NCLEX-PN MEDICAL-SURGICAL EXAM 3
STUDY GUIDE | GRADE A | 100% CORRECT
-THE ULTIMATE GUIDE FOR YR.
(2026/2027)
PNE 151 - Reproductive System & Maternal-Fetal Health
MALE REPRODUCTIVE SYSTEM
General Anatomy and Age-Related Changes
Prostate enlargement with aging (BPH)
Decreased testosterone production
Reduced fertility and sperm production
Erectile dysfunction increases with age
Health Promotion and Client Education
Testicular Self-Examination (TSE)
Perform monthly after warm shower/bath
Check for lumps, changes in size, or tenderness
Best time: when scrotal skin is relaxed
Prostate Health
Annual screening after age 50 (age 40 if high risk)
Digital rectal exam and PSA testing
Safe Sex Practices
Condom use consistently
Limit sexual partners
Regular STD testing
Best prevention: abstinence
,Erectile Dysfunction (ED)
Causes:
Vascular disease
Diabetes mellitus
Medications (antihypertensives, antidepressants)
Psychological factors (stress, depression)
Treatment:
Lifestyle modifications (exercise, diet, smoking cessation)
Medications: Sildenafil (Viagra)
Vacuum erection devices
Counseling for psychological factors
Nursing Care:
Assess psychological impact
Provide patient education
Encourage open communication
Address partner concerns
Benign Prostatic Hyperplasia (BPH) Expected Findings:
Enlarged prostate obstructing urine flow
Oliguria (decreased urine output)
Dysuria (painful urination)
Nocturia (nighttime urination)
Urinary frequency and urgency
Weak urinary stream
Incomplete bladder emptying
Treatment:
, Alpha-blockers: Tamsulosin (Flomax)
5-alpha reductase inhibitors: Finasteride
(Proscar)
TURP (Transurethral Resection of Prostate) TURP
Complications:
Hemorrhage
Infection
Retrograde ejaculation
Urinary incontinence
Continuous Foley Catheter Care
Monitor for infection signs
Maintain closed drainage system
Ensure proper positioning
Regular catheter care
Monitor intake and output
FEMALE REPRODUCTIVE SYSTEM
General Anatomy and Age-Related Changes
Menopause: Estrogen/progesterone decline
Vaginal changes: Decreased lubrication, pH changes
Bone density loss due to estrogen deficiency
Cardiovascular risk increases post-menopause
STUDY GUIDE | GRADE A | 100% CORRECT
-THE ULTIMATE GUIDE FOR YR.
(2026/2027)
PNE 151 - Reproductive System & Maternal-Fetal Health
MALE REPRODUCTIVE SYSTEM
General Anatomy and Age-Related Changes
Prostate enlargement with aging (BPH)
Decreased testosterone production
Reduced fertility and sperm production
Erectile dysfunction increases with age
Health Promotion and Client Education
Testicular Self-Examination (TSE)
Perform monthly after warm shower/bath
Check for lumps, changes in size, or tenderness
Best time: when scrotal skin is relaxed
Prostate Health
Annual screening after age 50 (age 40 if high risk)
Digital rectal exam and PSA testing
Safe Sex Practices
Condom use consistently
Limit sexual partners
Regular STD testing
Best prevention: abstinence
,Erectile Dysfunction (ED)
Causes:
Vascular disease
Diabetes mellitus
Medications (antihypertensives, antidepressants)
Psychological factors (stress, depression)
Treatment:
Lifestyle modifications (exercise, diet, smoking cessation)
Medications: Sildenafil (Viagra)
Vacuum erection devices
Counseling for psychological factors
Nursing Care:
Assess psychological impact
Provide patient education
Encourage open communication
Address partner concerns
Benign Prostatic Hyperplasia (BPH) Expected Findings:
Enlarged prostate obstructing urine flow
Oliguria (decreased urine output)
Dysuria (painful urination)
Nocturia (nighttime urination)
Urinary frequency and urgency
Weak urinary stream
Incomplete bladder emptying
Treatment:
, Alpha-blockers: Tamsulosin (Flomax)
5-alpha reductase inhibitors: Finasteride
(Proscar)
TURP (Transurethral Resection of Prostate) TURP
Complications:
Hemorrhage
Infection
Retrograde ejaculation
Urinary incontinence
Continuous Foley Catheter Care
Monitor for infection signs
Maintain closed drainage system
Ensure proper positioning
Regular catheter care
Monitor intake and output
FEMALE REPRODUCTIVE SYSTEM
General Anatomy and Age-Related Changes
Menopause: Estrogen/progesterone decline
Vaginal changes: Decreased lubrication, pH changes
Bone density loss due to estrogen deficiency
Cardiovascular risk increases post-menopause
