NU335 ABSN Maternity Exam 1 2023 -2024 /460
Questions And Answers (A+)
Quiz :1) The external and internal female reproductive organs develop and
mature in response to what hormones?
1. Adrenocorticotropic hormones (ACTH)
2. Estrogen and progesterone
3. Steroid hormones
4. Luteinizing hormones (LH) - √Answer :Answer: 2
Explanation: 2. The external and internal female reproductive organs develop
and mature in response to estrogen and progesterone.
Quiz :2) The nurse teaching a class on the reproductive system is discussing
what happens at puberty. Which statement does the nurse make?
1. Boys and girls go through puberty at the same time.
2. Most girls develop breasts and start their menses at about the same time.
3. The nocturnal emissions that adolescent boys have contain a large number of
sperm.
4. The onset and progress of puberty varies widely from person to person. -
√Answer :Answer: 4
Explanation: 4. The age at onset and progress of puberty vary widely, physical
changes overlap, and the sequence of events can vary from person to person.
Quiz :3) The female and male reproductive organs are homologous, which
means what?
1. They are believed to cause vasoconstriction and muscular contraction
2. They are fundamentally similar in function and structure
3. They are rich in sebaceous glands
4. They are target organs for estrogenic hormones - √Answer :Answer: 2
Explanation: 2. The female and male reproductive organs are homologous; that
is, they are fundamentally similar in function and structure.
Quiz :4) The nurse educator is lecturing on the changes that take place during
puberty. What is a change that girls experience?
1. Elongation of the hips
2. Deepening of the voice
3. Broadening of the hips and budding of breasts
4. Preparation of the uterus for pregnancy - √Answer :Answer: 3
Explanation: 3. During puberty, girls' hips start to broaden and their breasts
begin to form.
Quiz :5) The nurse working with pediatric clients knows that the primary
hormone secretions that induce puberty include which of the following?
,Select all that apply.
1. Thyroid hormone
2. Follicle-stimulating hormone
3. Leuteinizing hormone
4. Adrenocorticotropic hormone
5. Gonadotropin-releasing hormones - √Answer :Answer: 2, 3, 5
Explanation: 2. Follicle-stimulating hormone (FSH) is part of the process that
induces puberty.
3. The luteinizing hormone (LH) is a part of the process that induces puberty.
5. The central nervous system releases a neurotransmitter that stimulates the
hypothalamus to synthesize and release gonadotropin-releasing hormone
(GnRH).
Quiz :6) The nurse teaching a class on reproductive anatomy knows that no
further instruction is needed when a student shows an understanding of the
pelvic cavity divisions by making which statement?
1. "The true pelvis is made up of the sacrum, coccyx, and innominate bones."
2. "The false pelvis consists of the inlet, the pelvic cavity, and the outlet."
3. "The true pelvis is the portion above the pelvic brim."
4. "The relationship between the false pelvis and the fetal head is of paramount
importance." - √Answer :Answer: 1
Explanation: 1. The true pelvis is made up of the sacrum, the coccyx, and the
two innominate bones.
Quiz :7) The nurse educator teaching reproductive anatomy wants to make sure
the students understand what stabilizes the uterus. Which statements about the
individual ligaments would the nurse include? Select all that apply.
1. The infundibulopelvic ligaments suspend and support the uterus.
2. The broad ligament keeps the uterus centrally placed.
3. The uterosacral ligaments sweep back around the rectum and insert on the
sides of the first and second sacral vertebrae.
4. The ovarian ligaments anchor the ovary to the uterus.
5. The cardinal ligaments prevent uterine prolapse and support the upper vagina.
- √Answer :Answer: 2, 3, 4, 5
Explanation: 2. The broad ligament keeps the uterus centrally placed. 3. The
uterosacral ligaments sweep back around the rectum and insert on the sides of
the first and second sacral vertebrae. 4. The ovarian ligaments anchor the ovary
to the uterus. 5. The cardinal ligaments prevent uterine prolapse and support the
upper vagina.
Quiz :8) What are the three functions of the fallopian tubes? Select all that
apply.
1. Provide transport for the ovum from the ovary to the uterus
,2. Serve as a warm, moist, nourishing environment for the ovum or zygote
3. Secrete large amounts of estrogens
4. Provide a site for fertilization to occur
5. Support and protect the pelvic contents - √Answer :Answer: 1, 2, 4
Explanation: 1. The fallopian tubes provide transport for the ovum from the
ovary to the uterus.
2. The fallopian tubes serve as a warm, moist, nourishing environment for the
ovum or zygote.
4. The fallopian tubes provide a site for fertilization to occur.
Quiz :9) The nurse educator describes the uterus and ovaries as being held in
place in the pelvic cavity by what structures?
1. Muscles
2. Tendons
3. Ligaments
4. Peritoneum - √Answer :Answer: 3
Explanation: 3. The ovaries and uterus are held in place in the pelvic cavity by a
number of ligaments.
Quiz :10) What are the three functions of cervical mucosa? Select all that apply.
1. Form the relatively fixed axis of the birth passage
2. Provide lubrication for the vaginal canal
3. Provide nourishment and protective maternal antibodies to infants
4. Provide an alkaline environment to shelter deposited sperm from the acidic
vaginal secretions
5. Act as a bacteriostatic agent - √Answer :Answer: 2, 4, 5
Explanation: 2. The cervical mucosa provides lubrication for the vaginal canal.
4. The cervical mucosa provides an alkaline environment to shelter deposited
sperm from the acidic vaginal secretions.
5. The cervical mucosa acts as a bacteriostatic agent.
Quiz :15) When planning care for a client who has undergone an episiotomy, it
would be important for the nurse to include a goal that addresses the need for
pain relief of which part of the body?
1. Mons pubis
2. Perineal body
3. Labia minora
4. Hymen - √Answer :Answer: 2
Explanation: 2. During the last part of labor, the perineal body thins out until it
is just a few centimeters thick. This tissue is often the site of an episiotomy or
lacerations during childbirth.
, Quiz :16) The nurse explains to the client that the obstetric conjugate
measurement is important because of which reason?
1. This measurement determines the tilt of the pelvis.
2. This measurement determines the shape of the inlet.
3. The fetus passes under it during birth.
4. The size of this diameter determines whether the fetus can move down into
the birth canal so that engagement can occur. - √Answer :Answer: 4
Explanation: 4. The obstetric conjugate extends from the middle of the sacral
promontory to an area approximately 1 cm below the pubic crest. The fetus
passes through the obstetric conjugate, and the size of this diameter determines
whether the fetus can move down into the birth canal in order for engagement to
occur.
Quiz :17) A prenatal client asks the nurse how the baby can possibly come out
through her vagina, because a vagina is not nearly as big as a baby. How does
the nurse best answer this client's question?
1. "The vagina usually tears as it stretches during childbirth."
2. "The vagina is designed to allow a baby come through."
3. "The vagina changes due to pregnancy allow the vagina to stretch more."
4. "The vagina dilates and effaces in labor so the baby can get out." -
√Answer :Answer: 3
Explanation: 3. The walls of the vagina are covered with ridges, or rugae,
crisscrossing each other. These rugae allow the vaginal tissues to stretch enough
for the fetus to pass through during childbirth.
Quiz :18) Under the influence of progesterone, which of the following occur?
Select all that apply.
1. Temperature decreases
2. Cervix secretes thick, viscous mucus
3. Breasts prepare for lactation
4. Breast glandular tissue decreases in size
5. Vaginal epithelium proliferates - √Answer :Answer: 2, 3, 5
Explanation: 2. Under the influence of progesterone, the cervix secretes thick,
viscous mucus.
3. Under the influence of progesterone, breasts prepare for lactation.
5. Under the influence of progesterone, vaginal epithelium proliferates.
Quiz :19) The OB-GYN nurse knows that the most common shape for the
female pelvis is which of the following?
1. Gynecoid type
2. Android type
3. Anthropoid type
4. Platypelloid type - √Answer :Answer: 1
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