Question 1

While reviewing a female patient's medical history the nurse notes the term abortus documented.What should the nurse realize that the use of this term means?

Accepted Answer

Abortus refers to abortions,whether spontaneous or therapeutic (from the Latin word abortus); a spontaneous abortion is sometimes called a miscarriage.B.A medically induced abortion would be included in this definition,but abortus is more than just medically induced abortions.A.and C.are not correct definitions of this term.

Question 2

The nurse is helping a patient who is scheduled for a cystourethroscopy.Which question should the nurse ask the patient before the examination?

Accepted Answer

Possible allergic reaction to dyes is to be assessed and communicated to the physician as necessary.D.The patient is instructed to void before the procedure,not have a bowel movement.C.Claustrophobia is a problem with computed tomography (CT)scans and magnetic resonance imaging (MRI); patients do not have to be enclosed in endoscopic exams.A.Sexual activity is not a concern.

Question 3

A female patient is advised by her physician to have a mammogram.What instructions should the nurse provide to assist the patient to prepare for the examination?

Accepted Answer

Patients preparing for mammography should be advised to bathe and not to apply deodorant,powder,or any other substance to the upper body,because these may cause false shadows on the test.A.D.Fasting and dietary restrictions are not necessary.B.The patient should be instructed to avoid the use of deodorant or powder before the test.

Question 4

The nurse assists with teaching a male about testicular self-examination (TSE).Which patient statement indicates that teaching was effective?

Accepted Answer

The examination is easiest during or right after a warm shower or bath when the scrotum is relaxed and the testicles are hanging low.Teach the patient to choose one day a month to always do the examination.A.B.C.The examination does not need to be performed after intercourse,at the end of the day,or after vigorous exercise.

Question 5

The nurse is assisting in the preparation of an educational seminar for premenopausal female patients.When discussing the decreased secretion of estrogen as women age,what should the nurse include as a major effect of this decrease?

Accepted Answer

Lowered estrogen levels contribute to bone loss and osteoporosis risk.B.C.D.With the loss of estrogen,breasts atrophy,cholesterol levels increase,and vaginal epithelium atrophies.

Question 6

The nurse is assisting with teaching a female patient about early detection of cancer.According to the American Cancer Society,what should the nurse instruct a 52-year-old female patient to do to monitor for breast cancer?

Accepted Answer

The American Cancer Society recommends from age 20 throughout life that women do monthly BSE,from ages 20 to 39 that they add a breast examination by a health professional every 3 years,and from age 40 that they have a yearly mammogram and breast examination by a health professional.Those who experience breast symptoms or have a strong family history of breast cancer may be advised to have more frequent examinations.A.This patient needs a mammogram every year.B.This patient should perform BSE every month.D.This patient needs a mammogram every year.

Question 7

The nurse is providing information on breast self-examination to a female patient.Which palpation pattern should the nurse instruct the patient to use when conducting this examination?

Accepted Answer

Whether the breasts are examined in parallel lines,a spiral formation,or a wedge pattern is probably insignificant.It is important,however,to encourage that the examination be methodical and cover all areas of the breast,the tail of Spence,and the axilla.

Question 8

A female patient has had two pregnancies.The first pregnancy produced a healthy baby girl.The second pregnancy produced a set of twins,a boy and a girl.How should the nurse document this history?

Accepted Answer

Obstetrical history is documented using abbreviations of Latin words: G is the number of pregnancies (from the Latin word gravida); P is births,whether alive or stillborn (regardless of number of fetuses)after 20 weeks gestation (from the Latin word para).Roman numerals follow the letter to specify the number of each.B.Para does not identify the number of children born.C.The patient was not pregnant three times.D.There is no reason to split the number of live births.

Question 9

The nurse is reviewing the process of breast milk production with a new mother.Which hormone should the nurse explain stimulates the release of milk from the breast of a nursing mother?

Accepted Answer

The sucking of the infant on the nipple stimulates the release of oxytocin from the posterior pituitary gland,which in turn stimulates the release of milk as well as contraction of the uterine muscle.A.Prolactin promotes milk production,not release.D.FSH initiates development of ovarian follicles and stimulates estrogen secretion.C.LH causes ovulation,converts a ruptured ovarian follicle into the corpus luteum,and stimulates secretion of progesterone by the corpus luteum.

Question 10

The nurse is reviewing the results of data collected during a physical assessment of an older male client's reproductive system.What information should the nurse identify as a normal part of aging?

Accepted Answer

As a result of decreased testosterone secretion,men experience prostate hypertrophy.A.D.Spermatogenesis decreases and there is a gradual decrease in muscle size and strength.C.Cancer is not a normal age-related change.

Question 11

The nurse is caring for a patient who is in the beginning stages of labor.When planning care for this patient,on which layer of the uterus should the nurse focus?

Accepted Answer

The myometrium is the middle,smooth muscle layer.During pregnancy,these cells increase in size to accommodate the growing fetus,and during labor and delivery,oxytocin causes coordinated contractions of this middle layer to expel the fetus.B.The outermost layer of the uterine wall is the perimetrium,a fold of the visceral peritoneum.D.The lining of the uterus is called the endometrium and is a highly vascular mucous membrane,part of which is lost and regenerated with each menstrual cycle.During pregnancy,the endometrium helps in forming the maternal side of the placenta.A.The epimetrium is not a layer of the uterus.

Question 12

The nurse notes that insufflation was used on a patient who has had an endoscopic examination.What care should the nurse provide for the patient during the recovery period after the procedure?

Accepted Answer

The CO₂ remaining after completion of the examination travels to the highest level of the body before being absorbed,so lying flat for a few hours after the examination may decrease discomfort.A.B.D.Fluids,ambulation,and remaining NPO will not help reduce discomfort.

Question 13

The nurse is preparing a female patient for a pelvic examination.Which action should the nurse take prior to the examination?

Accepted Answer

Instruct the patient to empty the bladder before the examination.B.A suppository is not needed before the examination.C.The patient should be assisted into the lithotomy position.D.Cleansing the perineum with an iodine preparation is not necessary.

Question 14

A nurse is teaching a 30-year-old male patient about testicular self-examinations (TSE).What should the nurse include in the teaching?

Accepted Answer

All men after puberty should do a monthly TSE to detect any tumors or other changes in the scrotum.A.The examination does not need to be done weekly.C.This examination should be done monthly.D.This examination needs to be done more than once a year.

Question 15

The nurse provides care for an older man with noted breast enlargement.He denies discomfort.How should the nurse document this finding?

Accepted Answer

The presence of excess breast tissue may indicate gynecomastia related to an excess of female hormones.B.Mastalgia is breast pain.A.Mastitis is inflammation of the breasts.D.Gynecomastia is not caused by swollen tissue or injury.

Question 16

A male patient is experiencing problems associated with the prostate gland.On which function of the prostate gland should the nurse focus when determining the care that this patient will need?

Accepted Answer

The smooth muscle of the prostate contracts during ejaculation,causing the expulsion of semen from the urethra.B.Erection occurs when blood fills the sinuses in the penis.C.The seminal vesicles secrete prostaglandins and clotting proteins.D.The bulbourethral glands produce an alkaline secretion that coats the interior of the urethra just before ejaculation and neutralizes any acidic urine that might be present.

Question 17

The nurse is helping a young female patient prepare for her first pelvic examination.Which action by the nurse is best?

Accepted Answer

Some women may be fearful,embarrassed,or tense and may find the procedure uncomfortable.Active relaxation strategies may decrease discomfort.B.C.Sedatives,distraction,and having the patient turn her head all interfere with teaching.D.Talking about disorders for which she is being tested may increase anxiety.

Question 18

The nurse is assisting with a Papanicolaou (Pap)smear.What action should the nurse take to prepare the patient for this test?

Accepted Answer

The role of the nurse during a Pap smear is to explain the procedure and provide support.A.The nurse has no way of knowing what the test results will be.C.Reviewing the anatomy of the reproductive tract at this time is inappropriate.D.The nurse should stay with the patient during the examination.

Question 19

The nurse is reinforcing teaching provided to a 50-year-old male client on reproductive health.What should the nurse remind the patient about monitoring for prostate problems?

Accepted Answer

Remind all men older than age 40 that unless they have had a complete removal of the prostate gland,they still need a DRE performed every year.D.TSE does not screen for prostate problems.A.B.Ultrasounds and x-rays are not prostate screening procedures.

Question 20

While performing a physical examination on a male patient,the nurse notes that the urethral opening is located on the underside of the penis.Which term should the nurse use to describe this finding?

Accepted Answer

A urethral opening on the underside of the shaft is called hypospadias.B.A urethral opening on the dorsum of the shaft is called epispadias.A.D.Phimosis and paraphimosis refer to the foreskin,not the urethra.

Quiz 41: Genitourinary and Reproductive System Function and Assessment