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

Question 1

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

A)Decreased testosterone production
B)Increased luteinising hormone production
C)Increased oestrogen production
D)Decreased oestrogen production

Answer 1

Decreased oestrogen production

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?

A)This statement is incorrect.
B)Sperm is produced at 2 to 3 degrees below body temperature and tight underwear may increase heat in the genital area.
C)Tight male underwear impedes blood flow to the scrotum.
D)Tight male underwear causes sperm to not be produced.

Answer 2

Sperm is produced at 2 to 3 degrees below body temperature and tight underwear may increase heat in the genital area.

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?

A)Blocked gland
B)Rectocele
C)Prolapsed uterus
D)Cyst

Answer 3

Rectocele

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?

A)Prostate ultrasound
B)Semen analysis
C)Biopsy
D)CT scan

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?

A)Document the man's response in the terms he used.
B)Ask the man to define the terms.
C)Ask the man to refrain from using the terms.
D)Find a male nurse to complete the assessment.

Question 6

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

A)does not produce sperm.
B)will have a normal level of sperm production.
C)will need oestrogen supplementation therapy.
D)may need testosterone supplementation therapy.

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.

A)Flattened labia
B)Inability to palpate ovaries
C)Enlarged uterus
D)Moderate vaginal lubrication
E)Thinner epithelium

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?

A)Evidence of a blocked vaginal gland
B)Evidence of a sexually-transmitted disease
C)Oversecretion of natural vaginal lubricants
D)Normal cervical mucous secretions

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?

A)Proper use of multivitamins and mineral supplements
B)Anatomy and physiology of the female reproductive system
C)Effective ways to increase the production of ova
D)Better ways to increase the chance of pregnancy

Question 10

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

A)Epididymis
B)Penis
C)Seminiferous tubules
D)Cowper's glands

Question 11

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

A)Mature sperm
B)Testosterone production
C)Sperm production
D)The ability to ejaculate

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.

A)Testes
B)Epididymis
C)Adrenal cortex
D)Seminal vesicles

Question 13

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

A)Internal os
B)Uterine fundus
C)Endometrium
D)Myometrium

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?

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

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?

A)Urinary filtrate
B)Serous fluid
C)A mass
D)Prostatic secretions

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.

A)Ask the man to lie down on the exam table.
B)Arrange for a private examination room.
C)Use clean hands for the examination.
D)Ask the man to empty his bladder.

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?

A)Chlamydia
B)Syphilis
C)Genital warts
D)Gonorrhoea

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.

A)Labia minora
B)Cervix
C)Mons pubis
D)Perineum

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?

A)'I'm checking your chest muscles.'
B)'Don't you feel your own armpits?'
C)'Breast tissue extends into this area.'
D)'I'm assessing for changes to hair distribution in this area.'

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.

A)Take a suppository the night before the test to clear the colon.
B)Take no food after midnight the day before the test.
C)Increase fluid intake before the exam.
D)A local anaesthetic will need to be given.
E)Do not void until after the exam to keep the bladder full.

Question 21

A 40-year-old man is concerned with his inability to have an erection since he was prescribed an antispasmodic for a muscular back injury. The man's health history includes the use of hydrocortisone creams to manage a chronic integumentary condition. What is this man experiencing?

A)A psychosexual complaint
B)Age-related erectile dysfunction
C)A reason to avoid sexual encounters
D)An adverse effect of the antispasmodic medication