Chapter 11 Reproductive Anatomy and Physiology

Chapter 11  Reproductive Anatomy and Physiology

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which man is most likely to have abnormal sperm formation resulting in infertility?

a. A 20-year-old man with undescended testicles
b. An uncircumcised 40-year-old man
c. A 35-year-old man with previously treated sexually transmitted disease
d. A 16-year-old adolescent who is experiencing nocturnal emissions

ANS: A
For normal sperm formation, a man’s testes must be cooler than his core body temperature.
The cremaster muscle attached to each testicle causes the testes to rise closer to the body and
become warmer or allow the testes to fall away from the body to become cooler. Circumcision
does not prevent fertility. Scar tissue in the fallopian tubes as a result of a sexually transmitted
disease can be a cause of infertility in women. Nocturnal emissions of seminal fluid are
normal and expected in teenagers.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 193 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

2. A nurse is teaching a woman about spinnbarkeit. The student nurse asks why the woman

would need this information. What response by the nurse is most appropriate?
a. To assist in becoming pregnant or preventing pregnancy
b. To determine if she can breastfeed
c. To assess risk for genetic defects in the fetus
d. To find out if her ova are suitable for fertilization

ANS: A
Spinnbarkeit refers to the elasticity of cervical mucosa. The woman can assess this to
avoid or promote pregnancy. It does not refer to breastfeeding, genetics, or her ova status.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 192 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Physiologic Integrity

3. Which of these is a secondary sexual characteristic?

a. Female breast development
b. Production of sperm
c. Maturation of ova
d. Secretion of gonadotropin-releasing hormone

ANS: A
A secondary sexual characteristic is one not directly related to reproduction, such as
development of the characteristic female body form. Production of sperm, maturation of ova,
and secretion of hormones are all directly related to reproduction and not secondary sexual
characteristics.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering

REF: p. 183 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

4. The nursing students learn that fertilization of the ovum takes place in which part of the

fallopian tube?
a. Interstitial portion
b. Ampulla
c. Isthmus
d. Infundibulum

ANS: B
The ampulla is the wider middle part of the tube lateral to the isthmus and is where
fertilization occurs. It does not occur in the interstitial portion, isthmus, or infundibulum.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 188 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Physiologic Integrity

5. Which 16-year-old female is most likely to experience secondary amenorrhea?

a. A girl who is 5 ft 2 in, 130 lb
b. A girl who is 5 ft 9 in, 150 lb
c. A girl who is 5 ft 7 in, 96 lb
d. A girl who is 5 ft 4 in, 120 lb

ANS: C
Low body fat is a risk factor for secondary amenorrhea. The girl who is 5 ft 7 inches tall and
only weighs 96 pounds has less body fat that the other girls and a higher likelihood of
secondary amenorrhea.

PTS: 1 DIF: Cognitive Level: Analysis/Analyzing
REF: p. 185 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity