Deck 2: Human Reproductive Anatomy and Physiology

Question 1

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

A) an increase in height.
B) breast development.
C) appearance of axillary hair.
D) the first menstrual period.

Answer 1

breast development.

Question 2

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

A) 10 to 10. 5
B) 11 to 11. 5
C) 12. 5 to 13
D) 14 to 14. 5

Answer 2

10 to 10. 5

Question 3

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

Answer 3

Endometrium

Question 4

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

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

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?

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 6

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

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 7

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

A) a drop in testosterone level.
B) sexual stimulation.
C) absence of sperm in ejaculate.
D) association with violent dreams.

Question 8

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:

A) diagonal conjugate.
B) obstetric conjugate.
C) transverse diameter.
D) anteroposterior diameter.

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:

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 10

Maturation of the ovarian follicle is initiated by which hormone?

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

Question 11

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

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. "

Question 12

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:

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.

Question 13

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

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

Question 14

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

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 15

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

A) testes.
B) vas deferens.
C) ejaculatory ducts.
D) prostate gland.

Question 16

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

A) degeneration of the corpus luteum.
B) ovulation.
C) follicle maturation.
D) shedding of the endometrium.

Question 17

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

A) lactiferous sinuses.
B) lobes.
C) Montgomery's glands.
D) alveoli.

Question 18

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:

A) "When your daughter has 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 19

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

A) infrequent sexual intercourse.
B) the man not being circumcised.
C) the penis and testes being small.
D) the testes being too warm.

Question 20

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:

A) gynecoid.
B) android.
C) anthropoid.
D) platypelloid.

Question 21

The nurse explains that sperm can remain viable in the female reproductive tract for as long as:

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

Question 22

The nurse outlines the phases of the sexual response.Arrange the phases in order of occurrence.

A) Nipples become erect.
B) Involuntary muscle spasms occur.
C) Engorgement resolves.
D) Heart rate slows.
E) Skin flushes.

Question 23

The nurse explains that the sperm are nourished by secretions from the:

A) vas deferens.
B) epididymis.
C) Cowper's glands.
D) scrotum.

Question 24

In males the follicle-stimulating hormone (FSH)and the luteinizing hormone (LH)from the anterior pituitary stimulate testosterone production in the ________ cells of the testes.

Question 25

The nurse clarifies that puberty ends for a male when:

A) facial hair is evident.
B) erections can be sustained.
C) ejaculate is greater than 5 mL.
D) mature sperm form.

Question 26

The nurse explains that the fallopian tubes have which function(s)? 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 27

The nurse conducting a sex education class for junior high students describes some cultural rites celebrating the entry to adulthood.Which would be included? 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 28

By reading a pregnant patient's history and physical,the nurse recognizes what information that 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

Question 29

Using a diagram,the nurse points out which bones that are part of the pelvis? Select all that apply.

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

Question 30

The nurse encourages the members of a prenatal class to seriously consider breastfeeding because,in addition to nourishment for the infant,breast milk provides:

A) maternal antibodies.
B) stimulus for red blood cell production.
C) endorphins that soothe the infant.
D) hormones that stimulate growth.

Question 31

When the nurse reads in the history and physical of a pregnant patient that she has a platypelloid pelvis,the nurse is aware that this pelvis has a narrow _____________ diameter,making a vaginal birth unlikely.

Question 32

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

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