INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 12
Chapter 02: Human Reproductive Anatomy and Physiology
MULTIPLE CHOICE
1. A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse
indicate are related to the production of testosterone?
a. Stimulation of production of white cells and platelets
b. Promotion of growth of small bones
c. Increase in muscle mass and strength
d. Decrease in production of sebaceous gland secretions
ANS: C
Testosterone increases muscle mass, promotes strength and growth of long bones, and enhances production of
red blood cells.
DIF: Cognitive Level: Knowledge REF: Page 22
TOP: Male Reproductive System KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The nurse is educating high school students about puberty. What will the nurse indicate regulates the
production of sperm and secretion hormones?
a. Testes
b. Vas deferens
c. Ejaculatory ducts
d. Prostate gland
ANS: A
The testes have two functions: manufacture of spermatozoa and secretion of androgens.
DIF: Cognitive Level: Knowledge REF: PageNURSINGTB.COM
23
TOP: Male Reproductive System KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse is speaking with a couple trying to conceive a child. What will the nurse remind the couple is a
factor that can decrease sperm production?
a. Infrequent sexual intercourse
b. The man not being circumcised
c. The penis and testes being small
d. The testes being too warm
ANS: D
The scrotum is suspended away from the perineum to lower the temperature of the testes for sperm production.
DIF: Cognitive Level: Comprehension REF: Page 24
TOP: Male Reproductive System KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. When describing the female reproductive tract to a pregnant woman, the nurse would explain that which
uterine layer is involved in implantation?
a. Perimetrium
b. Endometrium
c. Myometrium
d. Internal os
ANS: B
The endometrium is the inner mucosal layer of the uterus that is governed by cyclical hormonal changes. It is
functional during menstruation and during the implantation of a fertilized ovum.
DIF: Cognitive Level: Knowledge REF: Page 23
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 13
TOP: Female Reproductive System KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. A group of nursing students plans to teach a class of sixth-grade girls about menstruation. What correct
information will the nursing students teach to the class?
a. Menarche usually occurs around 12 years of age.
b. Ovulation occurs regularly from the very first cycle.
c. A regular cycle is established by the third period.
d. Typically, menstrual flow is heavy and lasts up to 10 days.
ANS: A
The beginning of menstruation, called menarche, occurs at about 12 years of age. Early cycles are irregular and
anovulatory.
DIF: Cognitive Level: Comprehension REF: Page 29
TOP: Female Reproductive Cycle and Menstruation
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
6. A 10-year-old girl asks the nurse, What is the first sign of puberty? What is the correct nursing response?
a. An increase in height
b. Breast development
c. Appearance of axillary hair
d. The first menstrual period
ANS: B
The first outward change of puberty in girls is the development of breasts at about 10 to 11 years of age.
DIF: Cognitive Level: Knowledge REF: Page 23
TOP: PubertyFemale KEY: Nursing Process Step: Implementation
NURSINGTB.COM
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. A 12-year-old female pediatric patient experienced menarche 3 months ago. Her mother voices concern to
the pediatric office nurse regarding the irregularity of her daughters menstrual cycle. What is the nurses best
response?
a. Worrying is not the answer.
b. I will talk to the pediatrician about a gynecological referral.
c. I can only discuss this with your daughter.
d. Early cycles are often irregular.
ANS: D
Early cycles are often irregular and may be anovulatory. Regular cycles are usually established within 6
months to 2 years of the menarche. In an average cycle, the flow (menses) occurs every 28 days, plus or minus
5 to 10 days.
DIF: Cognitive Level: Application REF: Page 29
TOP: Menstrual Cycle KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
8. Which hormone initiates the maturation of the ovarian follicle?
a. Estrogen
b. Follicle-stimulating hormone
c. Progesterone
d. Luteinizing hormone
ANS: B
Follicle-stimulating hormone (FSH) stimulates the maturation of a follicle.
DIF: Cognitive Level: Knowledge REF: Page 29
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 12
Chapter 02: Human Reproductive Anatomy and Physiology
MULTIPLE CHOICE
1. A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse
indicate are related to the production of testosterone?
a. Stimulation of production of white cells and platelets
b. Promotion of growth of small bones
c. Increase in muscle mass and strength
d. Decrease in production of sebaceous gland secretions
ANS: C
Testosterone increases muscle mass, promotes strength and growth of long bones, and enhances production of
red blood cells.
DIF: Cognitive Level: Knowledge REF: Page 22
TOP: Male Reproductive System KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The nurse is educating high school students about puberty. What will the nurse indicate regulates the
production of sperm and secretion hormones?
a. Testes
b. Vas deferens
c. Ejaculatory ducts
d. Prostate gland
ANS: A
The testes have two functions: manufacture of spermatozoa and secretion of androgens.
DIF: Cognitive Level: Knowledge REF: PageNURSINGTB.COM
23
TOP: Male Reproductive System KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse is speaking with a couple trying to conceive a child. What will the nurse remind the couple is a
factor that can decrease sperm production?
a. Infrequent sexual intercourse
b. The man not being circumcised
c. The penis and testes being small
d. The testes being too warm
ANS: D
The scrotum is suspended away from the perineum to lower the temperature of the testes for sperm production.
DIF: Cognitive Level: Comprehension REF: Page 24
TOP: Male Reproductive System KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. When describing the female reproductive tract to a pregnant woman, the nurse would explain that which
uterine layer is involved in implantation?
a. Perimetrium
b. Endometrium
c. Myometrium
d. Internal os
ANS: B
The endometrium is the inner mucosal layer of the uterus that is governed by cyclical hormonal changes. It is
functional during menstruation and during the implantation of a fertilized ovum.
DIF: Cognitive Level: Knowledge REF: Page 23
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 13
TOP: Female Reproductive System KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. A group of nursing students plans to teach a class of sixth-grade girls about menstruation. What correct
information will the nursing students teach to the class?
a. Menarche usually occurs around 12 years of age.
b. Ovulation occurs regularly from the very first cycle.
c. A regular cycle is established by the third period.
d. Typically, menstrual flow is heavy and lasts up to 10 days.
ANS: A
The beginning of menstruation, called menarche, occurs at about 12 years of age. Early cycles are irregular and
anovulatory.
DIF: Cognitive Level: Comprehension REF: Page 29
TOP: Female Reproductive Cycle and Menstruation
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
6. A 10-year-old girl asks the nurse, What is the first sign of puberty? What is the correct nursing response?
a. An increase in height
b. Breast development
c. Appearance of axillary hair
d. The first menstrual period
ANS: B
The first outward change of puberty in girls is the development of breasts at about 10 to 11 years of age.
DIF: Cognitive Level: Knowledge REF: Page 23
TOP: PubertyFemale KEY: Nursing Process Step: Implementation
NURSINGTB.COM
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. A 12-year-old female pediatric patient experienced menarche 3 months ago. Her mother voices concern to
the pediatric office nurse regarding the irregularity of her daughters menstrual cycle. What is the nurses best
response?
a. Worrying is not the answer.
b. I will talk to the pediatrician about a gynecological referral.
c. I can only discuss this with your daughter.
d. Early cycles are often irregular.
ANS: D
Early cycles are often irregular and may be anovulatory. Regular cycles are usually established within 6
months to 2 years of the menarche. In an average cycle, the flow (menses) occurs every 28 days, plus or minus
5 to 10 days.
DIF: Cognitive Level: Application REF: Page 29
TOP: Menstrual Cycle KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
8. Which hormone initiates the maturation of the ovarian follicle?
a. Estrogen
b. Follicle-stimulating hormone
c. Progesterone
d. Luteinizing hormone
ANS: B
Follicle-stimulating hormone (FSH) stimulates the maturation of a follicle.
DIF: Cognitive Level: Knowledge REF: Page 29
NURSINGTB.COM
