IMMACULATE CONCEPTION COLLEGE-ALBAY D.

Contracts during labor

Daraga, Albay
10. The layer of the uterine wall that contracts during labor is the:
NCM 101 (Maternal & Newborn Nursing) A. Endometrium
by Paul Jhon A. Vergara, RN B. Myometrium
PRELIMINARY EXAMINATION C. Perimetrium
D. Epimetrium
Name:______________________________ Block:____
11. Ordinarily, the body of the uterus is positioned:
INSTRUCTIONS: Read each item carefully. Choose the best response A. Tipped slightly forward
to each question and shade the circle of the corresponding letter in B. Tipped backward
the separate answer sheet provided. C. Bent sharply forward
D. Bent sharply backward
1. The structures that form the female external genitalia are
collectively termed as the: 12. A positional deviation of the uterus in which the fundus is
A. Vagina tipped forward is termed:
B. Perineum A. Anteversion
C. Gonads B. Retroversion
D. Vulva C. Anteflexion
D. Retroflexion
2. The small erectile structure in the female external genitalia
which is the center of sexual arousal and orgasm in female is 13. What microorganism, that is part of the normal vaginal flora, is
called the: responsible for making the usual pH of the vagina acidic?
A. Vagina A. Candida albicans
B. Prepuce B. Döderleins bacillus
C. Clitoris C. Chlamydia trachomatis
D. Hymen D. Hemophilus ducreyi

3. To help improve sperm survival in the vagina, the pH of the 14. What is the primary purpose why the vaginal pH is acidic?
secretions from both Skene’s and Bartholin’s glands are A. To reduce odor
normally: B. To increase sperm survival
A. Acidic C. To maintain sterility of the vaginal canal
B. Alkaline D. To prevent infection
C. Neutral
D. None of the above 15. What type of pelvis is the most favorable for labor and
delivery?
4. The structure that is sometimes cut (episiotomy) during A. Android
childbirth to enlarge the vaginal opening is the: B. Gynecoid
A. Fourchette C. Platypelloid
B. Labia majora D. Anthropoid
C. Labia minora
D. Hymen 16. What are the two types of pelvis that are favorable for labor
and delivery?
5. The functions of the ovaries are the following EXCEPT: 1. Android
A. Produce, mature, and discharge ova 2. Gynecoid
B. Produce oxytocin 3. Platypelloid
C. Produce estrogen 4. Anthropoid
D. Produce progesterone A. 2 and 1
B. 2 and 3
6. In which part of the fallopian tube does fertilization usually C. 2 and 4
occurs? D. 1 and 3
A. Interstitial
B. Isthmus 17. The distance between the sacral prominence and the posterior
C. Ampulla surface of the lower margin of the symphysis pubis is the:
D. Infundibulum A. Diagonal conjugate
B. True conjugate
7. Which part of the cervix is at the level of the ischial spine? C. Obstetrical conjugate
A. Internal os D. Ischial tuberosity diameter
B. External os
C. Anterior os 18. When obtaining a client’s diagonal conjugate, the nurse knows
D. Posterior os that the adequate size for childbirth is:
A. > 11 cm
8. The layer of the uterine wall that grows and thickens each B. < 11 cm
menstrual cycle in preparation for implantation is the: C. > 12.5 cm
A. Endometrium D. < 12.5 cm
B. Myometrium
C. Perimetrium 19. A client has a diagonal conjugate measuring 13 cm, the nurse
D. Epimetrium estimates the client’s true conjugate is approximately:
A. 10.5-11 cm
9. Which of the following is not a function of the vagina? B. 11-11.5 cm
A. Organ of intercourse C. 11.5-12 cm
B. Conveys sperm to the cervix D. 12-12.5 cm
C. Serves as the birth canal
20. The following are body structures involved in menstruation B. Luteal phase
EXCEPT: C. Premenstrual phase
A. Hypothalamus D. All of the above
B. Pituitary gland
C. Ovaries 30. The structure in the fetus that carries oxygenated blood from
D. Adrenal cortex the umbilical vein to the inferior vena cava is the:
A. Ductus arteriosus
21. What condition stimulates the hypothalamus to release GnRH? B. Ductus venosus
A. Low serum level of progesterone C. Foramen ovale
B. High serum level of progesterone D. Pulmonary artery
C. Low serum level of estrogen
D. High serum level of estrogen 31. While discussing the growth and development of the fetus, you
were asked by the patient, “During what time in my pregnancy
22. What are the two gonadotropic hormones produced by the is my baby most vulnerable?” as a nurse your best response is:
anterior pituitary gland? A. “As your baby is forming in the first 2 months because
1. Luteinizing hormone organ development takes place at this time.”
2. Follicle stimulating hormone B. “Throughout your pregnancy.”
3. Human chorionic gonadortopin C. “Near the end of your pregnancy.”
4. Luteinizing hormone-releasing hormone D. “Halfway through your pregnancy: around 20 weeks or 5
A. 3 and 2 months.”
B. 3 and 4
C. 1 and 2 32. An adolescent girl asks the nurse at a clinic if the “test for
D. 1 and 3 virginity” is an intact hymen. The correct response is:
A. “Evidence of bleeding with a first sexual encounter
23. Which of these statements are true regarding FSH? indicates virginity.”
1. Responsible for ovulation B. “No, this is a common myth. The hymen may be torn
2. Stimulates maturation of ovum during exercise, the use of tampons, masturbation, or
3. Active during first half of menstrual cycle other activities.”
4. Most active at the midpoint of the cycle C. “Yes, an intact hymen isn’t seen in sexually active and
A. 1 and 3 parous women.”
B. 1 and 4 D. “Why are you asking this question? Are you sexually
C. 2 and 3 active?”
D. 2 and 4
33. The area in the female between the vagina and the anus is
24. Which of these statements are true regarding LH? known as the:
1. Responsible for ovulation A. Vestibule
2. Stimulates maturation of ovum B. Mons pubis
3. Active during first half of menstrual cycle C. Perineum
4. Most active at the midpoint of the cycle D. Labia majora
A. 1 and 3
B. 1 and 4 34. Gabriel, a student nurse, is asked by a patient, “What
C. 2 and 3 determines if my baby’s lungs are mature?” Gabriel’s correct
D. 2 and 4 response is:
A. Fern test
25. For a woman having a 30-day cycle, ovulation would occur on: B. Nitrazine test
A. Day 13 C. Phosphatidylglycerol test
B. Day 14 D. Lecithin-sphingomyelin ratio
C. Day 15
D. Day 16 35. The L/S ratio that indicates fetal lung maturity is:
A. 2:1
26. After ovulation, the corpus luteum forms and is filled with a B. 2:2
bright-yellow fluid called lutein. Lutein is high in what specific C. 1:2
hormone? D. 1:1
A. Oxytocin
B. Estradiol 36. At about 24th week of pregnancy the fetus starts producing
C. Estrogen surfactant. The function of surfactant is to:
D. Progesterone A. Lubricate the fetus
B. Cushion the fetus
27. What do you call the vague pain on either right or left lower C. Increase the surface tension in the alveoli
quadrant that is sometimes felt by a woman during ovulation? D. Prevent collapse of the alveoli
A. Dysmenorrhea
B. Spinnbarkeit 37. The portion of the uterus whose significant characteristic is to
C. Mettelschmerz stretch during childbirth is the:
D. Dyspareunia A. Corpus
B. Fundus
28. The proliferative phase is also called the: C. Cervix
A. Estrogenic phase D. Internal os
B. Follicular phase
C. Postmenstrual phase 38. The usual site for implantation of the zygote is:
D. All of the above A. Low in the uterus, in the anterior surface
B. Low in the uterus, in the posterior surface
29. The secretory phase is also called the: C. High in the uterus, in the anterior surface
A. Progestational phase D. High in the uterus, in the posterior surface
39. When teaching a pregnant woman the position to maximize B. At the level of the umbilicus
uterine perfusion, the nurse instructs the client to lie: C. Midway between the symphysis pubis and the umbilicus
A. Supine D. At the level of the xiphoid process
B. Prone
C. On her right side For items 51-60 write your answer in the space provided in the
D. On her left side separate answer sheet.

40. Which of these conditions can lead to oligohydramnios? 51. A client’s last menstrual period is from May 23-26, 2009. Using
A. Disturbance in kidney function Nagele’s rule, what is this patient’s EDD?
B. Esophageal atresia
C. Anencephaly 52. A client’s last menstrual period is from February 2-5, 2009.
D. Diabetes mellitus Using Nagele’s rule, what is this patient’s EDD?

41. The fetal heart starts to beat at: 53. A nurse measures the fundal height of a client and notes that it
A. 18th day is 27 cm, based on the McDonald’s rule, the client’s age of
B. 20th day gestation is how many weeks?
C. 22nd day
D. 24th day 54-60. Fill in the blanks to complete the fetal circulation.

42. The fetal heart beat can be heard using a Doppler at: PLACENTA → OXYGENATED BLOOD → 54___ → 55___
A. 6th-8th week → INFERIOR VENA CAVA → RIGHT ATRIUM → 56____ →
B. 8th-10th week 57_ ___ → LEFT VENTRICLE → AORTA → CIRCULATION →
C. 10th-12th week UNOXYGENATED BLOOD → VENA CAVA → RIGHT ATRIUM → RIGHT
D. 12th-14th week VENTRICLE → __ 58_____ → 59_____ → AORTA →
DESCENDING AORTA → 60_____ → PLACENTA
43. The fetal heart sounds are audible with an ordinary
stethoscope at the end of:
A. 12th week
B. 16th week
C. 20th week
D. 24th week

44. Which of the following immunoglobulins crosses the placenta

to provide the fetus a temporary passive immunity against
diseases for which the mother has antibodies?
A. IgA
B. IgG
C. IgM
D. IgE

45. The immunoglobulin described in item no. 44 crosses the

placenta during the:
A. 1st trimester
B. 2nd trimester
C. 3rd trimester
D. 4th trimester

46. The umbilical arteries carry:

A. Oxygenated blood to the placenta
B. Oxygenated blood to the fetus
C. Deoxygenated blood to the placenta
D. Deoxygenated blood to the fetus

47. The umbilical vein carries:

A. Oxygenated blood to the placenta
B. Oxygenated blood to the fetus
C. Unoxygenated blood to the placenta
D. Unoxygenated blood to the fetus

48. The black or greenish and sticky stool of a newborn is called:

A. Wharton’s jelly
B. Transition stool
C. Vernix caseosa
D. Meconium

49. Hydramnios is a condition wherein the amniotic fluid is:

A. >2,000 mL
B. <2,000 mL
C. >300 mL
D. <300 mL

50. At 12 weeks age of gestation, the fundus is:

A. Just above the symphysis pubis