Adult Health - Reproductive.txt

A 55-year-old male client confides in the nurse that he is concerned about his sexual function. What is the nurse's best response? 
1. "How often do you have sexual relations?" 
2. "Please share with me more about your concerns." 
3. "You are still young and have nothing to be concerned about." 
4. "You should not have a decline in testosterone until you are in your 80s."

The nurse is conducting an interview of a 60-year-old client and is concerned about the possibility of benign prostatic hyperplasia. Which are characteristics of this disorder?Select all that apply. 
1. Nocturia 
2. Incontinence 
3. Enlarged prostate 
4. Nocturnal emissions 
5. Decreased desire for sexual intercourse

The maternity nursing instructor asks the nursing student to describe Montgomery's tubercles of the breast. The student indicates an understanding of this anatomical structure if the student makes which statement with regard to Montgomery's tubercles? 
1. "They are sebaceous glands in the areola." 
2. "They are lobes of glandular tissue that secrete milk." 
3. "They are ducts containing milk from all areas of the breast." 
4. "They are small sacs that contain acinar cells to secrete milk."

The nurse is interviewing a 32-year-old woman with a history of fibrocystic disorder of the breasts. What will the nurse expect the client to say as to when the breast lumps are more noticeable? 
1. After menses 
2. In the autumn 
3. In the spring 
4. Before the onset of menses

The nursing student is asked to describe the size of the uterus in a nonpregnant client. Which statement by the student related to the uterus in a nonpregnant client is correct? 
1. "The uterus weighs approximately 2 oz." 
2. "The uterus weighs approximately 2.2 lb." 
3. "The uterus has a capacity of about 50 mL." 
4. "The uterus is round and weighs approximately 1000 g."

An adolescent client asks the nurse about the menstrual cycle. The nurse describes the cycle and tells the adolescent that its normal duration is about how many days? 
1. 14 
2. 28 
3. 30 
4. 45

The nurse is providing information to a client on the female reproductive system. While discussing the uterus and its different layers, the nurse understands that the myometrium has unique muscle fibers that make it ideally suited for the birth process. The nurse should provide which description of this layer to the client? 
1. The inner layer of muscle that is in the uterus 
2. The middle layer of thick muscle in the uterus 
3. The outer layer of muscle that covers most of the uterus 
4. The functional layer that lies above the basal layer of the uterus

A nurse is performing an assessment on a client admitted to the hospital who was diagnosed with toxic shock syndrome (TSS). Which assessment question would assist in eliciting the most specific data regarding the cause of this syndrome? 
1. "Did you start your menses at an early age?" 
2. "Have your menstrual periods been irregular?" 
3. "Do you use tampons during your menstrual period?" 
4. "Have you been consuming a high intake of green leafy vegetables?"

The clinic nurse has provided instructions regarding home care measures to a female client diagnosed with pelvic inflammatory disease (PID). Which statement, if made by the client, indicates an understanding of these measures? 
1. "I need to avoid tight-fitting clothing." 
2. "I need to douche once in the morning and once in the evening." 
3. "I need to wear tampons instead of sanitary pads when I have my menstrual period." 
4. "I need to see a health care provider (HCP) to get an intrauterine device for birth control."

A female client is suspected of having a vaginal infection caused by the organism Candida albicans. Which assessment question would elicit data associated with this infection? 
1. "Have you had any vaginal discharge?" 
2. "Do you have any blood in your urine?" 
3. "Have you had any flank pain or headaches?" 
4. "Have you noticed any swelling in your feet?"

The nurse employed in a fertility clinic is providing information to a couple considering in vitro fertilization. The nurse's explanation should most appropriately include which description? 
1. A fertilized ovum is transferred into the woman's uterus. 
2. Ova and sperm are collected and immediately transferred into the woman's uterus. 
3. Artificial insemination of sperm through the vagina with a syringe commonly is used. 
4. Ova and sperm must be obtained from a donor other than the potential parents, and it may take some time to locate the donor.

The nurse is performing an assessment on a client who is suspected of having mittelschmerz. The nurse would expect to note which assessment finding for this client? 
1. Profuse vaginal bleeding 
2. Pain that occurs during intercourse 
3. Complaint of pain at the beginning of menstruation 
4. Sharp pelvic pain occurring at 14 to 16 days after the first day of the last period

An adolescent seen in the health care clinic has been diagnosed with endometriosis. The client asks the clinic nurse to describe this condition. Which response should the nurse provide? 
1. "It always causes infertility." 
2. "It causes the cessation of menstruation." 
3. "It is the presence of tissue outside the uterus." 
4. "It is also is known as primary dysmenorrhea."

The maternity nurse is providing an in-service educational session to nursing students regarding the process of conception. The nurse should instruct the nursing students that fertilization of a mature ovum occurs in which anatomical area? 
1. Ovary 
2. Uterus 
3. Wall of the myometrium 
4. Distal third of the fallopian tube

The maternity nurse is describing the ovarian cycle to a group of nursing students. The instructor asks a nursing student to identify the phases of the cycle. Which, if identified as a phase of the cycle by the nursing student, indicates a need to research this area further? 
1. Luteal phase 
2. Ovulatory phase 
3. Follicular phase 
4. Proliferative phase

A client is seen in the health care clinic and is diagnosed with mild anemia. The anemia is believed to be a result of the menstrual period. The woman asks the nurse how much blood is lost during a menstrual period. The nurse plans to respond by stating which amount of blood is lost during this time? 
1. 40 mL 
2. 60 mL 
3. 80 mL 
4. 100 mL

A nursing student is asked to describe the corpus of the uterus. Which response, if made by the student, indicates an understanding of the anatomy of the uterus? 
1. "It is the lower portion of the uterus." 
2. "It is the uppermost part of the uterus." 
3. "It is the area where the vagina meets the uterus." 
4. "It is the area where the cervix meets the external os."