Deck 47: Assessing Male and Female Reproductive Systems

Question 1

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

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 of menarche

Answer 1

the date of the patient's LMP

Question 2

When assisting with a vaginal examination of a 33-year-old patient a nontender mass at the posterolateral portion of the labia majora is noted. The nurse anticipates this mass will be diagnosed as which of the following?

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

Answer 2

a bartholin cyst

Question 3

During the bimanual examination the patient's uterus the nurse notes that the uterus is tilted toward the back. Concerned, the patient questions the nurse. What information may be provided to the patient?

A)The uterus of a patient who has carried a child to term is frequently in a tilted back position.
B)The back tilt uterine positioning is common and not considered a remarkable abnormality.
C)The uterus of patient's having fibroid tumors frequently tilts back under the weight of the tumors.
D)The back tilt of the uterus is consistent with the presence of a pregnancy in the second or third trimester.

Answer 3

The back tilt uterine positioning is common and not considered a remarkable abnormality.

Question 4

A 40-year-old male has reported to the clinic with complaints of impotence. The nurse is reviewing the patient's health history. Which of the following statements by the patient warrants further investigation? Select all that apply.

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 four years ago."
D)"I have had diabetes for several years."
E)"My wife has a history of cervical cancer."

Question 5

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

A)Document the reports.
B)Notify the physician.
C)Ask the patient to come to the clinic immediately.
D)Assess if the patient has been prescribed an antibiotic.

Question 6

The patient is scheduled to have an endometrial biopsy. After providing education concerning the test, which of the following statements by the patient 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 three to six months after the test."
C)"If I have bleeding after the procedure I can use junior-sized tampons."
D)"I should avoid sexual intercourse in the days following the procedure."

Question 7

The nurse is preparing the equipment needed for a teen patient's first vaginal examination. The nurse will correctly obtain which of the following for the examination?

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

Question 8

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

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

Question 9

The nurse is performing a breast examination on a 22-year-old female patient. During the nipple assessment the nurse notes 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 findings will need to be reported for follow-up hormone level assessments.
D)The findings will need to be reported for further testing to rule out a malignancy.

Question 10

The nurse is preparing to obtain a sexual history from a male patient. Which of the following questions is of the highest importance in this assessment?

A)Do you engage in same sex activity?
B)Do you have sex frequently?
C)Do you enjoy sexual intercourse?
D)Do you engage in masturbation?

Question 11

The patient has had a colposcopy. The nurse had provided aftercare instructions to the patient. Which of the following statements indicates an understanding of the information provided? Select all that apply.

A)"I will need to wait to avoid heavy lifting for the next four weeks."
B)"I should douche at the end of one 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 12

The nurse is conducting a follow-up call to a patient who had an exploratory laparoscopic surgical procedure 36 hours ago. The patient reports experiencing shoulder pain. What response by the nurse is indicated?

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

Question 13

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

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

Question 14

The nurse is caring for a confused, elderly man admitted with signs consistent with prostate cancer. His daughter has the legal authority to manage his medical care. The daughter

Question 15

A teenaged patient questions the nurse about douching. The patient states she has heard that douching is not recommended and asks how douching could increase her risk for infections. Which of the following should be included in the nurse's teaching to the patient?

A)Douching will increase the acidity of the vagina thus increasing the risk of infection.
B)The normal flora of the vagina will be disturbed with douching.
C)Douching alters the estrogen in the walls of the vagina increasing the risk of infection.
D)Douching will introduce foreign pathogens into the vagina increasing the risk of infection.

Question 16

The nurse is collecting data from a couple reporting to the clinic with infertility-related concerns. During the data collection the male partner, aged 52, asks the nurse why his information concerning his mother's pregnancy is of concern. What response by the nurse is indicated?

A)"Collecting information about a patient's immediate family is required."
B)"Medication exposure during a woman's pregnancy may impact the long range fertility of 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 present a more balanced picture."

Question 17

A patient is scheduled to have a vaginal examination and a pap smear. Which of the following statements by the patient indicates understanding of the teaching provided 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 to prevent discomfort."

Question 18

The nurse is conducting a class for adolescent boys concerning reproduction. During the presentation the nurse discusses the production of sperm. The nurse uses a diagram to indicate the anatomic location where sperm are produced. Mark an "X" on the location where the male body produces sperm.

Question 19

A pregnant patient is seen at the family planning clinic. The patient overhears the examiner referring to a positive Hegar's sign. The patient questions what this means. Which of the following best explains the manifestation to the patient?

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

Question 20

The nurse is conducting a presentation to a group of women concerning menopause. Which of the following statements by a participant indicates good understanding about the process? Select all that apply.

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

Question 21

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 22

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

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 23

A female patient is scheduled for an ultrasound to study the uterus. The nurse should instruct this patient to do which of the following?

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 24

During an assessment of a female patient's internal genitalia, the nurse feels a bulging along the patient's posterior vaginal wall. The nurse realizes that this finding is considered which of the following?

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

Question 25

A male patient was born with only one testis. The nurse realizes that this patient most likely

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

Question 26

When preparing the patient for the following procedures, which procedure would require the patient to refrain from douching to prevent interference with the test results?

A)cultures for candida
B)syphilis smear
C)ultrasound
D)Pap test

Question 27

During an assessment, the patient asks why the nurse is "feeling her armpit."." Which of the following would be an appropriate response for the nurse to make to this patient? Select all that apply.

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 28

An elderly female patient complains about the growth of "hair on the chin."." The nurse realizes that this complaint is consistent with which of the following?

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

Question 29

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. The nurse realizes that this patient is experiencing which of the following?

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

Question 30

A female patient complains of severe menstrual cramps. The nurse realizes that the uterine structure responsible for this patient complaint is which of the following?

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

Question 31

In the diagram above place an "X" in the area that would be palpated to diagnose an inguinal hernia.

Question 32

When conducting a focused interview for the female reproductive system, the nurse would ask the following Click and drag the options below to move them up or down.

A)"Have you had any problems with your menstrual cycle?"
B)"What is your sexual preference?"
C)"Have you had any unusual vaginal discharge?"
D)"Do you have any allergies?"

Question 33

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. The nurse understands which of the following?

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 34

When assessing the external features of the female reproductive system, the nurse should be able to identify each of the external organs. Label the perineum on the figure above.

Question 35

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

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

Question 36

A male patient has an infection of his epididymis. Because of this infection, the patient will have a reduction in which of the following?

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

Question 37

An analysis of a patient's sperm shows the sperm are not developing motility. The body structure that assists with this development is which of the following?

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

Question 38

The healthcare provider orders Zithromax 2000 mg in a single dose for a patient who is positive for gonorrhea. The pharmacy fills the patient's prescription with 1 gram Zithromax tablets. The nurse should give _______ tablets to achieve the ordered dose.

Question 39

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. The nurse realizes that this patient is describing which of the following?

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

Question 40

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

A)300 million
B)200 million
C)100 million
D)50 million