C HAPTER 02: H UMAN R EPRODUCTIVE
A NATOMY AND P HYSIOLOGY
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The nurse has explained menstruation to a 13 -year-old girl. What
statement indicates the girl needs additional education?
a. Periods last about 5 days.
b. My cycle should get regular in 6 months.
c. I should expect heavy bleeding with clots.
d. Periods come about every 4 weeks.
ANS: C
Clots are not normally seen in menstrual discharge. A normal
menstrual flow is 30 to 40 mL blood and 30 to 50 mL serous fluid.
DIF: Cognitive Level: Comprehension REF: Page 29
TOP: Female Reproductive C ycle KEY: Nursing
Process Step: Evaluation MSC: NC LEX: Health Promotion
and Maintenance: Growth and Development
2. A mother asks the nurse, When will I know m y child has entered pubert y?
What will the nurse state based on an understanding of changes associated
with pubert y?
a. Your daughter will have her first period.
, b. Youll recognize pubert y by the mood swings.
c. The child becomes interested in the opposite sex.
d. Secondary sex characteristic s, such as pubic hair, appear.
ANS: D
Pubert y begins when the secondary sex characteristics appear. Pubert y
ends when mature sperm are formed in the male and when regular
menstrual cycles occur in the female.
DIF: Cognitive Level: Comprehension REF: Page 22
TOP: Pubert y KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
3. A nurse is planning to teach couples about the physiology of the sex act.
What correct information will the nurse provide ?
a. Fertilization of an ovum requires penetration by several sperm.
b. An ovum must be fertilized within 24 hours of ovulation.
c. It takes 4 to 5 days for sperm to reach the fallopian tubes.
d. Sperm live for onl y 24 hours following ejaculation.
ANS: B
After ovulation, the egg lives for onl y 24 hours. Sperm must be
available during that time if fertilization is to occur.
DIF: Cognitive Level: Comprehension REF: Page 31
TOP: Physiology of the Sex Act KEY: Nursing
, Process Step: Planning MSC: NC LEX: Health Promo tion
and Maintenance: Growth and Development
4. A newl y married couple tells the nurse they would like to wait a few years
before starting a famil y. Which statement made by the man indicates an
understanding about sexual activit y and pregnancy?
a. My wife cant get pregnant if I withdraw before climax.
b. A man can secrete semen before ejaculation.
c. If we dont have intercourse very often, my wife wont get pregnant.
d. It is safe to ejaculate outside the vagina.
ANS: B
Semen may be secreted during sexual intercourse b efore ejaculation.
DIF: Cognitive Level: Comprehension REF: Page 31
TOP: Male Reproductive S ystem KEY: Nursing
Process Step: Evaluation MSC: NC LEX: Physiological
Integrit y: Reduction of Risk
5. The nurse is aware that the diagonal conjugate is 12 centi meters. What is
the measurement in centimeters of the obstetric conjugate?
a. 10 to 10.5
b. 11 to 11.5
c. 12.5 to 13
d. 14 to 14.5
ANS: A
A NATOMY AND P HYSIOLOGY
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The nurse has explained menstruation to a 13 -year-old girl. What
statement indicates the girl needs additional education?
a. Periods last about 5 days.
b. My cycle should get regular in 6 months.
c. I should expect heavy bleeding with clots.
d. Periods come about every 4 weeks.
ANS: C
Clots are not normally seen in menstrual discharge. A normal
menstrual flow is 30 to 40 mL blood and 30 to 50 mL serous fluid.
DIF: Cognitive Level: Comprehension REF: Page 29
TOP: Female Reproductive C ycle KEY: Nursing
Process Step: Evaluation MSC: NC LEX: Health Promotion
and Maintenance: Growth and Development
2. A mother asks the nurse, When will I know m y child has entered pubert y?
What will the nurse state based on an understanding of changes associated
with pubert y?
a. Your daughter will have her first period.
, b. Youll recognize pubert y by the mood swings.
c. The child becomes interested in the opposite sex.
d. Secondary sex characteristic s, such as pubic hair, appear.
ANS: D
Pubert y begins when the secondary sex characteristics appear. Pubert y
ends when mature sperm are formed in the male and when regular
menstrual cycles occur in the female.
DIF: Cognitive Level: Comprehension REF: Page 22
TOP: Pubert y KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
3. A nurse is planning to teach couples about the physiology of the sex act.
What correct information will the nurse provide ?
a. Fertilization of an ovum requires penetration by several sperm.
b. An ovum must be fertilized within 24 hours of ovulation.
c. It takes 4 to 5 days for sperm to reach the fallopian tubes.
d. Sperm live for onl y 24 hours following ejaculation.
ANS: B
After ovulation, the egg lives for onl y 24 hours. Sperm must be
available during that time if fertilization is to occur.
DIF: Cognitive Level: Comprehension REF: Page 31
TOP: Physiology of the Sex Act KEY: Nursing
, Process Step: Planning MSC: NC LEX: Health Promo tion
and Maintenance: Growth and Development
4. A newl y married couple tells the nurse they would like to wait a few years
before starting a famil y. Which statement made by the man indicates an
understanding about sexual activit y and pregnancy?
a. My wife cant get pregnant if I withdraw before climax.
b. A man can secrete semen before ejaculation.
c. If we dont have intercourse very often, my wife wont get pregnant.
d. It is safe to ejaculate outside the vagina.
ANS: B
Semen may be secreted during sexual intercourse b efore ejaculation.
DIF: Cognitive Level: Comprehension REF: Page 31
TOP: Male Reproductive S ystem KEY: Nursing
Process Step: Evaluation MSC: NC LEX: Physiological
Integrit y: Reduction of Risk
5. The nurse is aware that the diagonal conjugate is 12 centi meters. What is
the measurement in centimeters of the obstetric conjugate?
a. 10 to 10.5
b. 11 to 11.5
c. 12.5 to 13
d. 14 to 14.5
ANS: A
