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:p. 25 OBJ: 1 | 2| 5
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
, Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer
The testes have two functions: manufacture of spermatozoa and secretion of androgens.
DIF: Cognitive Level: Knowledge REF: p. 24 OBJ: 3 | 5
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: p. 25 OBJ: 3
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: p. 27 OBJ: 7
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: p. 30 OBJ: 1 | 9
TOP: Female Reproductive Cycle and Menstruation
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development