Chapter 39 PrepU (333)

In an ideal 28-day menstrual cycle, the secretory phase occurs during which days?

15 to 28

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 state:

A primary function of the female breast is to produce milk.

The nurse is describing changes in the male that occur with aging and parallel the changes that occur in women. The nurse is describing:

Andropause

When considering the hormonal changes that occur, the nurse should encourage which diagnostic screening for a postmenopausal woman?

Bone calcium level

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

What would a nurse attribute to estrogen?

Breast growth

Which hormones are not released during childhood?

Gonadotropin-releasing hormone (GnRH)

Which cells in the testes produce testosterone?

Leydig cells

A group of students are reviewing information about the menstrual cycle. The students demonstrate understanding when they identify what as the onset of the menstrual cycle?

Menarche

During pregnancy, what becomes a massive endocrine gland?

Placenta

Which hormone is involved if a couple engages in the rhythm method of birth control?

Progesterone

What would a nurse attribute to the effect of testosterone? (Select all that apply.)

Vocal cord thickening Increased hematocrit Facial hair growth

After puberty, secondary male sexual characteristics can be maintained by:

androgens.

An older male client develops a problem sustaining an erection and has testing for hormone levels. Which finding indicates that the client may be experiencing andropause?

elevated follicle-stimulating hormone (FSH) level

The union of an ovum and a spermatozoon is called:

fertilization.

Regular monthly menstrual cycles cease at the time of:

menopause

A boy is learning about his body. Where would this boy learn that androgens are released into the bloodstream?

Adrenal gland

Which is analogous to female menopause in men?

Andropause

Which phase of the human sexual response results from massive sympathetic stimulation?

Climax

A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the client's next menses to begin on:

May 24.

When the nurse is interviewing an adolescent, the patient states that she experienced her first menstrual cycle at age 11. The nurse documents this as:

Menarche

During fetal development, the descent of the testes into what structure helps prevent injury to the sperm-producing cells?

Scrotum

What would castration prior to puberty result in? (Select all that apply.)

Sterility Failure to develop normal male characteristics

The organ that holds a developing fetus is the:

Uterus

Which statements about the female reproductive system structures is most accurate?

An ovum contains one-half of the genetic material to produce a whole cell.

Which hormone is released into circulation by the Graafian follicles?

Estrogen

During anatomy class, the students learn that what structure in the body is a muscular tube with a ciliated lining that is constantly moving?

Fallopian tube

What happens with the hormones associated with pregnancy once the fetus and the placenta have been expelled from the uterus?

Hormone levels decrease significantly.

After teaching a group of students about female reproductive hormones, the instructor determines that the teaching was successful when the students identify which hormone as being primarily responsible for maintaining pregnancy?

Progesterone

After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies what as a primary function of the ovaries?

Secretion of estrogen and progesterone

The nurse is discussing the human response to sexual stimulation with a client experiencing an arousal problem. In which phase of sexual response should the client begin to feel the effects of the sympathetic nervous system?

Stimulation

What factor might influence the release of the hormones necessary for the human reproductive cycle?

Stress

The human sexual response involves the activation of which system?

Sympathetic nervous system

Castration involves the removal of what structure of the male reproductive system?

Testes

Hormonal regulation of reproductive functions in both the male and the female are complicated processes. In the male where are the male sex hormones produced?

Testes

If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the:

corpus albicans.

If a released egg is not fertilized, the lining of the uterus breaks down in the process called:

menstruation.

Insufficient levels of oxytocin would affect what event related to pregnancy?

Onset of labor contractions

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?

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

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

Which is a phase of the human sexual response? (Select all that apply.)

Resolution Climax Stimulation Plateau

The increase in thickness of the endometrial layer during the first half of the menstrual cycle is controlled by the:

increasing level of estrogen.

When stimulation levels off during the human sexual response, the person is said to be in which of the following phases?

Plateau

Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which hormones? (Select all that apply.)

Follicle-stimulating hormone (FSH) Luteinizing hormone (LH)

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?

Penile vasodilation

The nurse is discussing infertility issues with a couple. What information should the nurse provide the couple concerning the effect of Sertoli cells of male sperm?

They produce inhibin a substance that in turn affects sperm production

If pregnancy does not occur, the prepared inner lining of the uterus is sloughed off during what process?

Menstruation

Surgical castration is part of a patient's prostate cancer treatment. The patient asks what physical changes he can expect because of this surgery. Since the patient is well past puberty, the nurse tells the patient that he should maintain his previous testosterone related changes and he can expect to:

maintain his deep voice.

Which hormone is responsible for the development of wider hips, breasts, and soft skin in females?

Estrogen

Fertilization of the ovum and implantation in the uterine wall result in the production of what hormone?

Human chorionic gonadotropin

After teaching a group of students about the events that occur with fertilization and implantation of an ovum, the instructor determines that the teaching has been effective when the students identify what as an endocrine structure?

Placenta

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?

Receives the fertilized ovum and provides housing and nourishment for a fetus

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?

Testes

The pubescent girl exhibits many changes as a result of estrogen production. Her mother asks the nurse what secondary sexual characteristics to look for in her daughter. What is the bestinformation for the nurse to provide to the mother about secondary sexual characteristics? (Select all that apply.)

Wider hip structure Pubic and axillary hair Breast development

The nurse is creating a student teaching tool that identifies the organs of the male reproductive system. Which structure would the nurse explain that stores sperm?

vas deferens

By about which day in the menstrual cycle does ovulation occur?

14

The nurse suspects that a female client is experiencing a decline in estrogen. Which assessment finding caused the nurse to make this clinical determination?

hot flashes