Chapter 3 OB
A client with a 28-day cycle reports that she ovulated on May 10. When would the nurse expect the client's next menses to begin? A) May 24 B) May 26 C) May 30 D) June 1
A
A nurse is examining a female client and tests the client's vaginal pH. Which finding would the nurse interpret as normal? A) 4.5 B) 7 C) 8.5 D) 10
A
A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality. When talking about the role of hormones in sexual development, which hormone does the nurse teach the class is the most important for developing and maintaining the female reproductive organs? A) Estrogen B) Progesterone C) Androgens D) Follicle-stimulating hormone
A
The nurse is conducting a teaching session with a group of adolescent females about the menstrual cycle. When describing the ovarian cycle to the group, which phase would the nurse most likely include? A) luteal B) proliferative C) menstrual D) secretory
A
The nurse is describing the three phases of the uterine cycle with a client. What occurs during the proliferative phase of the uterine cycle that the nurse should include in a teaching session with the client? A) While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth. B) If fertilization does not occur, the corpus luteum degenerates, and hormonal levels fall. C) Withdrawal of hormones causes the endometrial cells to change, and menstruation begins. D) An ovum matures.
A
The nurse is reviewing the process of oocyte maturation and ovulation with a client. What occurs during the follicular phase of the ovarian cycle that the nurse should include in the teaching session on ovulation with the client? A) Under the influence of follicle-stimulating hormone, several follicles begin to ripen, and the ovum with each begins to mature B) The empty ruptured graafian follicle becomes the corpus luteum and it begins to secrete progesterone and estrogen C) About day 14, a surge of hormones cause the ovum to burst through the ovary D) Preparation of the uterus for implantation of an ovum
A
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) seminal vesicles C) scrotum D) prostate gland
A
A nurse is conducting a class for a group of teenage girls about female reproductive anatomy and physiology. Which structures would the nurse include as an external female reproductive organ? Select all that apply. A) mons pubis B) labia C) vagina D) clitoris E) uterus
A, B, D
A nurse has been invited to be a guest speaker for a female high school health class about the menstrual cycle and reproduction. When describing the hormones involved in the menstrual cycle, a nurse identifies which hormone as responsible for initiating the cycle? A) estrogen B) luteininzing hormone C) progesterone D) prolactin
B
A nurse is describing the hormones involved in the menstrual cycle to a group of young adult women who are planning to get pregnant. The nurse determines the teaching was successful when the group identifies the follicle-stimulating hormone as being secreted by the: A) hypothalamus. B) anterior pituitary gland. C) ovaries. D) corpus lute.
B
A nurse is describing the structure and function of the reproductive system to an adolescent health class. How would the nurse describe the secretion of the seminal vesicles? A) mucus-like B) alkaline C) acidic D) semen
B
A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. "I've also been waking up at night feeling really hot and sweating. The nurse interprets these findings as: A) menopause. B) perimenopause. C) climacteric. D) menarche.
B
A woman is diagnosed with a vaginal infection. After teaching the client about measures to reduce her risk, the nurse determines that the client needs additional teaching when she states which factor as increasing her risk? A) antibiotic therapy B) menstruation C) douching D) use of feminine hygiene sprays
B
After explaining the function of the seminal vesicles to a class, the instructor determines the need for additional teaching when the students identify which of the following as a function? A) Nourishment of the sperm B) Reduce sperm motility C) Aid for sperm to reach the ovum D) Prevent sperm destruction by female antibodies
B
The nurse is assessing a 13-year-old girl. Which event would the nurse expect to have occurred first? A) evidence of pubic hair B) development of breast buds C) onset of menses D) growth spurt
B
The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first? A) sperm emission B) penile vasodilation C) psychological release D) ejaculation
B
When describing the male sexual response to a group of students, the instructor determines that the teaching was successful when they identify emission as: A) semen forced through the urethra to the outside. B) movement of sperm from the testes and fluid into the urethras. C) dilation of the penile arteries with increased blood flow to the tissues. D) body's return to the physiologic nonstimulated state.
B
When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle? A) menstrual B) proliferative C) secretory D) ischemic
B
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. A) teste B) vas deferens C) bulbourethral glands D) prostate gland E) penis
B, C, D
After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first: A) sexual experience. B) full hormonal cycle. C) menstrual period. D) sign of breast development.
C
After teaching a group of adolescents about female reproductive anatomy, the nurse determines that the teaching was successful when the adolescents identify which structure as the site of fertilization? A) vagina B) uterus C) fallopian tubes D) vestibule
C
In the menstrual cycle, every month the female reproductive system generates an ovum. When the ovum is not fertilized, production of which of the following leads to menstruation? A) Follicle stimulating hormone by the anterior pituitary. B) Estrogen by the corpus luteum begins to decrease. C) Progesterone by the corpus luteum beginning to decrease. D) Another ovum which begins immediately.
C
The nurse is reviewing the process of oocyte maturation and ovulation with a client. What occurs during ovulation of the ovarian cycle that the nurse should include in the teaching session with the client? A) Under the influence of follicle-stimulating hormone, several follicles begin to ripen, and the ovum with each begins to mature B) The empty ruptured graafian follicle becomes the corpus luteum and begins to secrete progesterone and estrogen C) About day 14, a surge of hormones cause the ovum to burst through the ovary D) Preparation of the uterus for implantation of an ovum
C
Which female reproductive tract structure would the nurse describe to a group of young women as containing rugae that enable it to dilate during labor and birth? A) cervix B) fallopian tube C) vagina D) vulva
C
A mother brings her 12-year old daughter to the clinic for a visit. The daughter has just started menstruating. As part of the visit, the nurse explains the menstrual cycle and ovulation, including the events that led up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation? A) estrogen B) progesterone C) follicle-stimulating hormone D) luteinizing hormone
D
A woman comes to the clinic complaining that she has little sexual desire. As part of the client's evaluation, the nurse would anticipate the need to evaluate which hormone level? A) progesterone B) estrogen C) gonadotropin-releasing hormone D) testosterone
D
After teaching a group of pregnant women about breastfeeding, the nurse determines that the teaching was successful when the group identifies which hormone as being inhibited during pregnancy but is important for the production of breast milk after birth? A) placental estrogen B) progesterone C) gonadotropin-releasing hormone D) prolactin
D
After teaching a group of pregnant women about breastfeeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after birth? A) placental estrogen B) progesterone C) gonadotropin-releasing hormone D) prolactin
D
The nurse is assessing a 12-year-old girl who has had her first menses. When reviewing the client's history, which event would the nurse expect to have most likely occurred last? A) evidence of pubic hair B) breast bud development C) growth spurt D) onset of menses
D
The nurse is creating a diagram that illustrates the components of the male reproductive system. Which structure would be inappropriate for the nurse to include as an accessory gland? A) seminal vesicles B) prostate gland C) Cowper's glands D) vas deferens
D