Chapter 3 Reproductive Anatomy and Physiology

Chapter 3   Reproductive Anatomy and Physiology

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) A nurse is teaching a classroom of teenage girls about the female reproductive system. After teaching, the nurse asks the students to describe the release of an ovum during ovulation. Which of the following is a correct student response?

1. “During ovulation, an egg is released from the ovary and enters the fallopian tube.”
2. “Around the middle of the menstrual cycle, one of the fallopian tubes releases an egg.”
3. “Ovulation is when the uterus releases an unfertilized egg or ovum.”
4. “The endometrium is where the eggs are formed and released into the fallopian tube.”

Answer:  1

Explanation:  1. The egg is formed in the ovary and once released, it enters the fallopian tube.

2. The egg is formed in the ovary and then released near the fimbria of the fallopian tube.
3. The egg is formed in the ovary and travels by way of the fallopian tube to the uterus.
4. The uterine endometrium is the site of implantation of a fertilized egg.

Page Ref: 29, 30

Cognitive Level:  Application

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Evaluation/Health teaching and health promotion

Learning Outcome:  LO 3.1-Identify the structures and functions of the female reproductive system.

MNL LO:  Explain the female reproductive cycle.

2) The clinic nurse is caring for a young woman seeking contraception. Recently, she married and became sexually active. The woman states, “The opening of my husbands penis isn’t at the tip; its around the corner below the tip. He tells me that he was born that way. Will that cause problems if we want to have children?” What is the best response for the nurse to give?

1. “The variation is called epispadias. It is not likely to impact his fertility.”
2. “The variation is called epispadias. It will likely cause him to be infertile.”
3. “The variation is called hypospadias. It is not likely to impact his fertility.”
4. “The variation is called hypospadias. It will likely cause him to be infertile.”

Answer:  3

Explanation:  1. Epispadias is the condition where the urethral opening is on the upper aspect of the penis. The patient is describing hypospadias, when the urethral opening is on the lower side of the penis. Mild hypospadias, when the urethral opening is on the glans of the penis, does not impact fertility.

2. Epispadias is the condition where the urethral opening is on the upper aspect of the penis. The patient is describing hypospadias, when the urethral opening is on the lower side of the penis. Mild hypospadias, when the urethral opening is on the glans of the penis, does not impact fertility.
3. The patient is describing hypospadias, which is the urethral opening on the lower aspect of the penis. Mild hypospadias, when the urethral opening is on the glans of the penis, does not impact fertility.
4. The patient is describing hypospadias, where the urethral opening is on the lower side of the penis. Mild hypospadias, where the urethral opening is on the glans of the penis, does not impact fertility.

Page Ref: 38

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Assessment/Health teaching and health promotion

Learning Outcome:  LO 3.6-Identify the structures and functions of the male reproductive system.

MNL LO:  Compare advantages, disadvantages, risk factors, and contraindications of contraception methods.

3) A prenatal patient states, “The doctor said he might have to cut my cervix so the baby can get out during delivery.” Based upon this statement, the nurse should provide teaching related to episiotomy, which includes defining:

1. The perineal body.
2. The labia majora.
3. The mons pubis.
4. The vaginal vestibule.

Answer:  1

Explanation:  1. The perineal body, which is located between the lower part of the vagina and the anus, is often the site of an episiotomy or lacerations during childbirth.

2. The labia majora are longitudinal, raised folds of pigmented skin located on either side of the vulvar cleft.
3. The mons pubis is a softly rounded mound of subcutaneous fatty tissue that covers the front portion of the symphysis pubis.
4. The vaginal vestibule contains the vaginal opening, which is the border between the external and internal genitals.

Page Ref: 25

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health promotion

Learning Outcome:  LO 3.2-Explain the significance of specific female reproductive structures during childbirth.

MNL LO:  Describe the structures and functions of the female reproductive system.

4) A pregnant patient asks, “What’s the difference between the true pelvis and the false pelvis?” The nurse’s best response is:

1. “The true pelvis doesn’t affect fetal passage during labor and childbirth.”
2. “The false pelvis consists of the inlet, the pelvic cavity, and the outlet.”
3. “The true pelvis helps direct the presenting fetal part into the false pelvis.”
4. “The false pelvis helps support the weight of the pregnant uterus.”

Answer:  1

Explanation:  1. The size and shape of the true pelvis must be adequate for normal fetal passage during labor and childbirth.

2. The true pelvis consists of the inlet, the pelvic cavity, and the outlet.
3. The false pelvis helps direct the presenting fetal part into the true pelvis.
4. The false pelvis helps support the weight of the pregnant uterus.

Page Ref: 31—33

Cognitive Level:  Understanding

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Assessment/Health teaching and health promotion

Learning Outcome:  LO 3.2-Explain the significance of specific female reproductive structures during childbirth.

MNL LO:  Describe the structures and functions of the female reproductive system.

5) A pregnant adolescent asks the nurse, “Why does the physician call measuring my uterus a fundal height?” The nurse’s answer is based on the fact that the fundus of the uterus is located:

1. In the elongated portion where the fallopian tubes enter.
2. In the lower third area.
3. At the uppermost (dome-shaped top) portion.
4. Between the internal cervical os and the endometrial cavity.

Answer:  3

Explanation:  1. The elongated portion where the fallopian tubes enter the uterus is called the cornua.

2. The lower third of the uterus is called the cervix or neck.
3. The rounded, uppermost (dome-shaped top) portion of the uterus that extends above the points of attachment of the fallopian tubes is called the fundus.
4. The isthmus is the portion of the uterus between the internal cervical os and the endometrial cavity.

Page Ref: 27

Cognitive Level:  Understanding

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health promotion

Learning Outcome:  LO 3.2-Explain the significance of specific female reproductive structures during childbirth.

MNL LO:  Explore the role of the nurse in maternity care delivery.