Deck 2: Human Reproductive Anatomy and Physiology

Question 1

A 10-year-old girl asks the nurse,"What is the first sign of puberty?" What is the correct nursing response?

A) An increase in height
B) Breast development
C) Appearance of axillary hair
D) The first menstrual period

Answer 1

Breast development

Question 2

A mother is anxious about her ability to breastfeed after her child is born because of her small breast size.What would be an important point to teach this mother?

A) Milk is produced in ducts and lobules regardless of breast size.
B) Supplementing breastfeeding with formula allows the infant to receive adequate nutrition.
C) Breast size can be increased with exercise.
D) Drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk.

Answer 2

Milk is produced in ducts and lobules regardless of breast size.

Question 3

A nurse is planning to teach couples about the physiology of the sex act.What correct information will the nurse provide?

A) "Fertilization of an ovum requires penetration by several sperm."
B) "An ovum must be fertilized within 24 hours of ovulation."
C) "It takes 4 to 5 days for sperm to reach the fallopian tubes."
D) "Sperm live for only 24 hours following ejaculation."

Answer 3

"An ovum must be fertilized within 24 hours of ovulation."

Question 4

What statement indicates a woman has correct information about oogenesis?

A) "Women make fewer ova as they age."
B) "Women have all of their ova at the time they are born."
C) "Ova production begins at birth and continues until puberty."
D) "New ova are made every month from puberty to climacteric."

Question 5

The nurse is aware that the diagonal conjugate is 12 cm.What is the measurement in centimeters of the obstetric conjugate?

A) 10 to 10.5
B) 11 to 11.5
C) 12.5 to 13
D) 14 to 14.5

Question 6

A newly married couple tells the nurse they would like to wait a few years before starting a family.Which statement made by the man indicates an understanding about sexual activity and pregnancy?

A) "My wife can't get pregnant if I withdraw before climax."
B) "A man can secrete semen before ejaculation."
C) "If we don't have intercourse very often,my wife won't get pregnant."
D) "It is safe to ejaculate outside the vagina."

Question 7

A mother asks the nurse,"When will I know my child has entered puberty?" What will the nurse state based on an understanding of changes associated with puberty?

A) "Your daughter will have her first period."
B) "You'll recognize puberty by the mood swings."
C) "The child becomes interested in the opposite sex."
D) "Secondary sex characteristics,such as pubic hair,appear."

Question 8

The nurse is assisting with pelvic inlet measurements on a pregnant woman.What measurement will provide the nurse with information about whether the woman can deliver vaginally?

A) Diagonal conjugate
B) Obstetric conjugate
C) Transverse diameter
D) Anteroposterior diameter

Question 9

The nurse is speaking with a couple trying to conceive a child.What will the nurse remind the couple is a factor that can decrease sperm production?

A) Infrequent sexual intercourse
B) The man not being circumcised
C) The penis and testes being small
D) The testes being too warm

Question 10

A 12-year-old female patient experienced menarche 3 months ago.Her mother voices concern to the pediatric office nurse regarding the irregularity of her daughter's menstrual cycle.What is the nurse's best response?

A) "Worrying is not the answer."
B) "I will talk to the pediatrician about a gynecological referral."
C) "I can only discuss this with your daughter."
D) "Early cycles are often irregular."

Question 11

The nurse uses a diagram to demonstrate the fimbriae when teaching nursing students about the female anatomy.What is true about fimbriae?

A) They form the passageway for the sperm to meet the ovum.
B) They are the site of fertilization.
C) They are fingerlike projections that "capture" the ovum.
D) They propel the egg through the fallopian tube.

Question 12

A group of nursing students plans to teach a class of sixth-grade girls about menstruation.What correct information will the nursing students teach to the class?

A) Menarche usually occurs around 12 years of age.
B) Ovulation occurs regularly from the very first cycle.
C) A regular cycle is established by the third period.
D) Typically,menstrual flow is heavy and lasts up to 10 days.

Question 13

The nurse has explained menstruation to a 13-year-old girl.What statement indicates the girl needs additional education?

A) "Periods last about 5 days."
B) "My cycle should get regular in 6 months."
C) "I should expect heavy bleeding with clots."
D) "Periods come about every 4 weeks."

Question 14

Which hormone initiates the maturation of the ovarian follicle?

A) Estrogen
B) Follicle-stimulating hormone
C) Progesterone
D) Luteinizing hormone

Question 15

When describing the female reproductive tract to a pregnant woman,the nurse would explain that which uterine layer is involved in implantation?

A) Perimetrium
B) Endometrium
C) Myometrium
D) Internal os

Question 16

What will the nurse explain to a 12-year-old patient when describing what characterizes nocturnal emissions?

A) A drop in testosterone level
B) Sexual stimulation
C) Absence of sperm in ejaculate
D) Association with violent dreams

Question 17

A pregnant woman asks the nurse,"Will I be able to have a vaginal delivery?" The nurse knows that which is the most favorable pelvic type for vaginal birth?

A) Gynecoid
B) Android
C) Anthropoid
D) Platypelloid

Question 18

For what is the decrease in estrogen and progesterone during the menstrual cycle responsible?

A) Degeneration of the corpus luteum
B) Ovulation
C) Follicle maturation
D) Shedding of the endometrium

Question 19

The nurse is educating high school students about puberty.What will the nurse indicate regulates the production of sperm and secretion hormones?

A) Testes
B) Vas deferens
C) Ejaculatory ducts
D) Prostate gland

Question 20

A 14-year-old boy is at the pediatric clinic for a checkup.What physical changes of puberty will the nurse indicate are related to the production of testosterone?

A) Stimulation of production of white cells and platelets
B) Promotion of growth of small bones
C) Increase in muscle mass and strength
D) Decrease in production of sebaceous gland secretions

Question 21

What are considered to be functions of the fallopian tubes? (Select all that apply. )

A) Passage for sperm to meet ova
B) Passage for ovum to uterus
C) Safe environment for zygote
D) Restriction for only one ovum to enter uterus
E) Site for fertilization

Question 22

The nurse is educating a pregnant patient who expects to breastfeed.The nurse knows that when a patient breastfeeds,which portions of the breast secrete milk?

A) Lactiferous sinuses
B) Lobes
C) Montgomery's glands
D) Alveoli lobules

Question 23

What signifies the end of puberty for a male?

A) Facial hair is evident.
B) Erections can be sustained.
C) Ejaculate is greater than 5 mL.
D) Mature sperm are formed.

Question 24

How long does sperm remain viable in the female reproductive tract?

A) 12 hours
B) 1 day
C) 2 days
D) 4 days

Question 25

A patient is being seen by her health care provider for a suspected vaginal infection.What will the nurse include when educating this patient on factors that affect the vaginal pH? (Select all that apply. )

A) Antibiotic therapy
B) Frequent douching
C) Exercise
D) Jet lag
E) Use of vaginal sprays

Question 26

A female patient reports her menstrual cycle consistently occurs every 32 days.What day of her cycle can the woman anticipate ovulation?

A) 14
B) 16
C) 18
D) 20

Question 27

The nurse explains that testosterone is responsible for males exceeding females in which aspects? (Select all that apply. )

A) Strength
B) Height
C) Mental concentration
D) Hematocrit levels
E) Agility

Question 28

The nurse encourages the members of a prenatal class to seriously consider breastfeeding.What does breast milk provide in addition to nourishment for the infant?

A) Maternal antibodies
B) Stimulus for red blood cell production
C) Endorphins that soothe the infant
D) Hormones that stimulate growth

Question 29

Where are the secretions responsible for nourishing sperm excreted from?

A) Vas deferens
B) Epididymis
C) Cowper's gland
D) Scrotum

Question 30

The nurse is providing an in-service to students beginning their obstetric clinical rotation.Using a diagram,the nurse points out parts of the female pelvis.What will the nurse include? (Select all that apply. )

A) Two innominates
B) Obstetric conjugate
C) Sacrum
D) Perimetrium
E) Coccyx

Question 31

The nurse conducting a sex education class for junior high students describes some cultural rites celebrating the entry to adulthood.What information would the nurse include? (Select all that apply. )

A) Bar mitzvah
B) Displays of bravery
C) Receiving part of their inheritance
D) Ritual circumcision
E) Displays of self-defense

Question 32

The nurse is reading a pregnant patient's history and physical.What information does the nurse recognize might indicate the need for a cesarean delivery? (Select all that apply. )

A) History of childhood rickets
B) Immobile coccyx
C) Prepregnant weight of 100 pounds
D) Avid horse rider
E) Pelvic fracture 3 years ago