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THE ONLY THING THAT STANDS BETWEEN A PERSON AND WHAT HE WANTS FROM LIFE IS OFTEN MERELY THE WILL TO TRY IT AND THE FAITH TO BELIEVE THAT IT IS POSSIBLE. NEVER COMPLAIN, NEVER QUIT. KEEP MOVING FORWARD DIRECTION: Select the best answer and shade the box. No erasures. 1. A woman who is 15 weeks pregnant comes to the clinic for amniocentesis. The nurse knows that this test can be used to identify which characteristics or problems? Select all that apply: Fetal lung maturity Gestational diabetes Chromosomal defects Neural tube defects Polyhydramnios Sex of the fetus 2. A client who is 41 weeks pregnant is about to undergo a biophysical profile (BPP) to evaluate her fetus's well-being. The nurse knows that which components are included in a BPP? Select all that apply: Fetal tone Fetal breathing movements Femur length Amniotic fluid volume Biparietal diameter Crown-rump length 3. The largest portion of the uterus is the: Myometrium Endometrium Perimetrium Deciduas 4. Which term refers to the upper triangular portion of the uterus? Cervix Fundus Isthmus Corpus

5. The increased activity of the endometrial glands during luteal phase of the female reproductive cycle stimulated by Progesterone Estrogen Prolactin Glycogen 6. Increased levels of gonadotrophic hormones stimulate the APG to secrete Progesterone FSH Oxytocon Prolactin 7. In response to the APG stimulation, the graafian follicle secretes: Progesterone Estrogen Glycogen Prolactin

8. Before birth, which of the following structures connects the right and left auricles of the heart? Umbilical vein Foramen ovale

Ductus arteriosus Ductus venosus

9. Spinnabarkeit is an indicator of ovulation which is characterized as: Thin watery mucus which can be stretched into a long strand about 10 cm Thick mucus that is detached from the cervix during ovulation Thin mucus that is yellowish in color with fishy odor Thick mucus vaginal discharge influence by high level of estrogen 10. Which of the following is a TRUE statement about normal ovulation? It occurs on the 14th day of every cycle It may occur between 14-16 days before next menstruation Every menstrual period is always preceded by ovulation The most fertile period of a woman is 2 days after ovulation 11. Which of the following are signs of ovulation? 1. Mittelschmerz; 2. Spinnabarkeit; 3. Thin watery cervical mucus; 4. Elevated body temperature of 4.0 degrees centigrade 1&2 1, 2, & 3 3&4 1, 2, 3, 4

12. When the bag of waters ruptures, the nurse should check the characteristic of the amniotic fluid. The normal color of amniotic fluid is Clear as water Bluish Greenish Yellowish 13. Which of the following are the functions of amniotic fluid? 1.Cushions the fetus from abdominal trauma 2.Serves as the fluid for the fetus 3.Maintains the internal temperature 4.Facilitates fetal movement 1&3 1, 3, 4 C1, 2, 3 All of the above 14. FHR can be auscultated with a fetoscope as early as which of the following? 5 weeks gestation 10 weeks gestation 15 weeks gestation 20 weeks gestation 15. A client LMP began July 5. Her EDD should be which of the following? January 2 March 28 April 12 October 12 16. Which of the following fundal heights indicates less than 12 weeks gestation when the date of the LMP is unknown? Uterus in the pelvis Uterus at the xiphoid Uterus in the abdomen Uterus at the umbilicus 17. When preparing to listen to the fetal heart rate at 12 weeks gestation, the nurse would use which of the following? Stethoscope placed midline at the umbilicus

Doppler placed midline at the suprapubic region Fetoscope placed midway between the umbilicus and the xiphoid process External electronic fetal monitor placed at the umbilicus

18. Which of the following refers to the single cell that reproduces itself after conception? Chromosome BlastocysT Zygote Trophoblast 19. The following are ways of determining expected date of delivery (EDD) when the LMP is unknown EXCEPT: Naegeles rule Quickening Mc Donalds rule Batholomews rule of 4 20. When measuring a clients fundal height, which of the following techniques denotes the correct method of measurement used by the nurse? From the xiphoid process to the umbilicus From the symphysis pubis to the xiphoid process From the symphysis pubis to the fundus From the fundus to the umbilicus 21. A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality. When talking about the role of hormones in sexual development, which hormone does the nurse teach the class is the most important for developing and maintaining the female reproductive organs? Estrogen Progesterone Androgens Follicle-stimulating hormone 22. In the male, spermatogenesis occurs in the: Vas deferens Prostate gland Epididymis Testes 23. Estrogen levels are highest during which phase of the menstrual cycle? Menstrual Proliferative Secretory Ischemic 24. A nurse has assisted in performing a non-stress test on a pregnant client and is reviewing the documentation related to the results of the test. The nurse notes that the physician has documented the test results as non-reactive. The nurse interprets that this result indicates: Normal findings Abnormal findings No need for further evaluation That the findings on the monitor were difficult to interpret

25. A non-stress test is performed on a client who is pregnant and the results of the test indicate nonreactive findings. The physician prescribed a contraction stress test. The test is performed, and the nurse notes that the physician has documented the results as positive. The nurse interprets this finding as indicating: A high risk for fetal demise A normal test result The need for caesarian delivery An abnormal test result