CH 44
The human ovary is fully developed at what age?
By the third month of fetal life
The nurse is caring for a female client who asks, "Will taking estrogen increase my chances of developing breast cancer?" Which statement is an appropriate response by the nurse?
"Currently, there is insufficient evidence to support estrogen as the cause of breast cancer."
The nurse is discussing the physical changes related to menopause with a 48-year-old woman. The client asks, "How long will it take before I am through these changes and finally reach menopause?" Which statement is an appropriate response by the nurse?
"Most women experience symptoms for about 4 years."
The nurse is taking the history of a 30-year-old female client with amenorrhea. What factors does the nurse identify as contributing to the condition? Select all that apply.
Anorexia nervosa Long-distance running Pituitary tumor
Which structure supports the breasts while dividing the breast into 15 to 25 lobes?
Cooper ligaments
A female client is experiencing infertility. Which laboratory result would indicate the problem originates in the ovaries?
Elevated FSH
The ovarian follicle becomes luteinized once ovulation has taken place. As the corpus luteum, the now empty follicle produces what?
Estrogen and progesterone
A female client informs the nurse that she had intercourse yesterday evening and is wondering if she could become pregnant. She asks the nurse where the fertilization (implantation) currently would be located if she was indeed pregnant. What should the nurse tell the client?
Fertilization normally occurs in the middle to outer portion of the Fallopian tube.
What clinical manifestations would the nurse caring for a female client taking a gonadotropic hormone (GnRH) inhibitor expect the client to exhibit? Select all that apply.
Hot flashes Absent menstrual cycle
The hormone progesterone is metabolized in which organ?
Liver
A 13-year-old client undergoing puberty is alarmed to find small, white bumps surrounding her areolae. The nurse reassures her that these are a normal sign of her sexual maturation and tells her that they are:
Montgomery tubercles.
A client asks the nurse what hormone is responsible for temperature elevation that occurs with ovulation. The best response would be:
Progesterone
The nurse is caring for a pregnant client who is experiencing morning sickness. The nurse understands that which of the following is responsible for many of the common discomforts of pregnancy?
Progesterone
The nurse is assessing a female client who is being seen at the clinic for a yearly pelvic and Pap smear. Upon assessment, which sign is consistent with the facilitation of movement of intravascular fluid into the extracellular space related to estrogen levels before menstruation?
Slight edema of the feet and ankles
The gonads of the female have a dual function. Which of the following is a function of the female gonads?
Storing female germ cells
The nurse is assessing the genitalia of a 42-year-old female client diagnosed with a genitourinary disorder. The nurse recognizes that which finding does not describe the normal anatomy of the female genitalia.
The clitoris is located posterior to the urethra.
A 40-year-old woman has been identified to have a deficiency in estrogen. Which physiologic phenomenon is most likely to remain unaffected?
The synthesis and release of adrenal glucocorticoids.
A woman has gone to her gynecologist complaining of pain during intercourse. The physician orders a maturation index on her vaginal scrapings. The results return an index of 75-25-0. The nurse can interpret this to mean:
The woman is experiencing postmenopausal vaginal dryness.
The connecting tube between the cervix and the vestibule is referred to as:
Vagina
The nurse is caring for a 54-year-old female client who reports vaginal dryness and painful intercourse. The nurse expects which prescription will be ordered for this client?
Vaginal estrogen preparation
