QUIZ 3
[Initiating a gentle upward tap on the
1. Parity refers to which of the following descriptions?
[Number of children a female has delivered]
2. A 26-year old multigravida is 14 weeks’ pregnant and
is scheduled for an alpha-fetoprotein test. She asks the
nurse, “What does the alpha-fetoprotein test indicate?”
The nurse bases a response on the knowledge that this
test can detect: [Neural tube defects]
3. Fetal circulation occurs through the umbilical cord
from the fetus to the placenta. Which answer gives the
best description of what vein(s) and artery(ies) are
involved in fetal circulation? [Two umbilical arteries and
one umbilical vein]
4. The nurse is aware than an adaptation of pregnancy is
an increased blood supply to the pelvic region that
results in a purplish discoloration of the vaginal mucosa,
which is known as: [Chadwick's sign]
5. A nurse is assisting in performing an assessment on a
client who suspects that she is pregnant and is checking
the client for probable signs of pregnancy. Select all
probable signs of pregnancy. [Chadwick's sign]
6. In which of the following areas would the nurse
expect to observe chloasma? [Cheeks, forehead, and
nose]
7. A nursing instructor is conducting lecture and is
reviewing the functions of the female reproductive
system. She asks Mark to describe the follicle-
stimulating hormone (FSH) and the luteinizing hormone
(LH). Mark accurately responds by stating that: [FSH
and LH are released from the anterior pituitary gland.]
8. Why is the embryonic period the most crucial part of
prenatal development? [Because during this period the
cells are more susceptible to external damage that could
lead to the dysfunction of one or more organ systems.]
9. When assessing the adequacy of sperm for conception
to occur, which of the following is the most useful
criterion? [Sperm motility]
10. A 21-year old client, 6 weeks’ pregnant is diagnosed
with hyperemesis gravidarum. This excessive vomiting
during pregnancy will often result in which of the
following conditions? [Electrolyte imbalance]
11. A nurse midwife is performing an assessment of a
pregnant client and is assessing the client for the
presence of ballottement. Which of the following would
the nurse implement to test for the presence of
ballottement?
cervix]
12. The chief function of progesterone is the:
[Preparation of the uterus to receive a fertilized egg]
13. Which symptom is considered a first-trimester
warning sign and should be reported immediately by the
pregnant woman to her health care provider? [Vaginal
bleeding]
14. A woman who has completed one pregnancy with a
fetus (or fetuses) reaching the stage of fetal viability is
called: [Primipara]
15. What is the duration for which the sperm remains
viable in the female reproductive system? [3 to 5 days
after intercourse]
16. What are the 3 germ layer of the embryo?
[Endoderm, Mesoderm, Ectoderm]
17. When the blastocyst is implanted into the wall of the
uterus and starts developing and sends out hormones into
the blood stream [Implantation]
18. A nursing instructor asks a nursing student who is
preparing to assist with the assessment of a pregnant
client to describe the process of quickening. Which of
the following statements if made by the student indicates
an understanding of this term? [It is the fetal movement
that is felt by the mother."]
19. Gravida refers to which of the following
descriptions? [Number of times a female has been
pregnant]
20. A pregnant client states that she “waddles” when she
walks. The nurse’s explanation is based on which of the
following as the cause? [Relaxation of the pelvic joints.]
21. What the female hormones? [Progesterone and
Estrogen]
22. A woman who is 32 weeks' pregnant is informed by
the nurse that a danger sign of pregnancy could be:
[Alteration in the pattern of fetal movement]
23. Which of the following answers best describes the
stage of pregnancy in which maternal and fetal blood are
exchanged? [Maternal and fetal blood are never
exchanged]
24. A nurse is caring for a client in Health Center and
prepares to auscultate the fetal heart rate by using a
Doppler ultrasound device. The nurse most accurately
determines that the fetal heart sounds are heard by:
[Palpating the maternal radial pulse while listening to the
fetal heart rate.]
25. The developing cells are called a fetus from the:
[Eighth week to the time of birth]
26. A client is at 8 weeks gestation. Which of the
following findings would the nurse expect to see?
[Maternal ambivalence]
27. While performing Leopold's maneuvers on a
laboring woman, the nurse palpates a flat area in the
fundal region, a hard round mass on the left side, a soft
round mass on the right side, and small parts just above
the symphysis. The nurse concludes which of the
following? [The fetal presentation is scapular]
28. Cervical softening and uterine souffle are classified
as which of the following? [Probable signs]
29. A newly married couple plans to use the natural
family planning method of contraception. Understanding
how long an ovum can live after ovulation is important
to them. The nurse knows that his or her teaching was
effective when the couple responds that an ovum is
considered fertile for which period of time? [24 hours]
30. The nurse is caring for a primigravida at about 2
months and 1 week gestation. After explaining self-care
measures for common discomforts of pregnancy, the
nurse determines that the client understands the
instructions when she says: [Nausea and vomiting can be
decreased if I eat a few crackers before arising”]
31. During which phase of fetal development is the ball
of cells moving out of the Fallopian tubes and into the
uterus?
32. A nursing instructor asks a nursing student who is
preparing to assist with the assessment of a pregnant
client to describe the process of quickening. Which of
the following statements if made by the student indicates
an understanding of this term? [It is the fetal movement
that is felt by the mother.]
33. A 36-week gestation client is being seen in the
prenatal clinic. Where would the nurse expect the fundal
height to be felt? [At the xiphoid process]
34. A primigravid client is 39 weeks pregnant. Which of
the following symptoms would the nurse expect the
client to exhibit? [Urinary frequency]
35. Which of the following common emotional reactions
to pregnancy would the nurse expect to occur during the
first trimester? [Ambivalence, fear, fantasies.]
37. A nurse is reinforcing education for a client entering
the third trimester of pregnancy. The nurse determines
that the client understands the education when stating
she will immediately report which symptom? [Blurred
vision]
38. A nurse is describing the process of fetal circulation
to a client during a prenatal visit. The nurse accurately
tells the client that fetal circulation consists of: [Two
umbilical arteries and one umbilical vein]
39. An antenatal client is informing the nurse of her
prenatal signs and symptoms. Which of the following
findings would the nurse determine are presumptive
signs of pregnancy? Select all that apply. [Amennorhea]
40. If the ovum is to be fertilized, where is the most
common site of fertilization? [Ampulla of the fallopian
tube]
41. Which of the following urinary symptoms does the
pregnant woman most frequently experience during the
first trimester?[Frequency]
42. Which purposes of placental functioning should the
nurse include in a prenatal class? Select all that apply. [It
provides an exchange of nutrients and waste products
between the mother and developing fetus.]
QUIZ 2
1. Identify the signs and symptoms of Pregnancy:
Amenorrhea [Presumptive]
2. A client enters the prenatal clinic. She states that she
believes she is pregnant. Which of the following
hormone elevations will indicate a high probability that
the client is pregnant? [Chorionic Gonadotropin]
3. What are the Phases of Menstrual Cycle? Answer in
correct ORDER. [ Menstruation, Follicular phase,
Ovulation, Luteal Phase]
4. Identify the signs and symptoms of Pregnancy: ( + )
HCG Test [Presumptive]
5. A nursing instructor is conducting lecture and is
reviewing the functions of the female reproductive
system. She asks Mark to describe the follicle-
stimulating hormone (FSH) and the luteinizing hormone
(LH). Mark accurately responds by stating that: [FSH
and LH are released from the anterior pituitary gland.]
6. What are the four ( 4 ) Body Structures that are
involved in Physiology of Menstruation? [Ovaries,
Uterus, Hypothalamus, Fallopian tube] (NOT SURE)
7. A pregnant client tells the clinic nurse that she wants
to k now the sex of her baby as soon as it can be
determined. The nurse understands that the client should
be able to find out at 12 weeks' gestation because by the
end of the twelfth week: [The sex of the fetus can be
determined by the appearance of the external genitalia.]
8. A 36-week gestation client is being seen in the
prenatal clinic. Where would the nurse expect the fundal
height to be felt? [At the xiphoid process]
9. A nursing instructor asks a nursing student who is
preparing to assist with the assessment of a pregnant
client to describe the process of quickening. Which of
the following statements if made by the student indicates
an understanding of this term? [."It is the fetal
movement that is felt by the mother."]
10. Identify the signs and symptoms of Pregnancy:
Ballottement [Probable]
11. Identify the signs and symptoms of Pregnancy:
Quickening [Presumptive]
12. It is a stage of Human Sexual Response wherein the
body discharges all the accumulated sexual tension.
[Orgasm]
13. It is one of the probable sign of pregnancy wherein
there is a softening of the cervix [Goodell’s sign]
14. The nurse is counseling a couple who has sought
information about conceiving. The couple asks the nurse
to explain when ovulation usually occurs. Which
statement by the nurse is correct? [Two weeks before
menstruation]
15. Identify the signs and symptoms of Pregnancy:
Palpation of fetal outline [Positive]
16. Where thus fertilization occurs? [Fallopian Tube]
17. It is one of the probable sign of pregnancy wherein
there is a softening of the lower uterine segment.
[Hegar’s sign]
18. Stage of Human Sexual Response wherein it is
reached before orgasm. [Plateau]
19. A stage of Human Sexual Response that occurs with
physical and psychological stimulation. [Excitement]