Care of Mother, Child, and Adolescent

(Well-Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

Lesson Title: NURSING ROLE IN REPRODUCTIVE AND Materials:

SEXUAL HEALTH: MALE AND FEMALE REPRODUCTIVE
SYSTEM Pen, paper, index card, book, and class List

Learning Targets:
At the end of the module, students will be able to: References:
1. Identify the anatomy and physiology pertinent to reproductive
and sexual health. Pilliteri, Adele and Silbert-Flagg, JoAnne
2. Differentiate the male and female physiological changes (2018) Maternal and Child Health Nursing, 8th
during puberty. Edition. USA: Lippincott Williams and Wilkins
3. Identify the parts and functions of the mammary glands.
4. Identify the parts and functions of the female pelvis.

A. LESSON PREVIEW/REVIEW

Instruction: Enumerate the eight family tasks.

1. _________________________________________________
2. _________________________________________________
3. _________________________________________________
4. _________________________________________________
5. _________________________________________________
6. _________________________________________________
7. _________________________________________________
8. _________________________________________________

B. MAIN LESSON

I. Definition of Terms: II. REPRODUCTIVE DEVELOPMENT

A. Obstetrics = a branch of medicine that deals with the
care of women during pregnancy, labor, and the period
of recovery following childbirth.
a. It is derived from the Greek word “obstare”
which means “to keep watch”
B. Gynecology = is the study of female reproductive
organs and diseases affecting it.
C. Andrology = is the study of the male reproductive
organs
D. Pediatrics = the branch of medical science concerned
in children and their illness.
a. It is derived from the Greek word “pais”
meaning “child”.
E. Neonatology =the branch of medicine concerned with
the development and disorders of newborn babies.
F. Sexual Health = is not just an absence of disease,
dysfunction, or infirmity but a condition of physical,
emotional and psychological well-being.
G. Gonad = is a body organ that produces the cells
necessary for reproduction (the ovary in females, the
testis in males)
(Intrauterine Development)
⎯ Sex is determined at the moment of conception
⎯ A GONAD produces sex cells (ovary & testes); by
week 5 in utero, primitive gonads are formed
⎯ In both sexes, there are 2 undifferentiated ducts,
the mesonephric (WOLFFIAN) &
paramesonephric (MULLERIAN) duct
⎯ Week 7-8 (males)- gonadal tissue differentiates into
primitive testes & begins formation of testosterone
⎯ Testosterone influences the mesonephric(W)
duct to develop into male reproductive organs as
the paramesonephric(M) duct regresses.
⎯ If testosterone is absent by week 10, gonadal tissue
differentiates into ovaries & paramesonephric
duct(M) develop into female reproductive organs.
Oocytes are formed
⎯ Week 12, external genitals begin to be visible.
⎯ In males, dt testosterone, penile tissue elongates
& the urogenital fold on the ventral surface of the
penis closes to form the urethra.

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 1

 Care of Mother, Child, and Adolescent
(Well-Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

⎯ In females with no testosterone, urogenital fold

remains open to form the labia minora; what would
be formed as scrotal tissue in the male becomes
the labia majora in the female.
III. PUBERTAL DEVELOPMENT
PUBERTY is the stage of life at which secondary sex C. Secondary Sex Characteristics in Females:
change begins; begins at 9 to 12 years old in girls. ⎯ Growth spurt
⎯ Increase in the transverse diameter of the pelvis
⎯ Breast development
A. Role of Testosterone:
⎯ Growth of pubic hair
Responsible for:
⎯ Onset of menstruation
✓ muscular development
✓ physical growth ⎯ Growth of axillary hair
✓ increase in sebaceous gland secretions that cause ⎯ Vaginal secretions
typical acne in both boys and girls during
adolescence. D. Secondary Sex Characteristics in Males:
✓ Initiates adrenarche (pubertal changes in testes, ⎯ Increase in weight
scrotum, penis, prostate, and seminal vesicles; the ⎯ Growth of testes
appearance of male pubic, axillary, and facial hair; ⎯ Growth of face, axillary, and pubic hair
laryngeal enlargement with its accompanying voice ⎯ Voice changes
change; and maturation of spermatozoa).
⎯ Penile growth
⎯ Androgens are produced by the adrenal gland and the
⎯ Increase in height
testes in males.
⎯ Spermatogenesis - production of sperm
⎯ Androgens are produced by the adrenal gland and the
ovaries in females.

B. Role of Estrogen:
⎯ Release is triggered by FSH, ovaries in females
excrete a high level of estrogen.
⎯ Influences the development of uterus, fallopian
tubes, and vagina; typical fat distribution; hair
patterns; breast development.
⎯ Thelarche = the beginning of breast development;
which usually starts 1 to 2 years before menstruation.
⎯ Menarche = the beginning of menstruation
o Onset: 9 – 17 years old in females
o Average: 12.4 years old in females

IV. ANATOMY AND PHYSIOLOGY OF THE MALE REPRODUCTIVE SYSTEM

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 2

 Care of Mother, Child, and Adolescent
(Well-Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

EXTERNAL STRUCTURES
1. SCROTUM 2. TESTES
⎯ Rugated, skin-covered, muscular, deeply pigmented
pouch suspended from the perineum
⎯ left scrotum is larger & lower due to longer spermatic
cord
⎯ Cremaster muscle- responsible for contraction of the
scrotum
⎯ midline septum- separates each sac
⎯ each compartment contains a testis, its epididymis,
& a part of the spermatic cord

Functions of the scrotum:

✓ supports the testes,
✓ helps regulate the temperature of sperm
✓ protects the testes from trauma
⎯ 2 ovoid glands, 2 to 3 cm wide, encased by
protective white fibrous capsule
⎯ male sex glands, correspond to the ovary in
female
⎯ composed of lobules, each lobule containing
interstitial cells (LEYDIG’S CELLS) &
seminiferous tubules
⎯ 900 coiled seminiferous tubules produce
spermatozoa
⎯ Interstitial cells (Leydig’s cells) produce
testosterone

Functions:
✓ manufacture male sex cells (gametes) or
spermatozoa
✓ produce several steroid hormones primarily
testosterone
3. PENIS ⎯ 3 cylindrical masses of erectile tissue in the penis
shaft:
✓ 2 CORPUS CAVERNOSA
✓ 1 CORPUS SPONGIOSUM
⎯ corpus spongiosum contains the urethra which
serves as a passage for both sperm and urine
⎯ organ of copulation & urination
⎯ Penile artery supplies blood to the penis
⎯ Erection is innervated by the Peripheral Nervous
System
⎯ GLANS- bulging, sensitive ridge of tissue at the
distal end of the penis; similar in function to the
clitoris
⎯ PREPUCE/foreskin- retractable casing of skin,
protects the glans
⎯ PHIMOSIS- condition in which the prepuce is too
tight that it interferes with the flow of urine

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 3


Name: _________________________________________________________________
Section: ____________ Schedule: ________________________________________
INTERNAL STRUCTURES
1. EPIDIDYMIS
⎯ a tightly coiled tube responsible for conducting sperm
from the tubule to the vas deferens.
⎯ It is the storage of immature sperm, and a part of the
alkaline fluid (semen, or seminal fluid that contains a
basic sugar and protein) that will surround sperm at
maturity is produced by the cells lining the epididymis.
⎯ Sperm are immobile and incapable of fertilization as
they pass through or are stored at the epididymis level.
⎯ It takes at least 12 to 20 days for them to travel the
length of the tube, and a total of 65 to 75 days for them
to reach full maturity.
⎯ Sperm is capable of surviving for 72 hours inside the
woman’s body.
⎯ Aspermia = absence of sperm
⎯ Oligospermia = fewer than 20 million sperm per
milliliter
3. PROSTATE GLAND
⎯ is a chestnut-size gland that lies just below the
bladder and allows the urethra to pass through the
center of it, like the hole in a doughnut.
⎯ Function: to secrete a thin, alkaline fluid, which,
when added to the secretion from the seminal
vesicles, further protects sperm by increasing the
naturally low pH level of the urethra.
4. BULBOURETHRAL GLAND
⎯ or Cowper’s glands lie beside the prostate gland and
empty by short ducts into the urethra. They supply one
THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION
Care of Mother, Child, and Adolescent
(Well-Clients)
Module #2 Student Activity Sheet
Class number: _______
Date: ________________
2. VAS DEFERENS/DUCTUS DEFERENS
⎯ is an additional hollow tube surrounded by arteries
and protected by a thick fibrous coating, which
altogether, are referred to as the spermatic cord.
⎯ It carries sperm from the epididymis through the
inguinal canal into the abdominal cavity, where it
ends at the seminal vesicles and the ejaculatory
ducts below the bladder.
⎯ Sperm completely matures as they pass through
the vas deferens. They are still not mobile at this
point.
⎯ This is the site severed during vasectomy to
prevent passage of sperm, a popular means of
male birth control.
5. URETHRA
⎯ is a hollow tube leading from the base of the
bladder, which, after passing through the prostate
gland, continues to the outside through the shaft
and glans of the penis.
4
 Care of Mother, Child, and Adolescent
(Well-Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

more source of alkaline fluid to help ensure the safe

passage of spermatozoa.

⎯ SEMEN is derived from the prostate gland (60%), the

seminal vesicles (30%), the epididymis (5%), and the
bulbourethral glands (5%).
IV. ANATOMY AND PHYSIOLOGY OF THE FEMALE REPRODUCTIVE SYSTEM

EXTERNAL STRUCTURES

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 5


Name: _________________________________________________________________
Section: ____________ Schedule: ________________________________________
VULVA/PUDENDA
1. MONS PUBIS or MONS VENERIS
⎯ It is a pad of adipose tissue located over the
symphysis pubis, the pubic bone joint.
⎯ It is covered by a triangle of course, curly hairs known
as “escutcheon”.
⎯ Function: to protect the junction of the pubic bone
from trauma.
3. LABIA MINORA (Small lips)
⎯ 2 flat hairless, reddish folds of connective tissue
located between the labia majora
⎯ anteriorly fuse to form the prepuce (hoodlike covering
of the clitoris) and the frenulum (fold of tissue under
the clitoris)
⎯ posteriorly join to form the FOURCHETTE (torn during
childbirth & is the site of episiotomy
⎯ Protects and obscures the vestibule, urinary meatus
and vaginal os
6. SKENE’S GLANDS/ PARAURETHRAL GLANDS
⎯ Located on each side of the urinary meatus
⎯ produce alkaline mucus for lubrication & protection
7. BARTHOLIN’S GLANDS / PARAVAGINAL GLANDS
⎯ Located on each side of the vaginal opening
⎯ secrete an alkaline substance to lubricate the vaginal
orifice & neutralize the acidity of the vagina
⎯ Site of Bartholin’s cyst & infection (Bartholinitis)
INTERNAL STRUCTURES
THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION
Care of Mother, Child, and Adolescent
(Well-Clients)
Module #2 Student Activity Sheet
Class number: _______
Date: ________________
2. LABIA MAJORA (Large lips)
⎯ 2 folds of adipose tissue covered by loose
connective tissue & epithelium
⎯ Function: protects the external genitalia and inner
vulvar structures
4. VESTIBULE
⎯ almond-shaped area that is found within the labia
⎯ contains openings to the urethra, vagina, skene’s
glands and Bartholin’s glands
5. GLANS CLITORIS
⎯ a small (1 to 2cm), rounded organ of erectile
tissue at the forward junction of the labia minora
⎯ site or center of sexual arousal & orgasm in
females
⎯ when the ischiocavernosus muscle surrounding
it contracts with sexual arousal, the venous
outflow for the clitoris is blocked, leading to clitoral
erection.
⎯ Secretes smegma
8. PERINEAL MUSCLE/ PERINEAL BODY
⎯ Located posterior to the fourchette
⎯ muscular area easily stretched during childbirth
⎯ Exercises to strengthen the perineal body: Kegel
exercises, tailor-sitting, squatting
9. HYMEN
⎯ tough but elastic tissue that covers the vagina
⎯ imperforate hymen- a hymen so complete it does
not allow passage of menstrual blood from the
vagina or for sexual relations until it is surgically
incised
6

Name: _________________________________________________________________
Section: ____________ Schedule: ________________________________________
1. OVARIES
⎯ approximately 3 cm long by 2 cm in diameter and 1.5
cm thick, or the size and shape of almonds. They are
grayish-white and appear pitted, with minute
indentations on the surface.
⎯ Function: to produce, mature, and discharge ova (egg
cells). In the process of producing ova, the ovaries
also produce estrogen and progesterone and initiate
and regulate menstrual cycles.
⎯ Organ of ovulation, oogenesis, and hormone
production.
3 principal divisions/layers
✓ TUNICA ALBUGINEA-protective layer of epithelium
✓ CORTEX- filled with ovarian & graafian follicle
✓ MEDULLA- contains nerves, blood vessels,
lymphatics
⎯ ***At birth, each ovary contains about 2 million
immature ova; by age 7 years, only 500T are present
per ovary; by 22 years, 300,000 ova; by menopause
none are left (atrophied or matured)
2. FALLOPIAN TUBES/OVIDUCTS/UTERINE DUCTS
THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION
Care of Mother, Child, and Adolescent
(Well-Clients)
Module #2 Student Activity Sheet
Class number: _______
Date: ________________
Functions of ESTROGEN (Hormone of the Woman)
⎯ Development of secondary sexual characteristics
⎯ Inhibits production of FSH
⎯ SPINNBARKEIT formation
⎯ Development of ductile structure of the breasts
⎯ Increase in height in females
⎯ Hypertrophy of the uterine lining
Functions of PROGESTERONE (Hormone of the
mother)
⎯ Inhibits LH production
⎯ Inhibits motility if the GIT- decrease in peristalsis,
increase in H2O reabsorption causing constipation
⎯ Mammary gland maturation
⎯ Mood swings
⎯ Increase in BBT (Basal Body Temperature)
4 Segments of the FALLOPIAN TUBE:
⎯ INTERSTITIAL- most proximal, lies within uterine
wall (1 cm); most dangerous site for ectopic
pregnancy
⎯ ISTHMUS- next distal portion, extremely narrow;
site of sterilization or BTL (Bilateral Tubal Ligation)
⎯ AMPULLA- 3rd & longest portion (5 cm); site of
fertilization
7

Name: _________________________________________________________________
Section: ____________ Schedule: ________________________________________
⎯ They arise from each upper corner of the uterine body
and extend outward and backward until each open at
its distal end, next to an ovary.
⎯ The fallopian tubes are approximately 8-10 cm long in
a mature woman.
Functions: to convey the ovum from the ovaries to the
uterus and to provide a place for fertilization of the ovum by
the sperm
3. UTERUS
⎯ It is a hollow, muscular, pear-shaped organ located in
the lower pelvis, posterior to the bladder and anterior
to the rectum
⎯ During childhood it is the size of an olive & reaches its
adult size by 17 years-old
⎯ Dimensions: 5-7 cm long, 5 cm wide, 2.5 cm deep and
weighs 60 g.
Functions:
✓ receive the ovum from the oviduct,
✓ implantation & nourishment of the fetus,
✓ protection of the fetus,
✓ expulsion during childbirth
Three divisions of the uterus:
1. Body of the uterus (corpus) = the uppermost part
and forms the bulk of the organ.
⎯ The lining of the cavity is continuous with the
fallopian tube, which enter at its upper aspects
(the cornua).
⎯ The fundus is the uppermost part of the corpus
⎯ During pregnancy, the body of the uterus is the
portion of the structure that expands to contain
the growing fetus.
⎯ The fundus is the portion that can be palpated
abdominally to determine the amount of uterine
growth during pregnancy, to measure the force of
uterine contractions during labor, and to assess
that the uterus is returning to its nonpregnant
state after childbirth.
THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION
Care of Mother, Child, and Adolescent
(Well-Clients)
Module #2 Student Activity Sheet
Class number: _______
Date: ________________
⎯ INFUNDIBULLUM- most distal, funnel-shaped; rim
is covered by fimbriae (small hairs) that help guide
the ovum into the FT
2. Isthmus = is a short segment between the body
and the cervix. In the nonpregnant uterus, it is
only 1 to 2 mm in length.
⎯ It is the portion where the incision most
commonly is made when a fetus is born by a
cesarean birth.
⎯ It is considered as “the lower uterine
segment” during pregnancy.
3. Cervix = is the lowest portion of the uterus.
⎯ It represents about one third of the total
uterine size and is approximately 2 to 5 cm
long.
⎯ Its central cavity is termed as cervical canal.
⎯ The opening of the canal at the junction of
the cervix and isthmus is the internal cervical
os;
⎯ the distal opening to the vagina is the
external cervical os.
⎯ The level of the external os is at the level of
the ischial spines
Uterine and Cervical coats:
Endometrium
⎯ an inner layer of mucous membrane innermost
layer
⎯ highly vascular with 3 layers (compact, spongy
& basal layers); basal layer is unaffected by
hormones & the upper 2 are sloughed off during
menses and are greatly affected by hormones
Myometrium
⎯ a middle layer of muscle fibers
⎯ 3 interwoven layers of smooth muscle arranged
in longitudinal, transverse & oblique directions
⎯ provides strength to the organ during
contractions
Functions:
⎯ constrict tubal junctions & prevent regurgitation
of menstrual blood into the tubes
⎯ holds internal os closed during pregnancy;
8
 Care of Mother, Child, and Adolescent
(Well-Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

⎯ limits blood loss during childbirth

Perimetrium
⎯ an outer layer of connective tissue that
provides support
UTERINE LIGAMENTS

CARDINAL/ TRANSVERSE-CERVICAL/ MACKENRODT UTEROSACRAL LIGAMENT

LIGAMENTS ⎯ connects uterus to the sacrum
⎯ lower portion of the broad ligaments
⎯ main support of the uterus ANTERIOR LIGAMENT
⎯ damage to this ligament results to UTERINE ⎯ provides support to the uterus in connection with
PROLAPSE the bladder.
BROAD/PERITONEAL LIGAMENTS ⎯ Overstretching will lead to herniation of the
⎯ originates from the sides of the corpus & extends to bladder to the vagina, a condition called
the lateral pelvic walls CYSTOCELE
⎯ the sides of the uterus & assists in holding the uterus
in slightly tipped forward POSTERIOR LIGAMENT
⎯ It forms the cul-de-sac or pouch of Douglas.
ROUND LIGAMENT ⎯ Damage will lead to herniation of the rectum to the
⎯ connects the uterus to the labia majora and gives vagina, a condition called RECTOCELE
stability to the uterus

UTERINE DEVIATIONS

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 9

 Care of Mother, Child, and Adolescent
(Well-Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

⎯ BICORNUATE UTERUS- horns at the junction of the fallopian tubes

⎯ SEPTUM which divides the uterus
⎯ DOUBLE UTERUS
⎯ RETROVERSION- fundus is tipped backward
⎯ ANTEVERSION- fundus is tipped forward
⎯ ANTEFLEXION- body is bent sharply forward at the junction of the cervix
⎯ RETROFLEXION- body is bent sharply back just before the cervix
4. VAGINA ⎯ FORNICES- recesses at the cervical end of the
⎯ it is a hollow, Musculo membranous, rugated canal vagina: posterior, anterior & lateral
located posterior to the bladder & anterior to the ✓ posterior fornix- site were semen pools after
rectum intercourse
⎯ rugae make the vagina elastic & expand during ⎯ It is lined with stratified squamous epithelium
childbirth similar to the cervix
⎯ from the cervix of the uterus to the external vulva ⎯ mucus secretions contain glycogen broken down
⎯ FUNCTIONS: organ of intercourse and birth canal by DODERLEIN’S BACILLUS forming lactic acid
making the pH 4 to 5 which is acidic; thus,
preventing infections
⎯ Low E (menopause, childbirth & lactation) causes
dryness & thinness of the vaginal walls and
smoothening of the rugae
⎯ bulbocavernosus muscle acts as a voluntary
sphincter; kegel’s exercise strengthens this
muscle
ACCESSORY ORGANS
1. MAMMARY GLANDS NIPPLE is composed of smooth muscles capable of
erection on manual or sucking stimulation
⎯ Nipples project slightly upward & outward, with 15
to 20 small openings; surrounded by a darkly
pigmented area of epithelium approximately 4 cm
in diameter, termed the AREOLA

Located anterior to the pectoralis major muscle, between the
sternum & the midaxillary line (between 2nd & 6th ribs), with
an extension called the TAIL OF SPENCE and extends well
into the axilla
Composition:
✓ divided into 15 to 20 LOBES divided into LOBULES
LOBULES -clusters of ACINAR CELLS/ ACINI which are
saclike terminal parts of the gland emptying through a
narrow lumen of duct lined with epithelial cells that secrete
MILK & COLOSTRUM
AREOLA
⎯ Areola appears rough due to sebaceous glands
called MONTGOMERY’S TUBERCLES
⎯ Stimulation leads the APG to secrete OXYTOCIN
which makes the myoepithelium to contract,
pushing the milk forward into the nipples
(LETDOWN REFLEX or MILK EJECTION
REFLEX)
⎯ Increase in P & E 3-4 days before menses
increase vascularity of the breasts, induce growth
of ducts & acini, promotes H2O retention, resulting
in breast swelling, tenderness & discomfort.
⎯ After menses, regression occurs & H2O is lost &
reaches minimal alteration levels 5 to 7 days after
menses. (BEST TIME FOR Breast Self-
Examination)
Hormones that Influence the Mammary Glands
⎯ ESTROGEN- development of the ductile structure
of the breast

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 10

 Care of Mother, Child, and Adolescent
(Well-Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

⎯ below the epithelium is the MYOEPITHELIUM which
contracts to expel milk from the acini into the
LACTIFEROUS or MILK DUCTS towards the nipple
⎯ As the ducts converge, they dilate to form common
⎯ LACTIFEROUS SINUSES or AMPULLA which
serve as milk reservoirs. These are located just
posterior to the NIPPLE
⎯ PROGESTERONE- development of the acinar
structures of the breast
⎯ HUMAN PLACENTAL LACTOGEN (HPL)- breast
development during pregnancy
⎯ OXYTOCIN- let-down reflex or milk ejection reflex
⎯ PROLACTIN- directly stimulates milk production

2. PELVIS 2 Divisions of the Pelvis:

A. Functions:
⎯ Support & protect the reproductive & other
pelvic organs
⎯ Accommodation of the growing fetus
⎯ Anchorage of the pelvic support structures
B. Composition:
⎯ Anterior & lateral portion made up of 2
innominate hip bones divided into 3 parts (ilium,
ischium and pubis
⎯ Posterior portion: sacrum, coccyx
⎯ FALSE PELVIS- upper half which supports the
uterus during the late months of pregnancy &
aids in directing the fetus into the true pelvis for
birth
⎯ TRUE PELVIS- lower half of the pelvis; long,
bony, curved canal divided into 3 parts:
✓ inlet,
✓ pelvic cavity
✓ outlet
⎯ LINEA TERMINALIS or BRIM- imaginary line
from the sacral promontory to the superior
border of the SP which divides the pelvis into
true & false pelvis

CHECK FOR UNDERSTANDING

You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be given to correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answer/ratio is not allowed.

1. Which term refers to the externally visible structures of the female reproductive system extending from the symphysis
pubis to the perineum?
A. Mons pubis
B. Vulva
C. Labia majora
D. Clitoris
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

2. Which principal factors causes vaginal pH to be acidic?

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 11

 Care of Mother, Child, and Adolescent
(Well-Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

A. Cervical mucus
B. Secretions from the Skene’s glands
C. The action of Doderlein bacilli on the vagina
D. Secretions from the Bartholin’s glands
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

3. This is the period of life at which no functioning oocytes or ova remain in the uterus
A. Puberty
B. Andropause
C. Menarche
D. Menopause
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

4. These are structures located bilateral to the urinary meatus of females and serve to lubricate the external genitalia and
protect the sperm
A Prostate gland
B. Cowper’s gland
C. Bartholin’s gland
D. Skene’s Gland
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

5. When performing a pelvic examination, the nurse observes a red, swollen area on the right side of the client’s orifice.
The nurse would document this as enlargement of which of the following?
A. Clitoris
B. Parotid Gland
C. Skene’s Gland
D. Bartholin’s Gland
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

6. Which of the following is not a function of the vagina?

A. It receives the penis during intercourse
B. It houses the products of conception
C. It is the passageway for menstrual discharges
D. It is part of the birth canal during delivery
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

7. All are functions of the oviduct except:

A. Transports ovum from the ovary to the uterus
B. The site of fertilization

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 12

 Care of Mother, Child, and Adolescent
(Well-Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

C. Responsible for oogenesis

D. Provides nourishment to the ovum during its journey
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

8. It is a long, tightly coiled tube about 20 feet long which is the site of spermatozoa maturation
A. Epididymis
B. Ejaculatory duct
C. Vas deferens
D. Seminiferous tubules
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

9. The basal body temperature drops slightly before ovulation and rises by 1F after ovulation. This change in the
temperature is due to the influence of what hormone?
A. Estrogen
B. Progesterone
C. Testosterone
D. Luteinizing Hormone
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

10. These are oval-shaped glands lying within the scrotal sacs and are considered as the male gonads
A. Testes
B. Prostate gland
C. Ovary
D. Ejaculatory duct
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

C. LESSON WRAP-UP

AL Activity: Minute Paper

1) What was the most useful or the most meaningful thing you have learned this session?
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

2) What question(s) do you have as we end this session?

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 13