Beruflich Dokumente
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MATERNITY NURSING
Supplemental Review
(Post-Test)
Name:_______________________ Date:____________________
Year and Section:______________ Score:___________________
34. A diagnostic test used to evaluate fertility is 42. The thickened endometrium in which the
the post-coital test, it is best timed: fertilized ovum implants is called:
a. immediately after menses a. endoderm
b. within 1-2 days of presumed ovulation b. deciduas
c. one week after ovulation c. amnion
d. just prior to the next menstrual period d. chorion
35. In the female, evaluation of the pelvic organs 43. The outer membrane that helps form the
of reproduction is accomplished by; placenta is:
a. cystoscopy a. amnion
b. biopsy b. yolk sac
c. culdoscopy c. chorion
d. hysterosalphingogram d. alantois
36. A factor in sterility may be related to the pH 44. The primary function of human chorionic
of the vaginal canal. A frequent medication that gonadotropin (HCG) is to:
is ordered to alter the vaginal pH is: a. confirm the diagnosis of pregnancy
a. sulfur insufflation b. maintain the corpus luteum during the first
b. sodium bicarbonate douches trimester
c. lactic acid douches c. nourish the fetus
d. estrogen therapy d. stabilize the uterus during pregnancy
37. In dealing with the couple that has been 45. The principal source of estrogen and
identified as having an infertility problem, the progesterone during the 1st 6 to 8 weeks of
nurse should know that: pregnancy is the:
a. one partner has a problem that makes them a. pituitary gland
unable to have children b. embryonic chorion
b. the couple has been unable to have a child c. corpus luteum
after for a year d. adrenal cortex
c. infertility is usually psychologic in origin
d. infertility and sterility are essentially the same 46. Which of the following is a function of the
problem placenta?
a. allows exchange by osmosis across a semi-
38. In assessing the adequacy of sperm for permeable membrane
conception, which of the following is the single b. prevents exchange between fetal and maternal
most useful criterion? blood
a. sperm count c. protects the fetus from viral infection during
b. sperm motility the first 3 months of pregnancy
c. sperm maturity d. allows exchange to occur only by the process
d. sperm volume of diffusion
39. The optimum time of intercourse to increase 47. The placenta forms from the:
the likelihood of conception includes all of the a. chorionic villi and decidua vera
following EXCEPT: b. chorionic villi and decidua capsularies
a. ovulation occurs 15 days before the onset of c. decidua basalis and decidua vera
the next menstrual cycle d. chrionic villi and decidua basalis
b. an ovulated egg has a lifespan of 12 to 24
hours 48. Aside from producing hormones to maintain
c. the male’s abstinence from ejaculation 72 to pregnancy, the placenta:
96 hours increases the likelihood of conception a. cushions the fetus against pressure
d. ejaculated sperm have a lifespan of 24 to 48 b. maintains the fetus at even temperature
hours c. acts a s transfer organ for metabolic processes
d. brings maternal blood directly to the fetus for
40. The prostate gland adds alkaline secretions to nutrition
semen to:
a. ensure semen is the same pH as the vagina 49. The amniotic fluid serves the following
b. increase sperm motility functions EXCEPT:
c. promote sperm growth a. helping to dilate the cervix
d. provide nutrients and prostaglandins 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--------------------------------------------------------