6501 FINAL TEST PREP

CHAPTER 32

1. A nurse recalls the major hormonal determinant of sexual differentiation in utero is:

a.

Estrogen

b.

Progesterone

c.

Growth hormone

d.

Testosterone

d

2. A nurse is preparing to teach about puberty. Which information should the nurse

include? One substance associated with puberty in males and females is the

hormone:

a.

Follicle-stimulating hormone (FSH)

b.

Luteinizing hormone (LH)

c.

Leptin

d.

Estrogen

c

3. A nurse is discussing female anatomy. Which body structure contains the openings to

the vagina and urinary meatus?

a.

Vestibule

b.

Mons pubis

c.

Introitus

d.

Perineal body

a

4. While preparing to teach the staff about female anatomy, which information should

be included? During the years that a woman is more likely to be sexually active, the

vagina mucosa is protected from infection by:

a.

Presence of autoantibodies

b.

An acidic pH

c.

b

Low estrogen levels

d.

Douching

5. When a staff member asks the nurse what the thick middle layer of the uterine wall is

called, what is the nurse's best response? The:

a.

Epithelial layer

b.

Endometrium

c.

Myometrium

d.

Perimetrium

c

6. A nurse recalls the _____ is lined with columnar epithelial cells.

a.

Perimetrium

b.

Endocervical canal

c.

Myometrium

d.

Vagina

b

7. A nurse is preparing to teach about female anatomy. Which information should the

nurse include? The female erectile organ that secretes smegma is called the:

a.

Introitus

b.

Bartholin glands

c.

Clitoris

d.

Labia minora

c

8. A nurse is teaching about the menstrual cycle. Spinnbarkeit mucus is present during

which stage of the menstrual cycle?

a.

Follicular

b.

Ovulation

c.

Luteal

d.

Menstrual

b

9. When the nurse describes the duct that carries the ovum from the ovary to the

uterus, what is the nurse discussing? The:

a.

Isthmus

b.

Corpus

c.

Endocervical canal

d.

Fallopian tube

d

10. A nurse is teaching the staff about female hormones. Which hormone promotes the

formation of channels in the mucus of the cervical os to facilitate sperm movement

into the uterus?

a.

LH

b.

FSH

c.

Progesterone

d.

Estrogen

d

11. When a patient who is trying to get pregnant asks where the usual site of fertilization

is, how should the nurse respond? The:

a.

Uterus

b.

Fimbriae

c.

Ampulla of the fallopian tubes

d.

Os of the fallopian tubes

c

12. A nurse is teaching about the female anatomy. Which information should the nurse

include? Cells of the ____ have receptors for gonadotropins.

a.

Uterus

b.

Breast

c.

Ovary

d.

Vagina

c

13. The nurse is preparing to teach the staff about female anatomy. Which information b

should the nurse include? The ova are contained within the ovarian:

a.

Corpus luteum

b.

Follicle

c.

Stroma

d.

Infundibulum

14. Which information indicates the nurse has a good understanding of female anatomy?

Having ejected a mature ovum, the ovarian follicle then develops into:

a.

An atretic follicle

b.

A theca cell

c.

A corpus luteum

d.

Scar tissue

c

15. When a staff member asks the nurse what is the most potent of the following

estrogens, what is the nurse's best response? It is:

a.

Estradiol

b.

Testosterone

c.

Estrone

d.

Estriol

a

16. Which information indicates the nurse has a good understanding of progesterone?

Progesterone is primarily secreted by the:

a.

Follicle

b.

Corpus luteum

c.

Granulose cells

d.

Anterior pituitary

b

17. A 56-year-old female is in menopause. She has ovarian failure. While checking the lab

results, which of the following will the nurse find?

a.

a

Increased FSH

b.

Increased estrogen

c.

Decreased GnRH

d.

Decreased LH

18. Progesterone is often referred to as "the hormone of pregnancy," and the patient

asks what this phrase means. How should the nurse respond? Progesterone is the

hormone of pregnancy because it:

a.

Stimulates lactation

b.

Increases ciliary action in the fallopian tubes

c.

Thins the endometrium

d.

Prevents smooth muscle contraction of the uterus

d

19. When the nurse is teaching about the menstrual cycle, which information should be

included? Menstruation is followed by the _____ phase of the menstrual cycle.

a.

Follicular

b.

Luteal

c.

Secretory

d.

Ischemic

a

20. Which information indicates the nurse has a good understanding of the menstrual

cycle? When estrogen and progesterone levels drop, the endometrium enters the

_____ phase.

a.

Proliferative

b.

Luteal

c.

Menstrual

d.

Recovery

c

21. A staff member asks the nurse when ovulation occurs. What is the nurse's best

response? During the menstrual cycle, ovulation occurs when:

a.

b

There is a gradual decrease in estrogen levels.

b.

Inhibin B sharply spikes.

c.

A surge in progesterone occurs.

d.

Activin is released.

22. A nurse remembers the LH surge transforms granulosa cells into:

a.

Theca cells

b.

Corpus luteal cells

c.

Ova

d.

Fibroblasts

b

23. A nurse is teaching about female hormones. Which information should the nurse

include? Endometrial thickening during the proliferative phase is stimulated by

increased levels of:

a.

Estrogen

b.

Progesterone

c.

FSH

d.

Inhibin

a

24. A student asks the instructor which of the following hormones stimulates follicular

maturation. How should the instructor respond?

a.

Activin

b.

Inhibin

c.

LH

d.

Follistatin

a

25. Changes in the cervical mucus can be used to identify the periods in which a female is

most fertile. How should the nurse describe cervical mucus during ovulation?

a.

Blood-tinged

b.

d