Test Bank For Introduction To Maternity And Pediatric Nursing 8th Edition Leifer | Complete Chapter 1 - 30 | Latest Verified

Human Reproductive Anatomy and Physiology MULTIPLE CHOICE 1. A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurseindicate 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 ANS: C Testosterone increases muscle mass, promotes strength and growth of long bones, and enhances production ofred blood cells. DIF: Cognitive Level: Knowledge REF: Page 22 TOP: Male Reproductive System KEY: Nursing Process Step: Data CollectionMSC: NCLEX: Health Promotion and Maintenance: Growth and Development 2. The nurse is educating high school students about puberty. What will the nurse indicate regulates theproduction of sperm and secretion hormones? a. Testes b. Vas deferens c. Ejaculatory ducts d. Prostate gland ANS: A The testes have two functions: manufacture of spermatozoa and secretion of androgens. DIF: Cognitive Level: Knowledge REF: Page N2U3RSINGTB.COM TOP: Male Reproductive System KEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance: Growth and Development 3. The nurse is speaking with a couple trying to conceive a child. What will the nurse remind the couple is afactor that can decrease sperm production? INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 22 a. Infrequent sexual intercourse b. The man not being circumcised c. The penis and testes being small d. The testes being too warm ANS: D The scrotum is suspended away from the perineum to lower the temperature of the testes for sperm production. DIF: Cognitive Level: Comprehension REF: Page 24 TOP: Male Reproductive System KEY: Nursing Process Step: ImplementationMSC: NCLEX: Physiological Integrity: Reduction of Risk 4. When describing the female reproductive tract to a pregnant woman, the nurse would explain that whichuterine layer is involved in implantation? a. Perimetrium b. Endometrium c. Myometrium d. Internal os ANS: B The endometrium is the inner mucosal layer of the uterus that is governed by cyclical hormonal changes. It isfunctional during menstruation and during the implantation of a fertilized ovum. DIF: Cognitive Level: Knowledge REF: Page 23 INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 23 TOP: Female Reproductive System KEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance: Growth and Development 5. A group of nursing students plans to teach a class of sixth-grade girls about menstruation. What correctinformation 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. ANS: A The beginning of menstruation, called menarche, occurs at about 12 years of age. Early cycles are irregular andanovulatory. DIF: Cognitive Level: Comprehension REF: Page 29TOP: Female Reproductive Cycle and MenstruationKEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 6. A 10-year-old girl asks the nurse, What is the first sign of 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 ANS: B The first outward change of puberty in girls is the development of breasts at about 10 to 11 years of age. DIF: Cognitive Level: Knowledge REF: Page 23 TOP: PubertyFemale KEY: Nursing Process SNteUpR: SImINpGleTmBe.CnOtaMtion MSC: NCLEX: Health Promotion and Maintenance: Growth and Development INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 24 7. A 12-year-old female pediatric patient experienced 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. ANS: D Early cycles are often irregular and may be anovulatory. Regular cycles are usually established within 6 months to 2 years of the menarche. In an average cycle, the flow (menses) occurs every 28 days, plus or minus5 to 10 days. DIF: Cognitive Level: Application REF: Page 29 TOP: Menstrual Cycle KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 8. Which hormone initiates the maturation of the ovarian follicle? a. Estrogen b. Follicle-stimulating hormone c. Progesterone d. Luteinizing hormone ANS: B Follicle-stimulating hormone (FSH) stimulates the maturation of a follicle. DIF: Cognitive Level: Knowledge REF: Page 29 INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 25 TOP: Female Reproductive Cycle KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 9. What statement indicates a woman has correct information 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. ANS: B Oogenesis (formation of immature ova) does not occur after fetal development. Females are born with about 2million immature ova, which rapidly reduce by adulthood. DIF: Cognitive Level: Comprehension REF: Page 27 TOP: Female Reproductive Cycle KEY: Nursing Process Step: Evaluation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 10. A pregnant woman asks the nurse, Will I be able to have a vaginal delivery? The nurse knows that which isthe most favorable pelvic type for vaginal birth? a. Gynecoid b. Android c. Anthropoid d. Platypelloid ANS: A The gynecoid pelvis is the typical female pelvis and is most favorable for vaginal birth. DIF: Cognitive Level: Knowledge REF: Page 27 TOP: Female Reproductive System KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Mainte NnaUnRcSe:INPGreTvBen.CtiOoMn and Early Detection of Disease 11. 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? a. Milk is produced in ducts and lobules regardless of breast size. b. Supplementing breastfeeding with formula allows the infant to receive adequate INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 26 nutrition. c. Breast size can be increased with exercise. d. Drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk. ANS: A Breast size does not influence the ability to secrete milk. DIF: Cognitive Level: Comprehension REF: Page 29 TOP: Female Reproductive System KEY: Nursing Process Step: ImplementationMSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 12. For what is the decrease in estrogen and progesterone during the menstrual cycle responsible? a. Degeneration of the corpus luteum b. Ovulation c. Follicle maturation d. Shedding of the endometrium ANS: D The fall in estrogen and progesterone causes the endometrium to break down, resulting in menstruation. DIF: Cognitive Level: Comprehension REF: Page 29 TOP: Female Reproductive Cycle KEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance: Growth and Development 13. The nurse is assisting with pelvic inlet measurements on a pregnant woman. What measurement will INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 27 provide the nurse with information about whether the woman can deliver vaginally? a. Diagonal conjugate b. Obstetric conjugate c. Transverse diameter d. Anteroposterior diameter ANS: B This measurement determines if the fetus can pass through the birth canal. DIF: Cognitive Level: Comprehension REF: Page 28 TOP: Female Reproductive System KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 14. The nurse has explained menstruation to a 13-year-old girl. What statement indicates the girl needsadditional 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. ANS: C Clots are not normally seen in menstrual discharge. A normal menstrual flow is 30 to 40 mL blood and 30 to50 mL serous fluid. DIF: Cognitive Level: Comprehension REF: Page 29 TOP: Female Reproductive Cycle KEY: Nursing Process Step: Evaluation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 15. A mother asks the nurse, When will I know my child has entered puberty? What will the nurse state basedon an understanding of changes associated witNhUpRuSbIeNrtGy?TB.COM 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. INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 28 d. Secondary sex characteristics, such as pubic hair, appear. ANS: D Puberty begins when the secondary sex characteristics appear. Puberty ends when mature sperm are formed inthe male and when regular menstrual cycles occur in the female. DIF: Cognitive Level: Comprehension REF: Page 22 TOP: Puberty KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 16. A nurse is planning to teach couples about the physiology of the sex act. What correct information will thenurse 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. ANS: B After ovulation, the egg lives for only 24 hours. Sperm must be available during that time if fertilization is tooccur. DIF: Cognitive Level: Comprehension REF: Page 31 TOP: Physiology of the Sex Act KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 17. A newly married couple tells the nurse they would like to wait a few years before starting a family. Which INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 29 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. ANS: B Semen may be secreted during sexual intercourse before ejaculation. DIF: Cognitive Level: Comprehension REF: Page 31 TOP: Male Reproductive System KEY: Nursing Process Step: EvaluationMSC: NCLEX: Physiological Integrity: Reduction of Risk 18. The nurse is aware that the diagonal conjugate is 12 centimeters. What is the measurement in centimetersof the obstetric conjugate? a. 10 to 10.5 b. 11 to 11.5 c. 12.5 to 13 d. 14 to 14.5 ANS: A The obstetric conjugate is approximately 1.5 to 2 centimeters shorter than the diagonal conjugate. DIF: Cognitive Level: Knowledge REF: Page 28 TOP: Obstetric Conjugate KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 19. The nurse uses a diagram to demonstrate the fimbriae when teaching nursing students about the femaleanatomy. What is true about fimbriae? a. They form the passageway for the sperm to NmUeRetStIhNeGoTvBu.mCO. M b. They are the site of fertilization. c. They are fingerlike projections that capture the ovum. INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 30 d. They propel the egg through the fallopian tube. ANS: C Fimbriae are the fingerlike projections from the infundibulum that capture the ovum at ovulation and conduct iinto the fallopian tube. DIF: Cognitive Level: Comprehension REF: Page 27 TOP: Fimbriae KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Pr