A nurse is putting together educational material for clients who desire to learn about how to get pregnant. Part of this information will explain that fertilization occurs:
a. In the vagina
b. In the fallopian tubes
c. In the uterus
d. In the ovaries - answer-b. In the fallopian tubes
(Ratio...
Anatomy and Physiology of the Reproductive
System
A nurse is putting together educational material for clients who desire to
learn about how to get pregnant. Part of this information will explain that
fertilization occurs:
a. In the vagina
b. In the fallopian tubes
c. In the uterus
d. In the ovaries - answer-b. In the fallopian tubes
(Rationale: Fertilization of the ovum can occur in the distal portion of the
fallopian tubes. If the egg is fertilized, it will then be moved through the
fallopian tube towards the uterus, where it implants in the thick
endometrium and begins its development.)
When describing the role of the scrotum as the "climate control system" for
the testes, the nurse would include a description of which of the following?
a. Testes
b. Vas deferens
c. Prepuce
d. Cremaster muscles - answer-d. Cremaster muscles
(Rationale: The cremaster muscles in the scrotal wall relax or contract to
allow the testes to hang farther from the body to cool or be pulled close to
the body for warmth or protection. The prepuce or foreskin is a circular fold
of skin that extends over the glans penis unless it is removed by
circumcision. The testes, located in the scrotum, produce sperm and
synthesize testosterone. The vas deferens is a cordlike duct that transports
sperm from the epididymis.)
The client is surprised when the nurse explains how the reproductive cycle
involves hormones from the following structures: (Select all that apply.)
a. Pituitary
b. Ovaries
c. Hypothalamus
d. Placenta - answer-a. Pituitary
b. Ovaries
c. Hypothalamus
[Type here]
, 1
1
(Rationale: The reproductive cycle is influenced and controlled by hormones
secreted by the ovaries, hypothalamus, and pituitary gland. The placenta
secretes a temporary hormone that assists with maintaining pregnancy.)
It is important that a nurse recognizes there are cultural differences that will
have an influence on the care of the client. Some cultures practice female
circumcision, which involves the removal of the:
a. Hymen
b. Clitoris
c. Labia minora
d. Fourchette - answer-b. Clitoris
(Rationale: Some cultures practice female circumcision, which involves the
removal of the clitoris. It is important for the nurse to remain open-minded
and nonjudgmental with all clients.)
The nurse explained to her client that the ____________________ of the uterine
corpus can fluctuate with changes of hormonal levels in the absence of
pregnancy.
a. Myometrium
b. Perimetrium
c. Endometrium
d. Epimetrium - answer-c. Endometrium
(Rationale: The corpus, or main body of the uterus, undergoes cyclic changes
as the result of changing levels of hormones secreted by the ovaries, in
preparation of a pregnancy. When fertilization does not occur, most of the
endometrium is shed and the monthly period occurs.)
The nurse asks the class to identify the location of sperm production. The
class is correct when they identify the:
a. Seminiferous tubules
b. Seminal vesicles
c. Spermatic cord
d. Vas deferens - answer-a. Seminiferous tubules
(Rationale: Sperm is produced in the seminiferous tubules of the testes. The
vas deferens transports sperm from the epididymis. The seminal vesicles
produce nutrient seminal fluid. The spermatic cord is formed by the vas
deferens, blood vessels, and nerves to act as a passageway for sperm.)
It is important that couples who wish to practice natural forms of birth
control, understand that the mucus-secreting glands of the cervix can store
live sperm for up to:
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