Chapter 03: Assessment and Health Promotion Perry: Maternal Child Nursing Care, 6th Edition

Chapter 03:
Assessment and
Health
Promotion
Perry: Maternal
Child Nursing
Care, 6th
Edition
1. The two primary functions of the ovaries are:
a. normal female development and sex
hormone release.
b. ovulation and internal pelvic support.
c. sexual response and ovulation.
d. ovulation and hormone production. -
ANSWER-ANS: D
The two functions of the ovaries are ovulation
and hormone production. The presence of
ovaries does not guarantee normal female
development. The ovaries produce estrogen,
progesterone, and androgen. Ovulation is the
release of a mature ovum from the ovary; the
ovaries are not responsible for internal pelvic
support. Sexual response is a feedback
mechanism involving the hypothalamus,
anterior pituitary gland, and the ovaries.
Ovulation does occur in the ovaries.
2. The uterus is a muscular, pear-shaped organ
that is responsible for:
a. cyclic menstruation.
b. sex hormone production.
c. fertilization.
d. sexual arousal. - ANSWER-ANS: A
The uterus is an organ for reception,
implantation, retention, and nutrition of the
fertilized ovum; it also is responsible for cyclic
menstruation. Hormone production and
fertilization occur in the ovaries. Sexual arousal
is a feedback mechanism involving the
hypothalamus, the pituitary gland, and the
ovaries.
3. Unique muscle fibers make the uterine
myometrium ideally suited for:
a. menstruation.
b. the birth process.
c. ovulation.
d. fertilization. - ANSWER-ANS: B
The myometrium is made up of layers of
smooth muscles that extend in three directions.
These muscles assist in the birth process by
expelling the fetus, ligating blood vessels after
birth, and controlling the opening of the
cervical os.
4. The hormone responsible for maturation of
mammary gland tissue is:
a. estrogen.
b. testosterone.
c. prolactin.
d. progesterone. - ANSWER-ANS: D
Progesterone causes maturation of the
mammary gland tissue, specifically acinar
structures of the lobules. Estrogen increases
the vascularity of the breast tissue.
Testosterone has no bearing on breast
development. Prolactin is produced after birth
and released from the pituitary gland. It is
produced in response to infant suckling and
emptying of the breasts.
5. Because of the effect of cyclic ovarian
changes on the breast, the best time for breast
self-examination (BSE) is:
a. 5 to 7 days after menses ceases.
b. Day 1 of the endometrial cycle.
c. mid-menstrual cycle.
d. any time during a shower or bath. - ANSWERANS: A
The physiologic alterations in breast size and
activity reach their minimal level about 5 to 7
days after menstruation stops. All women
should perform BSE during this phase of the
menstrual cycle.
6. Menstruation is periodic uterine bleeding:
a. that occurs every 28 days.
b. in which the entire uterine lining is shed.
c. that is regulated by ovarian hormones.
d. that leads to fertilization. - ANSWER-ANS: C
Menstruation is periodic uterine bleeding that
is controlled by a feedback system involving
three cycles: endometrial, hypothalamic-
pituitary, and ovarian. The average length of a
menstrual cycle is 28 days, but variations are
normal. During the endometrial cycle, the
functional two thirds of the endometrium are
shed. Lack of fertilization leads to
menstruation.