ATI RN
Anatomy and Physiology of the Female Reproductive System Questions
Question 1 of 5
If a woman’s menstrual cycle began on June 2, on which date should ovulation mostly likely have occurred?
Correct Answer: B
Rationale: The menstrual cycle is typically 28 days, with ovulation occurring around day 14. In this case, if the cycle started on June 2, ovulation would likely occur around June 16, which is 14 days after the start. Choice A (Jun-10) is too early for ovulation. Choice C (Jun-29) and D (Jul-05) are too late based on the standard 28-day cycle. Therefore, choice B (Jun-16) is the correct answer based on the expected timing of ovulation in a typical menstrual cycle.
Question 2 of 5
A female patient who has gone through puberty and started menstruating without any problems has developed cessation of periods after 2 years of normal cycles. Which finding would indicate a possible cause for this occurrence?
Correct Answer: B
Rationale: The correct answer is B: Overproduction of androgenic hormones. The cessation of periods after normal cycles can be due to conditions like polycystic ovary syndrome (PCOS), where there is an excess of androgenic hormones. This can disrupt the menstrual cycle. Other choices are incorrect because: A: Lag in development of secondary sexual characteristics is more indicative of delayed puberty, not cessation of periods after normal cycles. C: Negative pregnancy test only rules out pregnancy as a cause, not addressing the cessation of periods issue. D: Clinical diagnosis of primary amenorrhea refers to the absence of periods by age 16 without prior menstruation, not the cessation of periods after normal cycles.
Question 3 of 5
The nurse is reviewing normal female development with a mother of a 10-year-old daughter. The mother states, I noticed that my daughter developed breast buds about a year ago. When do you think she will start her menstrual cycle? What is the nurse’s best response?
Correct Answer: B
Rationale: The correct answer is B: Likely any time now. Rationale: 1. Breast development typically precedes menarche by about 2-2.5 years in most girls. 2. Breast buds appearing a year ago indicate the onset of puberty. 3. Thus, it is likely that menarche (first menstrual cycle) will occur soon. Summary: A: In about a year - Too specific, timing varies among individuals. C: Does your daughter know what to expect? - Does not address the timing of menarche. D: It is impossible to predict when she will start her cycle - Incorrect, general patterns can be observed.
Question 4 of 5
Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test?
Correct Answer: A
Rationale: The correct answer is A: Lubricant. During a Pap test, lubricant should not be used as it can interfere with the cytology sample collection. The speculum is needed to visualize the cervix, the fixative agent is used to preserve the sample, and gloves and eye protectors are essential for safety. Omitting lubricant ensures accurate sample collection for Pap testing, making it the correct choice.
Question 5 of 5
Findings of a Pap smear exam denote atypical cells of undetermined significance (ASCUS).
Correct Answer: E
Rationale: The correct answer is missing from the choices provided. For a finding of ASCUS on a Pap smear, the next step would typically be to perform HPV testing to determine if further evaluation or treatment is needed. HPV testing helps to identify high-risk strains of the virus that may lead to cervical cancer. Based on the results of the HPV test, the healthcare provider would decide on the appropriate management plan, which could include colposcopy, repeat Pap smear, or other interventions. Therefore, the correct answer should involve HPV testing or further diagnostic procedures rather than therapeutic treatment options or imaging studies like mammography, bone scan, or transvaginal ultrasound.