NU 518
FINAL EXAM
STUDY GUIDE
University of South Alabama.
This document provides a focused
study guide
It summarizes key concepts, lecture highlights, and
exam-relevant material to support efficient last-
minute review. The guide is structured to help
students reinforce understanding, identify weak areas, and
prepare confidently for the assessment.
, Health Assessment Study Guide
FINAL EXAM
Male Genitourinary System (Chapter 24)
1. Know the anatomy and physiology and normal appearance of the
penis, scrotum,
and inguinal area. Know: testes, epididymis, vas deferens,
foreskin, glans,
prepuce. (p.714)
Testes- located inside the scrotum… produces sperm
Epididymis- main storage site of sperm
Vas deferens- the lower part of the epididymis connecting all other vessels
(arteries, veins, lymphatics, and nerves) with the spermatic cord
Foreskin- (aka prepuce) the skin folds in and back on itself forming a flap
over the glands.... Most of the time it is surgically removed shortly after birth
by circumcision
2. Review the Sex Maturity Ratings in boys. (p.716)
Puberty begins sometime between the ages of 9 ½ - 13 ½ The first sign of
puberty is enlargement of the testes. Next, pubic hair appears, and penis
size increases.
3. Read about circumcision under transcultural considerations.
(p.718)
, Advantages of circumcision: Prevention of phimosis and inflammation of the
glands, penis and foreskin, decreasing the incidence of cancer of the penis,
and slightly decreasing UTIs. Circumcised men also have a significantly lower
risk of acquiring HPV and their partner’s have a lower risk for developing
cervical cancer.
In the US, 70-80% of newborn males are circumcised.
In Canada, Great Britain, Australia, and Sweden, less than 20% of
newborns are circumcised and they feel it is unnecessary.
Jews and Muslims practice circumcision as part of their religious value
system
4. Know the recommended self care behaviors for the male
genitourinary system. (p.727)
Every male should self-examine his testicles once a month. Testicular cancer
most commonly occurs in young men ages 15-40. Males with undescended
testicles are at greatest risk, and white males are four times more likely to
contract testicular cancer than nonwhites.
Pointers for the self-examination:
T= timing (once a month)
S= shower (warm water relaxes the scrotal sac)
E= examine (check for changes and report any changes immediately to
your physician)
-A brief description on how to teach your patient this “self-care” is on the
middle of pg.727
5. Review how to discuss sexual matters with adolescents. P 720-21
6. Be familiar with developmental variations. (p.730)
Use the SMR chart and note:
(1)Enlargement of the testes and scrotum
(2)Pubic hair growth
(3)Darkening of scrotal color
(4)Roughening of scrotal skin
(5)Increase in penis length and width
(6)Axillary hair growth
7. Be familiar with the following terms: frequency, urgency,
nocturia, dysuria, hematuria, stress and true urinary incontinence,
and hesitancy.
FINAL EXAM
STUDY GUIDE
University of South Alabama.
This document provides a focused
study guide
It summarizes key concepts, lecture highlights, and
exam-relevant material to support efficient last-
minute review. The guide is structured to help
students reinforce understanding, identify weak areas, and
prepare confidently for the assessment.
, Health Assessment Study Guide
FINAL EXAM
Male Genitourinary System (Chapter 24)
1. Know the anatomy and physiology and normal appearance of the
penis, scrotum,
and inguinal area. Know: testes, epididymis, vas deferens,
foreskin, glans,
prepuce. (p.714)
Testes- located inside the scrotum… produces sperm
Epididymis- main storage site of sperm
Vas deferens- the lower part of the epididymis connecting all other vessels
(arteries, veins, lymphatics, and nerves) with the spermatic cord
Foreskin- (aka prepuce) the skin folds in and back on itself forming a flap
over the glands.... Most of the time it is surgically removed shortly after birth
by circumcision
2. Review the Sex Maturity Ratings in boys. (p.716)
Puberty begins sometime between the ages of 9 ½ - 13 ½ The first sign of
puberty is enlargement of the testes. Next, pubic hair appears, and penis
size increases.
3. Read about circumcision under transcultural considerations.
(p.718)
, Advantages of circumcision: Prevention of phimosis and inflammation of the
glands, penis and foreskin, decreasing the incidence of cancer of the penis,
and slightly decreasing UTIs. Circumcised men also have a significantly lower
risk of acquiring HPV and their partner’s have a lower risk for developing
cervical cancer.
In the US, 70-80% of newborn males are circumcised.
In Canada, Great Britain, Australia, and Sweden, less than 20% of
newborns are circumcised and they feel it is unnecessary.
Jews and Muslims practice circumcision as part of their religious value
system
4. Know the recommended self care behaviors for the male
genitourinary system. (p.727)
Every male should self-examine his testicles once a month. Testicular cancer
most commonly occurs in young men ages 15-40. Males with undescended
testicles are at greatest risk, and white males are four times more likely to
contract testicular cancer than nonwhites.
Pointers for the self-examination:
T= timing (once a month)
S= shower (warm water relaxes the scrotal sac)
E= examine (check for changes and report any changes immediately to
your physician)
-A brief description on how to teach your patient this “self-care” is on the
middle of pg.727
5. Review how to discuss sexual matters with adolescents. P 720-21
6. Be familiar with developmental variations. (p.730)
Use the SMR chart and note:
(1)Enlargement of the testes and scrotum
(2)Pubic hair growth
(3)Darkening of scrotal color
(4)Roughening of scrotal skin
(5)Increase in penis length and width
(6)Axillary hair growth
7. Be familiar with the following terms: frequency, urgency,
nocturia, dysuria, hematuria, stress and true urinary incontinence,
and hesitancy.
