Deck 10: The Reproductive System

Question 1

The nurse teaching a class on the reproductive system is discussing what happens at puberty. Which statement does the nurse make?

A) Boys and girls go through puberty at the same time.
B) Most girls develop breasts and start their menses at about the same time.
C) The nocturnal emissions that adolescent boys have contain a large number of sperm.
D) The onset and progress of puberty varies widely from person to person.

Answer 1

The onset and progress of puberty varies widely from person to person.

Question 2

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
D) LH

Answer 2

Progesterone

Question 3

The nurse teaching a patient describes the effect of a vasectomy on fertilization by saying "A man who has had a vasectomy becomes functionally sterile because the sperm:

A) "Are no longer being produced."
B) "Are no longer motile and fertile."
C) "Sit in the testes where they are formed."
D) "Cannot reach the outside of the body."

Answer 3

"Cannot reach the outside of the body."

Question 4

The nurse is presenting a community education session on female hormones. Which statement from a participant indicates the need for further information?

A) "Estrogen is what causes females to look female."
B) "The presence of some hormones causes other to be secreted."
C) "Progesterone is present at the end of the menstrual cycle."
D) "Prostaglandin is responsible for achieving conception."

Question 5

A nurse teaching a sex education class is asked by a male student, "What exactly happens when my body gets aroused?" The nurse bases a reply on which statement?

A) The vas deferens thickens and expands.
B) The sympathetic nerves of the penis are stimulated.
C) The corpora of the penis become engorged.
D) The prepuce of the penis elongates.

Question 6

The nurse explains to the patient that the obstetric conjugate measurement is important because:

A) This measurement determines the tilt of the pelvis.
B) This measurement determines the shape of the inlet.
C) The fetus passes under it during birth.
D) The size of this diameter determines whether the fetus can move down into the birth canal so that engagement can occur.

Question 7

The pregnant patient asks the nurse when the male and female reproductive organs begin to differentiate. The nurse's best answer is, "Differentiation happens at:

A) "4 weeks."
B) "8 weeks."
C) "14 weeks."
D) "20 weeks."

Question 8

A school nurse teaching a health class to adolescent boys explains that spermatozoa become motile and fertile during the 2-10 days they are stored in the:

A) Prostate gland.
B) Vas deferens.
C) Epididymis.
D) Urethra.

Question 9

The nurse educator teaching reproductive anatomy wants to make sure the students understand what stabilizes the uterus. Which statements about the individual ligaments would the nurse include?

A) The infundibulopelvic ligaments suspend and support the uterus.
B) The broad ligament keeps the uterus centrally placed.
C) The uterosacral ligaments sweep back around the rectum and insert on the sides of the first and second sacral vertebrae.
D) The ovarian ligaments anchor the ovary to the uterus.
E) The cardinal ligaments prevent uterine prolapse and support the upper vagina.

Question 10

The nurse in an OB-GYN office is assessing a woman who has a history of miscarriages. The nurse knows that miscarriages can be caused by:

A) A change in the uterine ligaments.
B) Uterus didelphys.
C) Exposure to diethylstilbestrol.
D) An anteverted uterus.
E) A bicornuate uterus.

Question 11

The nurse teaching a class on reproductive anatomy knows that no further instruction is needed when a student shows an understanding of the pelvic cavity divisions by stating:

A) "The true pelvis is made up of the sacrum, coccyx, and innominate bones."
B) "The false pelvis consists of the inlet, the pelvic cavity, and the outlet."
C) "The true pelvis is the portion above the pelvic brim."
D) "The relationship between the false pelvis and the fetal head is of paramount importance."

Question 12

When planning care for a patient who has undergone an episiotomy, it would be important to include a goal that addresses the need for pain relief of the:

A) Mons pubis.
B) Perineum.
C) Labia minora.
D) Hymen.

Question 13

The nurse educator is lecturing on the changes that take place during puberty. A change that girls have is:

A) Elongation of the hips.
B) Deepening of the voice.
C) Broadening of the hips and budding of breasts.
D) Preparation of the uterus for pregnancy.

Question 14

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 15

The nurse educator knows that teaching about reproduction has been effective when a student states, "Once the ovum has entered the fallopian tube, movement of the ovum through the fallopian tube and toward the uterus is facilitated by:

A) "Estrogen-induced tubal peristalsis."
B) "Progesterone-induced cervical mucus changes."
C) "Motions of the sphincters at the fallopian tubes."
D) "Movements of the corona radiata of the ovum."

Question 16

Type: HOTSPOT Where in the illustration below is the isthmus of the fallopian tube located? Circle or select the correct location.Shape_
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Standard Text: Click on the correct area on the image.
199.

Question 17

A prenatal patient asks the nurse how the baby can possibly come out through her vagina, because a vagina is not nearly as big as a baby. How does the nurse best answer this patient's question? "The vagina:

A) "Usually tears as it stretches during childbirth."
B) "Is designed to allow a baby come through."
C) "Changes due to pregnancy hormones, and stretches more."
D) "Dilates and effaces in labor so the baby can get out."

Question 18

The nurse working with pediatric patients knows that the primary hormone secretions that induce puberty include:

A) Thyroid hormone.
B) Follicle-stimulating hormone.
C) Leuteinizing hormone.
D) Adrenocorticotropic hormone.
E) Gonadotropin-releasing hormones.

Question 19

The nurse explains the functions of the male reproductive organs to a patient. Among the functions the nurse includes are:

A) Ejaculatory ducts move semen and seminal fluid.
B) The adrenal gland is the major source of testosterone.
C) The vas deferens ends before reaching the prostate gland.
D) Sertoli's cells nourish spermatoazoa.
E) The testes house seminiferous tubules.

Question 20

The nurse educator describes the uterus and ovaries as being held in place in the pelvic cavity by what structures?

A) Muscles
B) Tendons
C) Ligaments
D) Peritoneum

Question 21

The nurse teaching a high school class explains that during the menstrual cycle, the vascularity of the uterus increases and the endometrium becomes prepared for a fertilized ovum. In which phase of the menstrual cycle does this occur?

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

Question 22

The student nurse encounters a 15-year-old girl who reports that she has no pubic or axillary hair and has not yet experienced growth of her breasts. The student asks the nurse about the physiology of this occurrence. The nurse explains that the patient probably lacks which hormone?

A) Testosterone
B) Progesterone
C) Estrogen
D) Prolactin

Question 23

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

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

Question 24

The nurse recognizes the importance of the interaction between the nervous and endocrine systems in the female reproductive cycle. The interaction involves the:

A) Hypothalamus.
B) Adrenal cortex.
C) Ovaries.
D) Thyroid.
E) Anterior pituitary.

Question 25

The nurse teaching the 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 26

The nurse teaches a patient that luteinizing hormone (LH) is important in the ovarian cycle for:

A) Proliferation of the endometrial mucosa.
B) Ovulation.
C) Corpus luteum development.
D) The graafian follicle.
E) Maturation of the ovarian follicle.

Question 27

The nurse is teaching a woman about her menstrual cycle. Which is the most important change that happens during the follicular phase of the menstrual cycle?

A) Maturation of the graafian follicle
B) Multiplication of the fimbriae
C) Secretion of human chorionic gonadotropin
D) Proliferation of the endometrium

Question 28

The nurse knows that cyclic hormonal control of the mature breast includes the hormone:

A) Estrogen.
B) Progesterone.
C) Parathyroid hormone.
D) Luteinizing hormone.
E) Thyroxine.

Question 29

The nurse is teaching a class on erectile dysfunction. Based on the anatomy of the male external genitalia, what is the most logical cause of the inability to achieve erection?

A) Weakness or atrophy of the penile muscles
B) Decreased functioning of the seminiferous tubules
C) An undescended testicle
D) Poor circulation to the penis

Question 30

The nurse is preparing a handout for female adolescents on the menstrual cycle. What phase of the cycle occurs if fertilization does not take place?

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

Question 31

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."