Ricci Chapter 3 - Test Bank - 4th Edition
1. When describing the menstrual cycle to a group of young women, the nurse explains that
estrogen levels are highest during which phase of the endometrial cycle?
A. menstrual
B. proliferative
C. secretory
D. ischemic - (correct Answer) - Answer: B
Rationale: Estrogen levels are the highest during the proliferative phase of the endometrial cycle,
when the endometrial glands enlarge in response to increasing amounts of estrogen. Progesterone
is the predominant hormone of the secretory phase. Levels of estrogen and progesterone drop
sharply during the ischemic phase and fall during the menstrual phase.
Question format: Multiple Choice
Chapter 3: Anatomy and Physiology of the Reproductive System
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Reference: p. 104
2. After teaching a group of adolescent girls about female reproductive development, the nurse
determines that teaching was successful when the girls state that menarche is defined as a
woman's first:
A. sexual experience.
B. full hormonal cycle.
C. menstrual period.
D. sign of breast development. - (correct Answer) - Answer: C
Rationale: Menarche is defined as the establishment of menstruation. It does not refer to the
woman's first sexual experience, full hormonal cycle, or sign of breast development.
Question format: Multiple Choice
, Chapter 3: Anatomy and Physiology of the Reproductive System
Cognitive Level: Analyze
Client Needs: Health Promotion and Maintenance
Reference: p. 104
3. A client with a 28-day cycle reports that she ovulated on May 10. When would the nurse
expect the client's next menses to begin?
A. May 24
B. May 26
C. May 30
D. June 1 - (correct Answer) - Answer: A
Rationale: For a woman with a 28-day cycle, ovulation typically occurs on day 14. Therefore,
her next menses would begin 14 days later, on May 24.
Question format: Multiple Choice
Chapter 3: Anatomy and Physiology of the Reproductive System
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Reference: p. 102
4. The nurse is assessing a 13-year-old girl. Which event would the nurse expect to have
occurred first?
A. evidence of pubic hair
B. development of breast buds
C. onset of menses
D. growth spurt - (correct Answer) - Answer: B
Rationale: Pubertal events preceding the first menses have an orderly progression beginning with
the development of breast buds, followed by the appearance of pubic hair, then axillary hair, then
a growth spurt. Menses typically occurs about 2 years after the start of breast development.
Question format: Multiple Choice
1. When describing the menstrual cycle to a group of young women, the nurse explains that
estrogen levels are highest during which phase of the endometrial cycle?
A. menstrual
B. proliferative
C. secretory
D. ischemic - (correct Answer) - Answer: B
Rationale: Estrogen levels are the highest during the proliferative phase of the endometrial cycle,
when the endometrial glands enlarge in response to increasing amounts of estrogen. Progesterone
is the predominant hormone of the secretory phase. Levels of estrogen and progesterone drop
sharply during the ischemic phase and fall during the menstrual phase.
Question format: Multiple Choice
Chapter 3: Anatomy and Physiology of the Reproductive System
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Reference: p. 104
2. After teaching a group of adolescent girls about female reproductive development, the nurse
determines that teaching was successful when the girls state that menarche is defined as a
woman's first:
A. sexual experience.
B. full hormonal cycle.
C. menstrual period.
D. sign of breast development. - (correct Answer) - Answer: C
Rationale: Menarche is defined as the establishment of menstruation. It does not refer to the
woman's first sexual experience, full hormonal cycle, or sign of breast development.
Question format: Multiple Choice
, Chapter 3: Anatomy and Physiology of the Reproductive System
Cognitive Level: Analyze
Client Needs: Health Promotion and Maintenance
Reference: p. 104
3. A client with a 28-day cycle reports that she ovulated on May 10. When would the nurse
expect the client's next menses to begin?
A. May 24
B. May 26
C. May 30
D. June 1 - (correct Answer) - Answer: A
Rationale: For a woman with a 28-day cycle, ovulation typically occurs on day 14. Therefore,
her next menses would begin 14 days later, on May 24.
Question format: Multiple Choice
Chapter 3: Anatomy and Physiology of the Reproductive System
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Reference: p. 102
4. The nurse is assessing a 13-year-old girl. Which event would the nurse expect to have
occurred first?
A. evidence of pubic hair
B. development of breast buds
C. onset of menses
D. growth spurt - (correct Answer) - Answer: B
Rationale: Pubertal events preceding the first menses have an orderly progression beginning with
the development of breast buds, followed by the appearance of pubic hair, then axillary hair, then
a growth spurt. Menses typically occurs about 2 years after the start of breast development.
Question format: Multiple Choice
