When describing the menstrual cycle to a group of young women, the nurse explains that estrogen
levels are highest during in which phase of the endometrial cycle?
A) menstrual
B) proliferative
C) secretory
D) ischemic - Answers B) Proliferative
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.
After teaching a group of adolescent girls about female reproductive development the nurse determines
that teaching was successful when the girls state that the menarche is defined as a woman's first:
A) Sexual experience
B) Full hormonal cycle
C) Menstrual period
D) Sign of breast development - Answers C) Menstrual period
A client with a 28 day cycle reports that she ovulated on May 10. The nurse would expect the clients
next menses to begin on:
A) May 24
B) May 26
C) May 30
D) June 1 - Answers A) May 24
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
,Which female reproductive tract structure would the nurse describe to a group of young women as
containing rugae that enable it to dilate during labor and birth?
A) Cervix
B) Fallopian tube
C) Vagina
D) Vulva - Answers C) Vagina
The vagina is a tubular, fibromuscular organ lined with mucous membrane that lies in a series of
transverse folds called rugae. These rugae allow for extreme dilation of the canal during labor and birth.
After teaching a group of pregnant women about breast-feeding, the nurse determines that the
teaching was successful when the group identifies which hormone as important for the production of
breast milk after childbirth?
A) Placental estrogen
B) Progesterone
C) Gonadotropin-releasing hormone
D) Prolactin - Answers D) Prolactin
After childbirth and expulsion of the placenta, prolactin stimulates the production of milk. Placental
estrogen and progesterone stimulate the development of the mammary glands during pregnancy.
Gonadotropin-releasing hormone induces the release of follicle-stimulating hormone and luteinizing
hormone to assist with ovulation.
The nurse is assessing a 13-year-old girl who has had her first menses. Which of the following events
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 - Answers B) Development of breast buds
,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.
When describing the ovarian cycle to a group of students, which phase would the instructor include?
A) Luteal phase
B) Proliferative phase
C) Menstrual phase
D) Secretory phase - Answers A) Luteal phase
The ovarian cycle consists of three phases: the follicular phase, ovulation, and the luteal phase.
The endometrial cycle includes the proliferative phase, menstrual phase, and secretory phase.
The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse identify as
being primarily responsible for ovulation?
A) Estrogen
B) Progesterone
C) Follicle-stimulating hormone
D) Luteinizing hormone - Answers D) Luteinizing hormone
At ovulation, a mature follicle ruptures in response to a surge of luteinizing hormone. Estrogen is
predominant at the end of the follicular phase, directly preceding ovulation.
Progesterone peaks 5 to 7 days after ovulation. Follicle-stimulating hormone is highest during the first
week of the follicular phase of the cycle.
The nurse is teaching a health education class on male reproductive anatomy and asks the students to
identify the site of sperm production. Which structure, if identified by the group would indicate to the
nurse that the teaching was successful?
A) Testes
B) Seminal vesicles
, C) Scrotum
D) Prostate gland - Answers A) Testes
The testes are responsible for sperm production.
The seminal vesicles produce nutrient seminal fluid.
The scrotum surrounds and protects the testes. The prostate gland and the seminal vesicles produce
fluid to nourish the sperm
The nurse is creating a diagram that illustrates the components of the male reproductive system. Which
structure would be inappropriate for the nurse to include as an accessory gland?
A) Seminal vesicles
B) Prostrate gland
C) Cowper's glands
D) Vas deferents - Answers D) Vas deferens
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 - Answers B) Penile vasodilation
A woman comes to the clinic complaining that she has little sexual desire. As part of the clients
evaluation, the nurse would anticipate the need to evaluate which hormone level?
A) Progesterone
B) Estrogen
C) Gonadotropin-releasing hormone
D) Testosterone - Answers D) Testosterone