Midterm Exam P1.1

Question 1

Since this is her first pregnancy, which of the following terms is her maternal cycle?
A. Multipara
B. Primipara
C. Multigravida
D. Paragravida

Answer 1

B. Primipara

Question 2

The women who are attending the reproductive health lecture asked the nurse which hormones are responsible for birth control, which of the following is the best response of the nurse?
A. Testosterone and estrogen
B. Testosterone and progesterone
C. Progesterone and Follicle stimulating hormone
D. Estrogen and progesterone
E. Follicle stimulating hormone and Luteinizing hormone

Answer 2

D. Estrogen and progesterone

Question 3

Teresa attended the first session of the lecture and the nurse was explaining to the client about monthly hormonal changes. Starting with day 1 of the menstrual cycle, and asked them to place the following four hormones in the chronological order in which they elevate during the menstrual cycle. Which of the following is the best answer?
1. Follicle-stimulating hormone
2. Gonadotropin-releasing hormone
3. Luteinizing hormone
4. Progesterone

A. 2- 1- 3 - 4
B. 1- 2-3 - 4
C. 3- 4- 2- 1
D. 4 – 3 - 1 – 2

Answer 3

A. 2- 1- 3 - 4

Question 4

Teresa asked the nurse that if a woman is menstruating and if studies were to be done at this time, which of the following hormonal levels the nurse would be expecting?
A. Both estrogen and progesterone are high
B. Estrogen is high and progesterone is low
C. Estrogen is low and progesterone is high
D. Both estrogen and progesterone are low

Answer 4

C. Estrogen is low and progesterone is high

Question 5

While the nurse is teaching the woman about menstrual cycle, Teresa asked which of the following is the most important change that happens during the follicular phase of the menstrual cycle?
A. Maturation of Graafian follicle
B. Multiplication of the fimbriae
C. Secretion of human chorionic gonadotropin
D. Proliferation of the endometrium

Question 6

Teresa expressed to the nurse that she is worried that she might be sub fertile because both breast development and her first menstrual period occurred later than most of her friends. To increase her self-esteem and meet her learning needs, what will be the nurse best statement?
A. Adrenarche, the development of breast, typically occurs before the first menstrual period.
B. Breast development, termed mamarche, is not fully complete until about age 25 years.
C. The time for development of breast varies a great deal and is termed thelarche.
D. Menarche, the term for breast development typically occurs before 12 years of age

Question 7

A nurse was assigned to attend to her needs, which of the following will be the initial action of the nurse?
A. Prepare for her physical examination.
B. Assess her menstrual health history, family and sexual history.
C. Submit her for laboratory test
D. All may be the priority of the nurse.

Question 8

Teresa stated that her menstrual period was last January 19. Which of the following dates will be her ovulation period?
A. March 1
B. March 10
C. Feb. 8
D. Feb. 4

Question 9

Using the Naegel’s Rule, which of the following will be her estimated date of delivery (EDD)?
A. October 12
B. October 26
C. Sept. 26
D. Sept. 19

Question 10

When she asks, “If I am pregnant now, would you know when my baby will be due?” Which of the following would the nurse best response to estimate the date of delivery from the first day of last menstrual period?
A. Subtract 4 days and add 6 months
B. Subtract 7 days and add 3 months
C. Subtract 3 months and add 7 days
D. Subtract 7 months and add 3 months

Question 11

The nurse is planning for Teresa’s care, which of the following is the priority for assessment?
A. Sexual history
B. Attitude towards pregnancy
C. Nutritional status
D. Social and economic status.

Question 12

Which of the following in the conception and human development explains the burrowing of the developing zygote into the lining of the uterus?
A. Conception
B. Fertilization
C. Implantation
D. Embryonic stage.

Question 13

Which of the following statement connotes the importance of Human Chorionic Gonadotropin?
A. Its detection is a significant indicator of pregnancy
B. It helps keep the uterus inactive during pregnancy
C. It promotes mammary glands growth during pregnancy
D. It regulates maternal protein and fat levels.

Question 14

Teresa asked the nurse how unseen baby develops. The nurse categorize the terms used to denote growth. Which of the following terms is in correct chronological order to occur in pregnancy?
A. Ovum, zygote, embryo, fetus and infant
B. Ovum, embryo, zygote, infant
C. Zygote, ovum, fetus, embryo, infant
D. Zygote, ovum, embryo, fetus

Question 15

Which of the following cells layers does embryo is developed ?
A. Amnion, chorion, decedua
B. Morula, blastocyst, throphoblast
C. Mesoderm, entoderm, ectoderm
D. Morula, blastomeres, embryonic disk.

Question 16

Which organ systems develop from the three primary germ layers?
A. Morula, blastomeres, embryonic disk
B. Ectoderm, mesoderm, entoderm
C. Amnion, chorion, decedua.
D. Morula, blastocyst, throphoblast.

Question 17

Which of the following structures is develop in the mesoderm layer ?
A. Alimentary conal lungs, liver and bladder
B. Circulatory system, skin epithelium and reproductive organs
C. Muscles, lungs and circulatory system
D. Nervous system, lungs and genitourinary system.

Question 18

Which of the following trimester the fetal sex organs is differentiated and developed?
A. First trimester
B. Second trimester
C. Third trimester
D. Fourth trimester

Question 19

Which hormone is primarily responsible for the maintenance of pregnancy?
A. Estrogen
B. Luteinizing hormone
C. Progesterone
D. Testosterone

Question 20

Which in the following weeks does the fetus can actively suck and swallow amniotic fluid?
A. 14 weeks
B. 18 weeks
C. 20 weeks
D. 24 weeks

Question 21

Which of the following is being develop to the fetus at 37 weeks?
A. Depositing layers of subcutaneous fats
B. Developing hair and fingernails
C. Thickening skin layers for thermal insulation
D. Storing vitamins and minerals for future brain growth

Question 22

Which of the following are the functions of the placenta?
1. Passage of nutrients and waste materials between mother and fetus
2. Barrier to protect the fetus against drugs and infectious agents
3. Transfer of oxygen from maternal to fetal circulation
4. Receives immunoglobulin that provides limited passive immunity to the fetus.
A. 1,2
B. 1,2,3
C. 1,2,3,4
D. 2, 4

Question 23

Which period of pregnancy would have rapid fetal growth and development?
A. First trimester
B. Third trimester
C. Second trimester

Question 24

Which weeks of pregnancy will Teresa feels the first fetal movements on her womb?
A. 16th week
B. 18th week
C. 20th week
D. 22nd week

Question 25

Which of the following dates will the nurse advise Teresa to return for antenatal visit?
A. Every month until Month 7th
B. Weekly until labor
C. Every Other week until birth
D. Every two weeks until labor

Question 26

Teresa asked if what is the normal weight gain during pregnancy, which of the following will be the nurse best response?
A. 18-25 lbs.
B. 25-30 lbs.
C. 25-35 lbs.
D. 30-35lbs

Question 27

Jody is pregnant, she has two living children at home. A third child died of birth defects at 4 days of age. She never had an abortion. Which of the following can most accurately describes her OB history?
A. G3P2
B. G3P2
C. G4P2
D. G4P3

Question 28

Considering her obstetrical score, she will be considered as:
A. G4P3 A0 P0 T3
B. G4P2 A1 P0 T2
C. G3P3 A0 P0 T2
D. G3P2 A1 P0 T3

Question 29

In preparing Jodi for the internal examination, you consider providing her maximal comfort during the procedure. Which is the appropriate health teaching would the nurse advised to Jodi?
A. Instruct her to do rapid breathing during the procedure
B. Instruct her to void before the procedure
C. Teach her to squeeze her hands as the doctor does the examination
D. Teach her to do all of these.

Question 30

Which of the following is the most appropriate position for a pelvic examination?
A. Lithotomy
B. Semi-fowlers
C. Sims
D. Supine

Question 31

Which of the following instruments should be available during the pelvic examination?
A. BP apparatus
B. Rectal thermometer
C. Vaginal speculum
D. Pelvimeter

Question 32

Which of the following is/are the appropriate action of the nurse in supporting Jodi emotionally during this procedure?
1. Allow her husbands presence
2. Cover her with draw sheet
3. Instruct her breath through her mouth
4. Warm instruments to prevent unusual reaction
A. 1,2
B. 3,4
C. All except1
D. All may apply.

Question 33

Upon examination, the physician noticed changes in color in the client’s perineum, which of the following best describe Chadwick’s sign:
A. Yellowish fluid discharge
B. Softening of the cervix
C. Deep reddish or purplish discoloration of the vagina
D. Softening of the uterine isthmus.

Question 34

Which of the following probable sign of pregnancy would indicate that Jodi is pregnant?
i. Chadwick’s sign
ii. Frequent urination
iii. Vomiting
iv. Hegar’s sign.
A. 1 and ll
B. ll and lV
C. l and lll
D. lll and lV

Question 35

The nurse noted Goodell’s sign during the examination. Which of the following best describe Goodell’s sign?
A. Yellowish fluid discharge
B. Deep reddish discoloration of the vagina
C. Softening of the cervix
D. Softening of the uterine isthmus

Question 36

Which of the following can be determine during the procedure Amniocentesis EXCEPT?
A. Fetal lung maturity
B. Genetic abnormalities
C. Sex determination
D. Time of labor onset

Question 37

Which of the following can be determine if Ultrasound is done to a patient , EXCEPT:
A. Age of gestation
B. Lung maturity
C. Position of fetus
D. Sex of fetus

Question 38

To determine the fetal lung maturity of the fetus, which of the following will the physician will order/prescribed?
A. Amniocentesis
B. Pelvimeter
C. Ultrasound
D. X-ray

Question 39

Which of the following breast changes will Jody be expecting during pregnancy?
1. More prominent nipples and darker areola
2. Increase in size and firmness
3. Fullness and tenderness
4. Dumpling of the skin below the nipple
A. 1,2
B. 1,2,3
C. 2,3,4
D. 2 and 4 only

Question 40

In taking the family health history of the patient, which of the following conditions should be assessed carefully pertinent for possible complications to childbirth?
A Hypertension
B Diabetes mellitus
S Cardiovascular disease
D All of the above

Question 41

In providing prenatal instructions, which of the following statement would be best for Jodi?
A Exercise should be avoided during pregnancy
B Smoking has little effect on the growing fetus
C It is safe to take drugs for the placenta acts as a protective barrier
D Frequent rest periods be planned to prevent unnecessary fatigue.

Question 42

Just like other pregnant women, Jodi experiences changes in the motility of her alimentary tract. To prevent constipation, which of the following is the best action of the nurse?
A Increase fluid intake
B Increase exercise
C Increase intake in raw vegetables
D Increase intake of calories

Question 43

She would also experience hemorrhoids during pregnancy , which of the following is the possible cause of hemorrhoids?
A Obstruction of venous return in the anus and rectum
B Increase blood flow to the anus and rectum
C Enlargement of the mucous glands in the anus and rectum
D Increase fluid retention during the last semester

Question 44

You noticed that Jodi is a chain smoker. Which of the following statement presents the possible effects of smoking in pregnancy?
A The fetus receives less oxygen because of maternal blood levels of CO2
B Blood flow to the placenta is reduced due to vasoconstriction
C Infants weigh less because of teratogenic effect
D All of the above

Question 45

Jodi also mentioned that she takes aspirin frequently when she feels bad. Which of the following is the appropriate action of the nurse?
A Reassure her that aspirin is known to be not harmful
B Advise her to take only those drugs prescribed by her doctor
C Tell her that the amount of drug taken is more critical than the kind of drug ingested
D Explain that the placenta is a good barrier for drugs.

Question 46

She too verbalized that she has difficulty getting enough calcium in her diet because she does not like milk. Which of the following has high calcium content?
A Halo-halo
B Smoked fish
C Sardines
D Ginataang mongo

Question 47

You gave Jodi teachings on her nutritional needs. Which one should she not be increase during pregnancy?
A Calorie
B. High carbohydrates and fats
C Iron
D Protein

Question 48

Which of the following will not provide protein?
A Bananas
B Cottage cheese
C Eggs
D Rice

Question 49

Which of the following should Jodi be advised to include in her diet to increase carbohydrates intake; EXCEPT?
A Corn
B Eggs
C.Milk
D.Raisins

Question 50

Which of the following should be advised for her fat intake, EXCEPT :
A Avocados
B Beans
C Eggs
D Oysters