the nurse point out is removed during the procedure?
Prepuce
A nurse is teaching a group of women at the local health clinic about reproduction. After describing the various internal structures involved, the nurse determines that the teaching was successful when the group identifies which structure as connecting the external structures with the cervix?
Progesterone
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 woman 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 care provider to prescribe first?
Serum progesterone level
A nurse is assisting with the pelvic examination of a female client. The client has given birth to two living children, ages 5 and 2 years. The nurse would expect the client's cervical os to appear as which shape on examination?
Slit-like
Hormonal regulation of reproductive functions in both the male and the female are complicated processes. In the male, where are the sex hormones produced?
Testes
The school nurse is teaching a health education class on the male reproductive system. The nurse determines the class is successful when the students correctly point out which structure produces sperm?
Testes
An instructor is preparing a teaching plan for a group of students about reproductive structures and sexual arousal. Which female reproductive structure would the instructor include?
The clitoris
Which statement best expresses the role of the corpus luteum?
The corpus luteum secretes progesterone to promote the preparation of the endometrium for implantation.
The nursing instructor is teaching a group of nursing students about the menstrual cycle. The instructor determines the session is successful when the students correctly choose which action as responsible for the increased thickness of the endometrium?
The increasing level of estrogen
The nurse is teaching a couple trying to conceive about the changes in the cervical mucus near the time of ovulation. The nurse determines the session is successful when the couple correctly choose mucus in which form as indicating ovulation has occurred?
Thin and copious
There are two major functions of the reproductive system, continuation of the species and sexual pleasure. In the male, the reproductive system has a third function. What is this third function?
Urinary elimination
The nurse is creating a diagram that illustrates the components of the male reproductive system. Which structure would the nurse include as a major structure to help ensure fertilization of the ovum?
Vas deferens
The nurse is explaining the phases of the uterine cycle to a client. What action during the proliferative phase of the uterine cycle should the nurse include in the teaching session with the client?
While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth.
A nurse is teaching a client about the reproductive system and the hormones involved. The nurse would include which structures as the source of these hormones? Select all that apply.
- Ovaries - Hypothalmus - Pituitary
A nurse is preparing a presentation for a local young adult women's group about reproductive and sexual health. When describing the external female structures, the nurse would include which structure? Select all that apply.
-Skene glands -Labia majora -Hymen -High hormone levels during pregnancy
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
A nurse is teaching a group of young adults about the sexual cycle. The nurse determines that the teaching was successful when the group identifies the five phases as they occur. Place the phases below in the correct order from first to last. All options must be used.
1- Desire 2- Excitement 3- Plateau 4- Orgasm 5- Resolution
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?
1-2 days before ovulation
The nurse at a health fair is teaching about the various changes of puberty. Which sequence of events will be best for the nurse to present when illustrating pubertal changes in females?
1-Breast budding 2- Appearance of pubic hair 3- Menarche
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 is abundant and stretchable.
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
A group of nursing students are comparing the male and female reproductive organs. The instructor determines the class is successful when the students correctly deduce the male glans penis is complementary to which female structure?
Clitoris
After teaching a health education class on the female reproductive cycle, the nurse determines that the teaching was effective when the group identifies which phase as belonging to the ovarian cycle? -Proliferative phase -Ischemic phase -Secretory phase -Follicular phase
Follicular phase
A mother brings her 10-year-old daughter to the clinic for a routine visit. The mother tells the nurse that she has noticed her daughter beginning to develop and asks the nurse about when her daughter may begin menstruating. The nurse understands that many factors are involved in determining the age at which menstruation begins. Which factor would the nurse include in the response as most important?
Genetics
Which hormone is secreted from the hypothalamus in a pulsatile manner throughout the reproductive cycle?
Gonadotropin-releasing hormone (GnRH)
Which hormone stimulates the release of the follicle-stimulating hormone (FSH) from both male and female glands?
Gonadotropin-releasing hormone (GnRH)
An anatomy professor is teaching a class of pre-nursing students about the female reproductive system. One student asks, "Where is the opening to the vagina?" The best answer the professor can give is:
In what is called the vestibule, which is located between the labia minora.
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?
It receives the fertilized ovum and provides housing and nourishment for a fetus.
The nurse is reviewing the role of the mammary glands in the reproductive process with a birth class. What should the nurse tell the class is the name of the ducts in the mammary glands that form a small reservoir for milk?
Lactiferous
A nurse is conducting a routine well-check assessment on an 18-year-old female who is experiencing normal menstrual cycles. When the client questions the nurse concerning the menstrual process, the nurse can point out which hormone is primarily responsible for ovulation?
Luteinizing hormone (LH)
A nursing instructor is teaching a group of nursing students about the various hormones involved in the female's menstrual cycle. The instructor determines the session is succcessful when the students correctly point out which hormone initiates ovulation?
Luteinizing hormone (LH)
A nurse is assessing a female client. When obtaining the client's history, the client tells the nurse that her menstrual cycle is usually 30 days and that she expects her next menstruation on March 20. Based on the client's information and the nurse's understanding of the female reproductive cycle, the nurse would identify ovulation as most likely occurring at which time?
March 6
The vagina is at risk for infection because of its location and because it opens to the outside of the body. What is a protective mechanism of the vagina to keep it from becoming infected?
Normal vaginal pH is acidic (4 to 5), which protects from infection.
After teaching a group of women about reproduction and the structures involved, the nurse determines that the teaching was successful when the group identifies which female reproductive structure as comparable to the male testes?
Ovaries
With sexual stimulation the penis becomes erect. What is the physiologic cause of an erection?
Penile sinuses fill up with blood
A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. She states, "I've also been waking up at night feeling really hot and sweating." How should the nurse interpret these findings?
Perimenopause
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
A nurse is preparing a teaching plan for a woman who is planning to become pregnant. Which hormone secreted by the corpus luteum would the nurse include in the discussion when describing how the endometrium is prepped for egg implantation?
Progesterone
The nurse is preparing to teach a client and her partner about the hormones involved in menstruation. Which hormone will the nurse point out is secreted by the corpus luteum?
Progesterone
Which hormone is called the hormone of pregnancy because it reduces uterine contractions during pregnancy?
Progesterone
A young mother is expressing frustration of not being able to breastfeed her infant. A potential cause could be the lack of the hormone:
Prolactin
35s A nurse is teaching a sex education class and is discussing sexual response. She describes a 30-minute period during which external and internal genital organs return to an unaroused state. What is this phase of sexual response known as?
Resolution
A nurse is teaching a sex education class and is discussing sexual response. She describes a 30-minute period during which external and internal genital organs return to an unaroused state. What is this phase of sexual response known as?
Resolution
A nurse is conducting a health class for a group of adolescents about male and female reproduction. When describing the testes, the nurse would explain that these organs are important for manufacturing which hormone?
Testosterone
Which client should the nurse flag for the health care provider to assess first? -The female client with an inverted, pear-shaped uterus -The male client whose scrotum is covered with hair -The female client with a soft, doughnut-shaped cervix -The male client with three palpable masses in the testes
The male client with three palpable masses in the testes
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?
The uterus shrinks and gradually atrophies.
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 ovaries?
They produce female gametes or ova and secrete female sex hormones.
When reviewing normal menstruation with an early adolescent, the nurse would teach that during the second half of a typical menstrual cycle, the endometrium of the uterus becomes:
Thick and purple-hued, due to progesterone stimulation.
