Exam Questions Ch4 Human Reproduction And Fetal Development - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 4: Human Reproduction and Fetal Development
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which of the following female external genital organs is correctly matched to its description?
1) | Bartholin glands - secrete lubricating fluids |
2) | Mons pubis - folds of tissue that form a hood-like structure |
3) | Perineum - a muscular triangle-shaped organ located between the rectum and bladder |
4) | Clitoris - have sweat and sebaceous glands to lubricate the surface |
____ 2. A pregnant woman lives in a community that is experiencing a measles outbreak because of a lack of immunization. The woman says she heard that measles is teratogenic and does not know what that means. Which statement by the nurse best explains this concept?
1) | “The growing baby can catch measles and get very sick.” |
2) | “The measles virus acts as a harmful substance that could hurt the fetus.” |
3) | “A teratogen, such as the measles virus, can cause fetal death.” |
4) | “It means that a mother exposed to measles will probably miscarry.” |
____ 3. The nurse is caring for a young man with testicular cancer who is preparing for removal of the left testicle. The patient asks, “Does this mean I won’t be able to father a child?” Which is the nurse’s best response?
1) | “You can arrange with your doctor to have sperm frozen and stored for when you want children.” |
2) | “Although your sperm count will be lower, there is still a chance you could father a child. However, it may take longer.” |
3) | “This is an important discussion to have with your physician, who can discuss the chances of fathering a child.” |
4) | “Removal of one testicle will have no impact on your ability to father a child because the other testicle will function.” |
____ 4. In fetal circulation, the oxygenated blood bypasses the liver through which structure?
1) | Foramen ovale |
2) | Placenta |
3) | Ductus venosus |
4) | Ductus arteriosus |
____ 5. The nurse admits a woman in the second trimester of pregnancy to the obstetric clinic for her regular examination. The patient asks the nurse if it is safe to take acetaminophen for minor pain during pregnancy. Which is the nurse’s best response?
1) | “Acetaminophen is a Category A medication, so it is safe to take during pregnancy.” |
2) | “The safest thing for the growing fetus is to avoid all medications during pregnancy.” |
3) | “What kind of medication have you taken in the past for minor pain?” |
4) | “Talk with the provider about the safest medications to take during pregnancy.” |
____ 6. The nurse is educating a patient at 4 weeks’ gestation about the development of the fetus. How should the nurse respond when the patient asks when she can find out the gender of the fetus?
1) | “We can do an ultrasound today and determine the sex.” |
2) | “We can do an ultrasound at 8 weeks and determine the sex.” |
3) | “We can do an ultrasound at 12 weeks and determine the sex.” |
4) | “We can do an ultrasound at 20 weeks and determine the sex.” |
____ 7. The newborn nursery nurse admits a baby born with a congenital defect of the digestive tract and recognizes that this is due to an anomaly in which layer during cell differentiation?
1) | Ectoderm |
2) | Mesoderm |
3) | Endoderm |
4) | Pyloderm |
____ 8. If fertilization does not occur, shedding of the uterine lining begins due to a decrease in which hormones?
1) | Estrogen and progesterone |
2) | Estrogen and luteinizing hormone |
3) | Progesterone and follicle-stimulating hormone |
4) | Progesterone and luteinizing hormone |
____ 9. A man with low sperm count is undergoing testing for his condition. The nurse knows that his condition could be attributed to an issue with what gland?
1) | Adrenal |
2) | Posterior pituitary |
3) | Anterior pituitary |
4) | Parathyroid |
____ 10. The nurse is educating a patient about the process of fertilization. Which statement by the patient requires correction?
1) | “The sex of the embryo is determined at fertilization.” |
2) | “Of 14 million sperm deposited into the vagina during ejaculation, only 1 to 10 sperm reach the fallopian tube.” |
3) | “The sperm and the egg are called zygotes.” |
4) | “The male can contribute and X or Y chromosome, which determines the sex of the baby.” |
____ 11. Human chorionic gonadotropin (hCG) is produced to support the development of the embryo and is an indicator for pregnancy. How long after conception is hCG detectable in urine?
1) | 4–6 days |
2) | 8–10 days |
3) | 12–14 days |
4) | 16–18 days |
____ 12. Which of the male reproductive organs transports sperm and brings the sperm to maturity?
1) | Urethra |
2) | Vas deferens |
3) | Seminiferous tubules |
4) | Epididymis |
____ 13. A defect in the ectoderm layer could cause issues with what organ of the body?
1) | Kidneys |
2) | Lungs |
3) | Eyes |
4) | Heart |
____ 14. The nurse is educating a woman who is pregnant with twins about the differences between monozygotic and dizygotic twins. Which statement should the nurse include in the teaching?
1) | Dizygotic twins form when a single fertilized egg splits. |
2) | Babies born from the same egg are termed fraternal. |
3) | In monozygotic twins, each embryo will have its own amniotic sac but will share a placenta. |
4) | In monozygotic twins, each zygote develops separately and implants into the uterus. |
____ 15. The nurse is assessing a newborn and notes that the infant has a small head, flat face, and narrow eye openings. What is a possible explanation for this finding?
1) | The mother consumed a high quantity of tuna. |
2) | The newborn has trisomy 21. |
3) | The mother consumed alcohol during pregnancy. |
4) | The mother had an excessive exposure to secondhand smoke. |
____ 16. Which hormone is responsible for increasing a mother’s metabolism during pregnancy?
1) | Relaxin |
2) | Human placental lactogen |
3) | Human chorionic gonadotropin |
4) | Estrogen |
____ 17. A fetus weighs 780 g and has developed hand grip and startle reflex but is not yet using the senses of vision and hearing. This growth and development pattern of the fetus is consistent with what gestational age?
1) | 4 months |
2) | 5 months |
3) | 6 months |
4) | 7 months |
____ 18. Which of the following is the correct pathway of blood from the mother to her fetus?
1) | Mother’s blood, placenta, umbilical vein, liver, heart |
2) | Mother’s blood, umbilical vein, placenta, liver, heart |
3) | Mother’s blood, placenta, liver, umbilical vein, heart |
4) | Mother’s blood, umbilical vein, liver, placenta, heart |
____ 19. Which statement indicates that a mother understood the information about the function of the placenta taught by the nurse?
1) | “My blood flows through the placenta into the baby and returns to my body to oxygenate.” |
2) | “My body removes wastes and provides nutrients and oxygen to the baby when our blood mixes.” |
3) | “The placenta grows and functions because of the production of progesterone from the ovaries.” |
4) | “The placenta separates my blood from the baby’s and produces hormones until delivery.” |
____ 20. Which finding is normal when assessing a newborn shortly after birth?
1) | The umbilical cord has two arteries and one vein. |
2) | The umbilical cord has one artery and one vein. |
3) | The umbilical cord has one artery and two veins. |
4) | The umbilical cord is 0.25 in. in diameter. |
____ 21. A patient who recently delivered twins has learned that each baby has a different father. How does the nurse interpret this finding?
1) | The twins are monozygotic. |
2) | The twins are dizygotic. |
3) | There was a mistake in testing because this is not possible. |
4) | The twins have different gestational ages. |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 22. The measurement of a pregnant woman’s abdomen reveals that her amniotic fluid may be low. The nurse knows that amniotic fluid serves what function(s)? (Select all that apply.)
1) | Protecting the fetus from bacteria from the vagina |
2) | Preventing compression of the umbilical cord |
3) | Allowing the amniotic membrane from adhering to the fetus |
4) | Cushioning the fetus |
5) | Providing fluid for the analysis of fetal health and maturity |
____ 23. The nurse reviews the chart of a man undergoing testing to determine the cause of infertility. Which hormone levels will the nurse review as a possible cause of the patient’s low sperm count? (Select all that apply.)
1) | Follicle-stimulating hormone |
2) | Luteinizing hormone |
3) | Testosterone |
4) | Estrogen |
5) | Progesterone |
____ 24. The nurse performs a cervical examination on a woman in labor and recognizes that the elasticity of the cervix results from which characteristics of the anatomy? (Select all that apply.)
1) | High fibrous content of the supportive tissue |
2) | Large number of folds in the cervical lining |
3) | High collagenous content of the supportive tissue |
4) | Location of the uterosacral ligaments |
5) | Mucus-secreting glands |
Completion
Complete each statement.
25. Rank these events in the order in which they occur. (Enter the number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234)
1) Secretion of luteinizing hormone
2) Release of an egg
3) Release of progesterone by the corpus luteum
4) Fertilization of the ovum
5) Implantation into the endometrium
Chapter 4: Human Reproduction and Fetal Development
Document Information
Connected Book
Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer