Chapter 5: Reproductive Anatomy and Physiology

Chapter 5: Reproductive Anatomy and Physiology

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The perinatal nurse reads in a chart that a woman has a lesion on her perineum. Where would the nurse assess this lesion?

ANS:  B

The perineum, an anatomical landmark, is the skin-covered region between the vagina and the anus.

Cognitive Level: Application/Applying

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Physiological Adaptation

Integrated Process: Nursing Process: Assessment

Difficulty: Easy

PTS:   1

2. The perinatal nurse knows that the lowest portion of the true pelvis is which of the following anatomical landmarks ?

ANS:  A

Inferiorly, the lowest portion of the true pelvis is termed the pelvic outlet. Superiorly, the true pelvis is bounded by the sacral promontory (anterior projecting portion of the base of the sacrum) and the sacral alae (broad bilateral projections from the base of the sacrum), the linea terminalis, and the upper margins of the pubic bones. The “false pelvis” and the “true pelvis” are divided by the linea terminalis, or pelvic brim.

Cognitive Level: Knowledge/Remembering

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Physiological Adaptation

Integrated Process: Nursing Process: Assessment

Difficulty: Easy

PTS:   1

3. The clinic nurse knows that the part of the uterine cycle that occurs during the period of time between ovulation and the onset of menses is known as which of the following?

ANS:  D

The secretory phase occurs from the time of ovulation to the period just prior to menses, or approximately days 15 to 26. The menstrual phase is the time of vaginal bleeding, approximately days 1 to 6. The proliferative phase is the end of menses through ovulation, approximately days 7 to 14. The ischemic phase occurs from the end of the secretory phase to the onset of menstruation, approximately days 27 to 28.

Cognitive Level: Knowledge/Understanding

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Physiological Adaptation

Integrated Process: Nursing Process: Assessment

Difficulty: Easy

PTS:   1

4. The perinatal nurse explains to the new nurse that the maternal pelvic shape can determine the fetal presentation. A fetus in a transverse presentation may be due to which maternal pelvic type?

ANS:  D

The gynecoid pelvic type is the typical, traditional female pelvis (present in 50% of women) that is best suited for childbirth. Fetal descent through a platypelloid pelvis is usually in a transverse presentation and will not allow for a vaginal birth. Fetal descent through an anthropoid pelvis is more likely to be in a posterior (facing the woman’s front) rather than anterior (facing the woman’s back) presentation. The android pelvis resembles a typical male pelvis, and this pelvic shape can also cause difficulty during fetal descent.

Cognitive Level: Comprehension/Understanding

Content Area: Pediatrics/Maternity

Patient Needs: Health Promotion and Maintenance

Integrated Process: Teaching/Learning

Difficulty: Moderate

PTS:   1

5. The clinic nurse explains to a student that the hormone responsible for limiting the maternal immune response to pregnancy is which of the following?

ANS:  A

Human chorionic gonadotropin may play a role in limiting the maternal immune response to the pregnancy. Prostaglandins modulate hormonal activity and have an effect on ovulation, fertility, and cervical mucus viscosity. Relaxin aids in the softening and lengthening of the uterine cervix and works on the myometrial smooth muscle to promote uterine relaxation.

Progesterone functions to create a highly vascular secretory endometrium that will be suitable for implantation of a fertilized ovum.

Cognitive Level: Comprehension/Understanding

Content Area: Pediatrics/Maternity

Patient Needs: Health Promotion and Maintenance

Integrated Process: Teaching/Learning

Difficulty: Moderate

PTS:   1