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Chapter 02 human reproductive anatomy and physiology free

Maternity/Peds
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Maternity/Peds (PRN06900)

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Academic year: 2021/2022
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Kat Test
McFatter Technical College
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Chapter 02: Human Reproductive Anatomy and Physiology

MULTIPLE CHOICE

  1. A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone? a. Stimulation of production of white cells and platelets b. Promotion of growth of small bones c. Increase in muscle mass and strength d. Decrease in production of sebaceous gland secretions ANS: C Testosterone increases muscle mass, promotes strength and growth of long bones, and enhances production of red blood cells.

DIF: Cognitive Level: Knowledge REF: Page 20-21 OBJ: 1 | 2 | 5 TOP: Male Reproductive System KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. The nurse is educating high school students about puberty. What will the nurse indicate regulates the production of sperm and secretion hormones? a. Testes b. Vas deferens c. Ejaculatory ducts d. Prostate gland ANS: A The testes have two functions: manufacture of spermatozoa and secretion of androgens.

DIF: Cognitive Level: Knowledge REF: Page 21 OBJ: 3 | 5 TOP: Male Reproductive System KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. The nurse is speaking with a couple trying to conceive a child. What will the nurse remind the couple is a factor that can decrease sperm production? a. Infrequent sexual intercourse b. The man not being circumcised c. The penis and testes being small d. The testes being too warm ANS: D The scrotum is suspended away from the perineum to lower the temperature of the testes for sperm production.

DIF: Cognitive Level: Comprehension REF: Page 22 OBJ: 3 TOP: Male Reproductive System KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Reduction of Risk

  1. When describing the female reproductive tract to a pregnant woman, the nurse would explain that which uterine layer is involved in implantation? a. Perimetrium b. Endometrium c. Myometrium d. Internal os ANS: B The endometrium is the inner mucosal layer of the uterus that is governed by cyclical hormonal changes. It is functional during menstruation and during the implantation of a fertilized ovum.

DIF: Cognitive Level: Knowledge REF: Page 21 OBJ: 7 TOP: Female Reproductive System KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. A group of nursing students plans to teach a class of sixth-grade girls about menstruation. What correct information will the nursing students teach to the class? a. Menarche usually occurs around 12 years of age. b. Ovulation occurs regularly from the very first cycle. c. A regular cycle is established by the third period. d. Typically, menstrual flow is heavy and lasts up to 10 days.

ANS: A The beginning of menstruation, called menarche, occurs at about 12 years of age. Early cycles are irregular and anovulatory.

DIF: Cognitive Level: Comprehension REF: Page 27 OBJ: 1 | 9 TOP: Female Reproductive Cycle and Menstruation KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. A 10-year-old girl asks the nurse, What is the first sign of puberty? What is the correct nursing response? a. An increase in height b. Breast development c. Appearance of axillary hair d. The first menstrual period ANS: B The first outward change of puberty in girls is the development of breasts at about 10 to 11 years of age.

DIF: Cognitive Level: Knowledge REF: Page 21 OBJ: 1 | 2

TOP: Female Reproductive Cycle KEY: Nursing Process Step: Evaluation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. A pregnant woman asks the nurse, Will I be able to have a vaginal delivery? The nurse knows that which is the most favorable pelvic type for vaginal birth? a. Gynecoid b. Android c. Anthropoid d. Platypelloid ANS: A The gynecoid pelvis is the typical female pelvis and is most favorable for vaginal birth.

DIF: Cognitive Level: Knowledge REF: Page 25 OBJ: 8 TOP: Female Reproductive System KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

  1. A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. What would be an important point to teach this mother? a. Milk is produced in ducts and lobules regardless of breast size. b. Supplementing breastfeeding with formula allows the infant to receive adequate nutrition. c. Breast size can be increased with exercise. d. Drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk. ANS: A Breast size does not influence the ability to secrete milk.

DIF: Cognitive Level: Comprehension REF: Page 27 OBJ: 6 TOP: Female Reproductive System KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

  1. For what is the decrease in estrogen and progesterone during the menstrual cycle responsible? a. Degeneration of the corpus luteum b. Ovulation c. Follicle maturation d. Shedding of the endometrium ANS: D The fall in estrogen and progesterone causes the endometrium to break down, resulting in menstruation.

DIF: Cognitive Level: Comprehension REF: Page 27 OBJ: 9 TOP: Female Reproductive Cycle KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. The nurse is assisting with pelvic inlet measurements on a pregnant woman. What measurement will provide the nurse with information about whether the woman can deliver vaginally?

a. Diagonal conjugate b. Obstetric conjugate c. Transverse diameter d. Anteroposterior diameter ANS: B This measurement determines if the fetus can pass through the birth canal.

DIF: Cognitive Level: Comprehension REF: Page 26 OBJ: 8 TOP: Female Reproductive System KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

  1. The nurse has explained menstruation to a 13-year-old girl. What statement indicates the girl needs additional education? a. Periods last about 5 days. b. My cycle should get regular in 6 months. c. I should expect heavy bleeding with clots. d. Periods come about every 4 weeks. ANS: C Clots are not normally seen in menstrual discharge. A normal menstrual flow is 30 to 40 mL blood and 30 to 50 mL serous fluid.

DIF: Cognitive Level: Comprehension REF: Page 27 OBJ: 9 TOP: Female Reproductive Cycle KEY: Nursing Process Step: Evaluation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. A mother asks the nurse, When will I know my child has entered puberty? What will the nurse state based on an understanding of changes associated with puberty? a. Your daughter will have her first period. b. Youll recognize puberty by the mood swings. c. The child becomes interested in the opposite sex. d. Secondary sex characteristics, such as pubic hair, appear. ANS: D Puberty begins when the secondary sex characteristics appear. Puberty ends when mature sperm are formed in the male and when regular menstrual cycles occur in the female.

DIF: Cognitive Level: Comprehension REF: Page 20 OBJ: 1 | 2 TOP: Puberty KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. A nurse is planning to teach couples about the physiology of the sex act. What correct information will the nurse provide? a. Fertilization of an ovum requires penetration by several sperm. b. An ovum must be fertilized within 24 hours of ovulation. c. It takes 4 to 5 days for sperm to reach the fallopian tubes.

and conduct it into the fallopian tube.

DIF: Cognitive Level: Comprehension REF: Page 25 OBJ: 6 | 7 TOP: Fimbriae KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. What will the nurse explain to a 12-year-old patient when describing what characterizes nocturnal emissions? a. A drop in testosterone level b. Sexual stimulation c. Absence of sperm in ejaculate d. Association with violent dreams ANS: C Nocturnal emissions, also known as wet dreams, occur without sexual stimulation and contain no sperm. Testosterone levels are constant until midlife.

DIF: Cognitive Level: Comprehension REF: Page 21 OBJ: 2 TOP: Nocturnal Emissions KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. The nurse is educating a pregnant patient who expects to breastfeed. The nurse knows that when a patient breastfeeds, which portions of the breast secrete milk? a. Lactiferous sinuses b. Lobes c. Montgomerys glands d. Alveoli ANS: D The alveoli secrete milk.

DIF: Cognitive Level: Knowledge REF: Page 27 OBJ: 6 | 7 TOP: Milk Secretion KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. Where are the secretions responsible for nourishing sperm excreted from? a. Vas deferens b. Epididymis c. Cowpers gland d. Scrotum

ANS: C The Cowpers gland secretions nourish the sperm.

DIF: Cognitive Level: Knowledge REF: Page 22 OBJ: 4

TOP: Cowpers Gland KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. What signifies the end of puberty for a male? a. Facial hair is evident. b. Erections can be sustained. c. Ejaculate is greater than 5 mL. d. Mature sperm are formed. ANS: D Puberty ends for a male when mature sperm are formed by the testes.

DIF: Cognitive Level: Knowledge REF: Page 20 OBJ: 1 | 2 TOP: End of Puberty KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. How long does sperm remain viable in the female reproductive tract? a. 12 hours b. 1 day c. 2 days d. 4 days ANS: D Sperm can remain viable in the reproductive tract of the female for as long as 4 to 5 days.

DIF: Cognitive Level: Knowledge REF: Page 29 OBJ: 5 TOP: Viability of Sperm KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. The nurse encourages the members of a prenatal class to seriously consider breastfeeding. What does breast milk provide in addition to nourishment for the infant? a. Maternal antibodies b. Stimulus for red blood cell production c. Endorphins that soothe the infant d. Hormones that stimulate growth ANS: A Breast milk provides maternal antibodies to the infant that give the child acquired immunity from some diseases for several months.

DIF: Cognitive Level: Comprehension REF: Page 27 OBJ: 4 TOP: Properties of Breast Milk KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

  1. A female patient reports her menstrual cycle consistently occurs every 32 days. What day of her cycle can the woman anticipate ovulation? a. 14

KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

  1. What are considered to be functions of the fallopian tubes? (Select all that apply.) a. Passage for sperm to meet ova b. Passage for ovum to uterus c. Safe environment for zygote d. Restriction for only one ovum to enter uterus e. Site for fertilization ANS: A, B, C, E The fallopian tube provides passage for both sperm and ova, offering an optimum place for fertilization and a safe environment for the zygote.

DIF: Cognitive Level: Knowledge REF: Page 25 OBJ: 7 TOP: Function of Fallopian Tubes KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. The nurse is providing an in-service to students beginning their obstetric clinical rotation. Using a diagram, the nurse points out parts of the female pelvis. What will the nurse include? (Select all that apply.) a. Two innominates b. Obstetric conjugate c. Sacrum d. Perimetrium e. Coccyx ANS: A, C, E The bones of the pelvis are two innominates, the sacrum, and the coccyx.

DIF: Cognitive Level: Knowledge REF: Page 25 OBJ: 6 TOP: Bones of the Pelvis KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. The nurse explains that testosterone is responsible for males exceeding females in which aspects? (Select all that apply.) a. Strength b. Height c. Mental concentration d. Hematocrit levels e. Agility

ANS: A, B, D DIF: Cognitive Level: Knowledge REF: Page 21 OBJ: 2 TOP: Effects of Testosterone KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

  1. A patient is being seen by her health care provider for a suspected vaginal infection. What will the nurse include when educating this patient on factors that affect the vaginal pH? (Select all that apply.) a. Antibiotic therapy b. Frequent douching c. Exercise d. Jet lag e. Use of vaginal sprays ANS: A, B, E The vagina is self-cleansing and during the reproductive years maintains a normal acidic pH of 4 to 5. The self- cleansing activity may be altered by antibiotic therapy, frequent douching, and excessive use of vaginal sprays, deodorant sanitary pads, or deodorant tampons.

DIF: Cognitive Level: Application REF: Page 23 OBJ: 7 TOP: Female Reproductive Organs KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

COMPLETION

  1. When the nurse reads in the history and physical of a pregnant patient that she has a platypelloid pelvis, the nurse is aware that this pelvis has a narrow _____________ diameter, making a vaginal birth unlikely.

ANS: anteroposterior

The platypelloid pelvis is very narrow from front to back (anteroposterior). The shape of this pelvis makes vaginal delivery unlikely.

DIF: Cognitive Level: Comprehension REF: Page 25 |Page 26, Figure 2- OBJ: 8 TOP: Platypelloid Pelvis KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

  1. In males the follicle-stimulating hormone (FSH) and the luteinizing hormone (LH) from the anterior pituitary stimulate testosterone production in the ________ cells of the testes.

ANS: Leydig

ANS: A, E, B, C, D

DIF: Cognitive Level: Comprehension REF: Page 29 OBJ: 2 TOP: Sexual Response KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation

Was this document helpful?

Chapter 02 human reproductive anatomy and physiology free

Course: Maternity/Peds (PRN06900)

12 Documents
Students shared 12 documents in this course

University: McFatter Technical College

Was this document helpful?
Chapter 02: Human Reproductive Anatomy and Physiology
MULTIPLE CHOICE
1. A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty
will the nurse indicate are related to the production of testosterone?
a. Stimulation of production of white cells and platelets
b. Promotion of growth of small bones
c. Increase in muscle mass and strength
d. Decrease in production of sebaceous gland secretions
ANS: C
Testosterone increases muscle mass, promotes strength and growth of long bones, and enhances
production of red
blood cells.
DIF: Cognitive Level: Knowledge REF: Page 20-21 OBJ: 1 | 2 | 5
TOP: Male Reproductive System KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The nurse is educating high school students about puberty. What will the nurse indicate
regulates the production of sperm and secretion hormones?
a. Testes
b. Vas deferens
c. Ejaculatory ducts
d. Prostate gland
ANS: A
The testes have two functions: manufacture of spermatozoa and secretion of androgens.
DIF: Cognitive Level: Knowledge REF: Page 21 OBJ: 3 | 5
TOP: Male Reproductive System KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse is speaking with a couple trying to conceive a child. What will the nurse remind the
couple is a factor that can decrease sperm production?
a. Infrequent sexual intercourse
b. The man not being circumcised
c. The penis and testes being small
d. The testes being too warm
ANS: D
The scrotum is suspended away from the perineum to lower the temperature of the testes for
sperm production.
DIF: Cognitive Level: Comprehension REF: Page 22 OBJ: 3
TOP: Male Reproductive System KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk

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