Question 1

An elderly woman complains about the growth of 'hair on the chin.' What is this complaint consistent with?

Accepted Answer

Hair growth on the chin in elderly women is consistent with decreased oestrogen production, which leads to an increase in androgen levels and the development of male-pattern hair growth.

Question 2

A woman tells the nurse that it was discovered that her inability to become pregnant is because of her husband's choice of underwear. What is a possible explanation for this?

Accepted Answer

Sperm is produced at 2 to 3 degrees below body temperature and tight underwear may increase heat in the genital area, which can decrease sperm production and affect fertility.

Question 3

During an assessment of a woman's internal genitalia, the nurse feels a bulging along the woman's posterior vaginal wall. What is the name of this finding?

Accepted Answer

A bulging along the posterior vaginal wall is indicative of a rectocele, which is a herniation of the rectum into the posterior vaginal wall. A blocked gland, cyst or prolapsed uterus would present with different symptoms and findings.

Question 4

A man's prostate specific antigen (PSA)level is elevated. The nurse realises that this man most likely will need which of the following diagnostic tests to accurately diagnose the presence or absence of cancer?

Accepted Answer

An elevated PSA level is not enough to diagnose prostate cancer definitively. Therefore, a biopsy is required to confirm the presence or absence of cancerous cells. A prostate ultrasound may be used to guide the biopsy procedure, but it is not enough to diagnose cancer. A semen analysis is used to evaluate male fertility, and a CT scan is not typically used as a first-line diagnostic tool for prostate cancer.

Question 5

During a focused interview, a man describes his erection and ejaculate in terms that are less than professional. What should the nurse do?

Accepted Answer

It is important for the nurse to document the man's response in the terms he used as accurately as possible, as this information may inform the patient's medical care. However, the nurse may also want to assess the man's understanding of more professional terms and provide education if needed. Asking the patient to refrain from using certain terms may create discomfort or interrupt the flow of the interview. Finding a male nurse is not necessary or appropriate based solely on the patient's choice of language.

Question 6

A man was born with only one testis. What is the significance of this? The person most likely:

Accepted Answer

A man with only one testis may have a reduced level of testosterone production, which can lead to symptoms such as low libido, erectile dysfunction, and muscle loss. Testosterone supplementation therapy may be necessary to alleviate these symptoms.

Question 7

The nurse is completing an assessment on a 60-year-old woman's ovaries. What findings would the nurse attribute to normal age-related changes? Select all that apply.

Accepted Answer

The answer of The nurse is completing an assessment on...

Question 8

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

Accepted Answer

This woman is describing normal cervical mucous secretions that occur around ovulation, which can have a thin, runny consistency. This is a normal part of the menstrual cycle and is not a cause for concern unless accompanied by other symptoms such as itching or foul odor, which could indicate an infection.

Question 9

A woman tells the nurse that she has been taking multivitamin and mineral supplements to 'increase the production of eggs' so that she can get pregnant. The nurse understands that the woman will initially need education related to what topic?

Accepted Answer

The nurse would initially need to educate the woman on the anatomy and physiology of the female reproductive system to correct any misconceptions she has about "increasing the production of eggs" through supplements, as a woman is born with a finite number of ova that cannot be increased.

Question 10

Upon semen analysis, it is determined that a man's sperm are not developing motility. Which body structure assists with this development?

Accepted Answer

The epididymis is where immature sperm cells develop into mature and motile sperm cells. It provides a conducive environment for the maturation of sperm cells and is crucial in the development of motility.

Question 11

A man has an infection of his epididymis. Because of this infection the person will have a reduction in what?

Accepted Answer

The epididymis is a coiled tube where sperm mature and are stored before ejaculation. An infection in the epididymis can impair the function of the epididymis and reduce the production of mature sperm. Therefore, the best choice is A.

Question 12

The nurse is teaching a man about production of the male sex hormones. Which of the following are correctly listed by the nurse as playing a role in production of androgens? Select all that apply.

Accepted Answer

The testes and adrenal cortex both play a role in the production of male sex hormones, specifically androgens such as testosterone. The epididymis and seminal vesicles do not play a direct role in hormone production.

Question 13

A woman complains of severe menstrual cramps. What uterine structure is responsible for this complaint?

Accepted Answer

The myometrium is the smooth muscle layer of the uterus responsible for the contractions that occur during menstruation and childbirth. If the contractions are too strong, they can cause severe menstrual cramps.

Question 14

Upon analysis of a man's semen, it is found that the person could have difficulty making his wife pregnant. This man's semen most likely contains how many sperm per mL of semen?

Accepted Answer

The answer of Upon analysis of a man's semen, it...

Question 15

An elderly man comes into the emergency department for an oedematous and painful scrotum. The scrotum transilluminates. What is this man's scrotum filled with?

Accepted Answer

The presence of serous fluid in the scrotum is consistent with a hydrocele. A hydrocele is a fluid-filled sac that forms around the testicle, leading to scrotal swelling and pain. The transillumination of the scrotum is a useful diagnostic tool for differentiating between a hydrocele and other scrotal masses.

Question 16

The nurse is preparing to examine a man's reproductive organs. Which of the following should the nurse do in preparation for this examination? Select all that apply.

Accepted Answer

A private examination room ensures privacy and comfort, and asking the man to empty his bladder helps in making the examination more comfortable and accurate.

Question 17

A specimen has been taken from a lesion on a man's penis and is sent for fluorescent treponemal antibody absorption. What might this lesion be indicative of?

Accepted Answer

Fluorescent treponemal antibody absorption (FTA-ABS) is a test used to diagnose syphilis. A specimen taken from a lesion on a man's penis and sent for FTA-ABS would indicate a suspicion of syphilis.

Question 18

The nurse is preparing to assess a woman's external genitalia. What structures should be included in the assessment? Select all that apply.

Accepted Answer

The labia minora, mons pubis, and perineum are all external genitalia structures that should be included in the assessment. The cervix is an internal genitalia structure that cannot be assessed externally.

Question 19

During an assessment, the woman asks why the nurse is 'feeling her armpit.' Which of the following would be an appropriate response for the nurse to make to this woman?

Accepted Answer

The nurse should explain that breast tissue can extend into the armpit area, which is why she is feeling it during the assessment. This response is informative and professional, and will help the patient to better understand the purpose of the examination. Options A and D are not accurate, and option B is dismissive and unhelpful.

Question 20

A woman is scheduled for an ultrasound to study the uterus. What should the nurse instruct this woman to do? Select all that apply.

Accepted Answer

A full bladder acts as a window to better visualize the pelvic organs during an ultrasound, hence increasing fluid intake and not voiding until after the exam are recommended.

Quiz 46: A Person-Centred Approach to Assessing the Male and Female Reproductive Systems