Question 1

The nurse uses a diagram to demonstrate the fimbriae, which:

Accepted Answer

Fimbriae are the fingerlike projections from the infundibulum that "capture" the ovum at ovulation and conduct it into the fallopian tube.

Question 2

The nurse explains that the production of sperm and secretion of hormones is regulated by the:

Accepted Answer

The testes have two functions: manufacture of spermatozoa and secretion of androgens.

Question 3

The statement that indicates a woman has correct information about oogenesis is:

Accepted Answer

Oogenesis (formation of immature ova) does not occur after fetal development. Females are born with about 2 million immature ova that rapidly reduce by adulthood.

Question 4

The nurse explains that the decrease in estrogen and progesterone during the menstrual cycle is responsible for:

Accepted Answer

The fall in estrogen and progesterone causes the endometrium to break down, resulting in menstruation.

Question 5

The nurse, speaking with a couple trying to conceive a child, reminds the patients that a factor that can decrease sperm production is:

Accepted Answer

The scrotum is suspended away from the perineum to lower the temperature of the testes for sperm production.

Question 6

A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. An important point to teach her is that:

Accepted Answer

Breast size does not influence the ability to secrete milk.

Question 7

A group of nursing students plans to teach a class of sixth-grade girls about menstruation. They would teach the girls that:

Accepted Answer

The beginning of menstruation, called menarche, occurs at about 12 years of age. Early cycles are irregular and anovulatory.

Question 8

When planning to teach couples about the physiology of the sex act, the nurse would state that:

Accepted Answer

Following ovulation, the egg lives for only 24 hours. Sperm must be available during that time if fertilization is to occur.

Question 9

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

Accepted Answer

Semen may be secreted during sexual intercourse before ejaculation.

Question 10

The nurse explains to a 12-year-old patient that nocturnal emissions (wet dreams) are characterized by:

Accepted Answer

Nocturnal emissions occur without sexual stimulation and contain no sperm. Testosterone levels are constant until midlife.

Question 11

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

Accepted Answer

The endometrium is the inner mucosal layer of the uterus that is governed by cyclical hormonal changes. It is functional during menstruation and during the implantation of a fertilized ovum.

Question 12

The nurse explains to a pregnant patient who expects to breastfeed that the portions of the breast that secrete milk are the:

Accepted Answer

The alveoli secrete milk.

Question 13

Maturation of the ovarian follicle is initiated by which hormone?

Accepted Answer

Follicle-stimulating hormone (FSH) stimulates the maturation of a follicle.

Question 14

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

Accepted Answer

The first outward change of puberty in girls is the development of breasts at about 10 to 11 years of age.

Question 15

The nurse has explained menstruation to a 13-year-old girl. The statement that indicates the girl needs additional education is:

Accepted Answer

Clots are not normally seen in menstrual discharge. A normal menstrual flow is 30 to 40 mL blood and 30 to 50 mL serous fluid.

Question 16

A 14-year-old boy is at the pediatric clinic for a checkup. The nurse is aware that the production of testosterone is responsible for which physical change in males during puberty?

Accepted Answer

Testosterone increases muscle mass, promotes strength and growth of long bones, and enhances production of red blood cells.

Question 17

A pregnant woman asks the nurse, "Will I be able to have a vaginal delivery?" The nurse would base a response on the understanding that the pelvic type most favorable for vaginal birth is:

Accepted Answer

The gynecoid pelvis is the typical female pelvis and is most favorable for vaginal birth.

Question 18

The nurse assisting with pelvic inlet measurements on a pregnant woman is aware that the measurement that provides information about whether or not the woman can deliver vaginally is:

Accepted Answer

This measurement determines if the fetus can pass through the birth canal.

Question 19

The nurse who is aware that the diagonal conjugate is 12 centimeters knows that the obstetric conjugate is ________ centimeters.

Accepted Answer

The obstetric conjugate is approximately 1.5 to 2 centimeters shorter than the diagonal conjugate.

Question 20

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

Accepted Answer

Puberty begins when the secondary sex characteristics appear. Puberty ends when mature sperm are formed in the male and when regular menstrual cycles occur in the female.

Quiz 2: Human Reproductive Anatomy and Physiology