Chapter 04: Reproductive Anatomy and Physiology

Chapter 04: Reproductive Anatomy and Physiology

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A postpartum client who had a vaginal birth asks the nurse, “Will my cervix return to its previous shape before I had my baby?” Which is the best response by the nurse?

ANS:  A

After vaginal birth, the external os has an irregular slitlike shape and may have tags of scar tissue. The external os of a childless woman is round and smooth, but after a vaginal birth it will not be round and smooth. During labor, the cervix effaces (thins) and dilates (opens) to allow passage of the fetus. Once the baby is born, the cervix will close and return to close to 100% effacement.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   47

OBJ:   Nursing Process Step: Implementation

MSC:  Client Needs: Health Promotion and Maintenance

2. The school nurse is conducting health education classes for a group of adolescents. Which statement best describes a secondary sexual characteristic?

ANS:  C

A secondary sexual characteristic is one not directly related to reproduction, such as development of the characteristic female body form. Maturation of ova is directly related to reproduction and is a primary sexual characteristic. Production of sperm is directly related to reproduction and is a primary sexual characteristic. Secretion of hormones is directly related to reproduction and is a primary sexual characteristic.

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   43, 44

OBJ:   Nursing Process Step: Implementation

MSC:  Client Needs: Health Promotion and Maintenance

3. Which 16-year-old girl may experience secondary amenorrhea?

ANS:  C

Because of her height and low body weight, Carol is at risk of developing secondary amenorrhea, which occurs in women who are thin and have a low percentage of body fat. Fat is necessary to make the sex hormones that stimulate ovulation and menstruation. Jackie, Karen, and Linda are of sufficient height and weight to promote sex hormone production.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   44

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Physiologic Integrity

4. Which describes the levator ani?

ANS:  B

The levator ani is a collection of three pairs of muscles that support internal pelvic structures and resist increases in intraabdominal pressure. The fallopian tube divisions are the interstitial portion, isthmus, ampulla, and infundibulum. The linea terminalis is the imaginary line that divides the false from the true pelvis. The basin-shaped structure at the lower end of the spine is the bony pelvis.

PTS:   1                    DIF:    Cognitive Level: Remembering        REF:   49

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

5. The nurse is describing the size and shape of the nonpregnant uterus to a client. Which is an accurate description?

ANS:  A

The nonpregnant uterus is about 7.5 ´ 5 ´ 2.5 cm, which is close to the size and shape of a pear. A cantaloupe would be too large and is the wrong shape for the uterus. A grapefruit is too large for the nonpregnant uterus; the uterus is larger at the upper end and tapers down. An orange may be the appropriate size, but it is not the appropriate shape.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   47

OBJ:   Nursing Process Step: Implementation

MSC:  Client Needs: Health Promotion and Maintenance