The College Of Maasin MATERNITY NURSING Supplemental Review (Post-Test) Name: _______________________ Year and Section:______________ 1. The cyclic activities of the ovarian and uterine endometrium are regulated by the: a. cerebral cortex and adrenal gland b. hypothalamus and and the anterior pituitary pituitary gland c. cerebellum and posterior pituitary gland d. medullas oblongata and thyroid gland 2. In response to anterior pituitary stimulation the graafian follicle secretes: a. progesterone b. estrogen c. prolactin d. glycogen 3. The increased activity of the endometrial glands during the luteal phase of the female reproductive cycle is stimulated by? a. progesterone b. estrogen c. glycogen d. prolactin 4. Increased levels of Gn-RH stimulate the anterior pituitary to secrete: a. progesterone b. FSH c. oxytocin d. prolactin 5. The anterior pituitary hormone that stimulates production of progesterone progesterone during the latter latter half f of menstrual cycle is the: a. Growth hormone b. FSH c. LH d. ACTH 6. During the latter half of menstrual cycle progesterone is secreted secreted by the: a. posterior pituitary gland b. ovarian follicle follicle c. corpus luteum d. endometrial glands 7. If conception fails to occur, menstruation takes place about 2 weeks after ovulation as a result of: a. increased progesterone and estrogen levels b. stimulation of the graafian graafian follicle c. GN-RH secretion d. degeneration of the corpus luteum 8. The hypothalamus begins the menstrual cycle with the production of which hormone? a. FSH b. Gn-RH
Date: ____________________ Score: ___________________ c. estrogen d. progesterone 9. During initial phase of hormone cycle, estrogen levels are: a. low b. high c. absent d. unknown 10. A hormone that is secreted by the corpus luteum and prepares the endometrium for implantation is: a. estrogen b. luteinizing hormone c. progesterone d. prostaglandin 11. Which pituitary hormone is responsible for ovulation? a. GN-RH b. FSH c. LH d. estrogen 12. The luteal phase begins immediately following the follicular phase and lasts for 14 days. What event occurs at the end of the luteal phase? a. ovulation b. pregnancy c. menstruation d. estrogen 13. The normal average blood loss during each menstruation is: a. vary from little to a lot b. 120 ml c. 50 ml d. 30 ml 14. Gonadotropic hormones are released by the pituitary gland under the regulation regulation of the: a. adrenal b. hypothalamus c. thalamus d. thyroid 15. Which pituitary hormone stimulates the ovary to produce estrogen during the menstrual cycle? a. FSH b. GN-RH c. LH d. HCG
16. High concentration of estrogen in the blood: a. causes ovulation b. inhibits anterior anterior pituitary secretion secretion of FSH FSH c. is one of the causes of osteoporosis d. stimulates lactation 17. The physiologic effects of estrogen are the following EXCEPT: a. development of the secondary sex characteristics b. prevention of uterine uterine motility motility during pregnancy c. myometrial thickening d. maturation of the ovarian follicles 18. Which hormones is responsible for the production of clear, clear, elastic cervical cervical mucus associated with spinnbarkeit and ferning? a. progesterone b. prostaglandin c. estrogen d. FSH 19. Variations in the length of menstrual cycle are due to the variation on the number of day in the: a. follicular phase b. luteal phase c. ischemic phase d. secretory phase 20. Which of the following organs if removed surgically would result to surgical menopause? a. ovary b. uterus c. fallopian tube d. ovary and uterus 21. Menopause is the cessation of menstrual function. One of the reasons given is: a. an increase in the secretion of progesterone from the follicles in the ovary b. a decrease in the the production of prostglandins prostglandins c. the inability of the ovary to respond to gonadotropic hormones d. a decrease in gonadotropin in the blood 22. Which structure carries the chromosomes genetic code information? a. ribonucleic acid (RNA) b. deoxyribonucleic deoxyribonucleic acid (DNA) c. centrioles d. amino acid 23. Which of the following refers to an individual’s outward appearance the perceived inherited characteristics resulting from the genetic make-up such eye color and environment? a. serotype b. genotype c. phenotype d. karyotype 24. Which of the following refers to pictorial analysis of an individual’s chromosomes? a. phenotype b. genotype
c. karyotype d. serotype 25. During the process of gametogenesis, the male and the female sex cells divide and it contain: a. a diploid number of chromosomes in their nuclei b. a haploid number number of chromosomes chromosomes in their nuclei c. twenty-two pairs o autosomes in their nuclei d. fort-six pairs of chromosomes in their nuclei 26. During the menstrual cycle, ovulation generally occurs: a. 7 days after the last day of the menstrual period b. 14 days after the last day of the menstrual cycle c. 7 days before the end of menstruation d. 14 days before the end of menstrual cycle 27. Ovulation occurs when the: a. blood levels of FSH and LH are high b. endometrial endometrial wall is sloughed sloughed off c. progesterone level is high d. oxytocin level is high 28. After ovulation has occurred, the ovum is believed to remain remain viable: a. 1 to 6 hours b. 12 to 18 hours c. 24 to 36 hours d. 48 to 72 hours 29. The time of ovulation can be determined by taking the basal body temperature. During ovulation the basal temperature: a. drops markedly b. drops slightly slightly and then rises c. eases markedly and remain high d. rises suddenly and then falls 30. Conception is most likely to occur during which interval of time a. the 1st day of menstrual cycle b. 12 hours following following the cessation cessation of menstruation c. 12 to 24 hours following ovulation d. the day or two preceding menstruation 31. In a 30 day cycle, the chances of fertilization are greatest between which of the following days? a. days 14 to 16 b. days 15 to 17 c. days 13 to 15 d. days 12 to 14 32. Which of the following best indicate onset of ovulation? a. ovulation comes predictably 14 days after the onset of menses b. the cervical cervical mucus becomes thin thin and watery after ovulation c. a rise in temperature occurs before ovulation d. lower abdominal pain may be experienced at the time of rupture of the follicle
33. a test commonly used to determine the number of motility and activity of sperm is the: a. rubin test b. huhner test c. pap test d. friedmen test
41. Implantation or attachment of the fertilized ovum to the endometrium usually occurs about which day of the menstrual cycle? a. 15th day b. 20th day c. 25th day d. 1st day
34. A diagnostic test used to evaluate fertility is the post-coital test, it is best timed: a. immediately after menses b. within 1-2 days days of presumed ovulation ovulation c. one week after ovulation d. just prior to the next menstrual period
42. The thickened endometrium in which the fertilized ovum implants is called: a. endoderm b. deciduas c. amnion d. chorion
35. In the female, evaluation of the pelvic organs of reproduction is accomplished by; a. cystoscopy b. biopsy c. culdoscopy d. hysterosalphingogram hysterosalphingogram
43. The outer membrane that helps form the placenta is: a. amnion b. yolk sac c. chorion d. alantois
36. A factor in sterility may be related to the pH of the vaginal canal. A frequent medication that is ordered to alter the vaginal pH is: a. sulfur insufflation b. sodium bicarbonate bicarbonate douches c. lactic acid douches d. estrogen therapy
44. The primary function of human chorionic gonadotropin (HCG) is to: a. confirm the diagnosis of pregnancy b. maintain the the corpus luteum during during the first trimester c. nourish the fetus d. stabilize the uterus during pregnancy
37. In dealing with the couple that has been identified as having an infertility problem, the nurse should know that: a. one partner has a problem that makes them unable to have children b. the couple has been unable to have a child after for a year c. infertility is usually psychologic in origin d. infertility and sterility are essentially the same problem
45. The principal source of estrogen and progesterone during the 1st 6 to 8 weeks of pregnancy is the: a. pituitary gland b. embryonic chorion chorion c. corpus luteum d. adrenal cortex
38. In assessing the adequacy of sperm for conception, which of the following is the single most useful criterion? a. sperm count b. sperm motility motility c. sperm maturity d. sperm volume 39. The optimum time of intercourse to increase the likelihood of conception includes all of the following EXCEPT: a. ovulation occurs 15 days before the onset of the next menstrual cycle b. an ovulated egg has a lifespan of 12 to 24 hours c. the male’s abstinence from ejaculation 72 to 96 hours increases the likelihood of conception d. ejaculated sperm have a lifespan of 24 to 48 hours 40. The prostate gland adds alkaline secretions to semen to: a. ensure semen is the same pH as the vagina b. increase sperm motility c. promote sperm growth d. provide nutrients and prostaglandins
46. Which of the following is a function of the placenta? a. allows exchange by osmosis across a semi permeable membrane membrane b. prevents exchange exchange between fetal fetal and maternal blood c. protects the fetus from viral infection during the first 3 months of pregnancy d. allows exchange to occur only by the process of diffusion 47. The placenta forms from the: a. chorionic villi and decidua vera b. chorionic villi villi and decidua capsularies capsularies c. decidua basalis and decidua vera d. chrionic villi and decidua basalis 48. Aside from producing hormones to maintain pregnancy, the placenta: placenta: a. cushions the fetus against pressure b. maintains the the fetus at even even temperature c. acts a s transfer organ for metabolic processes d. brings maternal blood directly to the fetus for nutrition 49. The amniotic fluid serves the following functions EXCEPT: a. helping to dilate the cervix b. protecting the the fetus from injury injury c. provide the fetus with immune bodies
d. keeping the fetus at an even temperature 50. Immunity transferred to the fetus from the immune mother through the placenta is: a. active natural immunity b. active artificial artificial immunity immunity c. passive natural immunity d. passive artificial immunity 51. Prior to implantation, the products of conception are known as: a. zygote b. conceptus c. embryo d. fetus 52. The stage of gestational age development at which endometrial implantation occurs is: a. blastomere b. morula c. blastocyst d. embruo 53. During fetal development, organogenesis, with the exception of the brain is complete by: a. 2 weeks after ovulation b. 4 weeks after after ovulation c. 8 weeks after ovulation d. 12 weeks after ovulation 54. The fetus apparently hears some sounds in the utero as early as the: a. 14th week b. 18th week c. 24th week d. 28th week 55. The fetus begins to develop light sense as early as: a. 16th week b. 20yh week c. 24th week d. 28th week 56. The blood vessels in the umbilical cord that provide for fetal fetal circulation a. one artery and two veins b. one artery and one vein c. two arteries and one vein d. two arteries and two veins 57. Which of the following fetal vessels implies directly into the inferior vena cava? a. umbilical vein b. ductus venosus c. foramen ovale d. ductus arteriosus 58. Temporary structures that shunt blood maintain fetal blood circulation in the utero. The ductus ateriosus shunts blood from: a. left to the right atria b. aorta to the pulmonary veins c. right ventricle to the aorta d. pulmonary artery to the aorta 59. The structure in the fetal blood circulation in the utero with highest oxygen concentration is:
a. ductus venosus b. right atrium atrium c. umbilical vein d. ductus arteriosus 60. Which of the following fetal structures is not a site of early hematopoiesis? a. yolk sac b. liver c. bone marrow d. kidney 61. The pregnant woman asks, “When does the heart and the brain of the baby form?” The best response by the nurse is: a. first month b. second month c. third month d. first trimester 62. The pregnant woman is in her third trimester when she makes her second prenatal visit. She asks the nurse, “What is happening now in the development of the baby?” the best response by the nurse is: a. “the heart is beginning to pump blood” b. “the brain is is dividing into sections sections c. “lanugo and vernix caseosa are forming to protect the embryo” embryo” d. “the embryo is beginning a fetus and sex is determined” 63. Which characteristics normally is not present in a fetus at 20 weeks gestation? a. surfactant production b. active movement movement c. meconium in the intestinal tract d. vernix caseosa 64. Assessment for surfactant level is primary estimation of fetal maturity. Surfactant acts to: a. prevent alveoli from collapsing on expiration b. increase lung resistance on inspiration inspiration c. encourage immunologic competence of lung tissue d. promote maturation of lung alveoli 65. Growth is most rapid during what phase of development? a. immediately after implantation b. first trimester trimester c. second trimester d. third trimester 66. Assessment indicates that the woman missed her period for 3 to 4 weeks. Which of the following developments is occurring in the baby? a. bone formation b. development of the heart and the the brain c. fetal pancreas begins to secrete insulin d. development of the sex organ 67. The pregnant woman is in her 3 rd month when she makes her prenatal visit. She asks the nurse. “What is happening right now in the development of the bay? The nurse’s response is: a. the heart is beginning to pump blood
b. the brain begins begins to develop c. lanugo and vernix caseosa are forming to protect the embryo embryo d. the embryo is becoming a fetus and sex is determined 68. A pregnant woman verbalizes “I must about 4 months pregnant, I cannot remember exactly my LMP, but I have feeling the baby kicking 3 to 4 weeks now.” Upon auscultation the nurse hears fetal heart sounds. The nurse states that this assessment indicates that the woman’s gestation is: a. 4 months b. 5 months c. 6 months d. 7 months 69. The fetus is most likely to be damaged by the pregnant woman ingestion ingestion of drugs during during the: a. first trimester b. second trimester trimester c. third trimester d. anytime during pregnancy
74. During the second trimester, the woman develops ankle edema in the afternoon. The edema is probably related to: a. pressure from the enlarging uterus b. pregnancy induced induced hypertension c. increased serum albumin levels 75. During pregnancy there is an increased possibility of weakness of the walls walls of certain certain blood vessels. What What complication does this cause? a. weal abdominal muscles b. varicose veins c. hypertension d. urinary frequency 76. To help prevent leg cramps and from disturbing her sleep, the pregnant woman should: a. extend her legs and dorsifles, her legs on pillows should: b. elevate and support support her legs on pillows whike sleeping c. massage her calves with lotion before bedtime d. drink a warm glass of milk before bedtime
70. If the mother expelled a 16-cm fetus prematurely, what what is the approximate approximate gestational age of the fetus? a. 3 months b. 4 months c. 5 months d. 6 months
77. When teaching a pregnant woman about the effects of cigarette smoking on the fetus, the nurse should explain that: a. smoking is associated with lbw b. smoking is associated with respiratory distress distress syndrome
71. The nurse anticipates assessing the fetal heartbeat by stethoscope at: a. about 6 weeks b. about 12 weeks weeks c. approximately 16 weeks d. approximately 20 weeks
78. At 30 weeks gestation the woman’s hemoglobin level has fallen to 11.2 g/dl. From her non-pregnant level of 14.5 g/dl. This decrease is probably the result of: a. increased fibrinogen level b. iron deficiency deficiency anemia c. an expanded plasma volume d. a low vitamin c intake
72. The bulk of IgG acquired by the fetus form the mother during which of the following time records: a. 190 to 14 weeks b. 16 to 20 weeks weeks c. 24 to 28 weeks d. last 4 weeks of pregnancy 73. Which physiologic change of pregnancy probably causing the woman’s NA: a. High levels of HCG b. increased gastric gastric motility c. reflux of acidic secretions d. altered stomach position
79. As pregnancy advances, the woman develops a waddling gait. Which hormones probably caused this change? a. estrogen b. progesterone c. relaxin d. human placental lactogen 80. Morning sickness of pregnancy usually disappears by the end of: a. first trimester b. third trimester trimester c. fifth month d. seventh month
-“Success depends upon precious preparation, and without such p reparation, there is to be failure”
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