The hormone responsible for the development of
The hormone responsible for the development of the ovum during the menstrual cycle is: Group of answer choices Progesterone Follicle-stimulating hormone (FSH) Estrogen Luteinizing Hormone The normal female pelvis is well suited for labor and birth and has: Group of answer choices An oval inlet, variable ischial spines, straight side walls, and a deep posterior segment. A rounded inlet, non prominent ischial spines, straight sides walls, and a deep and roomy posterior segment. A transversely oval inlet, variable ischial spines, parallel side walls, and a wide transverse diameter. A heart-shaped inlet, prominent ischial spines, convergent side walls, and a shallow posterior segment. In the male, a primary reason for the scrotal sac to be descended is to: Group of answer choices rapidly squeeze the sperm from their storage site into the urethra. promote sexual arousal during intercourse. release an alkaline fluid that helps provide an environment favorable for sperm motility and metabolism. maintain a temperature lower than that of the body to ensure spermatogenesis. Mr. and Mrs. Charles Jones arrive at the clinic for their first prenatal visit. Mr. Jones tells the nurse that the women in his family usually have girl babies first and wonders why some women always have girls. The nurse’s correct response is: Group of answer choices “Some women are just more fertile with females.” “Nature determines whether the baby will be a girl or a boy.” “The sex of the baby is determined by the sperm.” “The sex of the baby is determined by the egg.” Human beings have which chromosomal structure? Group of answer choices 23 chromosomes: 11 pairs of autosomes and 1 pair of sex chromosomes 46 chromosomes: 22 pairs of autosomes and 1 pair of sex chromosomes 22 chromosomes: 46 pairs of autosomes and 2 pair of sex chromosomes 38 chromosomes: 17 pairs of autosomes and 2 pair of sex chromosomes The uterine layer responsible for expelling the fetus during birth is the: Group of answer choices Decidua Parametrium Myometrium Endometrium What is the average weight of the nulliparous adult uterus? Group of answer choices 80 to 90 g 20 to 30 g 50 to 60 g 100 to 150 g Which of the following is NOT a component of the bony pelvis? Group of answer choices Sacrum Ischium Coccyx Femoral head What is the average transverse diameter of the pelvic outlet? Group of answer choices 8.0cm 12.0cm 13.0cm 11.0cm What type of pelvis is characterized by a short anterior-posterior diameter and a wide transverse diameter? Group of answer choices Platypelloid Android Gynecoid Anthropoid What type of pelvis is associated with an inlet that is round, with straight pelvic sidewalls, spines that are not prominent, and a wide pelvic arch? Group of answer choices Gynecoid Platypelloid Android Anthropoid What does the portion of the deciduas invaded by the tropoblast become? Group of answer choices Decidua parietalis Decidua verta Decidua capsularis Decidua basalis The epididymis is where: Group of answer choices The sperm stays to wait for the ovum Fertilization occurs Sperms are made Sperms mature The hormone responsible for the development of the ovum during the menstrual cycle is: Group of answer choices Progesterone Follicle-stimulating hormone (FSH) Estrogen Luteinizing Hormone The normal female pelvis is well suited for labor and birth and has: Group of answer choices An oval inlet, variable ischial spines, straight side walls, and a deep posterior segment. A rounded inlet, non prominent ischial spines, straight sides walls, and a deep and roomy posterior segment. A transversely oval inlet, variable ischial spines, parallel side walls, and a wide transverse diameter. A heart-shaped inlet, prominent ischial spines, convergent side walls, and a shallow posterior segment. In the male, a primary reason for the scrotal sac to be descended is to: Group of answer choices rapidly squeeze the sperm from their storage site into the urethra. promote sexual arousal during intercourse. release an alkaline fluid that helps provide an environment favorable for sperm motility and metabolism. maintain a temperature lower than that of the body to ensure spermatogenesis. Mr. and Mrs. Charles Jones arrive at the clinic for their first prenatal visit. Mr. Jones tells the nurse that the women in his family usually have girl babies first and wonders why some women always have girls. The nurse’s correct response is: Group of answer choices “Some women are just more fertile with females.” “Nature determines whether the baby will be a girl or a boy.” “The sex of the baby is determined by the sperm.” “The sex of the baby is determined by the egg.” Human beings have which chromosomal structure? Group of answer choices 23 chromosomes: 11 pairs of autosomes and 1 pair of sex chromosomes 46 chromosomes: 22 pairs of autosomes and 1 pair of sex chromosomes 22 chromosomes: 46 pairs of autosomes and 2 pair of sex chromosomes 38 chromosomes: 17 pairs of autosomes and 2 pair of sex chromosomes The uterine layer responsible for expelling the fetus during birth is the: Group of answer choices Decidua Parametrium Myometrium Endometrium What is the average weight of the nulliparous adult uterus? Group of answer choices 80 to 90 g 20 to 30 g 50 to 60 g 100 to 150 g Which of the following is NOT a component of the bony pelvis? Group of answer choices Sacrum Ischium Coccyx Femoral head What is the average transverse diameter of the pelvic outlet? Group of answer choices 8.0cm 12.0cm 13.0cm 11.0cm What type of pelvis is characterized by a short anterior-posterior diameter and a wide transverse diameter? Group of answer choices Platypelloid Android Gynecoid Anthropoid What type of pelvis is associated with an inlet that is round, with straight pelvic sidewalls, spines that are not prominent, and a wide pelvic arch? Group of answer choices Gynecoid Platypelloid Android Anthropoid What does the portion of the deciduas invaded by the tropoblast become? Group of answer choices Decidua parietalis Decidua verta Decidua capsularis Decidua basalis The epididymis is where: Group of answer choices The sperm stays to wait for the ovum Fertilization occurs Sperms are made Sperms mature The body organs that produce sex cells for the male and female are the: Group of answer choices Testes and ovaries Scrotum and Fallopian tube Vagina and Penis Uterus The following are the functions of the uterus: To aid in labor and delivery To retain and nourish the products of conception Site of implantation To receive the penis during intercourse Group of answer choices I and II All I-IV II, III and IV I, II, and III only Knowledge on the concepts of menstrual cycle prepares the beginning nurse to effectively give health teachings about family planning and contraception. Mary found out that menstruation is a cycle and that there are structures in the brain that regulate the ovaries and uterus. And these structures are: Group of answer choices Pituitary gland and the cerebellum Cerebellum and diencephalons Hypothalamus and cerebrum Hypothalamus and anterior pituitary gland She learned that menstruation is not just the shedding off of blood; instead, it is a series of events. Increased levels of GnRH will stimulate the pituitary gland to secrete: Group of answer choices Progesterone LH RH FSH The anterior pituitary hormone that stimulates production of progesterone during the latter half of the menstrual cycle is the: Group of answer choices GnRH Follicle Stimulating Hormone Luteinizing Hormone Estrogen Menstruation is indeed a cycle, but the menstrual flow is marked as the beginning because it is the part of the cycle which can be observed externally. The hypothalamus begins the menstrual cycle with the production of a hormone known as: Group of answer choices Progesterone GnRH FSH Estrogen This is the hormone produced by the anterior pituitary gland which is responsible for ovulation: Group of answer choices Estrogen LH FSH Progesterone Gonadotrophic hormones will be released by the anterior pituitary gland under the regulation of the Group of answer choices Thalamus Hypothalamus Adrenal gland Parathyroid gland Among the following, which one is a pituitary hormone that stimulates the ovary to produce estrogen during the menstrual cycle? Group of answer choices LH FSH GnRH Estrogen One of the functions of luteinizing hormone is Group of answer choices Spermatogenesis Fertilization Ovulation Maturation of the ovum The following changes occur at the beginning of menstruation except: Group of answer choices LH is at its highest amount FSH is beginning to rise The ovum is beginning to mature Estrogen is at its lowest level It is also a fact that ovulation occurs when the: Group of answer choices Endometrial wall is sloughed off. Oxytocin level is high. Progesterone level is high. Blood level of LH is high. The student nurse tells the adolescents that the normal duration of the menstrual cycle is about: Group of answer choices 28 days 14 days 45 days 20 days One of the audience asks, “How much blood do I lose during menstruation?” Which of the following would be your best response Group of answer choices “Normal blood loss is about ¾ cup (30-225ml).” “Normal blood loss can be a little or a lot.” “Normal blood loss is about ¼ cup (60ml).” “Normal blood loss is about 1/8 cup (5-30ml).” A participant admitted that there are times that she can soak a sanitary pad in an hour, that it seems a heavy menstrual flow compared to her sisters who are also menstruating already. You told her that this is a condition known as: Group of answer choices Dysmenorrhea Menorrhagia Dyspareunia Metrorrhagia In response to the APG stimulation, the graafian follicle secrets: Group of answer choices Prolactin Progesterone Glycogen Estrogen The cyclic activities of the ovaries and uterine endothelium are regulated by the: Group of answer choices Cerebellum and posterior pituitary gland Cerebral cortex and adrenal gland Hypothalamus and anterior pituitary gland Medulla oblongata and the thyroid gland The hormone that enhances ovarian production of estrogen during the first half of the menstrual cycle is the: Group of answer choices Human chorionic gonadotrophin Luteinizing hormone Follicle stimulating hormone Growth hormone At which of the following points of the menstrual cycle is the serum level of estrogen highest? Group of answer choices 13th day 3rd day 14th day 7th day SITUATION: Flor Reyes is a 22-yearl old nullipara who is considering using a diaphragm as her means of contraception. The nurse is teaching Ms. Reyes about the diaphragm. Which of the following is a correct statements about when the diaphragm needs to be refitted? Group of answer choices Every 10 years After a change in sexual partner After any surgical procedure After a weight gain of 10 to 20 lb (4.5 to 9 kg) How long should Ms. Reyes leave the diaphragm in place after intercourse? Group of answer choices At least 6 hours Remove it immediately after sexual intercourse As long as she needs protection 1 hour After having a vasectomy, Mr. Reyes asks the nurse if he’ll become sterile immediately. The nurse’s best response is: Group of answer choices “if the procedure is done correctly, you’ll be sterile immediately.” “It may take several weeks and as many as 30 to 40 ejaculations to remove all the live sperm.” “You’ll be strile in 2 to 3 days.” “No, you’ll remain fertile. This procedures doesn’t make you infertile.” SITUATION: The community health nurse has organized a family planning class at the clinic. Andrea is a 30-year-old gravida 3 para 2. She tells the nurse that she’s considering a tubal ligation after the birth of her third child. Which of the following statements by her indicates understanding of the procedure? Group of answer choices “I’ve been told that hormone replacement therapy woks well after the procedures.” “It will be wonderful not having a menstrual period.” “Hopefully, I’ll never have to worry about getting pregnant again.” “I plan to have another baby in 3 years.” SITUATION: Beth is a 15-year-old gravida 1 para 1 who comes to the family planning clinic for her 6-week postpartum checkup. When the nurse offers information on contraceptive methods, the patient states, “I’ll never have sex again; I don’t need a method .” Which response by the nurse is most appropriate? Group of answer choices “After you have sex, you’ll always want it.” “It’s better to be safe from sexually transmitted diseases than sorry.” “Using a contraceptive methods keeps you in a control of what happens to you.” “Never say never.” When the nurse helps Beth decide on the “correct” contraceptive method, which of the following must she consider as the most important concern for her patient? Group of answer choices Frequent of coitus Number of sexual partners Religion Comfort with the method In counselling Beth about contraceptive methods, the nurse informs her that the least effective method is the: Group of answer choices Intrauterine device (IUD). Spermicidal cream or jelly. Oral contraceptive. Subdermal contraceptive implant (levonorgestrel). Because Beth is breast-feeding, the nurse on the postpartum unit recommends which of the following as an excellent and effective method of contraception? Group of answer choices None because breast-feeding prevents conception Contraceptive foam with a condom Subdermal contraceptive implant (levonorgestrel) Oral contraceptives SITUATION: Mrs. Julia McNamara is on her 3 ½ month of her pregnancy and under going prenatal check-up at the RHU. This is her first time to have the check up in a rural setting since she moved to their new house in Malay-balay, Bukidnon. She and her American husband Sean are volunteer social workers trying to improve the literacy rate of different tribes in their area. She is adapting well to her new environment although she complains of occasional back pain. She has one nephew with Down syndrome. Mrs. McNamara asks the nurse how frequent she should visit the RHU for her regular pre-natal check up. Your best reply is: Group of answer choices Once a month until the 6th month of pregnancy then more frequent until 9th month. Once in every trimester and more frequent if there are risk factors and problems. On a monthly basis until the 9th month of pregnancy. Her visit will be based on her work schedules. Nurse Kim is explaining to Julia the ultimate goal of prenatal check-up which is: Group of answer choices To identify risk factors and problems during her pregnancy. To decrease maternal morbidity and mortality rates. To monitor the progress of pregnancy. To manage problems and complications of pregnancy at an earlier time. Julia will undergo pelvic exam. Kim will do which of the following first? Group of answer choices Place her in lithotomy position Sign a consent before the procedure Drink plenty of fluids Instruct her to void. Kim explains to Julia why she needs to undergo the pelvic exam. This includes the following: Group of answer choices To determine cervical effacement & dilatation To determine probable signs of pregnancy To determine fetal station All of these If Mrs. Mc Namara, 3 ½ mos pregnant, left home Matt born at 38 weeks, Patricia at 36 weeks, her twins Ron and Mara at 42 weeks, Kurt at 35 weeks, what is her GTPALM considering she had an abortion Group of answer choices G6 P 42151 G6 P 32151 G5 P 42151 G5 P 22151 Mrs. Mc Namara is concerned about having a nephew with Down syndrome. She asks what test can be done to determine if her baby is developing this condition. Kim’s best answer is: Group of answer choices Both MSAFP and CVS MSAFP CVS Vibroacoustic test Nurse Kim knows that MSAFP is best done on what week of pregnancy: Group of answer choices 10-12 weeks 15-16 weeks 30 weeks 24-26 weeks She explains to Julia the result that may indicate chromosomal defect is Group of answer choices Less than 38 ng/dl Above 50 ng/dl Less than 30 ng/dl Above 45 ng/dl Chorionic Villi sampling is best done on what week of pregnancy: Group of answer choices 24-26 weeks 15-16 weeks 30 weeks 10-12 weeks Mrs. Mc Namara asks Kim when she can expect her baby to move. You expect Kim to answer: Group of answer choices Two weeks from now By your next visit Two months from now Anytime now Nurse Kim measures the fundic height of Mrs. Mc Namara. You expect that her fundic height is approximately: Group of answer choices 18 cm 16 cm 12 cm 14 cm Nurse Kim is expected to palpate Julia’s fundus Group of answer choices Between the pubis and umbilicus Just above the pubis Between the umbilicus and xyphoid process Just below the umbilicus SITUATION: Mrs. Mc Namara further inquires about nutritional requirement during pregnancy. Nurse Kim enumerates the different dietary requirements during pregnancy. Kims explains to Julia that caloric requirement during pregnancy increases up to: Group of answer choices 3,000 calories/day 2,000 calories/day None of these 2,500 calories/day The recommended daily calcium requirement per day for Julia is Group of answer choices 1,200 mg 600 mg 500 mg 1,000 mg Daily folic acid requirement is Group of answer choices 600 mcg 15 mg 400 mcg 30 mg Daily iron requirement is Group of answer choices 300 mg 30 mg 15 mg 60 mg SITUATION: Mrs. Mc Namara is experiencing discomforts of pregnancy. As a student nurse, you must be able to give correct explanations and guidance about the causes and management of these discomforts. Julia is experiencing episodes of dizziness and a 30-point drop in her systolic pressure. Your first recommendation to her is to: Group of answer choices Avoid supine position while sleeping or resting. All of these Perform regular exercise Have her BP monitored regularly. To avoid varicosities in the lower extremities, you would advice her to EXCEPT: Group of answer choices Avoid prolong standing Elevate the legs while resting None of these Wear knee-high stockings In order to relieve leg cramp, you would suggest to Julia to: Group of answer choices Flex her knees and dorsiflex her feet Flex her knees and extend her feet Extend her knees and her feet Extend her knees and dorsiflex her feet Mild edema of the lower extremities is common during pregnancy. This is commonly caused by: Group of answer choices None of these High Level of HCG Estrogen-Aldosterone interaction Progesterone-Aldosterone interaction
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