Chapter 42-46
Ch 42
When you ask if it is possible for a woman who is not using birth control to become pregnant if she has
unprotected sexual intercourse 1 to 2 days before she ovulates how should the nurse respond?
“yes, sperm can live 1 to 2 days in a female genital tract.”
a nurse In a fertility clinic is taking a history from the couple. When asked what type of underwear the
male where's he responds by asking why do you need to know this it seems a little too personal. Which
response by the nurse is most appropriate for the nurses to reply?
for sperm production it is best if underwear is loose to keep scrotal temperatures 3.5 to 5 f
below body temps.
which cause can result in primary gonadal failure?
mumps, cryptorchidism, Klinefelter syndrome, trauma
Which system causes the urethral and bulbourethral glands to secrete mucus to aid in lubrication for
sexual activity?
Parasympathetic system
an older adult male asked the nurse about factors that affect his ability to sustain an erection. The nurse
will assess for which kind of disorder that may be responsible for secondary impotence? Select all that
apply
cardiovascular, hormonal, hematologic, respiratory
What would be expected laboratory finding that supports a diagnosis of hypergonadotropic
hypogonadism?
Low levels of testosterone and a high level of follicle-stimulating hormone (FSH)
Where is the final site for sperm maturation?
Epididymis
, The nurse is performing a health history of a client being evaluated for erectile dysfunction. Which
disorder places the client at a highest risk for the erectile dysfunction?
Type 2 diabetes
As men age the reproductive system undergoes degenerative changes. The declining physiologic
efficiency of the male reproductive function is also affected. The nurse understands that which systems
are involved? Select all that apply.
Circulatory, Endocrine, Neuromuscular
Which chromosome or gene results in the development of testis rather than ovaries?
SRY
Screening for which disease process should be done prior to beginning testosterone replacement
therapy?
Prostate cancer
Temperature regulation of the testes is maintained by which structure?
Pampiniform plexus and cremaster muscles
A 41-year-old male client is planning on having a vasectomy. While explains this surgery to the client the
health care worker include which psychological principle as the basis for this contraception technique?
sperm can no longer pass through the ductus deferens
In males the sexual act is a complex process. The nurse knows that besides involvement with the
vascular system which body systems are involved? select all that apply.
higher neural centers, endocrine system, spinal cord reflexes
Which hormone is responsible for the development of male facial hair and change in voice to deeper
level?
Testosterone