Deck 3: Reproductive Anatomy and Physiology

Question 1

A patient states, "My breasts are so small. I don't think I will be able to breastfeed my baby." Which is the nurse's best response?

A) "It may be difficult but you should try anyway."
B) "You can always supplement with formula."
C) "All women have about the same amount of glandular tissue necessary to secrete milk."
D) "The ability to produce breast milk depends on increased levels of estrogen and progesterone."

Answer 1

"All women have about the same amount of glandular tissue necessary to secrete milk."

Question 2

Which statement with regard to reproductive anatomy and physiology is inaccurate?

A) Female patients who are past puberty and sexually active can become pregnant even if they have not had a menstrual cycle.
B) Puberty symptoms are more prominent in males than females.
C) Females enter puberty earlier than their male counterparts.
D) Secondary sexual characteristics develop during puberty.

Answer 2

Puberty symptoms are more prominent in males than females.

Question 3

A postpartum patient who has had a vaginal birth asks the nurse, "I was wondering if my cervix will return to its previous shape before I had the baby?" Which is the best response by the nurse?

A) The cervix will now have a slit-like shape.
B) The cervix will be round and smooth after healing occurs.
C) The cervix will remain 50% effaced now that you have had a baby.
D) The cervix will be slightly dilated to 2 cm for about 6 months.

Answer 3

The cervix will now have a slit-like shape.

Question 4

The nurse is reviewing normal female development with a mother of a 10-year-old daughter. The mother states, "I noticed that my daughter developed breast buds about a year ago. When do you think she will start her menstrual cycle?" What is the nurse's best response?

A) "In about a year."
B) "Likely any time now."
C) "Does your daughter know what to expect?"
D) "It is impossible to predict when she will start her cycle."

Question 5

If a woman's menstrual cycle began on June 2, on which date should ovulation mostly likely have occurred?

A) June 10
B) June 16
C) June 29
D) July 5

Question 6

The school nurse is conducting health education classes for a group of adolescent girls. Select the actions of the estrogen hormone that the nurse should include in the lessons. (Select all that apply.)

A) Stimulates contractions during birth
B) Relaxes pelvic ligaments during pregnancy
C) Stimulates the endometrium before ovulation
D) Stimulates growth of uterus during pregnancy
E) Stimulates the let-down reflex during breastfeeding

Question 7

Which hormonal effect is noted during the menstrual cycle?

A) Luteinizing hormone (LH) and follicle-stimulating hormone (FSH) secretion rise during the ovulatory phase.
B) A negative feedback mechanism is exhibited by the anterior pituitary gland and ovaries.
C) The posterior pituitary gland secretes LH.
D) Estrogen secretion enhances FSH secretion.

Question 8

The school nurse is conducting health education classes for a group of adolescents. Which statement best describes a secondary sexual characteristic?

A) Maturation of ova
B) Production of sperm
C) Female breast development
D) Secretion of gonadotropin-releasing hormone

Question 9

A newly pregnant patient asks the nurse, "What is a false pelvis?" Which statement by the nurse will best explain this anatomy to the patient?

A) It is the total anterior portion of the pelvis.
B) It is considered to be the lower portion of the pelvis.
C) It provides support for the internal organs and the upper part of the body.
D) It is the narrowest part of the pelvis through which a fetus will pass during birth.

Question 10

Which characteristic best describes the levator ani?

A) Division of the fallopian tube
B) Collection of three pairs of muscles
C) Imaginary line that divides the true pelvis and false pelvis
D) Basin-shaped structure at the lower end of the spine

Question 11

A young female patient comes to the health unit at school to discuss her irregular periods. In providing education regarding the female reproductive cycle, the nurse describes the regular and recurrent changes related to the ovaries and the uterine endometrium. Although this is generally referred to as the menstrual cycle, the ovarian cycle includes which phases? (Select all that apply.)

A) Follicular
B) Ovulatory
C) Luteal
D) Proliferative
E) Secretory

Question 12

A female patient who has gone through puberty and started menstruating without any problems has developed cessation of periods after 2 years of normal cycles. Which finding would indicate a possible cause for this occurrence?

A) Lag in development of secondary sexual characteristics
B) Overproduction of androgenic hormones
C) Negative pregnancy test
D) Clinical diagnosis of primary amenorrhea

Question 13

Delayed onset of menstruation or primary amenorrhea is considered if the girl's periods have not begun by which age in years? Record your answer in a whole number. _____

Question 14

The clinic nurse is reviewing breastfeeding with a pregnant patient. Which hormone will the nurse explain is responsible for milk production after the birth of the placenta?

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

Question 15

Which 16-year-old female patient is most likely to experience secondary amenorrhea?

A) 5 ft 2 in, 130 lb
B) 5 ft 9 in, 180 lb
C) 5 ft 7 in, 96 lb
D) 5 ft 4 in, 125 lb

Question 16

On speculum examination of the cervix, it is found to be round and smooth. These findings suggest that the patient

A) is a multipara.
B) has had previous vaginal deliveries.
C) is nulliparous.
D) is a gravida 1, para 0.

Question 17

The middle school nurse is reviewing the phases of the endometrial cycle with a group of female students. Which statement by a student will the nurse need to correct?

A) "The proliferative phase occurs when the ovum is maturing."
B) "The expulsion phase occurs when the ovum is discharged from the ovary."
C) "The secretory phase occurs during the second half of the menstrual cycle."
D) "The menstrual phase occurs after the levels of estrogen and progesterone fall."

Question 18

The nurse is describing the size and shape of the nonpregnant uterus to a patient. Which is an accurate description?

A) The nonpregnant uterus is the size and shape of a pear.
B) The nonpregnant uterus is the size and shape of a cantaloupe.
C) The nonpregnant uterus is the size and shape of a grapefruit.
D) The non-pregnant uterus is the size and shape of a large orange.

Question 19

The nurse is explaining the function of the male's cremaster muscle to a group of nursing students. Which statement accurately describes the function of the cremaster muscle?

A) Assists with transporting sperm
B) Aids in temperature control of the testicles
C) Aids in voluntary control of excretion of urine
D) Entraps blood in the penis to produce an erection