Current Diagnosis and Treatment Obstetrics and Gynecology
12th Edition Alan Test Bank ALL CHAPTERS INCLUDED
A postpartum client who had a vaginal birth asks the nurse, "Will my cervix return to
its previous shape before I had my baby?" Which is the best response by the nurse?
a. The cervix will now have a slitlike shape.
b. The cervix will be round and smooth after healing occurs.
c. The cervix will remain 50% effaced now that you have had a baby.
d. The cervix will be slightly dilated to 2 cm for about 6 months.
Correct Answer: a
Rationale: After a vaginal childbirth, the external os permanently changes from a
small, round, smooth opening (nulliparous) to a transverse, irregular slitlike shape
(multiparous).
, Current Diagnosis and Treatment Obstetrics and Gynecology
12th Edition Alan Test Bank ALL CHAPTERS INCLUDED
Question 2
The Müllerian ducts give rise to which of the following structures during embryonic
development?
a. Ovaries and surrounding germ cells
b. Fallopian tubes, uterus, cervix, and upper vagina
c. Lower vagina, vulva, and clitoris
d. Labia majora and labia minora
Correct Answer: b
Rationale: The paramesonephric (Müllerian) ducts fuse to form the female upper
reproductive tract components: the fallopian tubes, uterus, cervix, and upper two-
thirds of the vagina.
Question 3
, Current Diagnosis and Treatment Obstetrics and Gynecology
12th Edition Alan Test Bank ALL CHAPTERS INCLUDED
Which pelvic ligament serves as the primary support mechanism for the uterus and
carries the uterine artery and veins?
a. Round ligament
b. Broad ligament
c. Cardinal ligament (Mackenrodt's)
d. Ovarian ligament
Correct Answer: c
Rationale: The cardinal (lateral cervical) ligament provides the main structural support
keeping the uterus suspended in the pelvis. It transmits the uterine vasculature across
the base of the broad ligament.
Question 4
Malicious or malignant cells spreading from the vulva typically drain first into which
pelvic lymph node group?
a. Superficial inguinal lymph nodes
b. Internal iliac lymph nodes
c. Para-aortic lymph nodes
d. Deep pelvic lymph nodes
Correct Answer: a
, Current Diagnosis and Treatment Obstetrics and Gynecology
12th Edition Alan Test Bank ALL CHAPTERS INCLUDED
Rationale: Lymphatic drainage from the external genitalia (vulva, perineum, and lower
third of the vagina) primary passes first to the superficial inguinal nodes before
progressing deeper.
Question 5
The uterine artery arises as a direct branch of which major blood vessel?
a. External iliac artery
b. Internal iliac artery (Hypogastric)
c. Common iliac artery
d. Abdominal aorta
Correct Answer: b
Rationale: The uterine artery stems from the anterior division of the internal iliac
artery, traveling medially through the cardinal ligament to reach the uterocervical
junction.
12th Edition Alan Test Bank ALL CHAPTERS INCLUDED
A postpartum client who had a vaginal birth asks the nurse, "Will my cervix return to
its previous shape before I had my baby?" Which is the best response by the nurse?
a. The cervix will now have a slitlike shape.
b. The cervix will be round and smooth after healing occurs.
c. The cervix will remain 50% effaced now that you have had a baby.
d. The cervix will be slightly dilated to 2 cm for about 6 months.
Correct Answer: a
Rationale: After a vaginal childbirth, the external os permanently changes from a
small, round, smooth opening (nulliparous) to a transverse, irregular slitlike shape
(multiparous).
, Current Diagnosis and Treatment Obstetrics and Gynecology
12th Edition Alan Test Bank ALL CHAPTERS INCLUDED
Question 2
The Müllerian ducts give rise to which of the following structures during embryonic
development?
a. Ovaries and surrounding germ cells
b. Fallopian tubes, uterus, cervix, and upper vagina
c. Lower vagina, vulva, and clitoris
d. Labia majora and labia minora
Correct Answer: b
Rationale: The paramesonephric (Müllerian) ducts fuse to form the female upper
reproductive tract components: the fallopian tubes, uterus, cervix, and upper two-
thirds of the vagina.
Question 3
, Current Diagnosis and Treatment Obstetrics and Gynecology
12th Edition Alan Test Bank ALL CHAPTERS INCLUDED
Which pelvic ligament serves as the primary support mechanism for the uterus and
carries the uterine artery and veins?
a. Round ligament
b. Broad ligament
c. Cardinal ligament (Mackenrodt's)
d. Ovarian ligament
Correct Answer: c
Rationale: The cardinal (lateral cervical) ligament provides the main structural support
keeping the uterus suspended in the pelvis. It transmits the uterine vasculature across
the base of the broad ligament.
Question 4
Malicious or malignant cells spreading from the vulva typically drain first into which
pelvic lymph node group?
a. Superficial inguinal lymph nodes
b. Internal iliac lymph nodes
c. Para-aortic lymph nodes
d. Deep pelvic lymph nodes
Correct Answer: a
, Current Diagnosis and Treatment Obstetrics and Gynecology
12th Edition Alan Test Bank ALL CHAPTERS INCLUDED
Rationale: Lymphatic drainage from the external genitalia (vulva, perineum, and lower
third of the vagina) primary passes first to the superficial inguinal nodes before
progressing deeper.
Question 5
The uterine artery arises as a direct branch of which major blood vessel?
a. External iliac artery
b. Internal iliac artery (Hypogastric)
c. Common iliac artery
d. Abdominal aorta
Correct Answer: b
Rationale: The uterine artery stems from the anterior division of the internal iliac
artery, traveling medially through the cardinal ligament to reach the uterocervical
junction.
