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What is the correct nursing response?
- A. An increase in height
- B. Breast development
- C. Appearance of axillary hair
- D. The first menstrual period
Correct Answer: B
Rationale: The first outward change of puberty in girls is the development of breasts at about 10 to 11 years of age.
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What signifies the end of puberty for a male?
- A. Facial hair is evident.
- B. Erections can be sustained.
- C. Ejaculate is greater than 5 mL.
- D. Mature sperm are formed.
Correct Answer: D
Rationale: Puberty ends for a male when mature sperm are formed by the testes.
When describing the female reproductive tract to a pregnant woman, the nurse would explain that which uterine layer is involved in implantation?
- A. Perimetrium
- B. Endometrium
- C. Myometrium
- D. Internal os
Correct Answer: B
Rationale: The endometrium is the inner mucosal layer of the uterus that is governed by cyclical hormonal changes. It is functional during menstruation and during the implantation of a fertilized ovum.
What will the nurse remind the couple is a factor that can decrease sperm production?
- A. Infrequent sexual intercourse
- B. The man not being circumcised
- C. The penis and testes being small
- D. The testes being too warm
Correct Answer: D
Rationale: The scrotum is suspended away from the perineum to lower the temperature of the testes for sperm production.
For what is the decrease in estrogen and progesterone during the menstrual cycle responsible?
- A. Degeneration of the corpus luteum
- B. Ovulation
- C. Follicle maturation
- D. Shedding of the endometrium
Correct Answer: D
Rationale: The fall in estrogen and progesterone causes the endometrium to break down, resulting in menstruation.
What statement indicates a woman has correct information about oogenesis?
- A. Women make fewer ova as they age.'
- B. Women have all of their ova at the time they are born.'
- C. Ova production begins at birth and continues until puberty.'
- D. New ova are made every month from puberty to climacteric.'
Correct Answer: B
Rationale: Oogenesis (formation of immature ova) does not occur after fetal development. Females are born with about 2 million immature ova, which rapidly reduce by adulthood.