Deck 2: Human Reproductive Anatomy and Physiology

Question 1

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) No sperm in ejaculate
D) Association with violent dreams

Answer 1

No sperm in ejaculate

Question 2

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

Answer 2

Gynecoid

Question 3

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

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.

Answer 3

An ovum must be fertilized within 24 hours of ovulation.

Question 4

The nurse uses a diagram to demonstrate the fimbriae that:

A) Are the passage way 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 5

When explaining the female reproductive tract to a pregnant woman, the nurse would refer to the uterine layer that is involved in implantation as the:

A) Perimetrium
B) Endometrium
C) Myometrium
D) Internal os

Question 6

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 7

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 8

A newly married couple tell 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 a 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 9

A group of nursing students plan to teach a class of 6th-grade girls about menstruation. They would teach them 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 10

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

Question 11

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

A) Diagonal conjugate
B) Obstetrical conjugate
C) Transverse diameter
D) Anteroposterior diameter

Question 12

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 13

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 14

Maturation of the ovarian follicle is initiated by which of the following hormones?

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

Question 15

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 16

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 is not circumcised
C) The penis and testes are small
D) The testes are too warm

Question 17

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 18

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

A) "Women make less 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 19

The nurse explains that the structure(s) responsible for production of sperm and secretion of hormones is (are) the:

A) Testes
B) Vas deferens
C) Ejaculatory ducts
D) Prostate gland

Question 20

The nurse who is aware that the diagonal conjugate is 12 cm knows that the obstetrical conjugate is:

A) 10 to 10.5 cm
B) 11 to 11.5 cm
C) 12.5 to 13 cm
D) 14 to14.5 cm

Question 21

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 22

The nurse uses a diagram to show the bones of the pelvis. They include: Select all that apply.

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

Question 23

The nurse conducting a sex education class for junior high students describes some cultural rites celebrating the entry to adulthood, such as: Select all that apply.

A) Bar mitzvah
B) Displays of bravery
C) Hunting wild animals
D) Ritual circumcision
E) Displays of self-defense
F) None of the above

Question 24

The nurse, by reading a pregnant patient's history and physical, recognizes information that might indicate the need for a cesarean delivery, which is/are: Select all that apply:

A) History of childhood rickets
B) Immobile coccyx
C) Prepregnant weight of 100 pounds
D) Patient is avid horseman
E) Pelvic fracture 3 years ago

Question 25

The nurse explains that the functions of the fallopian tubes are to provide: 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 26

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

A) Vas deferens
B) Epididymis
C) Cowper's glands
D) Scrotum