Ob (exam and quiz)

You plan to review normal menstruation with an early adolescent. You would teach that during the second half of a typical menstrual cycle, the endometrium of the uterus becomes:

corkscrew-like due to progesterone released

While reviewing laboratory results for a client at 20 weeks' gestation, the nurse notes her hemoglobin (Hb) level has decreased from 13 to 11 g/dl. The most likely explanation for this decrease is:

hemodilution related to increased maternal blood volume

30-year-old client in her second trimester is complaining of constipation. To increase bowel motility, the nurse should recommend:

including fiber in the diet

Secondary sex characteristics in male are the following except:

increased in the diameter of the pelvis

A woman's physician has suggested that she eat iodized salt during pregnancy. You would explain that the reason for the precaution is

thyroid activity, which depends on iodine intake, increases during pregnancy

An 18-vear-old women in her 8th week of pregnancy is being evaluated. Which positive sign of pregnancy should the nurse expect to be present?

visualization of the fetus by ultrasound examination

An 18-year-old women in her 8th week of pregnahry is being evaluated. Whet positive sign of pregnancy should the nurse expect to be present?

visualization of the fetus by ultrasound examination

Which of the following signs and symptoms is a presumptive sign that may be present at 8 weeks' gestation?

breast enlargement and tenderness

In the male reproductive system, spermatogenesis occurs during which life stage?

Adolescence

The luteinizing hormone (LH) and follicle stimulating hormone (FSH) are produced by the

Anterior pituitary gland

A nurse instructs a perinatal client about measures to prevent urinary tract infections. Which statement by the client would indicate an understanding of these measures?

"I should choose underwear with a cotton panel liner."

A pregnant woman has developed varicosities. Which statement by her would suggest she needs additional health teaching concerning this?

"I wear knee-highs rather than pantyhose.

A 36-year-old multiparous woman in her first trimester is in the clinic for a routine prenatal visit.She complains of fatigue and nausea and says, "I can't believe I'm pregnant!" Which response from the nurse would be most appropriate?

"Many woman experience ambivalent feelings about being pregnant. Is this how you're feeling?"

What is the measurement of occipitofrontal diameter of the head?

12 cm

Heart rate is audible by doppler at:

12 weeks

The length of normal labor in primi is:

14 HOURS

What is the functional life span of the sperm once it is deposited in the female reproductive organ?

2-3 days

At what time in pregnancy will a primigravida woman most likely feel fetal movement for the first time

20 weeks

What is the life span of the ovum ince it is release by ovary?

24 hours

What is the correct order to the phases of the sexual response cycle?

Excitement phase, plateau phase, orgasm, resolution phase

At 17 weeks' gestation, a fetus isn't considered to be ballettable. Ballottement means that:

the examiner feels rebound movement of the fetus

At 17 weeks' gestation, a fetus isn't considered to be ballottable. Ballottement means that:

the examiner feels rebound movement of the fetus

A pregnant client asks you about fetal development. At approximately what gestational age does the fetus' single and chambered heart begin to beat and pump its own blood cells through main blood vessels?

8 weeks

The normal female pelvis is well suited for labor and birth and has:

A rounded inlet, nonprominent ischial spines, straight side walls, and a deep and roomy posterior segment.

The following statement is true regarding Vas Deferens, except:

A. it carries sperm from the epididymis through the inguinal canal into the abdominal cavity, where it ends at the seminal vesicles and the ejaculatory ducts. B. The length is controversial, approximately 20 ft long. C. Sperm mature as they pass through the vas deferens D. It acts as reservoir for sperm between ejaculations. (this one bitch)

To screen for preeclampsia, kidney stress or renal problems, the nurse is assessing for:

ALBUMINURIA

The nurse should explain to the newly pregnant primigravida that the fetal heartbeat will first be heard with

An electronic Doppler at 10-12 weeks

Hematocrit and hemoglobin are assessed to screen for:

Anemia

If a pregnant woman's menstruation began on October 27 and ended on November 2, the estimated due date of her delivery would be nearest:

August 4

A primigravida complains of morning sickness. The nurse should plan to teach her to:

Avoid long periods without food

The client tells the nurse that she often experiences orgasms during sexual intercourse. The nurse should explain to the client that the primary anatomic female structure involved in sexual arousal and orgasm is the

Clitoris

What encapsulates the surface of the trophoblast?

Decidua capsularis

It carries oxygenated blood from pulmonary artery to aorta, bypassing fetal lungs, becomes ligamentum arteriosum after birth.

Ductus arteriosus

A woman who is 4 months pregnant has heartburn (pyrosis. Which of the following suggestions would you give her?

Eat small frequent meals and do not lie down every after meal

When performing Leopold's maneuver, which of the following would the nurse ask the patient to do ensure optimal comfort and accuracy?

Empty her bladder

A 15-year-old female visits the clinic for a routine examination. The nurse notes that she exhibits changes in her appearance that commonly occur during pregnancy, including an increase in breast size. Which hormone is partly responsible for the growth and increase vascularity of breast tissue during pregnancy?

Estrogen

pregnant woman comes to the clinic complaining of nasal stuffiness. Nasal stuffiness during pregnancy is caused by:

Estrogen

The nurse teaches a primigravida how to measure the frequency of uterine contractions. The nurse should explain to the client that the frequency of uterine contractions is determined:

FROM THE BEGINNING OF ONE CONTRACTION TO THE END OF THE SAME CONTRACTION

Folic acid supplements are prescribed for a prenatal client. The nurse is aware that these are necessary to prevent:

Fetal neural tube defect

It connects the left and right atrium, bypassing fetal lungs, becomes fossa ovalis after birth?

Foramen ovale

The ovary will release the egg cell once it is mature. What is the term used for mature ovum?

Graafian follicle

What to expect during the 24 weeks of fetal development?

Hearing can be demonstrated by response to sudden sound

Which among the following does not pertain to fertilization?

Nidation

Fainting is common in pregnant clients during the first trimester due to:

Hypoglycemia

All pregnant women should be taught how to recognize preliminary signs of labor which is:

INCREASE IN LEVEL OF ACTIVITY

It is done when mother is Rh negative and father is Rh positive to assay danger to fetus which is signified by a rising titer.

INDIRECT COOMBS TEST

What are the three divided parts of innominate bone?

Ilium, Ischium, Pubis

A client who is 10 weeks pregnant returns for her second prenatal visit. She asks why she has to urinate so often. The nurse tells her that urinary frequency in the first trimester is:

Influenced by the enlarging uterus, which is still contained in the pelvis

The portion of the bone on whieh the person sits:

Ischial Tuberosities Or Ischuim (depende nalang sa choices)

If Esme's Last menstrual period is May 27, her menstrual cycle is 28, when does her ovulation start

June 9

At about 2 weeks before delivery, a pregnant client experiences entire relief of abdominal tightness and diaphragmatic pressure brought about by the previous months. This is due to:

LIGHTENING

The pregnant client is concerned about lack of fetal movement. What instructions would the nurse give that might offer reassurance?

Lie down once a day and count the number of fetal movements for 1 hour

Test to determine chromosomal anomaly, neural tube or abdominal defect present in the fetus.

MSAFP

In the male, a primary reason for the scrotal sac to be descended is to:

Maintain a temperature lower than that of the body to ensure spermatogenesis.

A client at 10 weeks gestation tells the nurse that she voids often, without dysuria, and would like to know what to do. The nurse is aware that this client will have to:

Maintain increased fluid intake during the day nomast

A pregnant client is experiencing nausea and vomiting. The nurse is aware that this discomfort:

Maybe related to the human chorionic gonadotropin (HCG) level

Refers to periodic uterine bleeding in response to cyclic hormonal changes.

Menstrual Cycle

Refers to germ layer supporting structures of the body (connective tissues, bones, cartilage, muscle, ligaments and tendons)

Mesoderm

This serves the important function of constricting the tubal junctions and preventing regurgitation of menstrual blood into the tubes

Myometrium

Which of the following statement is true about Ductus Venous?

carry oxygenated blood from umbilical vein to inferior vena cava, bypassing fetal liver, becomes ligamentum venosum after birth.

As pregnancy nears term, the production of this hormone by the posterior pituitary gland increases which leads to contraction.

OXYTOCIN

In a regular 32-day menstrual cycle, the client will probably ovulate:

On 18 day

A curve passage of the pelvis that slows and controls the speed of birth therefore reduces sudden pressure changes in the fetal head, which might rupture cerebral arteries

Pelvic Cavity

The following are characteristics of normal sperms. Which one is not included?

Ph is acidic

Viruses that can infect the fetus can also cross the placenta in this manner

Pinocytosis

It serve as the fetal lungs, kidneys and gastrointestinal tract and a separate endocrine organ throughout pregnancy.

Placenta

An expectant mother asks about physiologic changes in the circulatory system during pregnancy.Which response is correct?

Pregnancy results in a lower hemoglobin level because of increase blood volume

A nurse is teaching a client about menstruation. She explains that the predominant hormone produced by the ovaries in the secretory phase of the menstrual cycle is:

Progesterone

Which hormone is said to be the hormone for mothers?

Progestogen

The first phase of the endometrial cycle is the:

Proliferative phase

A 25-year-old primiparous client arrives for her first prenatal visit at 10 weeks gestation. She seems nervous and has many questions. Which action should the nurse take first?

Reassure the client that all her questions will be answered during the visit.

What is the smallest diameter of the fetal head?

SUBOCCIPITOBREGMATIC

Spermatogenesis takes place in the male's:

Semeniferous tubules

Refers to a phospholipid substance is formed and excreted by the alveolar cells at about the 24th week of pregnancy.

Surfactant

What is the junction of the innominate bones at the front of the pelvis?

Symphysis pubis

Which of the following cardiac conditions is normal during pregnancy?

Systolic mumurs

The nurse is monitoring for the duration of the contraction, which is:

THE LENGTH OF ONE CONTRACTION

A 22-year-old client is at 20 weeks' gestation. She asks the nurse about the development of her fetus at this stage. Which of the following developments occurs at 20 weeks' gestation?

The fetus follows a regular schedule of turning, sleeping, sucking and kicking.

stands Part system is used to document a client's previous pregnancies. Which phrase does TPAL

Term neonates, Preterm neonates, Abortions, and Living children

This provide a circulatory pathway connecting the embryo to the chrionic villi

Umbilical cord

Which statement best describes when fertilization occurs?

When the spermatozoon passes into the ovum and the nuclei fuse into a single cell.

Which talement best describes when fertiation ocars?

When the spermatozoon passes into the ovum and the nuclei fuse into a single cell.

It acts as a protective mechanism for the fetus against a blow on the mother's abdomen.

amniotic fluid

It produces the amniotic fluid.

amniotic membrane

A nurse is preparing to check the fetal heart rate of a pregnant woman who is at gestational week 16. Which piece of equipment will the nurse most appropriately use to check the fetal heart rate?

an adult stethoscope

Which statement regarding physiologic changes in the gastrointestinal system during pregnancy is accurate

delayed emptying of the stomach contributes to many GI symptoms

Which statement regarding physiologic changes in the gastrointestinal system during pregnancy is accurate?

delayed emptying of the stomach contributes to many GI symptoms

A woman in early pregnancy is concerned because she is nauseated every morning. The best measure you would suggest to relieve this is to

eat dry toast or crackers 30 minutes before arising in the morning

The client tells the nurse that he has been vomiting after breakfast nearly every morning. Which of the following measures should the nurse suggest to help the client cope with early morning nausea and vomiting?

eat dry, unsalted crackers before arising in the morning

A pregnant woman comes to the clinic complaining of nasal stuffiness. Nasal stuffiness during pregnancy is caused by:

estrogen

A pregnant woman experiences frequent leg cramps. You would teach her that the best method for relieving these is to

extend her knee and dorsiflex her foot

While discussing anatomy and physiology of the reproductive cycle, the client asks the nurse,"Where is the ovum fertilized?" The best response by the nurse is to instruct the client that fertilization normally occurs in the

fallopian tube

At her 24-week check-up, you assess a client's urine and discover it is 1+ for sugar by a dipstick test. You would base your evaluation of this finding on which of the following statements?

lactose may be spilling into her urine

Due to increase estrogen production, the activity of the epithelial cells increases, thus increasing the amount of vaginal discharges called

leukorrhea

Which action occurs during the follicular phase of the menstrual cycle?

maturation of an ovum

Below are signs and symptoms and conditions associated with pregnancy. Those which the patient might notice and describe in the first trimester of pregnancy are:

morning sickness and chadwicks sign

In discussing rest and sleep for pregnant woman, the position you would suggest she nap is in

on her side with the weight of the uterus on the bed

In discussing rest and sleep for pregnant woman, the position you would suggest shé nap is in

on her side with the weight of the uterus on the bed

In explaining the development of her baby, you identified in chronological order growth of the fetus as it occurs in pregnancy as:

ovum, zygote, embryo, fetus, infant

In pregnancy, frequent urination results mainly from

pressure on the bladder from the uterus

Besides amenorrhea, the client tells the nurse that she experienced nausea and vomiting, urinary frequency, and fatigue. The nurse determines that the client has been experiencing signs of pregnancy considered

presumtive

A nurse performs a prenatal assessment on a client in the first trimester of pregnancy and discovers that the client frequently consumes alcohol beverages. The nurse initiates to assist the client to avoid alcohol consumption in order to:

reduce the risk of teratogenic effects to developing fetal organs, tissues and structures

Which of the following is the disadvantage of having a midline type of episiotomy?

risk for extending the cut to the anus

All of which are associated with increase skin pigmentation except:

striae gravidarum

This layer of cells is instrumental in the production in the production of HCG, HPL, estrogen and progesterone.

syncytiotrophoblast

The nurse has instructed the group about the functions of the placenta. After giving the instruction, the nurse knows that a client needs further instruction when she says that the hormones produced by the placenta include:

testosterone