NR 602 MIDTERM EXAM QUESTION
& ANSWER VEFRIFIED
Primary Care Of The Childbearing (Chamberlain
University)
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NR 602 Midterm Practice
Questions Week 1
Women’s Health Chapter 5
1. A major contributor to pelvic stability is
a. the coccyx.
b. the pubis.
c. the ilium and its ligaments.
d. the sacrum.
2. The sheet made up of dense fibrous tissue that spans the opening of the anterior pelvic outlet is/are the
a. sphinter muscles.
b. deep perineal space.
c. perineal membrane.
d. distal vagina.
3. How many different fiber sections subdivide the levator ani muscular sheet?
a. 2
b. 3
c. 4
d. 6
4. What is the function of the Bartholin’s gland?
a. To help prevent infection of the introitus
b. To secrete lubricating mucus into the introitus during sexual excitement
c. To assist in keeping the vaginal introitus closed
d. To secrete estrogen and regulate its levels
5. Which arteries supply blood to the clitoris?
a. Arcuate arteries
b. Dorsal and clitoral cavernosal arteries
c. Two ovarian arteries
d. Coiled arteries
6. What is the approximate number of ovarian follicles at the initiation of
puberty? a. 100,000
b. 200,000
c. 400,000
d. 600,000
7. The four segments of a fallopian tube are the pars interstitialis, the isthmus, the ampulla, and the
a. infundibulum.
b. medulla.
c. hilum.
d. myometrium.
8. What causes the epithelium to thicken, differentiate, and accumulate glycogen?
a. Progesterone
b. Pudendal nerve
c. Estrogen
d. Vagus nerves
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9. About how many openings are in the nipple?
a. 1 to 5
b. 5 to 10
c. 10 - 15
d. 15 – 20
10. What is one of the most frequent reasons women visit their clinician?
a. Changes in menstruation
b. Family planning
c. Pregnancy
d. Prevention and wellness
11. What is the objective of the endometrial cycle?
a. To emulate the activities of the ovaries
b. To produce an ovum
c. To reach the menstruation phase
d. To prepare a site to nourish and maintain the ovum
12. Ovulation is dependent on an increased level of _
a. enzyme activity.
b. progesterone.
c. prostaglandins.
d. estrogen and the LH surge.
13. What initiates contractions of the uterine muscle leading to menstruation?
a. Lysosomal enzymes
b. Vascular thrombosis
c. Rupture of the basal arterioles
d. Prostaglandins
14. Why does the cervical mucus become thick, viscous and opaque after ovulation?
a. To make an hospitable environment for the sperm
b. To promote stromal vascularization
c. To relax the myometrial fibers that supply the cervix
d. To reduce the risk of ascending infection at the time of
implantation Women’s Health Chapter 6
1. What does the Greek term “gyne” mean from which “gynecology” is derived?
a. Speculum
b. Gender
c. Woman — more as queen
d. To reproduce
2. What is the primary purpose of taking a health history?
a. To learn about a woman’s health concerns
b. To establish a relationship with a woman while learning about her health
c. To identify any unresolved/latent health issues
d. To ensure that a woman’s health care records are up to date
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3. Which skills are valued in a clinician taking a health history?
a. Respectful attention
b. Empathy
c. Trust-building
d. All of the above
4. What should be the clinician’s first objective after learning the chief reason the woman desires care?
a. To give the reason or problem a structural and chronological framework
b. To probe for any additional concerns missed
c. To take a family history related to the presenting concern
d. To gain insight into the woman’s cultural and social influences
5. Which of the following should NOT be a part of taking a health history?
a. Taking a family health history
b. Seeking information on stressors or personal problems
c. Asking about exercise and sleep patterns
d. Counseling for tobacco-use cessation
6. In the GTPAL system for recording pregnancy history, the “T” stands for:
a. Term births.
b. Terminal pregnancies.
c. Total number of pregnancies.
d. Type of birth (spontaneous, assisted, or cesarean).
7. In a complete physical examination in the ambulatory gynecology setting, it is customary to
a. evaluate major organ systems briefly and carefully, but not exhaustively.
b. ask the woman which physical examination maneuvers should be performed.
c. evaluate major organ systems thoroughly.
d. palpate the precordium.
8. How should the order of examination proceed?
a. Head to toe
b. Toe to head
c. By major organ system
d. By concern presented
9. Where may supernumerary occur?
a. Anywhere from the neck to the ankle unilaterally
b. Anywhere on the torso
c. Anywhere along a vertical line from the axilla to the inner thigh
d. Anywhere on the breast tissue, including the tall of Spence
10. Where in the breast do most malignancies develop?
a. Upper inner quadrant
b. Upper outer quadrant
c. Lower outer quadrant
d. Lower inner quadrant
11. Which type of speculum is best used to examine nulliparous women?
a. Small Graves
b. Pederson
c. Large Graves
d. Pediatric