MN551 quiz 8 Female Reproduction questions and answers

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A 40-year-old woman has been found to have a deficiency in estrogen. Which of the following physiological phenomena is most likely to remain unaffected? A) Parathyroid hormone antagonism and the r... ate of bone resorption B) The regulation of uterine endothelial development C) The maintenance of normal skin and blood vessel structure D) The synthesis and release of adrenal glucocorticoid During a group prenatal class, the nurse teaching the course is explaining the thinning of the cervix that accompanies the stages of labor leading up to delivery? A participant admits that she is not familiar with either the location or normal role of the cervix. Which of the following responses by the nurse would be most appropriate? A) "Your cervix is just the term for the lowest part of your uterus, and it is tightly shut at all times except in woman who are giving birth." B) "The cervix is the opening between the uterus and the vagina, and so it opens wide during the lead-up to birth." C) "Your cervix is the part of your uterus where the fallopian tubes join in and the baby has to pass through it to the vagina." D) "The cervix is the soft lining of your uterus that has to expand greatly to accommodate your baby during delivery." A 14 yo boy has been brought to the emergency department by his mother in excruciating pain that is radiating from his scrotum to his inguinal area. The boy's heart rate is 122 beats/minute, and he has vomited twice before arrival at the hospital. Examination reveals that his scrotum is reddened and slightly swollen, and the testes are firm to touch and tender, with extensive cremaster muscle contraction noted. What is the boy's most likely diagnosis? A) Epididymitis B) Hydrocele C) Testicular torsion D) Varicocele A 40 year old male patient with multiple health problems has been diagnosed with a testosterone deficiency. Which of the following - he nurse knows that which of the following assessment findings would correlate with a testosterone deficiency? Select all that apply. A) A high-pitched voice B) Long-lasting chronic hip dysplasia C) Complaints of multiple upper respiratory infections D) A low muscle mass in proportion to his total body weight E) Hot flashes and diaphoresis Vulnerability to infection and hip dysplasia would likely not be a manifestation of low testosterone. Low muscle mass, hot flashes and diaphoresis, and a lack of male voice characteristics could develop secondary to testosterone deficiency A long stretchy cervical mucus that exhibits ferning on a microscope slide is characteristic of which of the following? A) Crystallization of inorganic salts B) Low estrogen levels C) High progesterone levels D) Low human chorionic gonadotropin level Cervical mucus that exhibits ferning and so-called spinnbarkeit occurs right around the time of ovulation (midcycle) due to increased water content and alteration in the concentration of inorganic salts. This is influenced by high serum levels of estrogen, which lead to the LH spike that promotes ovulation (bursting of the oocyte from the mature follicle). Progesterone levels increase only after ovulation during the luteal phase, at which point the cervical mucus “dries up” (becomes more scant). A 29 yo woman has been trying for many months to become pregnant, and fertilization has just occurred. Following her most recent ovulation. What process will nowoccur that will differentiate this ovulatory cycle from those prior? A) Human chorionic gonadotropin will be produced, preventing luteal regression. B) The remaining primary follicles will provide hormonal support for the first 3 months of pregnancy. C) The corpus luteum will atrophy and be replaced by corpus albicans. D) The basal layer of the endometrium will be sloughed in preparation for implantation Fertilization is followed by the release of human chorionic gonadotropin. The corpus luteum, not primary follicles, provides hormonal support for early pregnancy. The atrophy of corpus luteum and its replacement by corpus albicans only occur when fertilization does not take place. The endometrium will be preserved following fertilization After a long and frustrating course of constant vaginal pain, a 38 yo woman has been diagnosed with generalized vulvodynia by her gynecologist. What treatment plan is her physician most likely to propose? A) Alternative herbal therapies coupled with antifungal medications B) Antidepressant and antiepileptic medications C) Lifestyle modifications aimed at accommodating and managing neuropathic pain D) Narcotic analgesia and nonsteroidal anti-inflammatory medication Which of the following statements best captures an aspet of normal spermatogenesis? A) Testosterone chemically lyses each primary spermatocyte into two secondary spermatocytes with 23 chromosomes each. B) \Sertoli cells differentiate into spermatids, each of which can contribute half of the chromosomes necessary for reproduction. C) Spermatogonia adjacent to the tubular wall undergo meiotic division and provide a continuous source of new germinal cells. D) Each primary spermatocyte undergoes two nuclear divisions yielding four cells with 23 chromosomes each. A couple that has three daughters would like to add a son to their family, and they have recently learned that the woman is pregnant. Which of the following phenomena would most likely be associated with the woman's eventual delivery of a healthy son? A) The production of dihydrotestosterone (DHT) by the embryo and DHT's differentiation into testosterone B) Development of testes under the influence of the X chromosome C)Suppression of female reproductive structures by anti-Müllerian hormone (AMH) D)Atrophy of the Wolffian ducts during embryonic development Which of the following situations would be considered pathologic in an otherwise healthy 30 yo female? A) The woman's ovaries are not producing new ova. B) The woman's ovaries do not synthesize or secrete luteinizing hormone (LH). C) The epithelium covering the woman's ovaries is broken during the time of ovulation. D) The woman's ovaries are not producing progesterone. A 20 yo male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which of the following statements by the client demonstrates the best understanding of his health problem? A) "Either me or a partner could end up with an eye infection from chlamydia that could make us blind." B) "Even though I couldn't end up sterile, a woman that I give it to certainly could." C) "Each of the three stages of the disease seems to be worse than the previous one." D) "Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it." [Show More]

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