Chapter 5 Fam exam
estrogen
6s A nurse is assessing a woman who has come into the clinic. The nurse obtains a sample of the client's cervical mucus and notes ferning. The nurse interprets this finding to indicate high levels of which hormone?
"What you are experiencing are normal pubescent physical changes."
A 14-year-old male client voices concern that his testes seem to have enlarged over the past few months. Which response by the nurse would be most appropriate?
menopause
A 47-year-old woman is being seen at the local clinic reporting irregular menstrual cycles. The nurse would explain to the client that the irregularity is most likely due to:
"Sexual relations during pregnancy is a common concern. What do you mean by difficult?"
A pregnant client, 32 weeks' gestation, remarks during a routine prenatal visit, "Sex is becoming difficult for us." Which of the following would be the best response?
Reduces sperm motility
After explaining the function of the seminal vesicles to a class, the instructor determines the need for additional teaching when the students identify which action as a function of the seminal vesicles?
reduces sperm motility
After explaining the function of the seminal vesicles to a class, the instructor determines the need for additional teaching when the students identify which action as a function of the seminal vesicles?
secreting estrogen and 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?
Follicular Phase
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?
Storage of ova and maturation of them is one of the main functions of the ovaries.
An adolescent client asks the nurse about how the ovaries work. The nurse would include which information in her reply?
in what is called the vestibule, which is located between the labia minora.
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:
candidiasis.
Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:
Ova
Cells that repro by meiosis?
Women have a longer resolution phase than men
During a health visit, a client reveals information about her sexual activity with her husband. She states, "When I feel I can have multiple orgasms, my husband doesn't seem to want to continue immediately after the first." The nurse bases the response on the understanding about which of the following?
Ischemic phase
During what phase of the uterine cycle would the uterine lining begin to have a reduced blood supply?
Testes
Hormonal regulation of reproductive functions in both the male and the female are complicated processes. In the male, where are the sex hormones produced?
Uterine isthmus Fundus Cervix Corpus
In OB class, the nursing instructor is discussing the female reproductive anatomy. In order to understand the anatomy and function of the uterus, the instructor explains that there are four sections in the uterus. Which of the following are sections of the uterus? Select all that apply.
proliferative phase secretory phase ischemic phase menses phase
Put the phases of the menstrual cycle in correct order from first to last. All options must be used.
Identify the urethral meatus between the labia minora, avoiding the clitoris.
The client is reporting pain when the nurse begins the insertion of a urinary catheter. What measure can the nurse take to facilitate comfort for this client?
alkaline fluid
The vagina is a hostile environment for sperm. What characteristic of semen protects sperm from the vaginal environment?
Normal vaginal pH is acidic (4 to 5), which protects from infection.
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?
produces mucus to lubricate vaginal canal protects the uterus from infection opens up to allow passge of infant
What changes does the cervix undergo in preparation for childbirth? Select all that apply.
Assuming woman has 28 day cycle. Add 7 days to the first day of LMP (last menstrual period), subtract 3 months and add one year. Due dates are always plus or minus one week.
What's Naegele's Rule?
2 days before to 1 day after ovulation
When a woman is planning pregnancy, what is her window around ovulation to have intercourse?
"Have you engaged in oral, vaginal, or anal sex?"
When assessing an adolescent for the use of safer sex practices, which should be the nurse's first question?
educating promote sexual health
When developing a program for STI prevention, which action would need to be done first?
seminal vesicles
crem 9s The nurse has been teaching a community class for couples planning a pregnancy and is illustrating the male reproductive system and function in this session. The nurse should point out which structure's secretions provide nourishment for the sperm during ejaculation?
FSH
he nurse is teaching a group of women about the hormone(s) that makes the ova within the ovaries mature each month. Which hormone is responsible for stimulating the ovum?
Previous history of taking clindamycin
n taking a client history, a client tells the nurse she is having vaginal itching and irritation. Which reported practice could be contributory to this problem?
Testes Scrotum Penis
nurse is teaching a health class of males at a local middle school about male reproductive structures. The nurse determines that the teaching was successful when the class identifies which structure as an external male reproductive structure? Select all that apply.
Excitement, plateau, resolution, climax
that there are four phases in the sexual response cycle and identify them as which of the following?
frequent douching
A client is admitted in the health care facility with pelvic inflammatory disease (PID). When reviewing the client's history, what would the nurse identify as a risk factor?
22nd
A client who is attempting to conceive and menstruates regularly every 30 days asks the nurse what is her probable day of ovulation. The client indicates that her last menses started on the 6th of the month. What is the best response by the nurse?
May 24
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?
may 24
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?
Take sitz baths frequently.
A client with vaginitis reports itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?
Fallopean Tubes
A couple comes to the clinic asking questions regarding getting pregnant. The nurse explains that that fertilization normally occurs in what structure of the woman's body?
Endometrium
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?
gonorrhea
A newborn is diagnosed with ophthalmia neonatorum. The nurse understands that this newborn was exposed to which infection?
Sexual intercourse should occur between Day 13 and 15 of her menstrual cycle.
A newly married female is talking to the nurse about her desire to get pregnant soon. Which suggestion would the nurse make to assist this client?
Sexual precociousness
A nurse is assessing a preadolescent male. Which manifestation would the nurse expect to find if the child was experiencing a significant secretion of testosterone?
Estrogen
A nurse is assessing a woman who has come into the clinic. The nurse obtains a sample of the client's cervical mucus and notes ferning. The nurse interprets this finding to indicate high levels of which hormone?
Bartholin's glands
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?
Risk for disturbance in body image related to early development of secondary sex characteristics.
A nurse is developing a plan of care for a 7-year-old client with precious puberty. Which would be the priority nursing diagnosis for this client?
25-60 mL
A nurse is discussing menstruation with a female client. The nurse describes a normal amount of blood loss is approximately:
cremaster muscles
A nurse is preparing a class for a group of high school adolescents on the topic of the male reproductive system. Which structure will the nurse point out has the function of "climate control system"?
gonadotrophin-releasing hormone
A nurse is preparing a program for a group of parents of prepubertal children about the changes to expect with puberty. When describing the sequence of events that occur, the nurse would identify which hormone as the initiating the cycle?
"Halfway in my cycle I will need to check my cervical mucus to see if I can stretch it in to long strands, indicating I am close to ovulating."
A nurse is providing education to a client with infertility concerns. Which statement by the client indicates appropriate understanding of the Spinnbarkeit Test?
Erection of the penis and the clitoris Enlargement of the labia and testicles Lubricates the vagina
A nurse is teaching a group of women about the sexual response cycle. The nurse determines that the teaching was successful when the group correctly chooses certain events that occur due to vasocongestion during the sexual response cycle. Select all that apply.
Enhance sperm motility Nourish sperm Protect sperm
A nursing instructor is teaching a class on the male reproductive system. The instructor determines the session is successful when the students correctly choose which functions of the bulbourethral gland's secretions? Select all that apply.
Luteinizing hormone
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?
the uterine lining is being shed due to lowering of hormone levels.
A school nurse is talking to an adolescent, who asks her about why she has monthly menstrual cycles. The best explanation that the nurse can offer the adolescent regarding the menstrual phase is to tell her that:
Estrogen
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 person's heart rate increases during sex, making them warmer. The blood pressure will increase, which can cause a feeling of warmth. Vessels in the pelvis are receiving more blood and can cause a warm sensation.
A sex education class is being conducted at a local women's center. The attendees ask the professional conducting the class about why they experience sensations of increased warmth during sex and redness of the neck and chest. Which information would the professional provide to explain this experience? Select all that apply.
The blood pressure will increase, which can cause a feeling of warmth. A person's heart rate increases during sex, making them warmer. Vessels in the pelvis are receiving more blood and can cause a warm sensation.
A sex education class is being conducted at a local women's center. The attendees ask the professional conducting the class about why they experience sensations of increased warmth during sex and redness of the neck and chest. Which information would the professional provide to explain this experience? Select all that apply.
Within the vestibule
A student nurse is assigned to care for a woman who is being admitted for delivery of her baby. Where would the nurse expect to find the urethral meatus?
vulvovaginal candidiasis
A woman comes to the clinic reporting intense pruritus and a thick curd-like vaginal discharge. On examination, white plaques on observed on the vaginal wall. The nurse suspects which condition?
Testosterone
A woman comes to the clinic reporting that she has little sexual desire. As part of the client's evaluation, the nurse would anticipate the need to evaluate which hormone level?
The client has experienced recurring balanoposthitis and phimosis.
A young male client asks the nurse about circumcision, since he was never circumcised as an infant. Which rationale would be appropriate for exploring circumcision in an adult male?
Knowledge of repro anatomy, physiology
As part of caring for childbearing families, the nurse must be able to educate her families regarding which topic?
breast budding, appearance of pubic hair, menarche
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?
"Two hormones control my ovulation, follicle-stimulating hormone (FSH) and luteinizing hormone (LH)."
The nurse educates a client who is confused about her ovarian cycle. Which client statement would best validate her understanding of the education?
prepuce
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?
Clitoral Stimulation
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?
Vas Deferens
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 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?
improve survival rates
The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for treatment of HIV. The goal of this therapy is to:
At the top of the fundus
The nurse is examining a pregnant female in her third trimester and measuring to determine if fetal growth has increased. Where would the nurse place the measuring tape?
Protect pelvic bones during sexual intercourse
The nurse is explaining about the function of the mons pubis to a client. Which explanation describes the function of the mons pubis?
While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth.
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?
seminiferous tubules
The nurse is explaining the various male internal reproductive sturctures in a high school health class. The nurse determines the class is successful when the class correctly chooses which structure as responsible for sperm production?
distensible, stretchable quality
The nurse is preparing to assess a young woman's external genitalia. The nurse predicts the client is currently in the most fertile phase of the menstrual cycle based on which assessment finding of the vaginal mucus drainage?
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?
distensible, stretchable quality
The nurse is prepraing to assess a young woman's external genitalia. The nurse predicts the client is currently in the most fertile phase of the menstrual cycle based on which assessment finding of the vaginal mucus drainage?
"My menstrual cycle lasts about 4 to 6 days each month but varies sometimes, which is normal."
The nurse is providing teaching to an adolescent girl on the function of the female reproductive system. Which statement by the client best reflects understanding of the material presented?
They produce female gametes or ova and secrete female sex hormones.
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?
About day 14, a surge of hormones cause the ovum to burst through the ovary.
The nurse is reviewing the process of egg 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?
lactiferous
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?
stimulation of the formation of ova; stimulation of the secretion of hormones from sex organs; stimulation of the development of secondary female sexual characteristics
The nurse is reviewing with a group of high school students that the hypothalamus, pituitary gland, and gonads all contribute to hormonal regulation of the female reproductive system. What would be the best information for the nurse to include in the education session about the main effects of the gonadotropic hormones?
retraction of clitoris
The nurse is teaching a family planning class at a health fair. Which physiologic change during the plateau stage of sexual response will the nurse point out?
excitement
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?
FSH
The nurse is teaching a group of women about the hormone(s) that makes the ova within the ovaries mature each month. Which hormone is responsible for stimulating the ovum?
In the ischemic phase, the uterine lining becomes ischemic because of increased estrogen and progesterone."
The nursing instructor has completed a teaching session on the female reproductive system. The instructor determines more teaching is neccessary when a student indicates which action occurs in the menstrual cycle?
In the ischemic phase, the uterine lining becomes ischemic because of increased estrogen and progesterone.
The nursing instructor has completed a teaching session on the female reproductive system. The instructor determines more teaching is necessary when a student indicates which action occurs in the menstrual cycle?
the increasing level of estrogen
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?
1, 3, 4, 5
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 best information for the nurse to provide to the mother about secondary sexual characteristics? 1. Smaller stature 2. Lower percentage of body fat tissue 3. Wider hip structure 4. Pubic and axillary hair 5. Breast development
The average menstrual flow lasts 4 to 6 days.
The school nurse is preparing a teaching session for a group of adolescent girls explaining the menstrual cycle. The nurse determines the session is successful when the young students correctly choose which fact?
avg menstrual flow is 4-6 days
The school nurse is preparing a teaching session for a group of adolescent girls explaining the menstrual cycle. The nurse determines the session is successful when the young students correctly choose which fact?
luteal
The school nurse is teaching a group of adolescent females about the menstrual cycle. The nurse determines the session is successful when the group correctly chooses which phase as part of the ovarian cycle?
Proliferative
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?
Pituitary
Which body structure controls reproductive hormone production and function for both males and females?
follicle-stimulating hormone
Which hormone would the nurse explain as being primarily responsible for maturation of the ovarian follicle?
The male experiences a period during which he is incapable of sexual response.
Which of the following occurs in the male during the resolution phase of the sexual response cycle?
Menses ensues when the levels of estrogen and progesterone fall.
Which statement should be incorporated into the teaching plan developed to present instruction about the female menstrual cycle to nursing students?