ANATOMY AND PHYSIOLOGY

20 PTS

A group of Level II nursing students conducted health education to the Grade VI pupils of Alamada Elementary
School. Health Educator Alexa showed and explained the anatomy and physiology of the female reproductive
system. Menstrual cycle was included in their discussion with video presentation.

Mariz discusses the function of the vagina, which is the: *

organ of copulation

organ of reproduction

organ of fertilization

organ of menstruation

She identifies that the most sensitive part of the female external genitalia is the clitoris because it contains a/an:

Bartholin’s glands

skene’s gland

erectile tissue

fatty tissues

She discusses the different supports of the uterus and explains that the ligament that gives stability to the uterus is
known as the:

Mackenrodt’s ligament

uterosacral ligament

broad ligament

round ligament

Mariz mentioned that the uterus is composed of layers and Myometrium, the inner uterine muscular layer is
considered as the living ligature because it:

contains large amount of blood supply

carries nutrients for the nourishment of the baby

is the one that contracts during labor and delivery

supplies the uterus with increased amount of progesterone and estrogen

Mr. Abdul,one of the Level II students said that the maturation of the ovum is known as:

oogenesis

implantation
fertilization

nidation

One of the students asks Mariz , “What hormone is produced by the hypothalamus usually triggers the beginning of
menstruation?” Mariz’s answer would be:

Gonadotropin hormone releasing factor

Follicle stimulating hormone

Luteinizing hormone

Gonadotropic hormone

During the 5th month of the intrauterine life, the ovaries of the fetus contain immature ovum known as:

Corpus luteum

graafian follicle

Corpus albicans

primordial follicle

The video presentation also shows that fertilization occurs at the:

lower uterine segment

ampullary area

upper third of the fallopian tube

upper uterine segment

If conception does not occur, menstruation takes place two weeks after ovulation as a result of: 

proliferation of the graafian follicle

increased hormone levels

degeneration of the corpus luteum

stimulation of the pituitary glands

Mariz explains that estrogen and progesterone prepare the endometrium for implantation by the following processes: 

1. regeneration of its cells

2. formation new capillaries
3. degeneration of the corpus luteum
4. increase in progesterone level

1,2,3
1,2,4
2,3,4
1,2,3,4

https://nurseslabs.com/maternity-nursing-nclex-practice-questions/6/

A nursing instructor is conducting a lecture and is reviewing the functions of the female reproductive system. She
asks the student nurse to describe the follicle-stimulating hormone (FSH) and the luteinizing hormone (LH). The
student nurse accurately responds by stating that:

A. FSH and LH are released from the anterior pituitary gland.

B. FSH and LH are secreted by the corpus luteum of the ovary

C. FSH and LH are secreted by the adrenal glands

D. FSH and LH stimulate the formation of milk during pregnancy.

The ovarian follicle and ovum mature under the influence of FSH and LH

TRUE

FALSE

If fertilization does not take place, the corpus luteum degenerates and cannot produce progesterone thus resulting to
menstruation.

TRUE

FALSE

The tiny muscular tube in the male reproductive system that carries sperm from the epididymis to the ejaculatory duct
is known as:

Epididymis

ejaculatory duct

Vas deferens

urethra

It is the modified mucosal lining of the uterus that forms in preparation for pregnancy.

Decidua

placenta

Endometrium

myometrium

The hormone that constricts the blood vessels in the uterus and make the muscle layer contract causing painful
cramps is known as 
Prostaglandins

progesterone

Relaxin

estrogen

The fertilization of the ovum usually occurs in the:

Ovaries

uterus

Fallopian tube

cervix

https://quizlet.com/381473602/chapter-4-reproductive-anatomy-and-physiology-nclex-questions-flash-cards/

A nurse is teaching a sex education class about the female reproductive system for 6th-grade girls in a local middle
school. The nurse explains that the primary components of the external female reproductive system are:

a. The clitoris, vaginal canal, and perineal body.

b. The labia, clitoris, and urethra.
c. The mons, labia, and clitoris.
d. The mons, labia, and vagina.

The vaginal environment is maintained by:

a. Lactic acid-producing bacilli.

b. Frequent cleaning with soap.
c. Alkaline secretions.
d. Gonadotropins.

A nurse is teaching a class for adolescents about the female reproductive system. When the nurse asks the class
what the function of the vagina is, she knows that further teaching is necessary when a student answers:

a. "It protects the labia minora."

b. "It's a passageway for the sperm and the fetus."
c. "It's a passageway for menstrual flow."
d. "It protects against infections from pathogenic organisms."

B.

Within 30 minutes after birth, the nurse monitors the vital signs of the baby. The normal heart rate of the baby may
range between: *

100 and 180

120 and 160

130 and 170

100 and 130

The normal respiratory rate of an infant from birth to six months ranges from: *

20-30 bpm

30-50 bpm

30-60 bpm

60-80 bpm

The nurse informs the breast-feeding mother that her newborn’s stool will most likely be:

greenish brown to black

formed, odorless

soft, odorless

golden yellow

The nurse is aware that normally the color of a newborn skin is: *

purple face and pale chest and hands

pink face and gums, light blue extremities

yellow face, eyes and chest

pink extremities, bluish trunk

Burping should be done to the baby: *

every 10 minutes

in the middle and end of the feeding

after each feeding

before and after each feeding

The nurse expects a child’s birth weight to triple at the age of: *

4 months

7 months

9 months

12 months

The baby demonstrates a tonic neck reflex which is described as: *

fanning of the toes when a sharp object is pressed in her sole

extension of her legs on the same side to which her head is turned

turning of the head to the side of the cheek that was touched

grasping of any object placed on her hand

A newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained
sebaceous secretions. When documenting this observation, the nurse identifies it as:

hemangioma

milia

mongolian spots

nevus flammeus

Emelyn 29 y.o. primigravida at 6 months age of gestation based on the ultrasound result visits the Out -Patient
department for pre natal check up. The OB-Gyne emphasizes the proper diet during pregnancy. The nurse reinforce
this by encouraging her to take foods which are: 

High in carbohydrates , low sodium, fat and protein

High in carbohydrates , protein and sodium

High carbohydrates and protein , low fat and sodium

Low in carbohydrates, sodium fat and protein

Nurse Kit is assessing and giving health instructions to Trish who is on her 24th week of pregnancy. Nurse Kit
instructs Trish on how to prevent varicose veins during pregnancy. A statement of Trish that will indicate that she
needs further instructions is, 

“I should wear knee-high stockings as long as I don’t leave them for more than 6 hours”

“I should wear support hose”

“I should elevate my legs while resting”

“I should avoid prolonged standing and sitting”

Nurse Kit also gave recommendation to Trish that would be the most appropriate in order to prevent leg cramps. This
is to:

elevate the legs

avoid prolong standing

straighten the knee and dorsiflex the toes

change positions frequently

Nurse Kit instructs Trish on measures to alleviate heartburn. This will include: 

small but frequent feeding

increase fluid intake

lie down for an hour after eating

avoid between-meal snacks

Nurse Kit further explains to Trish that her shortness of breath is caused by: 

increased estrogen and progesterone levels

accumulation of fluid in the interstitial spaces

pressure of the enlarging uterus which pushes the diaphragm upward

production of human chorionic gonadotropin

Nurse Kit evaluates Trish’s understanding on the health teachings .A statement that would indicate that she needs
further instructions regarding self care is 

“I should maintain a well balanced diet”

“I should wash my breast with mild soap and water”

“I should avoid wearing constrictive clothings”

“I should have at least 8 hours of sleep”

https://www.registerednursern.com/true-vs-false-labor-maternity-nclex-questions/

A 39 week pregnant woman arrives to labor triage. The patient’s prenatal history includes gravidity 3, parity 2. What
signs and symptoms below indicate the patient is experiencing true labor? Select all that apply:

A. The patient states the contractions are located above the umbilicus.

B. Changing positions and walking does not decrease discomfort.

C. The contractions are regular.

D. The cervix is 90% effaced and dilated to 4 cm.

You’re assessing a pregnant patient who is 38 weeks pregnant for signs of labor. The patient states she has been
experiencing contractions that are 10-12 minutes apart. The contractions have decreased since she has been
walking. The fetal station is -4. Based on these findings, is this TRUE or FALSE labor?*

A. True labor

B. False labor

A 37 week pregnant patient is having consistent contractions, the cervix is 90% effaced, and cervix is 6 cm dilated.
The fetal station is +1.

A. True labor

B. False labor
A 40 week pregnant patient is experiencing some contractions that are weak, while others are strong in intensity.
When she walks or lies down it helps decrease the contraction pain. She states the contractions are hard to predict.

A. True labor

B. False labor

https://quizlet.com/50741507/labor-and-delivery-nclex-style-questions-flash-cards/

The nurse is monitoring a client in active stage of labor. The client has been experiencing contractions that are short,
irregular, and weak. The nurse documents that the client is experiencing which type of labor dystocia?

1. Hypotonic

2. Precipitous

3. Hypertonic

4. Preterm labor

Myrtle a 17 y.o. 4’11” tall, single and pregnant for the 1st time is admitted to the labor room due to recurrent
abdominal pain and passage of blood tinged vaginal discharge. Internal examination revealed 5-6 cms. Cervical
dilatation, 70% effaced, station 0 and leaking Bag of Water (BOW). Level II Group B1 is assigned in the Delivery
Room.

Based on the data presented above. Ms. Case knows Myrtle is in what stage of labor?

First

Third

Second

Fourth

Ms. Case explains to her students that the blood tinged mucus vaginal discharges is known as: 

lochia

show

operculum

rubra

The nurse best describes an effacement as the:

cervix becomes thinner

presenting part has descended into the pelvic brim

diameter of the presenting part of the fetus has passed through the pelvic inlet

presenting part is at the level of the ischial spine

Angelie, G1P0 is on her ninth month of pregnancy. She visits the clinic for her regular pre-natal check-up. Two weeks
before delivery, Angelie experiences entire relief of abdominal tightness and diaphragmatic pressure which she
previously experienced. This is due to: 

lightening

show

Braxton Hick’s contractions

rupture of membranes

After a week Angelie is wheeled into the Delivery Room with fully dilated and fully effaced cervix Bag of water (BOW)
(+) intact.

Artificial rupture of membrane is done. The nurse observes a greenish amniotic fluid. She should

monitor maternal vital signs

administer oxygen inhalation

place Angelie on left lateral position

monitor FHT

The nurse records the progress of Angelie’s labor. One contraction started at 10:16 and ended at 10:17. The next
contraction started at 10:19 ended at 10:21.The period between 10:16 to 10:21 is called:

intensity

interval

frequency

duration

Prior to the delivery of the placenta, oxytocin is given intramuscularly in order to prevent bleeding by:

constricting the blood vessels

closing the cervix

constricting the vagina

contracting the uterus

The nurse observes for signs of placental separation which include the following EXCEPT: 

Calkin’s sign

sudden gush of blood

uterus is palpable at the umbilical region

shortening of the cord

After the delivery of the placenta, the nurse should check for the: 

amount of blood loss

presence of the amniotic sac

completeness of the placenta

weight of the placenta

The following are correct statements about false labor, except?

A. The pain is irregular in intensity and frequency.

B. The duration of contraction progressively lengthens over time.

C. There is no bloody vaginal discharge.

D. The cervix is still closed.

The second stage of labor begins with ___ and ends with __?

A. Begins with full dilatation of cervix and ends with delivery of placenta.

B. Begins with true labor pains and ends with delivery of the baby.

C. Begins with complete dilatation and effacement of cervix and ends with delivery of the baby.

D. Begins with passage of show and ends with full dilatation and effacement of cervix.