Deck 64: Assessment of Reproductive Function

Question 1

Which statement by the patient scheduled for a hysteroscopy indicates the need for further teaching about this procedure?
1)"I will not be able to use my diaphragm for 4 weeks after this procedure."
2)"I will have some discharge after the procedure."
3)"This test allows biopsies to be taken of my uterus."
4)"I will need to be on bedrest for a week after this procedure."

Answer 1

4

Question 2

What is the recommendation regarding the age that males need to begin having digital prostate examinations?
1)20
2)30
3)50
4)60

Answer 2

3

Question 3

The nurse provides care to a female patient who has not given birth. Which term does the nurse use to document this information in the medical record?
1)Nulliparous
2)Primiparous
3)Primigravida
4)Multigravida

Answer 3

1

Question 4

Which statement by the patient about factors impacting male reproductive function indicates the need for further teaching?
1)"Anabolic hormones my decrease sperm production."
2)"Alcohol consumption decreases estrogen production."
3)"Marijuana use decreases sperm production."
4)"Long-term use of opiates may decrease quality of sperm."

Question 5

The nurse recognizes that secretions from which gland in the male reproductive system is responsible for lubrication during sexual intercourse?
1)Anterior pituitary gland
2)Cowper's gland
3)Prostate gland
4)Seminal vesicles

Question 6

The nurse correlates that secretions from which gland in the male reproductive system are responsible for production of an alkaline fluid that is part of the ejaculate?
1)Anterior pituitary gland
2)Cowper's gland
3)Prostate gland
4)Seminal vesicles

Question 7

A nurse recognizes that an annual Papanicolaou (Pap) smear is recommended to screen for which type of cancer?
1)Ovarian
2)Vaginal
3)Uterine
4)Cervical

Question 8

How should the nurse position a patient for palpation of the breast and axillae during the physical assessment?
1)Supine with arms at her side
2)Supine with arms over her head
3)Supine with arm of side being examined under her head
4)Supine with arm opposite to the breast being examined under her head

Question 9

The nurse correlates secretion of breast milk to which hormone?
1)Prolactin
2)Progesterone
3)Luteinizing hormone
4)Follicle-stimulating hormone

Question 10

Which statement by the patient scheduled for a laparoscopy indicates the need for further teaching about this procedure?
1)"This procedure requires anesthesia."
2)"I cannot eat anything after midnight the night before the procedure."
3)"I need to notify the provider if I experience bloating and shoulder pain after the procedure."
4)"I will need to rest for a few days after the procedure."

Question 11

Which hormone is responsible for the decreased secretion of luteinizing hormone (LH)?
1)Follicle-stimulating hormone (FSH)
2)Gonadotropin-releasing hormone (GnRH)
3)Inhibin
4)Testosterone

Question 12

Which hormone is responsible for ovulation?
1)Estrogen
2)Follicle-stimulating hormone
3)Luteinizing hormone
4)Progesterone

Question 13

Which statement by the patient scheduled for a colposcopy indicates the need for further teaching about this procedure?
1)"I need to let the healthcare provider know that I have an iodine allergy."
2)"This test requires general anesthesia."
3)"If abnormal cells are found, a biopsy will be taken"
4)"I should avoid sexual intercourse 24 hours before this test."

Question 14

Which statement by the patient using a hormone releasing patch for birth control indicates the need for further teaching?
1)"This type of birth control has a low risk of blood clots."
2)"I can put this patch on my arm, buttocks, or back."
3)"I put on a new patch every week for 3 straight weeks."
4)"The patch is removed for a week each month."

Question 15

The nurse prepares the patient who presents with galactorrhea for which diagnostic evaluation?
1)Papanicolaou (Pap) smear
2)Pelvic examination
3)Abdominal ultrasound
4)Serum hormone testing

Question 16

A disorder of which gland results in decreased secretion of mucus to lubricate the vagina during sexual intercourse?
1)Anterior pituitary gland
2)Bartholin gland
3)Skene gland
4)Posterior pituitary gland

Question 17

The nurse monitors for which clinical manifestation during the bimanual examination of a female patient as a sign of pelvic inflammatory disease (PID)?
1)Cervical motion tenderness
2)Palpable uterine mass
3)Enlarged ovaries
4)Vaginal dryness

Question 18

Which statement by the patient regarding using condoms for birth control indicates the need for additional teaching?
1)"Condoms are very effective against pregnancy."
2)"Condoms are as effective as birth control pills."
3)"Condoms can also protect me from sexual transmitted infections."
4)"Condoms can be used with oil-based lubricants to increase lubrication during sexual intercourse."

Question 19

Which hormone plays the major role in the production of testosterone?
1)Estrogen
2)Follicle-stimulating hormone (FSH)
3)Luteinizing hormone (LH)
4)Posterior pituitary gland

Question 20

Which question is most important for the nurse to include in the assessment history for the patient who reports vaginal discharge with itching and mild dysuria for a week?
1)"What is the color of the discharge?"
2)"Does your sexual partner have the same symptoms?"
3)"How often do you have vaginal bleeding?"
4)"How would you describe your normal flow?"

Question 21

The nurse links the increased risk of blood clot formation in the patient who uses which type of birth control? Select all that apply.
1)Combination birth control pills
2)Cervical cap
3)Estrogen patch
4)Vaginal ring
5)Intrauterine device (IUD)

Question 22

The nurse is assessing an adult patient's scrotum, what are normal assessment findings? Select all that apply.
1)Darker skin color than rest of the body
2)Lack of hair on the scrotal sack
3)Left testicle slightly lower than right testicle
4)Erythema
5)Tiny skin folds

Question 23

The nurse is preparing a patient for a dilation and curettage (D&C), and includes which information about this procedure?
1)"This procedure is done to obtain a cervical biopsy specimen."
2)"This procedure allows assessment of endometrial lining."
3)"This procedure is done to confirm a sexually transmitted infection."
4)"This procedure is used to assess the uterus and fallopian tubes."

Question 24

The nurse conducts a health history for a female patient and discusses pregnancy history. This patient has been pregnant three times, has two living children born at term, and lost one child at 12 weeks gestation to a spontaneous abortion. The GTPAL documented in the patient's medical record is ____________________.

Question 25

Which hormones control the monthly menstrual cycle? Select all that apply.
1)Estrogen
2)Follicle-stimulating hormone (FSH)
3)Luteinizing hormone (LH)
4)Prolactin
5)Progesterone

Question 26

The nurse monitors the results of which hormonal levels to confirm pregnancy and help quantify gestational age?
1)Estrogen
2)Follicle-stimulating hormone (FSH)
3)Human chorionic gonadotropin (HCG)
4)Luteinizing hormone (LH)

Question 27

The nurse is providing education to a patient who is scheduled for a mammogram. Which information does the nurse include in the teaching session? Select all that apply.
1)"You should avoid using deodorant before testing."
2)"You will need to remove all jewelry before this test."
3)"You will remove all your clothing,"
4)"Your healthcare provider will contact you with the results."
5)"You should avoid using facial makeup before the test."

Question 28

In completing an assessment on an older adult female, the nurse correlates which finding to an age-related change to the reproductive system?
1)Enlarged clitoris
2)Normal vaginal secretions
3)Decreased risk for vaginal infections
4)Increased risk for painful intercourse

Question 29

The nurse is conducting a genitourinary assessment for an older adult male patient. Which is an expected finding based on the patient's age?
1)Thick pubic hair on the external genitalia
2)Large and hard testicles
3)Atrophy of the penis
4)Elastic scrotal sac

Question 30

Which statement by the patient about proper use of a diaphragm for birth control indicates the need for further teaching? Select all that apply.
1)"This method is close to 99% effective when used properly."
2)"This method eliminates the risk for blood clots."
3)"I will need to insert it before sexual intercourse."
4)"I will need to keep it in place for 12 hours after intercourse."
5)"This method may not be effective when I am prescribed antibiotics."