Pharm 2. Chapter 39
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
Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which of the following hormones? (Select all that apply.)
• Follicle-stimulating hormone (FSH) • Luteinizing hormone (LH)
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
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
Regular monthly menstrual cycles cease at the time of
menopause
By about which day in the menstrual cycle does ovulation occur?
14
You are counseling a woman who is concerned about fertility. She asks you how to chart her ovulation. You tell her that, on average, ovulation occurs on which day of a 28-day cycle?
14
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 identify which of the following?
A primary function of the female breast is to produce milk.
Secondary male sexual characteristics can be maintained by which of the following after puberty?
Androgens
The nurse is describing changes in the male that occur with aging and parallel the changes that occur in women. The nurse is describing which of the following?
Andropause
After teaching a group of students about hormonal secretion of the reproductive system, the instructor determines that the teaching was successful when the students identify which of the following as initiating hormone secretion from the ovaries and testes?
Gonadotropin releasing hormone
When describing the effects of progesterone, which of the following would be appropriate to include?
Increased body temperature
Which of the following cells in the testes produce testosterone?
Leydig cells
The nurse is explaining the events that lead to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation?
Luteinizing hormone
When teaching an adolescent about ovulation, you would include that ovulation is initiated by a surge in which of the following?
Luteinizing hormone
A group of students are reviewing information about the menstrual cycle. The students demonstrate understanding when they identify which of the following as the onset of the menstrual cycle?
Menarche
After describing the events of the menstrual cycle to a group of students, the instructor determines that the students have understood the information when they identify which of the following as the initial event that occurs following fertilization and implantation?
Production of human chorionic gonadotropin
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
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
After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies which of the following as a primary function of the ovaries?
Secretion of estrogen and progesterone
In an ideal 28-day menstrual cycle, the secretory phase occurs during which of the following days?
15 to 28
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
Which of the following would a nurse attribute to the effect of testosterone? (Select all that apply.)
• Vocal cord thickening • Increased hematocrit • Facial hair growth
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? Select all that apply.
• Wider hip structure • Breast development • Pubic and axillary hair
What happens with the hormones associated with pregnancy once the fetus and the placenta have been expelled from the uterus?
Hormone levels decrease significantly.
Which hormone is involved if a couple engages in the rhythm method of birth control?
Progesterone
Castration prior to puberty results in which of the following? (Select all that apply.)
• Sterility • Failure to develop normal male characteristics
Which of the following is analogous to female menopause in men?
Andropause
Which of the following occurs during andropause?
Atrophy of the seminiferous tubules
Which of the following would a nurse attribute to estrogen?
Breast growth
Which phase of the human sexual response results from massive sympathetic stimulation?
Climax
Which of the following hormones is responsible for the development of wider hips, breasts, and soft skin in females?
Estrogen
When describing the process of fertilization, the nurse would explain that it normally occurs in which structure?
Fallopian tube
After describing the process of spermatogenesis to a group of students, the instructor determines that the teaching was successful when the students identify which of the following as being responsible?
Follicle stimulating hormone
Which hormone would be initially responsible for hormone secretion from the ovaries and testes?
Gonadotropin-releasing hormone
Which of the following hormones are not released during childhood?
Gonadotropin-releasing hormone (GnRH)
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
When interviewing an adolescent, the patient states that she experienced her first menstrual cycle at age 11. The nurse documents this as which of the following?
Menarche
During pregnancy, which of the following becomes a massive endocrine gland?
Placenta
When stimulation levels off during the human sexual response, the person is said to be in which of the following phases?
Plateau
During fetal development, the descent of the testes into what structure helps prevent injury to the sperm-producing cells?
Scrotum
The human sexual response involves the activation of which of the following systems?
Sympathetic nervous system
The increase in thickness of the endometrial layer during the first half of the menstrual cycle is controlled by:
The increasing level of estrogen
If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the
corpus albicans.
After implantation, the fertilized egg is known as a(n)
embryo
The union of an ovum and a spermatozoon is called ________.
fertilization
If a released egg is not fertilized, the lining of the uterus breaks down in the process called:
menstruation
Clotting of the uterine lining during the menstrual cycle is prevented by high levels of
plasminogen.
