Nokea
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
Correct Answer: D
Rationale: Accessory structures include the seminal vesicles, which join with the ductus deferens to become the ejaculatory duct, the prostate gland, and the bulbourethral glands. The vas deferens and epididymis are internal male reproductive structures. The scrotum is an external male reproductive structure.
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A client presents with symptoms of menstrual difficulties and infertility. Which hormone is essential in the maintenance of the endometrium?
- A. Estrogen
- B. Progesterone
- C. Testosterone
- D. Prolactin
Correct Answer: B
Rationale: Without a high level of progesterone, the endometrium (uterine lining) degenerates and sheds. Estrogen is a hormone that is essential for menstruation and prepares the uterus for pregnancy. Women produce testosterone, which maintains muscle mass, bone strength, and sex drive. Prolactin is produced by the pituitary gland and stimulates lactation.
The nurse is obtaining a health history at the client's annual gynecologic exam. Which of the following statements regarding a Papanicolaou test (Pap test) for cancer screening would delay the exam?
- A. I had sexual intercourse several days ago.
- B. I voided before entering the exam room.
- C. My menstrual period began yesterday.
- D. I use no vaginal sprays or creams.
Correct Answer: C
Rationale: The nurse advises that the Pap test be rescheduled to a time other than during the menstrual period. The other options are acceptable to continue the test procedure.
The physician and nurse are completing a physical examination of the male genitalia. Which assessment finding(s) is documented? Select all that apply.
- A. Inspection for urethral drainage
- B. Cultures
- C. Digital rectal examination
- D. Transillumination
- E. Palpation of the testes
- F. Prostate-specific antigen level
Correct Answer: A,C,D,E
Rationale: The nurse and physician document the physical assessment including inspection of external genitalia and noting any drainage. A digital rectal examination and transillumination also provide physical assessment data of the status of the prostate gland. Cultures and prostate-specific antigen levels provide diagnostic information but are not part of the physical assessment.
The nurse is obtaining a history from a male client who states having difficulty achieving and sustaining an erection. When reviewing the medication history, which medication classification does the nurse anticipate?
- A. Bronchodilators
- B. Antihypertensives
- C. Cardiac dysrhythmics
- D. Antibiotics
Correct Answer: B
Rationale: Due to the therapeutic effect of antihypertensive medications decreasing blood pressure, the nurse is correct to anticipate a side effect of a male client having difficulty achieving or sustaining an erection. The other medication classifications do not typically have an effect on the male reproductive system.
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
Correct Answer: A
Rationale: To ensure a thorough baseline history, the nurse obtains information on the client's general health and family history, age of menarche, and menstrual history. Although the client's nutritional history, exercise and fitness routines, and cultural history are important, they are part of the overall client health history and not specific to the reproductive system.