Maternal-Child Nursing 5th Edition by Mckinney – Test Bank

Chapter 11: Reproductive Anatomy and Physiology
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition

MULTIPLE CHOICE

1. Which man is most likely to have abnormal sperm formation resulting in infertility?

a. A 20-year-old man with undescended testicles
b. An uncircumcised 40-year-old man
c. A 35-year-old man with previously treated sexually transmitted disease
d. A 16-year-old adolescent who is experiencing nocturnal emissions

ANS: A
For normal sperm formation, a man’s testes must be cooler than his core body temperature. The cremaster muscle attached to each testicle causes the testes to rise closer to the body and become warmer or allow the testes to fall away from the body to become cooler. Circumcision does not prevent fertility. Scar tissue in the fallopian tubes as a result of a sexually transmitted disease can be a cause of infertility in women. Nocturnal emissions of seminal fluid are normal and expected in teenagers.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 193 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

2. A nurse is teaching a woman about spinnbarkeit. The student nurse asks why the woman would need this information. What response by the nurse is most appropriate?

a. To assist in becoming pregnant or preventing pregnancy
b. To determine if she can breastfeed
c. To assess risk for genetic defects in the fetus
d. To find out if her ova are suitable for fertilization

ANS: A
Spinnbarkeit refers to the elasticity of cervical mucosa. The woman can assess this to avoid or promote pregnancy. It does not refer to breastfeeding, genetics, or her ova status.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 192 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Physiologic Integrity

3. Which of these is a secondary sexual characteristic?

a. Female breast development
b. Production of sperm
c. Maturation of ova
d. Secretion of gonadotropin-releasing hormone

ANS: A
A secondary sexual characteristic is one not directly related to reproduction, such as development of the characteristic female body form. Production of sperm, maturation of ova, and secretion of hormones are all directly related to reproduction and not secondary sexual characteristics.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering

REF: p. 183 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

4. The nursing students learn that fertilization of the ovum takes place in which part of the fallopian tube?

a. Interstitial portion
b. Ampulla
c. Isthmus
d. Infundibulum

ANS: B
The ampulla is the wider middle part of the tube lateral to the isthmus and is where fertilization occurs. It does not occur in the interstitial portion, isthmus, or infundibulum.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 188 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Physiologic Integrity

5. Which 16-year-old female is most likely to experience secondary amenorrhea?

a. A girl who is 5 ft 2 in, 130 lb
b. A girl who is 5 ft 9 in, 150 lb
c. A girl who is 5 ft 7 in, 96 lb
d. A girl who is 5 ft 4 in, 120 lb

ANS: C
Low body fat is a risk factor for secondary amenorrhea. The girl who is 5 ft 7 inches tall and only weighs 96 pounds has less body fat that the other girls and a higher likelihood of secondary amenorrhea.

PTS: 1 DIF: Cognitive Level: Analysis/Analyzing
REF: p. 185 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

6. It is important for the nurse to understand that the levator ani is a(n)

a. imaginary line that divides the true and false pelvis.
b. basin-shaped structure at the lower end of the spine.
c. collection of three pairs of muscles.

d. division of the fallopian tube.

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

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 189 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

7. In describing the size and shape of the nonpregnant uterus to a patient, the nurse would say it is approximately the size and shape of a

a. cantaloupe.

b. grapefruit.
c. pear.
d. large orange.

ANS: C

The nonpregnant uterus is approximately 7.5 × 5.0 × 2.5 cm, which is close to the size and shape of a pear.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 186 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Physiologic Integrity

8. If a woman’s menstrual cycle began on June 2 and normally lasts 28 days, ovulation would mostly likely occur on June

a. 10
b. 16
c. 21
d. 29

ANS: B
Ovulation occurs approximately 12 to 14 days after the beginning of the menstrual period in a 28-day cycle. In this woman, ovulation would most likely occur on June 16. June 10 would just be 8 days into the cycle and too early for ovulation. June 21 would be 18 days into the cycle. Ovulation should have already occurred at this point. June 29 would be 27 days into the cycle and almost time for the next period.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 190 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

9. A patient states, “My breasts are so small, I don’t think I will be able to breastfeed.” The nurse’s best response is

a. “It may be difficult, but you should try anyway.”
b. “You can always supplement with formula.”
c. “Breast size is not related to the ability to breastfeed.”
d. “The ability to breastfeed depends on secretion of estrogen and progesterone.”

ANS: C
All women have approximately the same amount of glandular tissue to secrete milk, despite breast size. Saying that nursing will be difficult or that the woman can use formula does not provide the woman with accurate information. Increased estrogen decreases the production of milk.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 192 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Physiologic Integrity

10. The function of the cremaster muscle in men is to

a. aid in voluntary control of excretion of urine.
b. entrap blood in the penis to produce an erection.
c. assist with transporting sperm.

d. aid in temperature control of the testicles.

ANS: D
A cremaster muscle is attached to each testicle. Its function is to bring the testicle closer to the body to warm it or allow it to fall away from the body to cool it, thus promoting normal sperm production. It is not involved in urination, causing an erection or assist in transporting sperm.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 193 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity