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9/7/24, 6:36 C3 - maternal baby testPM bank
MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK
Chapter 03: Assessment and Health Promotion
Perry: Maternal Child Nursing Care, 6th Edition
MULTIPLE CHOICE
1. The two primary functions of the ovaries are:
a.
normal female development and sex hormone release.
b.
ovulation and internal pelvic support.
c.
sexual response and ovulation.
d.
ovulation and hormone production.
ANS: D
The two functions of the ovaries are ovulation and hormone production. The presence of
ovaries does not guarantee normal female development. The ovaries produce estrogen,
progesterone, and androgen. Ovulation is the release of a mature ovum from the ovary; the
ovaries are not responsible for internal pelvic support. Sexual response is a feedback
mechanism involving the hypothalamus, anterior pituitary gland, and the ovaries. Ovulation
does occur in the ovaries.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. The uterus is a muscular, pear-shaped organ that is responsible for:
a.
cyclic menstruation.
b.
sex hormone production.
c.
fertilization. NURSINGTB.COM
d.
sexual arousal.
ANS: A
The uterus is an organ for reception, implantation, retention, and nutrition of the fertilized
ovum; it also is responsible for cyclic menstruation. Hormone production and fertilization
occur in the ovaries. Sexual arousal is a feedback mechanism involving the hypothalamus, the
pituitary gland, and the ovaries.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. Unique muscle fibers make the uterine myometrium ideally suited for:
a.
menstruation.
b.
the birth process.
c.
ovulation.
d.
fertilization.
ANS: B
The myometrium is made up of layers of smooth muscles that extend in three directions.
These muscles assist in the birth process by expelling the fetus, ligating blood vessels after
birth, and controlling the opening of the cervical os.
PTS: 1 DIF: Cognitive Level: Application
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
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, 9/7/24, 6:36 C3 - maternal baby test
PM bank
MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK
4. The hormone responsible for maturation of mammary gland tissue is:
a.
estrogen.
b.
testosterone.
c.
prolactin.
d.
progesterone.
ANS: D
Progesterone causes maturation of the mammary gland tissue, specifically acinar structures of
the lobules. Estrogen increases the vascularity of the breast tissue. Testosterone has no bearing
on breast development. Prolactin is produced after birth and released from the pituitary gland.
It is produced in response to infant suckling and emptying of the breasts.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
5. Because of the effect of cyclic ovarian changes on the breast, the best time for breast
self-examination (BSE) is:
a.
5 to 7 days after menses ceases.
b.
Day 1 of the endometrial cycle.
c.
mid-menstrual cycle.
d.
any time during a shower or bath.
ANS: A
The physiologic alterations in breast size and activity reach their minimal level about 5 to 7
days after menstruation stops. All women should perform BSE during this phase of the
menstrual cycle.
PTS: 1 DIF: CognitiNvUe RLSevINelG: TKBn.oCwOlMedge OBJ: Nursing
Process: Planning MSC: Client Needs: Health Promotion and Maintenance
6. Menstruation is periodic uterine bleeding:
a.
that occurs every 28 days.
b.
in which the entire uterine lining is shed.
c.
that is regulated by ovarian hormones.
d.
that leads to fertilization.
ANS: C
Menstruation is periodic uterine bleeding that is controlled by a feedback system involving
three cycles: endometrial, hypothalamic-pituitary, and ovarian. The average length of a
menstrual cycle is 28 days, but variations are normal. During the endometrial cycle, the
functional two thirds of the endometrium are shed. Lack of fertilization leads to menstruation.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
7. Individual irregularities in the ovarian (menstrual) cycle are most often caused by:
a.
variations in the follicular (preovulatory) phase.
b.
an intact hypothalamic-pituitary feedback mechanism.
c.
a functioning corpus luteum.
d.
a prolonged ischemic phase.
ANS: A
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