OB Ch 3
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
A sex education class is being conducted at a local women's center. The attendees ask the nursing instructor about why they experience sensations of increased warmth during sex and redness of the neck and chest. Which information would the nurse provide to explain this experience? Select all that apply.
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.
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 nurse is conducting an orientation at a health clinic for newly hired nurses comparing normal and abnormal findings from 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 glands
The nurse is educating a pregnant woman regarding expectations immediately after the birth of her baby. What information would the nurse include in the teaching plan regarding colostrum?
Colostrum is yellow fluid that precedes breast milk and is healthy for the baby.
A young woman is trying to get pregnant. She asks the nurse to recommend a practical way that she can tell the point in her monthly cycle when she will have the best odds of getting pregnant. Which recommendation by the nurse would be best?
Have sex when the cervical mucus is thin, stretchy, and copious.
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?
Identify the urethral meatus between the labia minora, avoiding the clitoris.
A young male asks the nurse at the clinic about what he can do to maintain his sperm production. The nurse would instruct him to take which action?
It is recommended that men wear boxer-style underwear.
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 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 (day 14)
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?
One or two days before ovulation
A nurse is developing a plan of care for a 7-year-old client with precocious puberty. Which would be the priority nursing diagnosis for this client?
Risk for disturbance in body image related to early development of secondary sex characteristics.
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 intercourse should occur between Day 13 and 15 of her menstrual cycle.
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
Which statement best expresses the role of the corpus luteum?
The corpus luteum secretes progesterone to promote the preparation of the endometrium for implantation.
A woman is going through the luteal phase of her ovarian cycle. What changes are taking place during this period of time?
The follicle develops into the corpus luteum.
A client asks the nurse about how the testes function in reproduction. Which is the nurse's best reply?
The testes serve as the production center for sperm.
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 correct response by a nursing student about the function of the ovaries?
They produce female gametes or ova and secrete female sex hormones.
The nurse is explaining about the function of the mons pubis to a client. Which explanation describes the function of the mons pubis?
To protect the pelvic bones during sexual intercourse
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.
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?
at the top of the fondus
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
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 prepuce
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
In the resolution phase of sexual response, which response would be most commonly noted in the male?
erection is lost
When teaching an adolescent about ovulation, the nurse would include that ovulation is initiated by a surge in which hormone?
luteinizing hormone
A nurse is obtaining a health history from a female client who reports that she started menstruating at age 11 years. The nurse would document this as:
menarche, age 11
Which of a client's cells are most likely to reproduce by meiosis?
ova
In the female reproductive system, the hormones estrogen and progesterone are produced by the:
ovaries
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 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
An adult client currently has low levels of estrogen and progesterone. At this point in the menstrual cycle, the client will likely:
shed her uterine lining
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
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 male client with three palpable masses in the testes
A school nurse is talking to an adolescent who asks about why she has monthly menstrual cycles. The best explanation that the nurse can offer regarding the menstrual phase is to tell her that:
the uterine lining is being shed due to lowering of hormone levels.
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.
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
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?
vagina
