Chapter 3: Human Reproduction and Fetal Development

Chapter 3: Human Reproduction and Fetal Development

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse is teaching a class about female reproduction for middle school girls. Which statement made by one of the students requires the nurse to correct a misunderstanding?

1)	“Boys have a penis that gets erect when they are excited, but girls don’t have anything like that.”
2)	“Bartholin glands secrete a lubricant to make sexual intercourse more comfortable.”
3)	“The ovaries secrete eggs that, when fertilized, start a baby growing in the woman’s body.”
4)	“The fallopian tubes are the passageways for eggs to travel to the uterus.”

 

 

____     2.   A pregnant woman lives in a community that is experiencing a measles outbreak because of a lack of immunization. The woman says she heard that measles are teratogenic and does not know what that means. Which statement by the nurse best explains this concept?

1)	“The growing baby can catch measles and get very sick.”
2)	“The measles virus acts as a harmful substance that could hurt the fetus.”
3)	“A teratogen, such as the measles virus, can cause fetal death.”
4)	“It means that a mother exposed to measles will probably miscarry.”

 

 

____     3.   The nurse is caring for a young man with testicular cancer who is preparing for removal of the left testicle. The patient asks, “Does this mean I won’t be able to father a child?” Which is the nurse’s best response?

1)	“You can arrange with your doctor to have sperm frozen and stored for when you want children.”
2)	“Although your sperm count will be lower, there is still a chance you could father a child. However, it may take longer.”
3)	“This is an important discussion to have with your physician, who can discuss the chances of fathering a child.”
4)	“Removal of one testicle will have no impact on your ability to father a child because the other testicle will function.”

 

 

____     4.   An adult woman’s laboratory studies indicate a lack of estrogen production. As a result, the nurse anticipates the patient’s history will report which finding?

1)	Inability to produce breast milk
2)	Small breast size
3)	Inability to carry a pregnancy to term
4)	Inability to become pregnant

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  1

Chapter number and title: 3: Human Reproduction and Fetal Development

Chapter learning objective: Identify the structures and functions of the female reproductive system.

Chapter page reference: 22

Heading: Internal Organs

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Female Reproduction

Difficulty: Moderate

 

	Feedback
1	The clitoris in the woman also becomes erect during periods of excitation, but it is much smaller than the male penis; so this statement reflects a misunderstanding that needs to be corrected.
2	The statement regarding Bartholin glands is accurate and does not require correction.
3	The statement about the ovaries contains accurate information and does not need to be corrected.
4	The statement about the fallopian tubes is accurate and does not require correction.

 

 

PTS:   1                    CON:  Female Reproduction

 

2. ANS:  2

Chapter number and title: 3: Human Reproduction and Fetal Development

Chapter learning objective: Discuss possible risks to safe fetal development due to possible teratogens in medications, street drugs, foods, and the environment.

Chapter page reference: 35

Heading: Environmental Toxins

Integrated processes: Teaching and Learning

Client need: Safety and Infection Control

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

	Feedback
1	This statement does not explain the concept of a teratogen and is not an accurate statement.
2	This statement explains in simple terms the meaning of teratogen without frightening the mother unnecessarily.
3	Although this statement is not completely incorrect—because exposure to measles can cause fetal death if the birth defect is incompatible with life—the risk is low and would unnecessarily frighten the mother.
4	This statement does not accurately explain the concept of a teratogen and may unnecessarily frighten the mother.

 

 

PTS:   1                    CON:  Pregnancy

 

3. ANS:  4

Chapter number and title: 3: Human Reproduction and Fetal Development

Chapter learning objective: Identify the structures and functions of the male reproductive system.

Chapter page reference: 22-23

Heading: Internal Organs

Integrated processes: Teaching and Learning

Client need: Physiological Adaptation

Cognitive level: Application [Applying]

Concept: Male Reproduction

Difficulty: Moderate

 

	Feedback
1	Although this statement is true, the information is not necessary and is not the best response to the patient’s question.
2	Removal of one testicle does not reduce sperm count by half.
3	With NCLEX-style questions, the correct answer is rarely to refer the patient to another health-care provider because the nurse is capable of answering the question.
4	Both testicles produce sperm that is stored until ejaculation occurs, and one testicle is capable of producing adequate sperm for impregnating an egg.

 

 

PTS:   1                    CON:  Male Reproduction

 

4. ANS:  4

Chapter number and title: 3: Human Reproduction and Fetal Development

Chapter learning objective: Summarize the actions of the hormones that affect reproductive functioning.

Chapter page reference: 25

Heading: Follicular Phase

Integrated processes: Clinical Problem-Solving Process

Client need: Reduction of Risk Potential

Cognitive level: Analysis [Analyzing]

Concept: Female Reproduction

Difficulty: Difficult

 

	Feedback
1	Low estrogen levels are not associated with the inability to produce breast milk.
2	Small breast size is related to many factors but is not associated with low estrogen levels.
3	Estrogen is not a primary factor in the inability to carry a pregnancy to term.
4	Estrogen stimulates production of the uterine lining for the fertilized egg, so lack of estrogen prevents implantation and results in difficulty becoming pregnant.

 

 

PTS:   1                    CON:  Female Reproduction