1. Approximately how much blood does a woman lose during her menstruation?
20 to 80 ML
1 cup
1 pint
1 gallon

2. During what phase of the menstrual cycle is an ovum released?
Ovulation
Gestation
Luteal
Mittelschmerz
Incubation

3. What does Mittelschmerz mean?
Menstrual cramps
Ovulation pain
Laboratory tests run on a pap smear
Archaic reference to menstruation

4. Only two female mammals menstruate. Humans and…
Dogs
Cats
Apes
Mice
Aardvarks

5. What causes menstrual cramps?
Excessive menstrual flow
Prostaglandins
Water weight gain
Estrogen

6. What does amenorrhea mean?
Painful menstruation
Menstrual cycle where ovulation does not occur
Absence of menstrual period
Heavy bleeding during menstruation

7. What is Menorrhagia? Menstrual cramps
Periods with abnormally heavy flow or longer than usual
Periods with abnormally light flow or shorter than usual
Water retention during menstruation

8. Which is the first phase of the menstrual cycle?
Luteal
Ovulation
Follicular

9. A nurse is conducting a prenatal teaching class and is reviewing the functions of the female reproductive system. A client in the class asks the nurse about the function of the fallopian tubes. The nurse tells the client that:
a. estrogen and progesterone are secreted from the fallopian tubes.
b. the fallopian tubes are the passageway for the fetus
c. the fetus develops in the fallopian tubes
d. Fertilization occurs in the fallopian tubes.

10. A nursing instructor is reviewing the menstrual cycle with a nursing student who will be conducting a prenatal teaching session. The instructor asks the student to describe the follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The student accurately responds by stating that:
a. FSH and LH are released from the anterior pituitary gland.
b. FSH and LH are secreted by the corpus luteum of the ovary.
c. FSH and LH are secreted by the adrenal glands
D. FSH and LH stimulate the formation of milk during pregnancy.

11. A pregnant adolescent client ask the nurse about the menstrual cycle
A pregnant adolescent client ask the nurse about the menstrual cycle. The nurse describes the cycle and tells the adolescent that its normal duration is about:
a. 14 days
b. 28 days
c. 30 days
4. 45 days

12. Oral contraceptives can cause thrombophlebitis
A 28-year-old married woman seeks advice from the nurse in her company health office about oral contraceptives. The nurse should advise her that if she smokes:
Oral contraceptives can cause thrombophlebitis
Some oral contraceptives are safe, and others are not safe
Oral contraceptives can be used with other methods
Some oral contraceptives can be used without concern

13. 12 hours 24 hours 48 hours 72 hours
The school nurse is teaching a group of 16-year-old girls about the female reproductive system. One student asks how long after ovulation it is possible for conception to occur. The nurse's most accurate response is based on the knowledge that an ovum is no longer viable after:
12 hours
24 hours
48 hours
72 hours

14. A vaginal ring (NuvaRing) An intrauterine device (IUD)
While the nurse is discussing methods of contraception with a client during her first visit to the well-woman clinic, the client expresses a desire to postpone pregnancy for at least 5 years. Her health history reveals that she currently smokes 1 1/2 packs of cigarettes a day, has never been pregnant, and does not want to use a barrier method of contraception. The most appropriate method for the nurse to recommend is:
A vaginal ring (NuvaRing)
An intrauterine device (IUD)
Medroxyprogesterone (Depo-Provera)
Combined oral contraceptive pills (COCs)

15. After the nurse instructs a 20-year-old nulligravid client on how to perform a breast self-examination (BSE) which of the following client statements indicates that the teaching has been successful?
"I should perform breast self-examination on the day my menstrual flow begins."
"It's important that I perform breast self-examination on the same day each month."
"If I notice that one of my breasts is much smaller than the other, I shouldn't worry."
"If there is some discharge from my nipples, I should avoid squeezing them."

16. Assessment of a 16-year-old nulligravid client who visits the clinic and asks for information on contraceptives reveals a menstrual cycle of 28 days. The nurse formulates a nursing diagnosis of Deficient Knowledge related to ovulation and fertility management. Which of the following would be important to include in the teaching plan for the client?
The ovum survives for 96 hours after ovulation, making conception possible during this time.
The basal body temperature falls at least 0.2°F after ovulation has occurred.
Ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the next menstrual cycle.
Most women can tell they have ovulated because of severe pain and thick, scant cervical mucus.

17. When describing a vasectomy to a couple inquiring about this procedure, the nurse would explain that which of the following is clamped or excised?
Ejaculatory duct.
Seminiferous tubules.
Seminal vesicles.
Vas deferens.

18. A 39-year-old multigravid client asks the nurse for information about female sterilization with a tubal ligation. Which of the following client statements indicates effective teaching?
My fallopian tubes will be tied off through a small abdominal incision."
"Reversal of a tubal ligation is easily done, with a pregnancy success rate of 80%."
"After this procedure, I must abstain from intercourse for at least 3 weeks."
"Both of my ovaries will be removed during the tubal ligation procedure."

19. A couple visiting the infertility clinic for the first time asks the nurse, "What causes infertility in a woman?" Which of the following would the nurse include in the response as one of the most common factors?
Absence of an ovary.
Overproduction of prolactin.
Anovulation.
Immunologic factors.

20. The nurse is aware that the patient understands how to perform a BSE when the patient makes which of the following statements:
I will perform my breast exam once every 2 months
It is not necessary to examine my breasts because I have a mammogram every year
Dimpling of the breast tissue is a normal finding that occurs with age.
I will examine my breasts one week after my period ends.