CH. 5 The perinatal nurse explains to a new nurse that a female fetus has a developed ovary by
A. 8 weeks
B. 10 weeks
C. 12 weeks
D. 16 weeks - ANS B
CH. 5 - A perinatal nurse is conducting prenatal classes. This nurse explains that an incision for a cesarean birth is normally ma...
CH. 5 The perinatal nurse explains to a new nurse that a female fetus has a developed ovary by
A. 8 weeks
B. 10 weeks
C. 12 weeks
D. 16 weeks - ANS B
CH. 5 - A perinatal nurse is conducting prenatal classes. This nurse explains that an incision for
a cesarean birth is normally made in which uterine segment?
A. isthmus
B. Cervix
C. Apex
D. Corpus - ANS A
CH. 5 - The perinatal nurse explains to an adolescent that ova are produced and estrogen is
secreted at which phase of life?
A. puberty
B. Birth
C. The climacteric
D. Pregnancy - ANS A
CH. 5 - Which part of a woman's anatomy is used as the assessment landmarks for the fetal
presenting part?
A. ischial spines
B. Sacral promontory
C. Sacral alae
D. True pelvis - ANS A
CH. 5 - A nurse is conducting prenatal classes. The nurse explains the incision made to enlarge
the perineal opening for a vaginal birth. What is this incision called?
A. colposcopy
B. Episiotomy
C. Ligation
D. Septal myotomy - ANS B
CH. 5 - Which hormone is responsible for regulating oogenesis?
A. Estrogen
,B. FSH
C. GnRH
D. Progesterone - ANS B
CH. 5 - A pregnant woman has been advised that she has a platypelloid pelvis type. What
action by the perinatal nurse is best?
A. Advise the woman that she may need a cesarean delivery.
B. Educate the woman that a posterior fetal presentation is possible.
C. Instruct the woman on specific back strengthening exercises.
D. Reassure the woman that a trial of labor will still be allowed. - ANS A
CH. 5 - A pediatric nurse has assessed a 13 y/o girl and notices that she is in thelarche. What
situation does the term refer to?
A. The appearance of breast buds
B. The appearance of secondary sex characteristics
C. The first menstrual period
D. The growth of pubic hair - ANS A
CH. 5 - An adolescent in the pediatric clinic states that her vaginal secretions sometimes seem
more thin, watery, and stretchable than usual. What response from the nurse is best?
A. advise the patient that this is related to her periods
B. Educate the patient that she is fertile when this occurs.
C. Instruct the patient to douche after her periods.
D. Screen the patient for STIs - ANS B
CH. 5 - A perimenopausal woman complains to the nurse about the new onset of urinary stress
incontinence. Which statement by the nurse is best?
A. "A little incontinence is normal at your age."
B. "Clonidine (Catapres) is a new treatment for this."
C. "This is probably related to decreased estrogen."
D. "We need to start you on estrogen therapy." - ANS C
5. The perinatal nurse reads in a chart that a woman has a lesion on her perineum. Where
would the nurse assess this lesion?
A. Greater vestibular or vulvovaginal glands
B. Skin-covered region between the vagina and the anus
C. Small portion of tissue around the anus
D. Small portion of tissue surrounding the vaginal opening - ANS ANS: B
The perineum, an anatomical landmark, is the skin-covered region between the vagina and the
anus.
5. The perinatal nurse knows that the lowest portion of the true pelvis is which of the following
anatomical landmarks ?
A. Pelvic outlet
, B. Linea terminalis
C. Sacral promontory
D. Sacrum - ANS ANS: A
Inferiorly, the lowest portion of the true pelvis is termed the pelvic outlet. Superiorly, the true
pelvis is bounded by the sacral promontory (anterior projecting portion of the base of the
sacrum) and the sacral alae (broad bilateral projections from the base of the sacrum), the linea
terminalis, and the upper margins of the pubic bones. The "false pelvis" and the "true pelvis" are
divided by the linea terminalis, or pelvic brim
5. The clinic nurse knows that the part of the uterine cycle that occurs during the period of time
between ovulation and the onset of menses is known as which of the following?
A. Ischemic phase
B. Menstrual phase
C. Proliferative phase
D. Secretory phase - ANS ANS: D
The secretory phase occurs from the time of ovulation to the period just prior to menses, or
approximately days 15 to 26. The menstrual phase is the time of vaginal bleeding,
approximately days 1 to 6. The proliferative phase is the end of menses through ovulation,
approximately days 7 to 14. The ischemic phase occurs from the end of the secretory phase to
the onset of menstruation, approximately days 27 to 28.
5. The perinatal nurse explains to the new nurse that the maternal pelvic shape can determine
the fetal presentation. A fetus in a transverse presentation may be due to which maternal pelvic
type?
A. Android
B. Anthropoid
C. Gynecoid
D. Platypelloid - ANS ANS: D
The gynecoid pelvic type is the typical, traditional female pelvis (present in 50% of women) that
is best suited for childbirth. Fetal descent through a platypelloid pelvis is usually in a transverse
presentation and will not allow for a vaginal birth. Fetal descent through an anthropoid pelvis is
more likely to be in a posterior (facing the woman's front) rather than anterior (facing the
woman's back) presentation. The android pelvis resembles a typical male pelvis, and this pelvic
shape can also cause difficulty during fetal descent.
5. The clinic nurse explains to a student that the hormone responsible for limiting the maternal
immune response to pregnancy is which of the following?
A. Human chorionic gonadotropin
B. Progesterone
C. Prostaglandin
D. Relaxin - ANS ANS: A
Human chorionic gonadotropin may play a role in limiting the maternal immune response to the
pregnancy. Prostaglandins modulate hormonal activity and have an effect on ovulation, fertility,
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