Chapter 4 Flashcards
A nurse is teaching a classroom of teenage girls about the female reproductive system. After teaching, the nurse asks the students to describe the release of an ovum during ovulation. Which response indicates that teaching has been effective?
“During ovulation, an egg is released from the ovary and enters the fallopian tube.”
A client desiring to become pregnant is concerned because the opening of her spouse’s penis is below the tip. How should the nurse respond to this client?
“This is hypospadias and is not likely to impact fertility.”
A prenatal client states, “The doctor said he might have to cut my cervix so the baby can get out during delivery.” Based upon this statement, what structure should the nurse define when teaching about an episiotomy?
Perineal body
A pregnant client asks, “What’s the difference between the true pelvis and the false pelvis?” How should the nurse respond?
“The false pelvis helps support the weight of the pregnant uterus.”
A pregnant adolescent asks about fundal height. What should the nurse say that incorporates the location of the uterine fundus?
It is at the uppermost (dome-shaped top) portion of the uterus.
The nurse is teaching a client who recently learned that she is pregnant. Which hormone should the nurse instruct as being secreted by the fertilized egg?
Human chorionic gonadotropin (hCG)
The school nurse is teaching a health class to middle school children. Which structure should the nurse explain as secreting follicle-stimulating hormone (FSH) and luteinizing hormone (LH)?
Anterior pituitary
The nurse is presenting a community education session on female hormones. Which participant statement indicates the need for further information?
“Prostaglandin is responsible for achieving conception.”
A woman has been unable to complete a full-term pregnancy because the fertilized ovum failed to implant in the uterus. Which hormone is most likely causing this client’s issues with pregnancy?
Progesterone
The nurse is explaining the menstrual cycle to a group of women. In which phase should the nurse instruct that the corpus luteum begins to degenerate, estrogen and progesterone levels fall, and the blood supply to the endometrium is reduced?
Ischemic phase
Which statement best indicates that the client understands the differences in the follicular and luteal phases of the ovarian cycle?
“The first part of my period might vary in length, but not the second.”
The nurse is preparing a handout on the ovarian cycle for a group of middle school girls. Which information should the nurse include?
There are two phases of the ovarian cycle: luteal and follicular.
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?
“The secretory phase occurs when a woman is most fertile.”
In preparation for teaching a women’s community center class about physiologic changes during menopause, the nurse is preparing a handout for students. Which information should the nurse include in this teaching?
Ovarian secretion of estrogen decreases between the ages of 45 and 55, after which point ovulatory activity ceases.
A woman is experiencing mittelschmerz and increased vaginal discharge. Her temperature has increased by 0.6°C (1.0°F) for the past 36 hours. What should these findings indicate to the nurse?
Ovulation has occurred.
