The College Of Maasin

MATERNITY NURSING

Supplemental Review
(Post-Test)

Name:_______________________ Date:____________________
Year and Section:______________ Score:___________________

1. The cyclic activities of the ovarian and uterine c. estrogen

endometrium are regulated by the: d. progesterone
a. cerebral cortex and adrenal gland
b. hypothalamus and the anterior pituitary gland 9. During initial phase of hormone cycle,
c. cerebellum and posterior pituitary gland estrogen levels are:
d. medullas oblongata and thyroid gland a. low
b. high
2. In response to anterior pituitary stimulation c. absent
the graafian follicle secretes: d. unknown
a. progesterone
b. estrogen 10. A hormone that is secreted by the corpus
c. prolactin luteum and prepares the endometrium for
d. glycogen implantation is:
a. estrogen
3. The increased activity of the endometrial b. luteinizing hormone
glands during the luteal phase of the female c. progesterone
reproductive cycle is stimulated by? d. prostaglandin
a. progesterone
b. estrogen 11. Which pituitary hormone is responsible for
c. glycogen ovulation?
d. prolactin a. GN-RH
b. FSH
4. Increased levels of Gn-RH stimulate the c. LH
anterior pituitary to secrete: d. estrogen
a. progesterone
b. FSH 12. The luteal phase begins immediately
c. oxytocin following the follicular phase and lasts for 14
d. prolactin days. What event occurs at the end of the luteal
phase?
5. The anterior pituitary hormone that stimulates a. ovulation
production of progesterone during the latter half b. pregnancy
f of menstrual cycle is the: c. menstruation
a. Growth hormone d. estrogen
b. FSH
c. LH 13. The normal average blood loss during each
d. ACTH menstruation is:
a. vary from little to a lot
6. During the latter half of menstrual cycle b. 120 ml
progesterone is secreted by the: c. 50 ml
a. posterior pituitary gland d. 30 ml
b. ovarian follicle
c. corpus luteum 14. Gonadotropic hormones are released by the
d. endometrial glands pituitary gland under the regulation of the:
a. adrenal
7. If conception fails to occur, menstruation b. hypothalamus
takes place about 2 weeks after ovulation as a c. thalamus
result of: d. thyroid
a. increased progesterone and estrogen levels
b. stimulation of the graafian follicle 15. Which pituitary hormone stimulates the
c. GN-RH secretion ovary to produce estrogen during the menstrual
d. degeneration of the corpus luteum cycle?
a. FSH
8. The hypothalamus begins the menstrual cycle b. GN-RH
with the production of which hormone? c. LH
a. FSH d. HCG
b. Gn-RH
16. High concentration of estrogen in the blood: c. karyotype
a. causes ovulation d. serotype
b. inhibits anterior pituitary secretion of FSH
c. is one of the causes of osteoporosis 25. During the process of gametogenesis, the
d. stimulates lactation male and the female sex cells divide and it
contain:
17. The physiologic effects of estrogen are the a. a diploid number of chromosomes in their
following EXCEPT: nuclei
a. development of the secondary sex b. a haploid number of chromosomes in their
characteristics nuclei
b. prevention of uterine motility during c. twenty-two pairs o autosomes in their nuclei
pregnancy d. fort-six pairs of chromosomes in their nuclei
c. myometrial thickening
d. maturation of the ovarian follicles 26. During the menstrual cycle, ovulation
generally occurs:
18. Which hormones is responsible for the a. 7 days after the last day of the menstrual
production of clear, elastic cervical mucus period
associated with spinnbarkeit and ferning? b. 14 days after the last day of the menstrual
a. progesterone cycle
b. prostaglandin c. 7 days before the end of menstruation
c. estrogen d. 14 days before the end of menstrual cycle
d. FSH
27. Ovulation occurs when the:
19. Variations in the length of menstrual cycle a. blood levels of FSH and LH are high
are due to the variation on the number of day in b. endometrial wall is sloughed off
the: c. progesterone level is high
a. follicular phase d. oxytocin level is high
b. luteal phase
c. ischemic phase 28. After ovulation has occurred, the ovum is
d. secretory phase believed to remain viable:
a. 1 to 6 hours
20. Which of the following organs if removed b. 12 to 18 hours
surgically would result to surgical menopause? c. 24 to 36 hours
a. ovary d. 48 to 72 hours
b. uterus
c. fallopian tube 29. The time of ovulation can be determined by
d. ovary and uterus taking the basal body temperature. During
ovulation the basal temperature:
21. Menopause is the cessation of menstrual a. drops markedly
function. One of the reasons given is: b. drops slightly and then rises
a. an increase in the secretion of progesterone c. eases markedly and remain high
from the follicles in the ovary d. rises suddenly and then falls
b. a decrease in the production of prostglandins
c. the inability of the ovary to respond to 30. Conception is most likely to occur during
gonadotropic hormones which interval of time
d. a decrease in gonadotropin in the blood a. the 1st day of menstrual cycle
b. 12 hours following the cessation of
22. Which structure carries the chromosomes menstruation
genetic code information? c. 12 to 24 hours following ovulation
a. ribonucleic acid (RNA) d. the day or two preceding menstruation
b. deoxyribonucleic acid (DNA)
c. centrioles 31. In a 30 day cycle, the chances of fertilization
d. amino acid are greatest between which of the following
days?
23. Which of the following refers to an a. days 14 to 16
individual’s outward appearance the perceived b. days 15 to 17
inherited characteristics resulting from the c. days 13 to 15
genetic make-up such eye color and d. days 12 to 14
environment?
a. serotype 32. Which of the following best indicate onset of
b. genotype ovulation?
c. phenotype a. ovulation comes predictably 14 days after the
d. karyotype onset of menses
b. the cervical mucus becomes thin and watery
24. Which of the following refers to pictorial after ovulation
analysis of an individual’s chromosomes? c. a rise in temperature occurs before ovulation
a. phenotype d. lower abdominal pain may be experienced at
b. genotype 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
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 of presumed ovulation
c. one week after ovulation
d. just prior to the next menstrual period
35. In the female, evaluation of the pelvic organs
of reproduction is accomplished by;
a. cystoscopy
b. biopsy
c. culdoscopy
d. hysterosalphingogram
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 douches
c. lactic acid douches
d. estrogen therapy
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
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
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
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
42. The thickened endometrium in which the
fertilized ovum implants is called:
a. endoderm
b. deciduas
c. amnion
d. chorion
43. The outer membrane that helps form the
placenta is:
a. amnion
b. yolk sac
c. chorion
d. alantois
44. The primary function of human chorionic
gonadotropin (HCG) is to:
a. confirm the diagnosis of pregnancy
b. maintain the corpus luteum during the first
trimester
c. nourish the fetus
d. stabilize the uterus during pregnancy
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
c. corpus luteum
d. adrenal cortex
46. Which of the following is a function of the
placenta?
a. allows exchange by osmosis across a semi-
permeable membrane
b. prevents exchange between 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 and decidua capsularies
c. decidua basalis and decidua vera
d. chrionic villi and decidua basalis
48. Aside from producing hormones to maintain
pregnancy, the placenta:
a. cushions the fetus against pressure
b. maintains the fetus at 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 fetus from injury
c. provide the fetus with immune bodies
d. keeping the fetus at an even temperature a. ductus venosus
b. right atrium
50. Immunity transferred to the fetus from the c. umbilical vein
immune mother through the placenta is: d. ductus arteriosus
a. active natural immunity
b. active artificial immunity 60. Which of the following fetal structures is not
c. passive natural immunity a site of early hematopoiesis?
d. passive artificial immunity a. yolk sac
b. liver
51. Prior to implantation, the products of c. bone marrow
conception are known as: d. kidney
a. zygote
b. conceptus 61. The pregnant woman asks, “When does the
c. embryo heart and the brain of the baby form?” The best
d. fetus response by the nurse is:
a. first month
52. The stage of gestational age development at b. second month
which endometrial implantation occurs is: c. third month
a. blastomere d. first trimester
b. morula
c. blastocyst 62. The pregnant woman is in her third trimester
d. embruo when she makes her second prenatal visit. She
asks the nurse, “What is happening now in the
53. During fetal development, organogenesis, development of the baby?” the best response by
with the exception of the brain is complete by: the nurse is:
a. 2 weeks after ovulation a. “the heart is beginning to pump blood”
b. 4 weeks after ovulation b. “the brain is dividing into sections
c. 8 weeks after ovulation c. “lanugo and vernix caseosa are forming to
d. 12 weeks after ovulation protect the embryo”
d. “the embryo is beginning a fetus and sex is
54. The fetus apparently hears some sounds in determined”
the utero as early as the:
a. 14th week 63. Which characteristics normally is not present
b. 18th week in a fetus at 20 weeks gestation?
c. 24th week a. surfactant production
d. 28th week b. active movement
c. meconium in the intestinal tract
55. The fetus begins to develop light sense as d. vernix caseosa
early as:
a. 16th week 64. Assessment for surfactant level is primary
b. 20yh week estimation of fetal maturity. Surfactant acts to:
c. 24th week a. prevent alveoli from collapsing on expiration
d. 28th week b. increase lung resistance on inspiration
c. encourage immunologic competence of lung
56. The blood vessels in the umbilical cord that tissue
provide for fetal circulation d. promote maturation of lung alveoli
a. one artery and two veins
b. one artery and one vein 65. Growth is most rapid during what phase of
c. two arteries and one vein development?
d. two arteries and two veins a. immediately after implantation
b. first trimester
57. Which of the following fetal vessels implies c. second trimester
directly into the inferior vena cava? d. third trimester
a. umbilical vein
b. ductus venosus 66. Assessment indicates that the woman missed
c. foramen ovale her period for 3 to 4 weeks. Which of the
d. ductus arteriosus following developments is occurring in the
baby?
58. Temporary structures that shunt blood a. bone formation
maintain fetal blood circulation in the utero. The b. development of the heart and the brain
ductus ateriosus shunts blood from: c. fetal pancreas begins to secrete insulin
a. left to the right atria d. development of the sex organ
b. aorta to the pulmonary veins
c. right ventricle to the aorta 67. The pregnant woman is in her 3rd month
d. pulmonary artery to the aorta when she makes her prenatal visit. She asks the
nurse. “What is happening right now in the
59. The structure in the fetal blood circulation in development of the bay? The nurse’s response is:
the utero with highest oxygen concentration is: a. the heart is beginning to pump blood
b. the brain begins to develop 74. During the second trimester, the woman
c. lanugo and vernix caseosa are forming to develops ankle edema in the afternoon. The
protect the embryo edema is probably related to:
d. the embryo is becoming a fetus and sex is a. pressure from the enlarging uterus
determined b. pregnancy induced hypertension
c. increased serum albumin levels
68. A pregnant woman verbalizes “I must about
4 months pregnant, I cannot remember exactly 75. During pregnancy there is an increased
my LMP, but I have feeling the baby kicking 3 possibility of weakness of the walls of certain
to 4 weeks now.” Upon auscultation the nurse blood vessels. What complication does this
hears fetal heart sounds. The nurse states that cause?
this assessment indicates that the woman’s a. weal abdominal muscles
gestation is: b. varicose veins
a. 4 months c. hypertension
b. 5 months d. urinary frequency
c. 6 months
d. 7 months 76. To help prevent leg cramps and from
disturbing her sleep, the pregnant woman should:
69. The fetus is most likely to be damaged by the a. extend her legs and dorsifles, her legs on
pregnant woman ingestion of drugs during the: pillows should:
a. first trimester b. elevate and support her legs on pillows whike
b. second trimester sleeping
c. third trimester c. massage her calves with lotion before bedtime
d. anytime during pregnancy d. drink a warm glass of milk before bedtime

70. If the mother expelled a 16-cm fetus 77. When teaching a pregnant woman about the
prematurely, what is the approximate gestational effects of cigarette smoking on the fetus, the
age of the fetus? nurse should explain that:
a. 3 months a. smoking is associated with lbw
b. 4 months b. smoking is associated with respiratory distress
c. 5 months syndrome
d. 6 months
78. At 30 weeks gestation the woman’s
71. The nurse anticipates assessing the fetal hemoglobin level has fallen to 11.2 g/dl. From
heartbeat by stethoscope at: her non-pregnant level of 14.5 g/dl. This
a. about 6 weeks decrease is probably the result of:
b. about 12 weeks a. increased fibrinogen level
c. approximately 16 weeks b. iron deficiency anemia
d. approximately 20 weeks 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 79. As pregnancy advances, the woman develops
records: a waddling gait. Which hormones probably
a. 190 to 14 weeks caused this change?
b. 16 to 20 weeks a. estrogen
c. 24 to 28 weeks b. progesterone
d. last 4 weeks of pregnancy c. relaxin
d. human placental lactogen
73. Which physiologic change of pregnancy
probably causing the woman’s NA: 80. Morning sickness of pregnancy usually
a. High levels of HCG disappears by the end of:
b. increased gastric motility a. first trimester
c. reflux of acidic secretions b. third trimester
d. altered stomach position c. fifth month
d. seventh month

-“Success depends upon precious preparation, and without such preparation, there is to be failure”

----------------------------------------------------GOOD LUCK--------------------------------------------------------