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.
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What day of her cycle can the woman anticipate ovulation?
- A. 14
- B. 16
- C. 18
- D. 20
Correct Answer: C
Rationale: Ovulation occurs when a mature ovum is released from the follicle about 14 days before the onset of the next menstrual period. In a 32-day cycle, this is approximately day 18.
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.
What correct information will the nursing students teach to the class?
- A. Menarche usually occurs around 12 years of age.
- B. Ovulation occurs regularly from the very first cycle.
- C. A regular cycle is established by the third period.
- D. Typically, menstrual flow is heavy and lasts up to 10 days.
Correct Answer: A
Rationale: The beginning of menstruation, called menarche, occurs at about 12 years of age. Early cycles are irregular and anovulatory.
What physical changes of puberty will the nurse indicate are related to the production of testosterone?
- A. Stimulation of production of white cells and platelets
- B. Promotion of growth of small bones
- C. Increase in muscle mass and strength
- D. Decrease in production of sebaceous gland secretions
Correct Answer: C
Rationale: Testosterone increases muscle mass, promotes strength and growth of long bones, and enhances production of red blood cells.
Which statement made by the man indicates an understanding about sexual activity and pregnancy?
- A. My wife can't get pregnant if I withdraw before climax.'
- B. A man can secrete semen before ejaculation.'
- C. If we don't have intercourse very often, my wife won't get pregnant.'
- D. It is safe to ejaculate outside the vagina.'
Correct Answer: B
Rationale: Semen may be secreted during sexual intercourse before ejaculation.
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