Maternal final

Question 1

A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone?

Answer 1

Increase in muscle mass and strength

Question 2

A 10-year-old girl asks the nurse, “What is the first sign of puberty?” What is the correct nursing response?

Answer 2

Breast development

Question 3

A mother asks the nurse, “When will I know my child has entered puberty?” What will the nurse state based on an understanding of changes associated with puberty?

Answer 3

“Secondary sex characteristics, such as pubic hair, appear”

Question 4

What signifies the end of puberty for a male?

Answer 4

Mature sperm are formed.

Question 5

A 12-year-old female patient experienced menarche 3 months ago. Her mother voices concern to the pediatric office nurse regarding the irregularity of her daughter’s menstrual cycle. What is the nurse’s best response?

Answer 5

“Early cycles are often irregular.”

Question 6

What statement indicates a woman has correct information about oogenesis?

Answer 6

“Women have all of their ova at the time they are born.”

Question 7

A pregnant woman asks the nurse, “Will I be able to have a vaginal delivery?” The nurse knows that which is the most favorable pelvic type for vaginal birth?

Answer 7

Gynecoid

Question 8

A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. What would be an important point to teach this mother?

Answer 8

Milk is produced in ducts and lobules regardless of breast size.

Question 9

The nurse encourages the members of a prenatal class to seriously consider breastfeeding. What does breast milk provide in addition to nourishment for the infant?

Answer 9

Maternal antibodies

Question 10

A female patient reports her menstrual cycle consistently occurs every 32 days. What day of her cycle can the woman anticipate ovulation?

Answer 10

18

Question 11

A pregnant woman states, “My husband hopes I will give him a boy because we have three girls.” What will the nurse explain to this woman?

Answer 11

If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced

Question 12

The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates through the placenta to the fetus. What vessel(s) carry blood to the fetus?

Answer 12

One umbilical vein

Question 13

Which hormone is responsible for converting the endometrium into decidual cells for implantation?

Answer 13

progesterone

Question 14

When preparing to teach a class about prenatal development, the nurse would include information about folic acid supplementation. What is folic acid known to prevent?

Answer 14

Neural tube defects

Question 15

The nurse encourages adequate intake of folic acid for women of childbearing age before and during pregnancy. What is folic acid thought to decrease the incidence of in fetal development?

Answer 15

Neural tube defects

Question 16

The nurse is presenting a conference on gene dominance. What does the nurse report as the percentage of children carrying the dominant gene if one parent has a dominant gene and the other parent does not?

Answer 16

50%

Question 17

A patient asks the nurse to explain what is meant by “gene therapy.” What is the nurse’s best response?

Answer 17

Gene therapy can replace missing genes.

Question 18

The school nurse is counseling a group of adolescent girls. What does the nurse explain about sperm ejaculated near the cervix?

Answer 18

They survive up to 5 days and can cause pregnancy.

Question 19

A woman calls her health care provider to schedule prenatal visits in an uncomplicated pregnancy. How frequently will the nurse assist the patient to schedule these appointments?

Answer 19

Every 4 weeks until the 7th month, after which appointments will become more Frequent

Question 20

During the second prenatal visit, the nurse attempts to locate the fetal heartbeat with an electronic Doppler device. How early might fetal heart tones be detected with an electronic Doppler device?

Answer 20

10 weeks

Question 21

At her initial prenatal visit, a woman asks, “When can I hear the baby’s heartbeat?” At what gestational age can the fetal heartbeat be auscultated with a specially adapted stethoscope or fetoscope

Answer 21

18 weeks

Question 22

During the physical examination for the first prenatal visit, it is noted that Chadwick’s sign is present. What is Chadwick’s sign?

Answer 22

Bluish or purplish discoloration of the vulva, vagina, and cervix

Question 23

After the examination is completed, the patient asks the nurse why Chadwick’s sign occurs during pregnancy. What would the nurse explain as the cause of Chadwick’s sign

Answer 23

Vascular congestion in the pelvic area

Question 24

In a routine prenatal visit, the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats per minute from a rate of 160 beats per minute earlier in the pregnancy. What is the nurse’s first action?

Answer 24

Record the rate as a normal finding

Question 25

A woman who is 20 weeks pregnant is expected to experience: