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Disgnostic Exam

Disgnostic Exam

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Published by invictus0446

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Published by: invictus0446 on May 24, 2009
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1.Which term describes a pelvis with the widest anterior and posterior diameters as well asa pubic arch wide enough for child birth?A.Platypelloid B. Gynecoid C. Anthropoid D. Android2.The chief function of the progesterone is the:A.Stimulation of follicles for ovulation to occur B.Development of female reproductive organsC.Preparation of the uterus to receive a fertilized ovumD.Establishment of the secondary male sex characteristics3.After the first three months of pregnancy the chief source of estrogen and progesterone is:A.Placenta C. Adrenal cortexB.Corpus luteum D. Anterior hypophysis4.Johannah, a 13-year-old girl, expresses her desire to learn more about the physiologicchanges associated with puberty. Which is the normal time sequence of bodily changesthat is manifested by Johannah?1.Thelarche/breast enlargement2.Appearance of axillary and pubic hai3.MenarcheA.1, 2, 3, B. 2, 1, 3C. 3, 2, 1D. 3, 1, 25.First fetal movement felt by the mother are known as:A.Lightening B. QuickeningC. Ballottement D.Engagement6.A client relates that the first day of her last menstruation period was July 22. Theestimated date of birth would be:A.May 15 B. May 29C. April 15D. April 297.Anticipatory guidance during the first trimester of pregnancy is primarily directed towardincreasing the pregnant woman’s knowledge of:A.Labor and deliveryC. Signs of complicationsB.Physical changes resulting from pregnancy D. Role transition into parenthood8.In prenatal development, the growth is most rapid in the:A.Implanataion period C. Second Trimester B.First Trimester D. Third Trimester 
9.A client asks the nurse why menstruation ceases once pregnancy occurs, the nurse’s bestresponse would be that this occurs because of the:A.“Reduction in the secretion of hormones by the ovaries.”B.“Production of estrogen and progesterone by the ovaries.”C.“Secretion of luteinizing hormone produced by the pituitary.”D.“Secretion of follicle-stimulating hormone produced by the pituitary.”10.The nurse is aware that the nausea and vomiting commonly experienced by many womenduring the first trimester of pregnancy is an adaptation to the increased level of:A.EstrogenC. ProgesteroneB.Luteinizing hormone D. Chorionic gonadotropin11.A client who is pregnant asks the nurse if she can continue to have sexual relations. Thenurse’s response is based on the knowledge that coitus during pregnancy would becontraindicated in the presence of:A.Leukorrhea C. Increased FHB.Gestation of 30 weeks or more D. Premature rupture of membrane12.The nurse would instruct a pregnant woman to notify the physician immediately if whichof the following symptoms occur during the pregnancy?A.Swelling of the faceC. Breast tendernessB.Increased vaginal dischargeD. The presence of chloasma13.Which of the following changes is a pregnant woman most likely to notice in her breasts?A.Darkening of the areolas, tingling sensations, and engorgementB.Lightening of the areolas, colustrum secretion, and increased sizeC.Colustrum secretion, tingling sensations, and darkening of the areolasD.Increased size, engorgement, and flattening of the nipple14.Constipation during pregnancy is best treated byA.Regular use of mild laxativeB.Increased bulk and fluid in the dietC.Limiting excessive weight gainD.Regular use of bisacodyl (Dulcolax) suppositories15.The nurse determines that a woman is in her tenth week of gestation. Which of thefollowing signs of pregnancy would the nurse expect to observe?A.Breast tenderness C. QuickeningB.Dyspnea D. Dependent edema16.A 13-year old female visits the clinic for a routine examination. The nurse notes that sheexhibits changes in her appearance that commonly occur during pregnancy, including anincrease in breast size. Which hormone is partly responsible for the growth and increasedvascularity of breast tissue during pregnancy?A.EstrogenC. Lactoferrin
B.Follicle stimulating hormone D. Chorionic gonadotropin17.Which hormone is responsible for stimulating the maternal metabolism of protein and fatto ensure adequate amino and fatty acids for the mother and the fetus?A.Human chorionic gonadotropin C. ProgesteroneB.Human placental lactogenD. Estriol18.Mrs X., age 25, suspects she is pregnant and calls the health center. She tells the nurseshe is experiencing amenorrhea, urinary frequency, and nausea and vomiting. Thesesigns of pregnancy are:A.Presumptive B. Probable C. Positive D. Possible19.Which findings would be considered positive signs of pregnancy?A.Fatigue, skin changesB.Quickening, breast enlargementC.Fetal heartbeat, fetal movement on palpationD.Abdominal enlargement, Braxton Hicks contractions20.Mrs. M., a 30-year-old primiparous patient at 34 weeks’ gestation, comes to the prenatalclinic concerned about the increasing reddish streaks she has developed on her breast andabdomen. She asks what these skin changes are and whether they are permanent. Whatshould the nurse tell her?A.“These streaks are called linea nigra; they’ll fade after childbirth.”B.“These streaks are called hemangiomas; they are permanent changes of pregnancy.”C.“These streaks are called striae gravidarum, or stretch marks; they’ll grow lighteafter delivery.”D. “These streaks are called nevi; they’ll fade after the postpartal period.”21.Which of the following terms is regarded as an indicator of a country’s general health?A.Birth rateC. Infant mortality rateB.Maternal mortality rateD. Fertility rate22.A client asks, “How much blood do I lose during menstruation?” Which of the followingwould be the nurse’s best response?A.“Normal blood loss can be a little or not.”B.“Normal blood loss is about 1 cup.”C.“Normal blood loss is about ¼ cup.”D.“Normal blood loss is about 1/8 cup.23.During the menstrual cycle, ovulation generally occurs at which of the following times?A.7 days after the last day of menstruationB.14 days after the last day of menstruationC.7 days before the end of menstruationD.14 days before the end of the menstrual cycle24.Which of the following would the nurse estimate as the approximate age for a 19-cmfetus expelled by a client?

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