Question 1

A group of students are reviewing material in preparation for a test on the male and female breasts. The students demonstrate understanding of the material when they identify which of the following?
A) The breasts contain a limited supply of blood vessels.
B) Progesterone is primarily responsible for the growth of breast tissue.
C) Striated muscle in the nipples contract causing them to become erect.
D) A primary function of the female breast is to produce milk.

Accepted Answer

A primary function of the female breast is to produce milk. This is a well-established fact about the female breast and is important for understanding the development and function of the organ. Choices A, B, and C are incorrect. The breasts have a rich supply of blood vessels, progesterone is involved in breast development but not the primary hormone responsible, and the contraction of the nipples is caused by smooth muscle not striated muscle.

Question 2

Which of the following would be most important for the nurse to include to ensure a thorough baseline history related to the reproductive system?
A) Age of menarche
B) Nutritional history
C) Exercise and fitness routine
D) Cultural history

Accepted Answer

Age of menarche (the age at which a female had her first menstrual period) is crucial information as it can provide insight into potential issues that may arise in the future. For example, if a female had menarche at a later age or has irregular menstrual cycles, this can indicate possible hormonal imbalances or reproductive disorders. Nutritional history, exercise and fitness routine, and cultural history may also be important information to collect, but they are not as directly related to the reproductive system as the age of menarche.

Question 3

When preparing a client for a hysterosalpingogram, which nursing intervention would be most appropriate?
A) Ensuring that the client is postmenopausal by at least 1 week.
B) Making sure that the client's bladder is full before the test.
C) Telling the client that she will likely experience some shoulder discomfort.
D) Providing adequate bowel preparation before the test.

Accepted Answer

A hysterosalpingogram is an X-ray test that looks at the inside of the uterus and fallopian tubes and the area around them. It often involves the use of a contrast material. Adequate bowel preparation is important to ensure clear images are obtained, as fecal material can obscure the view. The other options are not specifically related to the preparation for a hysterosalpingogram.

Question 4

When preparing a woman for a gynecologic examination, which of the following would the nurse explain as being done at the end of the examination?
A) Inspection of the external genitalia
B) Vaginal-abdominal palpation
C) Palpation of the posterior uterus via the rectum
D) Inspection of the vaginal wall

Accepted Answer

Palpation of the posterior uterus via the rectum is typically done at the end of a gynecologic examination, after the inspection of external genitalia and vaginal wall and vaginal-abdominal palpation have been completed.

Question 5

A group of students are reviewing information related to the male reproductive system structures. The students demonstrate understanding of the information when they identify which structure as an accessory organ?
A) Vas deferens
B) Epididymis
C) Scrotum
D) Seminal vesicles

Accepted Answer

The seminal vesicles are considered accessory organs because they secrete a significant portion of the fluid in semen. The vas deferens and epididymis are considered part of the duct system that transports sperm, while the scrotum is a protective sac that houses the testes.

Question 6

In the menstrual cycle, every month the female reproductive system generates an ovum. When the ovum is not fertilized, production of which of the following leads to menstruation?
A) Follicle stimulating hormone by the anterior pituitary
B) Estrogen by the corpus luteum begins to decrease
C) Progesterone by the corpus luteum beginning to decrease
D) Another ovum which begins immediately

Accepted Answer

When the ovum is not fertilized, the corpus luteum (which develops from the follicle that released the ovum) starts to degenerate and decrease production of progesterone. This progesterone withdrawal leads to the shedding of the uterine lining and thus menstruation.

Question 7

The nurse is describing various terms related to the male reproductive system. Which term would the nurse use to describe the discharge of semen from the penis?
A) Erection
B) Emission
C) Ejaculation
D) Engorgement

Accepted Answer

Ejaculation is the term used to describe the discharge of semen from the penis. Erection refers to the process of the penis becoming rigid and enlarged. Emission and engorgement are not related to the discharge of semen, but rather refer to the filling and swelling of the erectile tissues in the penis.

Question 8

A group of students are reviewing the female reproductive system in preparation for a test. Which of the following if identified by the students as an internal structure indicates successful learning?
A) Vulva
B) Labia majora
C) Mon pubis
D) Vagina

Accepted Answer

The vagina is an internal structure of the female reproductive system, and its identification by the students indicates successful learning. The vulva, labia majora, and mons pubis are external structures.

Question 9

Which statement demonstrates that a client has understood instructions about breast self-examination?
A) "I should perform the exam on the first day of my menstrual period."
B) "I need to use the pads of three fingers to apply pressure when checking each breast."
C) "I should move the palm of my hand around the breast in a diagonal fashion."
D) "I don't need to check the nipple area of the breast or under my arm."

Accepted Answer

Using the pads of three fingers to apply pressure is the correct technique for breast self-examination.

Question 10

Which of the following would the nurse expect to be done to assess the size of the prostate?
A) Digital rectal examination
B) Transillumination
C) Pelvic examination
D) Bladder percussion

Accepted Answer

The digital rectal examination is the most accurate method to assess the size of the prostate. The healthcare provider can feel the prostate gland and note any enlargement or abnormalities. Transillumination (B) is not a method used to assess the prostate. Pelvic examination (C) may not involve assessment of the prostate. Bladder percussion (D) is an assessment to determine if the bladder is distended, not prostate size.

Question 11

The nurse is assisting a 30-year-old client in scheduling an appointment for a cervical biopsy. The nurse would recommend that the client schedule the testing at which time?
A) 1 week after completion of the client's menstrual cycle.
B) 2 weeks before the onset of the client's menstrual cycle.
C) 3 weeks after the onset of the client's menstrual cycle.
D) 2 weeks after the cessation of the client's menstrual cycle.

Accepted Answer

Scheduling a cervical biopsy 1 week after the completion of the menstrual cycle is recommended because the cervix is less likely to be inflamed or bleeding, which can make the biopsy easier to perform and the results more accurate.

Question 12

Which of the following client statements indicates successful teaching of a client who is scheduled to have a Pap test?
A) "I'll schedule the test for the time when I have my next menstrual period."
B) "I need to refrain from sexual intercourse for at least 1 week before the test."
C) "I will stop using any vaginal medications at least 48 hours before the test."
D) "I need to use a vinegar and water douche the morning of the test."

Accepted Answer

C is correct because using vaginal medications can alter the cells collected during a Pap test, potentially leading to inaccurate results. Stopping these medications at least 48 hours before the test helps ensure a more accurate test result. Choices A, B, and D are incorrect as they either could interfere with the test results or are not recommended practices before a Pap test.

Question 13

The nurse is preparing a presentation for an older adult group of males at a senior center. Which of the following would the nurse expect to include when describing the effects of aging on the male reproductive system?
A) The volume and viscosity of seminal fluid increase with age.
B) Men retain the ability to fertilize ova irrespective of age.
C) There is a gradual increase in sperm and testosterone production.
D) The scrotum becomes less pendulous and becomes firm.

Accepted Answer

Men retain the ability to fertilize ova irrespective of age, unlike women who experience menopause. Aging in men does not eliminate the ability to produce sperm and thus fertilize ova, although there may be changes in sperm quality and sexual function.

Question 14

A nurse is reviewing the history of a client who is experiencing difficulty sustaining an erection. Which of the following might the nurse suspect as a possible contributing factor?
A) Lower back pain
B) Hypertension
C) Sinus infections
D) Asthma

Accepted Answer

Hypertension (high blood pressure) can affect erectile function by reducing blood flow to the penis, making it difficult to achieve and maintain an erection. Lower back pain, sinus infections, and asthma are not commonly associated with erectile dysfunction.

Question 15

A 32-year-old woman has had three consecutive normal Pap tests. Which of the following recommendations for screening would be appropriate?
A) Continued yearly Pap testing until menopause
B) Pap testing every 2 to 3 years
C) Screening via Pap test in 5 years
D) Pap testing every 6 months

Accepted Answer

According to the US Preventive Services Task Force, women between the ages of 21 and 29 should have a Pap test every 3 years, and women between the ages of 30 and 65 can have a Pap test every 3 years, or every 5 years with HPV testing. Since this woman has had three consecutive normal Pap tests, it would be appropriate to continue screening every 2 to 3 years. Yearly Pap testing until menopause (choice A) is not necessary for this woman, and Pap testing every 6 months (choice D) is too frequent and not indicated. Screening via Pap test in 5 years (choice C) is also not necessary, as the recommended interval for screening for women in this age range is 3 to 5 years.

Question 16

An instructor is preparing a teaching plan for a group of students about reproductive structures and sexual arousal. Which female reproductive structure would the instructor include?
A) The mons pubis
B) The clitoris
C) Labia minora
D) Labia majora

Accepted Answer

The clitoris is a female reproductive structure that plays a significant role in sexual arousal.

Question 17

The nurse is providing teaching to a client who is scheduled for a mammogram. Which of the following would the nurse include as a way to avoid artifacts on the x-ray film?
A) "Don't wear any jewelry around your neck on the day of the test."
B) "Avoid using a deodorant with aluminum hydroxide."
C) "Make sure not to eat or drink for 4 hours before the test."
D) "Drink at least 1 quart of water 45 minutes to 1 hour before the test."

Accepted Answer

The answer of The nurse is providing teaching to a...

Question 18

Which of the following instructions would be appropriate to include when preparing a woman for an abdominal ultrasound?
A) Restrict solid food intake for 2 hours before the test.
B) Refrain from douching for at least 1 week before the test.
C) Drink at least 1 quart of water an hour before the test.
D) Empty the bladder immediately before the test.

Accepted Answer

For an abdominal ultrasound, particularly when examining the pelvic area, it's often recommended to have a full bladder to improve the visibility of the organs. Drinking a significant amount of water about an hour before the test helps achieve this.

Question 19

During a physical examination, the nurse inspects the eternal genitalia of a male client. Which of the following would the nurse identify as an abnormality?
A) Absence of urethral discharge
B) Skin lesions
C) Prepuce covering the glans penis
D) Slightly pendulous scrotum

Accepted Answer

Skin lesions on the external genitalia can indicate a possible sexually transmitted infection or other pathology and requires further investigation or referral to a healthcare provider for diagnosis and treatment. Options A, C, and D are all normal findings.

Question 20

When describing the process of fertilization, the nurse would explain that it normally occurs in which structure?
A) Endometrium
B) Vagina
C) Cervix
D) Fallopian tube

Accepted Answer

Fertilization normally occurs in the fallopian tube, where the sperm and egg meet and fuse to form a zygote.

Quiz 52: Introduction to the Reproductive System

A group of students are reviewing material in preparation for a test on the male and female breasts. The students demonstrate understanding of the material when they identify which of the following?

Which of the following would be most important for the nurse to include to ensure a thorough baseline history related to the reproductive system?

When preparing a client for a hysterosalpingogram, which nursing intervention would be most appropriate?

When preparing a woman for a gynecologic examination, which of the following would the nurse explain as being done at the end of the examination?

A group of students are reviewing information related to the male reproductive system structures. The students demonstrate understanding of the information when they identify which structure as an accessory organ?

In the menstrual cycle, every month the female reproductive system generates an ovum. When the ovum is not fertilized, production of which of the following leads to menstruation?

The nurse is describing various terms related to the male reproductive system. Which term would the nurse use to describe the discharge of semen from the penis?

A group of students are reviewing the female reproductive system in preparation for a test. Which of the following if identified by the students as an internal structure indicates successful learning?

Which statement demonstrates that a client has understood instructions about breast self-examination?

Which of the following would the nurse expect to be done to assess the size of the prostate?

The nurse is assisting a 30-year-old client in scheduling an appointment for a cervical biopsy. The nurse would recommend that the client schedule the testing at which time?

Which of the following client statements indicates successful teaching of a client who is scheduled to have a Pap test?

The nurse is preparing a presentation for an older adult group of males at a senior center. Which of the following would the nurse expect to include when describing the effects of aging on the male reproductive system?

A nurse is reviewing the history of a client who is experiencing difficulty sustaining an erection. Which of the following might the nurse suspect as a possible contributing factor?

A 32-year-old woman has had three consecutive normal Pap tests. Which of the following recommendations for screening would be appropriate?

An instructor is preparing a teaching plan for a group of students about reproductive structures and sexual arousal. Which female reproductive structure would the instructor include?

The nurse is providing teaching to a client who is scheduled for a mammogram. Which of the following would the nurse include as a way to avoid artifacts on the x-ray film?

Which of the following instructions would be appropriate to include when preparing a woman for an abdominal ultrasound?

During a physical examination, the nurse inspects the eternal genitalia of a male client. Which of the following would the nurse identify as an abnormality?

When describing the process of fertilization, the nurse would explain that it normally occurs in which structure?