A 14-year-old boy is at the pediatric clinic for a checkup. C
What physical changes of puberty will the nurse indicate
are related to the production of testosterone?
a. Stimulation of production of white cells and platelets
b. Promotion of growth of small bones
c. Increase in muscle mass and strength
d. Decrease in production of sebaceous gland secretions
The nurse is educating high school students about puberty. A
What will the nurse indicate regulates the production of
sperm and secretion hormones?
a. Testes
b. Vas deferens
c. Ejaculatory ducts d. Prostate gland
The nurse is speaking with a couple trying to conceive a D
child. What will the nurse remind the couple is a factor that
can decrease sperm production?
a. Infrequent sexual intercourse
b. The man not being circumcised
c. The penis and testes being small d. The testes being too
warm
When describing the female reproductive tract to a B
pregnant woman, the nurse would explain that which
uterine layer is involved in implantation?
a. Perimetrium
b. Endometrium
c. Myometrium d. Internal os
A group of nursing students plans to teach a class of sixth- A
grade girls about menstruation. What correct information
will the nursing students teach to the class?
a. Menarche usually occurs around 12 years of age.
b. Ovulation occurs regularly from the very first cycle.
c. A regular cycle is established by the third period.
d. Typically, menstrual flow is heavy and lasts up to 10
days.
A 10-year-old girl asks the nurse, What is the first sign of B
puberty? What is the correct nursing response? a. An
increase in height
b. Breast development
c. Appearance of axillary hair
d. The first menstrual period
A 12-year-old female pediatric patient experienced D
menarche 3 months ago. Her mother voices concern to the
pediatric office nurse regarding the irregularity of her
daughters menstrual cycle. What is the nurses best
response?
a. Worrying is not the answer.
b. I will talk to the pediatrician about a gynecological
referral. c. I can only discuss this with your daughter.
d. Early cycles are often irregular.
Which hormone initiates the maturation of the ovarian B
follicle? a. Estrogen
b. Follicle-stimulating hormone
c. Progesterone
d. Luteinizing hormone
What statement indicates a woman has correct information B
about oogenesis? a. Women make fewer ova as they age.
b. Women have all of their ova at the time they are born.
c. Ova production begins at birth and continues until
puberty.
d. New ova are made every month from puberty to
climacteric.
, Maternity and Pedi Final Exam Review
A pregnant woman asks the nurse, Will I be able to have a A
vaginal delivery? The nurse knows that which is the most
favorable pelvic type for vaginal birth?
a. Gynecoid
b. Android
c. Anthropoid d. Platypelloid
A mother is anxious about her ability to breastfeed after A
her child is born because of her small breast size. What
would be an important point to teach this mother?
a. Milk is produced in ducts and lobules regardless of
breast size.
b. Supplementing breastfeeding with formula allows the
infant to receive adequate nutrition.
c. Breast size can be increased with exercise.
d. Drinking extra milk during pregnancy allows breasts to
produce adequate amounts of milk.
For what is the decrease in estrogen and progesterone D
during the menstrual cycle responsible? a. Degeneration
of the corpus luteum
b. Ovulation
c. Follicle maturation
d. Shedding of the endometrium
The nurse is assisting with pelvic inlet measurements on a B
pregnant woman. What measurement will
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8e (by Leifer) 15
provide the nurse with information about whether the
woman can deliver vaginally? a. Diagonal conjugate
b. Obstetric conjugate
c. Transverse diameter
d. Anteroposterior diameter
The nurse has explained menstruation to a 13-year-old C
girl. What statement indicates the girl needs additional
education?
a. Periods last about 5 days.
b. My cycle should get regular in 6 months.
c. I should expect heavy bleeding with clots. d. Periods
come about every 4 weeks.
A mother asks the nurse, When will I know my child has D
entered puberty? What will the nurse state based on an
understanding of changes associated with puberty?
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a. Your daughter will have her first period.
b. Youll recognize puberty by the mood swings.
c. The child becomes interested in the opposite sex.
d. Secondary sex characteristics, such as pubic hair,
appear.
A nurse is planning to teach couples about the physiology B
of the sex act. What correct information will the nurse
provide?
a. Fertilization of an ovum requires penetration by several
sperm.
b. An ovum must be fertilized within 24 hours of ovulation.
c. It takes 4 to 5 days for sperm to reach the fallopian
tubes. d. Sperm live for only 24 hours following ejaculation.
, Maternity and Pedi Final Exam Review
A newly married couple tells the nurse they would like to B
wait a few years before starting a family. Which
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statement made by the man indicates an understanding
about sexual activity and pregnancy? a. My wife cant get
pregnant if I withdraw before climax.
b. A man can secrete semen before ejaculation.
c. If we dont have intercourse very often, my wife wont get
pregnant.
d. It is safe to ejaculate outside the vagina.
The nurse is aware that the diagonal conjugate is 12 A
centimeters. What is the measurement in centimeters of
the obstetric conjugate?
a. 10 to 10.5
b. 11 to 11.5
c. 12.5 to 13 d. 14 to 14.5
The nurse uses a diagram to demonstrate the fimbriae C
when teaching nursing students about the female
anatomy. What is true about fimbriae?
a. They form the passageway for the sperm to meet the
ovum.
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b. They are the site of fertilization.
c. They are fingerlike projections that capture the ovum. d.
They propel the egg through the fallopian tube.
What will the nurse explain to a 12-year-old patient when C
describing what characterizes nocturnal emissions?
a. A drop in testosterone level
b. Sexual stimulation
c. Absence of sperm in ejaculate d. Association with violent
dreams
The nurse is educating a pregnant patient who expects to D
breastfeed. The nurse knows that when a patient
breastfeeds, which portions of the breast secrete milk?
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a. Lactiferous sinuses b. Lobes
c. Montgomerys glands d. Alveoli
Where are the secretions responsible for nourishing sperm C
excreted from? a. Vas deferens
b. Epididymis
c. Cowpers gland
d. Scrotum
What signifies the end of puberty for a male? a. Facial hair D
is evident.
b. Erections can be sustained.
c. Ejaculate is greater than 5 mL.
d. Mature sperm are formed.
How long does sperm remain viable in the female D
reproductive tract? a. 12 hours
b. 1 day
c. 2 days
d. 4 days
, Maternity and Pedi Final Exam Review
The nurse encourages the members of a prenatal class to A
seriously consider breastfeeding. What does breast milk
provide in addition to nourishment for the infant?
a. Maternal antibodies
b. Stimulus for red blood cell production
c. Endorphins that soothe the infant d. Hormones that
stimulate growth
A female patient reports her menstrual cycle consistently C
occurs every 32 days. What day of her cycle can the
woman anticipate ovulation?
a. 14
b. 16
c. 18 d. 20
The nurse conducting a sex education class for junior high A, B, D, E
students describes some cultural rites celebrating the entry
to adulthood. What information would the nurse include?
(Select all that apply.) a. Bar mitzvah
b. Displays of bravery
c. Receiving part of their inheritance d. Ritual circumcision
e. Displays of self-defense
The nurse is reading a pregnant patients history and A,B,E
physical. What information does the nurse recognize might
indicate the need for a cesarean delivery? (Select all that
apply.)
a. History of childhood rickets
b. Immobile coccyx
c. Prepregnant weight of 100 pounds d. Avid horse rider
e. Pelvic fracture 3 years ago
What are considered to be functions of the fallopian tubes? A,B,C,E
(Select all that apply.)
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8e (by Leifer) 19
a. Passage for sperm to meet ova
b. Passage for ovum to uterus
c. Safe environment for zygote
d. Restriction for only one ovum to enter uterus e. Site for
fertilization
The nurse is providing an inservice to students beginning A,C,E
their obstetric clinical rotation. Using a diagram, the nurse
points out parts of the female pelvis. What will the nurse
include? (Select all that apply.)
a. Two innominates
b. Obstetric conjugate
c. Sacrum
d. Perimetrium e. Coccyx
The nurse explains that testosterone is responsible for A, B, D
males exceeding females in which aspects? (Select
all that apply.)
a. Strength
b. Height
c. Mental concentration d. Hematocrit levels
e. Agility