Deck 47: Assessing the Male and Female Reproductive Systems

Question 1

A male patient was born with only one testis. The nurse realizes that this patient might:

A) need testosterone replacement therapy.
B) be sterile.
C) need estrogen replacement therapy.
D) have a normal level of sperm production.

Answer 1

need testosterone replacement therapy.

Question 2

During the bimanual examination of a patient's uterus, the nurse notes that the uterus is tilted toward the back. What should the nurse explain to the patient about this finding?

A) The uterus of a patient who has carried a child to term is frequently in a tilted-back position.
B) The uterus may be tilted backward (retroverted) or angled backward (retroflexed).
C) The uterus of a patient with fibroid tumors frequently tilts back under the weight of the tumors.
D) The backward tilt of the uterus is consistent with pregnancy in the second or third trimester.

Answer 2

The uterus may be tilted backward (retroverted) or angled backward (retroflexed).

Question 3

The nurse is instructing a patient who is beginning diagnostic tests for prostate cancer. Where should the nurse pinpoint the location of the prostate gland? Place an X at the location of the prostate gland on the figure.

Answer 3

Question 4

A patient who had a laparoscopic surgical procedure has called the clinical facility with complaints of vaginal discharge. What action should the nurse take first?

A) document the complaint
B) notify the physician
C) ask the patient to come to the clinic immediately
D) check if the patient has been prescribed an antibiotic

Question 5

The nurse is collecting data from a couple experiencing infertility. The male partner, age 52, asks why information about his mother's pregnancy is important. How should the nurse respond?

A) "Collecting information about a patient's immediate family is required."
B) "Medication exposure during pregnancy may impact the long-range fertility of the woman's male children."
C) "If your mother experienced infertility, you are at a higher risk for infertility."
D) "Although the greater concerns relate to the female's mother, we collect information on both of you to create a more balanced picture."

Question 6

A patient is scheduled to have an endometrial biopsy. After the nurse provides education concerning the test, which patient statement indicates an understanding of the procedure?

A) "I may need a strong pain medication for the first several days after the test."
B) "I may not have a regular menstrual cycle for 3 to 6 months after the test."
C) "If I have bleeding after the procedure I can use junior-size tampons."
D) "I should avoid sexual intercourse in the days following the procedure."

Question 7

An adolescent patient has come to the clinic for her first vaginal examination. Which speculum should the nurse prepare for this examination?

A) Graves speculum
B) Pederson speculum
C) Killian speculum
D) Vienna speculum

Question 8

A 40-year-old male has reported to the clinic with complaints of impotence. The nurse is reviewing the patient's health history. Which patient statements should the nurse further investigate?

A) "I take medications to help me sleep several times per week."
B) "I had the mumps when I was a boy."
C) "I had a vasectomy 4 years ago."
D) "I have had diabetes for several years."
E) "My wife has a history of cervical cancer."

Question 9

The nurse is performing a breast examination on a 22-year-old female patient and notes that the nipples are pointing in different directions. What action is indicated?

A) The findings should be documented as normal.
B) The nurse will need to question the patient to determine if she is breastfeeding.
C) The finding will need to be reported for follow-up hormone level assessments.
D) The finding will need to be reported for further testing to rule out a malignancy.

Question 10

The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test, which information from the patient's history will the nurse need?

A) the date of the patient's LMP
B) the number of past pregnancies the patient has had
C) the type of contraceptive being used by the patient and her partner
D) the patient's age at menarche

Question 11

The nurse is performing an assessment of a female patient's breasts. Which findings indicate the need for further assessment?

A) The breasts are not the same size.
B) The breasts do not display prominent veins.
C) The nipples are flat.
D) The breasts are reddened.
E) There is an area of dimpled skin.

Question 12

The nurse is conducting a presentation to a group of women concerning menopause. Which statements by a participant indicate an understanding about the process?

A) "Lubrication for intercourse will not be as necessary after menopause."
B) "My risk for vaginal infections declines as my estrogen levels decrease during menopause."
C) "My uterus will shrink in size after menopause."
D) "My skin will thicken after menopause."
E) "I should start practicing Kegel exercises."

Question 13

A pregnant patient overhears the examiner referring to a positive Hegar sign and asks what this means. Which response by the nurse best explains this sign?

A) Hegar sign refers to the softening of the lower uterine segment during pregnancy.
B) Hegar sign refers to the skin changes noted in early pregnancy.
C) Hegar sign refers to the softening of the cervix during the early stages of pregnancy.
D) Hegar sign refers to the changes in color of the vaginal mucosa during pregnancy.

Question 14

The nurse is discussing concerns with an 18-year-old female patient who reports feeling two nonpainful ulcerations on her labia. The patient asks if they might be herpes simplex. What response by the nurse is indicated?

A) "Those spots do sound consistent with herpes simplex."
B) "Have you been having sex with new partners?"
C) "Herpes lesions are usually painful."
D) "The lesions you describe are most consistent with genital warts."

Question 15

A patient is scheduled to have a vaginal examination and a Pap smear. Which patient statement indicates understanding of the nurse's instruction concerning the test and preparation?

A) "I cannot bathe for 36 hours prior to the examination."
B) "I should not douche the day before my exam."
C) "My period will not be a reason to defer my vaginal examination."
D) "My physician will use Vaseline to lubricate the speculum and prevent discomfort."

Question 16

The nurse provides aftercare teaching to a patient recovering from a colposcopy. Which patient statement indicates an understanding of the information?

A) "I will need to avoid heavy lifting for the next 4 weeks."
B) "I should douche at the end of 1 week to remove vaginal discharge."
C) "I can take ibuprofen for pain if needed."
D) "I will have some light vaginal discharge."
E) "I will report a temperature elevation to the physician's office."

Question 17

The nurse is conducting a class for adolescent boys concerning reproduction and sperm production. Place an X on the structure in which sperm is produced.

Question 18

A female patient tells the nurse that it was discovered that her inability to become pregnant is due to her husband's choice of underwear. What should the nurse consider about this patient's statement regarding sperm production?

A) Tight male underwear inhibits sperm production.
B) Tight male underwear impedes blood flow to the penis.
C) Tight underwear may increase heat in the genital area.
D) The patient is repeating an "old wives' tale."

Question 19

The nurse is assisting with the vaginal examination of a 33-year-old patient. A nontender mass at the posterolateral portion of the labia majora is noted. What should the nurse suspect is occurring with the patient?

A) a rectocele
B) a fistula
C) a Bartholin cyst
D) a cyst of Skene's gland

Question 20

The nurse is conducting a follow-up call to a patient who had an exploratory laparoscopic surgical procedure 36 hours ago. The patient reports feeling shoulder pain. How should the nurse respond?

A) "The surgical table is famous for causing patients shoulder pain after procedures."
B) "You are likely not sleeping well, which can lead to shoulder discomfort."
C) "This pain is caused by the gases used during the surgical procedure."
D) "This pain should go away soon."

Question 21

The nurse is planning to assess for an inguinal hernia during the physical assessment of a male patient. Place an X on the area that the nurse should palpate for an inguinal hernia.

Question 22

A female patient is informed that she has the BRCA1 gene. On which health problems should the nurse focus when assessing this patient?

A) asthma
B) fibromyalgia
C) heart disease
D) breast cancer
E) ovarian cancer

Question 23

The analysis of a patient's semen indicates the patient could have difficulty impregnating his wife. This patient's semen likely contains what volume of sperm per milliliter?

A) 150 million
B) 100 million
C) 50 million
D) 5 million

Question 24

The nurse is concerned that a male patient may have breast cancer. What did the nurse assess to make this clinical decision?

A) a painless nodule in the testis
B) enlarged supraventricular nodes
C) femoral bulge that increases with coughing
D) tender disk of breast tissue behind the areola
E) hard, irregular, fixed nodule in the nipple area

Question 25

An analysis of a patient's sperm shows the sperm are not developing motility. Which body structure should the nurse suspect is not functioning at the optimal level in this patient?

A) prostate
B) epididymis
C) scrotum
D) penis

Question 26

A female patient is scheduled for an ultrasound to examine the uterus. How should the nurse instruct the patient to prepare for the test?

A) Take a laxative the night before the test to clear the colon of feces.
B) Restrict fluids prior to the day of the test.
C) Take no food or fluids after midnight the day before the test.
D) Increase fluid intake and do not void until after the test.

Question 27

After genetic testing it is determined that a male patient is missing the sex-determining region Y gene (SRY). What manifestations should the nurse expect to assess in this patient?

A) balanitis
B) minimal libido
C) negative sperm production
D) no secondary sex characteristics
E) changes in bone and muscle structure

Question 28

During an assessment, the patient asks why the nurse is "feeling her armpit." How should the nurse respond?

A) "I'm counting the ribs."
B) "Don't you feel your own armpits?"
C) "Breast tissue extends into this area."
D) "I'm assessing hair distribution in this area."
E) "The armpits should be part of a breast self-exam."

Question 29

A male patient has an infection of the epididymis. The nurse recognizes that this infection might cause what reduction in the patient's body?

A) testosterone production
B) mature sperm
C) blood flow to the penis
D) ability to sustain an erection

Question 30

A 40-year-old male patient is concerned with his inability to have an erection since he was prescribed an antispasmodic for a muscular back injury and hydrocortisone cream to manage a chronic integumentary condition. What should the nurse suspect this patient is experiencing?

A) side effect of the antispasmodic medication
B) age-related erectile dysfunction
C) side effect of the hydrocortisone cream
D) result of the muscular back injury

Question 31

The nurse is preparing to assess a female patient's reproductive system. Place an X on the area that is the perineum.

Question 32

A young female patient tells the nurse that she has a "thin, runny discharge" from her vagina every month, about halfway through her menstrual cycle. What should the nurse realize this patient is describing?

A) normal changes in cervical mucus
B) evidence of a blocked vaginal gland
C) sexual arousal response
D) evidence of a sexually transmitted infection

Question 33

A female patient complains of severe menstrual cramps. Which uterine structure should the nurse recognize is responsible for the patient's complaint?

A) perimetrium
B) myometrium
C) endometrium
D) cervix

Question 34

During an assessment of a female patient's internal genitalia, the nurse feels a bulge along the posterior vaginal wall. The nurse recognizes that this finding is considered:

A) a prolapsed uterus.
B) a cystocele.
C) a rectocele.
D) a blocked gland.

Question 35

The nurse is preparing to assess a female adolescent diagnosed with Turner syndrome. What findings should the nurse expect because of this genetic disorder?

A) webbed neck
B) muscle atrophy
C) short stature
D) facial hair growth
E) lack of sexual development

Question 36

A female patient tells the nurse that she has been taking special vitamins to "increase the production of eggs" so that she can get pregnant. The nurse realizes that this patient is:

A) being proactive in her attempts to become pregnant.
B) a healthy female and should not worry.
C) anxious about nothing.
D) misinformed.

Question 37

A male patient's PSA (prostate-specific antigen) level is elevated. The nurse realizes that this patient will probably need which diagnostic test to accurately diagnose the presence or absence of cancer?

A) abdominal x-ray
B) biopsy
C) CT scan
D) small bowel examination

Question 38

The nurse is preparing to examine a male patient's reproductive organs. What should the nurse do in preparation for this examination?

A) secure a private examination room
B) use clean hands for the examination
C) ask the patient to lie down on the exam table
D) ask the patient to empty his bladder
E) make sure the room temperature is cool

Question 39

An older female patient complains about the growth of hair on her chin. The nurse understands that this complaint is consistent with which age-related change?

A) increased estrogen production
B) increased production of luteinizing hormone
C) decreased estrogen production
D) decreased production of follicle-stimulating hormone

Question 40

During a health history the nurse becomes concerned that a male patient is at risk for cancer of the reproductive organs. What genetic information about this patient caused the nurse's concern?

A) The patient's mother has arthritis.
B) The patient's father had prostate cancer.
C) The patient's brother was treated for testicular cancer.
D) The patient was treated for cryptorchidism as a young child.
E) The patient's uncle has been diagnosed with type 2 diabetes mellitus.