Deck 3: Reproductive Anatomy and Physiology

Question 1

The nurse is preparing a handout on the ovarian cycle to a group of middle school girls. Which information should the nurse include?

A)There are two phases of the ovarian cycle: luteal and follicular.
B)Irregular menstrual cycles have varying lengths of the follicular phase.
C)The ovum travels from the ovary to the tube during the luteal phase.
D)The hormone human chorionic gonadotropin stimulates ovulation.

Answer 1

There are two phases of the ovarian cycle: luteal and follicular.

Question 2

A prenatal patient states, "The doctor said he might have to cut my cervix so the baby can get out during delivery." Based upon this statement, the nurse should provide teaching related to episiotomy, which includes defining:

A)The perineal body.
B)The labia majora.
C)The mons pubis.
D)The vaginal vestibule.

Answer 2

The perineal body.

Question 3

A nurse is teaching a classroom of teenage girls about the female reproductive system. After teaching, the nurse asks the students to describe the release of an ovum during ovulation. Which student's response suggests she correctly understood the nurse's teaching?

A)"During ovulation, an egg is released from the ovary and enters the fallopian tube."
B)"Around the middle of the menstrual cycle, one of the fallopian tubes releases an egg."
C)"Ovulation is when the uterus releases an unfertilized egg or ovum."
D)"The endometrium is where the eggs are formed and released into the fallopian tube."

Answer 3

"During ovulation, an egg is released from the ovary and enters the fallopian tube."

Question 4

The nurse is explaining the menstrual cycle to a group of women. The teaching on phases of the menstrual cycle should include the fact that the corpus luteum begins to degenerate, estrogen and progesterone levels fall, and the blood supply to the endometrium is reduced in which phase?

A)Menstrual phase
B)Proliferative phase
C)Secretory phase
D)Ischemic phase

Question 5

A nurse teaches newly pregnant patients that if an ovum is fertilized and implants in the endometrium, the hormone the fertilized egg begins to secrete is:

A)Estrogen.
B)Human chorionic gonadotropin (hCG).
C)Progesterone.
D)Luteinizing hormone.

Question 6

The nurse is preparing a presentation on the menstrual cycle for a group of high school students. Which statement should the nurse include in this presentation?

A)"The menstrual cycle has five distinct phases that occur during the month."
B)"One hormone controls the phases of the menstrual cycle."
C)"The secretory phase occurs when a woman is most fertile."
D)"Menstrual cycle phases vary in order from one woman to another."

Question 7

A school nurse is teaching a health class to middle school children. The nurse explains that follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are secreted by the:

A)Hypothalamus.
B)Ovaries and testes.
C)Posterior pituitary.
D)Anterior pituitary.

Question 8

Which statement best indicates that the patient understands the differences in the follicular and luteal phases of the ovarian cycle?

A)"My period will be every 28 days."
B)"The first part of my period might vary in length, but not the second."
C)"The follicular phase is the second half of my cycle."
D)"The follicular phase is when the egg is fertilized."

Question 9

A woman has been unable to complete a full-term pregnancy because the fertilized ovum failed to implant in the uterus. This is most likely due to a lack of which hormone?

A)Estrogen
B)Progesterone
C)FSH (follicle-stimulating hormone)
D)LH (luteinizing hormone)

Question 10

In preparation for teaching a women's community center class about physiologic changes during menopause, the nurse is preparing a handout for students. Which information should the nurse include in her teaching?

A)The ovaries remain small after puberty, but they increase in size following menopause.
B)Ovarian secretion of estrogen decreases between the ages of 45 to 55, after which point ovulatory activity ceases.
C)Due to changes in estrogen levels, the labia minora increase in size after menopause.
D)After menopause, the endometrium continues to undergo monthly degeneration and renewal.

Question 11

A woman is experiencing mittelschmerz and increased vaginal discharge. Her temperature has increased by 0.6°C (1.0° F) for the past 36 hours. This most likely indicates that:

A)Menstruation is about to begin.
B)Ovulation will occur soon.
C)Ovulation has occurred.
D)She is pregnant and will not menstruate.

Question 12

A pregnant adolescent asks the nurse, "Why does the physician call measuring my uterus a 'fundal height'?" The nurse's is based on the fact that the fundus of the uterus is located:

A)In the elongated portion where the fallopian tubes enter.
B)In the lower third area.
C)At the uppermost (dome-shaped top) portion.
D)Between the internal cervical os and the endometrial cavity.

Question 13

The clinic nurse is caring for a young woman seeking contraception because she has recently married and become sexually active. The teen states, "The opening of my husband's penis isn't at the tip; it's around the corner below the tip. He tells me that he was born that way. Will that cause problems if we want to have children?" What is the best response for the nurse to give? "This variation is called:

A)"Epispadias.It is not likely to impact his fertility."
B)"Epispadias.It will likely cause him to be infertile."
C)"Hypospadias.It is not likely to impact his fertility."
D)"Hypospadias.It will likely cause him to be infertile."