What will the nurse indicate regulates the production of sperm and secretion hormones?
- A. Testes
- B. Vas deferens
- C. Ejaculatory ducts
- D. Prostate gland
Correct Answer: A
Rationale: The testes have two functions: manufacture of spermatozoa and secretion of androgens.
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What is the nurse's best response?
- A. Worrying is not the answer.'
- B. I will talk to the pediatrician about a gynecological referral.'
- C. I can only discuss this with your daughter.'
- D. Early cycles are often irregular.'
Correct Answer: D
Rationale: Early cycles are often irregular and may be anovulatory. Regular cycles are usually established within 6 months to 2 years of the menarche.
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 measurement will provide the nurse with information about whether the woman can deliver vaginally?
- A. Diagonal conjugate
- B. Obstetric conjugate
- C. Transverse diameter
- D. Anteroposterior diameter
Correct Answer: B
Rationale: This measurement determines if the fetus can pass through the birth canal.
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 will the nurse explain to a 12-year-old patient when describing what characterizes nocturnal emissions?
- A. A drop in testosterone level
- B. Sexual stimulation
- C. Absence of sperm in ejaculate
- D. Association with violent dreams
Correct Answer: C
Rationale: Nocturnal emissions, also known as 'wet dreams,' occur without sexual stimulation and contain no sperm.
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