Question 1

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

Accepted Answer

The first outward change of puberty in girls is the development of breasts at about 10 to 11 years of age.

Question 2

A mother is anxious about her ability to breastfeed after her child is born because of her small breast size.What would be an important point to teach this mother?

Accepted Answer

Breast size does not influence the ability to secrete milk.

Question 3

A nurse is planning to teach couples about the physiology of the sex act.What correct information will the nurse provide?

Accepted Answer

After ovulation,the egg lives for only 24 hours.Sperm must be available during that time if fertilization is to occur.

Question 4

What statement indicates a woman has correct information about oogenesis?

Accepted Answer

Oogenesis (formation of immature ova)does not occur after fetal development.Females are born with about 2 million immature ova,which rapidly reduce by adulthood.

Question 5

The nurse is aware that the diagonal conjugate is 12 cm.What is the measurement in centimeters of the obstetric conjugate?

Accepted Answer

The obstetric conjugate is approximately 1.5 to 2 cm shorter than the diagonal conjugate.

Question 6

A newly married couple tells the nurse they would like to wait a few years before starting a family.Which statement made by the man indicates an understanding about sexual activity and pregnancy?

Accepted Answer

Semen may be secreted during sexual intercourse before ejaculation.

Question 7

A mother asks the nurse,"When will I know my child has entered puberty?" What will the nurse state based on an understanding of changes associated with puberty?

Accepted Answer

Puberty begins when the secondary sex characteristics appear.Puberty ends when mature sperm are formed in the male and when regular menstrual cycles occur in the female.

Question 8

The nurse is assisting with pelvic inlet measurements on a pregnant woman.What measurement will provide the nurse with information about whether the woman can deliver vaginally?

Accepted Answer

This measurement determines if the fetus can pass through the birth canal.

Question 9

The nurse is speaking with a couple trying to conceive a child.What will the nurse remind the couple is a factor that can decrease sperm production?

Accepted Answer

The scrotum is suspended away from the perineum to lower the temperature of the testes for sperm production.

Question 10

A 12-year-old female patient experienced menarche 3 months ago.Her mother voices concern to the pediatric office nurse regarding the irregularity of her daughter's menstrual cycle.What is the nurse's best response?

Accepted Answer

Early cycles are often irregular and may be anovulatory.Regular cycles are usually established within 6 months to 2 years of the menarche.In an average cycle,the flow (menses)occurs every 28 days,plus or minus 5 to 10 days.

Question 11

The nurse uses a diagram to demonstrate the fimbriae when teaching nursing students about the female anatomy.What is true about fimbriae?

Accepted Answer

Fimbriae are the fingerlike projections from the infundibulum that "capture" the ovum at ovulation and conduct it into the fallopian tube.

Question 12

A group of nursing students plans to teach a class of sixth-grade girls about menstruation.What correct information will the nursing students teach to the class?

Accepted Answer

The beginning of menstruation,called menarche,occurs at about 12 years of age.Early cycles are irregular and anovulatory.

Question 13

The nurse has explained menstruation to a 13-year-old girl.What statement indicates the girl needs additional education?

Accepted Answer

Clots are not normally seen in menstrual discharge.A normal menstrual flow is 30 to 40 mL blood and 30 to 50 mL serous fluid.

Question 14

Which hormone initiates the maturation of the ovarian follicle?

Accepted Answer

Follicle-stimulating hormone (FSH)stimulates the maturation of a follicle.

Question 15

When describing the female reproductive tract to a pregnant woman,the nurse would explain that which uterine layer is involved in implantation?

Accepted Answer

The endometrium is the inner mucosal layer of the uterus that is governed by cyclical hormonal changes.It is functional during menstruation and during the implantation of a fertilized ovum.

Question 16

What will the nurse explain to a 12-year-old patient when describing what characterizes nocturnal emissions?

Accepted Answer

Nocturnal emissions,also known as "wet dreams," occur without sexual stimulation and contain no sperm.Testosterone levels are constant until midlife.

Question 17

A pregnant woman asks the nurse,"Will I be able to have a vaginal delivery?" The nurse knows that which is the most favorable pelvic type for vaginal birth?

Accepted Answer

The gynecoid pelvis is the typical female pelvis and is most favorable for vaginal birth.

Question 18

For what is the decrease in estrogen and progesterone during the menstrual cycle responsible?

Accepted Answer

The fall in estrogen and progesterone causes the endometrium to break down,resulting in menstruation.

Question 19

The nurse is educating high school students about puberty.What will the nurse indicate regulates the production of sperm and secretion hormones?

Accepted Answer

The testes have two functions: manufacture of spermatozoa and secretion of androgens.

Question 20

A 14-year-old boy is at the pediatric clinic for a checkup.What physical changes of puberty will the nurse indicate are related to the production of testosterone?

Accepted Answer

Testosterone increases muscle mass,promotes strength and growth of long bones,and enhances production of red blood cells.

Quiz 2: Human Reproductive Anatomy and Physiology