Test Bank For Foundations of Maternal Newborn and Women's Health Nursing 8th Edition By Murray All Chapters Included With Complete Solutions Rated A+

Test Bank For Foundations of Maternal Newborn and Women's Health Nursing 8th Edition By Murray All Chapters Included With Complete Solutions Rated A+

Chapter : Reproductive Anatomy and Physiology

MULTIPLE CHOICE

1. A postpartum patient who has had a vaginal birth asks the nurse, ―I was wondering if my cervix will return to its previous shape before I had the baby?‖ Which is the best response by the nurse?
a. The cervix will now have a slit-like 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.

ANS: A
After vaginal birth, the external os has an irregular slit-like shape and may have tags of scar tissue. The external os of a childless woman is round and smooth; however, after a vaginal birth it will be round and smooth. During labor, the cervix effaces (thins) and dilates (opens) to allow passage of the fetus. Once the baby is born, the cervix will close and return to close to 100% effacement.

DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Health Promotion and Maintenance

2. The school nurse is conducting health education classes for a group of adolescents. Which statement best describes a secondary sexual characteristic?

a. Maturation of ova
b. Production of sperm

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c. Female breast development
d. Secretion of gonadotropin-releasing hormone

ANS: C
A secondary sexual characteristic is one not directly related to reproduction, such as development of the characteristic female body form. Maturation of ova is directly related to reproduction and is a primary sexual characteristic. Production of sperm is directly related to reproduction and is a primary sexual characteristic. Secretion of hormones is directly related

Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters
to reproduction and is a primary sexual characteristic.

DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Health Promotion and Maintenance

3. Which 16-year-old female patient is most likely to experience secondary amenorrhea?
a. 5 ft 2 in, 130 lb
b. 5 ft 9 in, 180 lb
c. 5 ft 7 in, 96 lb
d. 5 ft 4 in, 125 lb

ANS: C







































Test Bank Page 43



Due to her height and low body weight, this adolescent is at risk of developing secondary amenorrhea. Secondary amenorrhea occurs in women who are thin and have a low percentage of body fat. Fat is necessary to make the sex hormones that stimulate ovulation and menstruation. The other patients are of sufficient height and weight to promote sex hormone production.

DIF: Cognitive Level: Application OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Physiologic Integrity

4. Which characteristic best describes the levator ani?
a. Division of the fallopian tube
b. Collection of three pairs of muscles
c. Imaginary line that divides the true pelvis and false pelvis
d. Basin-shaped structure at the lower end of the spine

ANS: B
The levator ani is a collection of three pairs of muscles that support internal pelvic structures and resist increases in intraabdominal pressure. The fallopian tube divisions are the interstitial portion, isthmus, ampulla, and infundibulum. The linea terminalis is the imaginary line that divides the false from the true pelvis. The basin-shaped structure at the lower end of the spine is the bony pelvis.

DIF: Cognitive Level: Remembering OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotion and Maintenance

5. The nurse is describing the size and shape of the nonpregnant uterus to a patient. Which is an accurate description?
a. The nonpregnant uterus iNs tUheRsSizIeNanGdTsBha.pCe oOfMa pear.
b. The nonpregnant uterus is the size and shape of a cantaloupe.
c. The nonpregnant uterus is the size and shape of a grapefruit.
d. The non-pregnant uterus is the size and shape of a large orange.
ANS: A
The nonpregnant uterus is about 7.5  5  2.5 cm, which is close to the size and shape of a pear. A cantaloupe would be too large and is the wrong shape for the uterus. A grapefruit is too large for the nonpregnant uterus; the uterus is larger at the upper end and tapers down. An

orange may be the appropriate size, but it is not the appropriate shape.

DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Health Promotion and Maintenance

6. If a woman‘s menstrual cycle began on June 2, on which date should ovulation mostly likely have occurred?
a. June 10
b. June 16
c. June 29
d. July 5

ANS: B