Ricci Chapter 3 - Test Bank - 4th Edition || 100% Accurate
Answers.
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: 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: 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: 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: 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
Chapter 3: Anatomy and Physiology of the Reproductive System
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Reference: p. 104
5. The nurse is preparing an outline for a class on the physiology of the male sexual response.
Which event would the nurse identify as occurring first?
A. sperm emission
B. penile vasodilation
C. psychological release
D. ejaculation Correct Answer: B
Rationale: With sexual stimulation, the arteries leading to the penis dilate and increase blood
flow into erectile tissue. Blood accumulates, causing the penis to swell and elongate. Sperm
emission (movement of sperm from the testes and fluid from the accessory glands) occurs with
orgasm. Orgasm results in a pleasurable feeling of physiologic and psychological release.
Ejaculation results in the discharge of semen from the urethra.
6. A woman comes to the clinic reporting that she has little sexual desire. As part of the client's
evaluation, the nurse would anticipate the need to evaluate which hormone level?
A. progesterone
B. estrogen
C. gonadotropin-releasing hormone
D. testosterone Correct Answer: D
Rationale: Testosterone is thought to be the hormone of sexual desire in women. Thus, an
evaluation of this level would be done. Progesterone is often called the hormone of pregnancy
because of its calming effect (reduction in uterine contractions) on the uterus, allowing
pregnancy to be maintained. Estrogen is the predominant hormone at the end of the follicular
phase. Gonadotropin-releasing hormone induces the release of FSH and LH to assist with
ovulation.
7. A school nurse who is teaching a health course at the local high school is presenting
information on human development and sexuality. When talking about the role of hormones in
sexual development, which hormone does the nurse teach the class is the most important for
developing and maintaining the female reproductive organs?
Answers.
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: 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: 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: 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: 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
Chapter 3: Anatomy and Physiology of the Reproductive System
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Reference: p. 104
5. The nurse is preparing an outline for a class on the physiology of the male sexual response.
Which event would the nurse identify as occurring first?
A. sperm emission
B. penile vasodilation
C. psychological release
D. ejaculation Correct Answer: B
Rationale: With sexual stimulation, the arteries leading to the penis dilate and increase blood
flow into erectile tissue. Blood accumulates, causing the penis to swell and elongate. Sperm
emission (movement of sperm from the testes and fluid from the accessory glands) occurs with
orgasm. Orgasm results in a pleasurable feeling of physiologic and psychological release.
Ejaculation results in the discharge of semen from the urethra.
6. A woman comes to the clinic reporting that she has little sexual desire. As part of the client's
evaluation, the nurse would anticipate the need to evaluate which hormone level?
A. progesterone
B. estrogen
C. gonadotropin-releasing hormone
D. testosterone Correct Answer: D
Rationale: Testosterone is thought to be the hormone of sexual desire in women. Thus, an
evaluation of this level would be done. Progesterone is often called the hormone of pregnancy
because of its calming effect (reduction in uterine contractions) on the uterus, allowing
pregnancy to be maintained. Estrogen is the predominant hormone at the end of the follicular
phase. Gonadotropin-releasing hormone induces the release of FSH and LH to assist with
ovulation.
7. A school nurse who is teaching a health course at the local high school is presenting
information on human development and sexuality. When talking about the role of hormones in
sexual development, which hormone does the nurse teach the class is the most important for
developing and maintaining the female reproductive organs?
