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NURS PEDS EXAM II QUESTIONS WITH ANSWERS GUARANTEED SATSFACTION 2023 A+
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NURS PEDS EXAM II QUESTIONS WITH ANSWERSGUARANTEED SATSFACTION 2023 A+
Situation: Martha the MCN Nurse is preparing a Mother’s class to be
conducted in a Health Center.
1. To facilitate understanding for pregnant mothers regarding reproductive
organs involve in pregnancy Martha is discussing with the pregnant
mothers the differences between the male and female organs,
emphasizing the organs/parts that are analogous; which is INCORRECT?
A. Penis-vagina
B. Scrotum-labia majora
C. Glans penis-clitoris
D. Spermatocytogenesis- oogenesis
Rationale: D. Spermatocytogenesis is the process of producing mature,
male gamete the spematozoa, more commonly called ‘sperm’, where as
oogenesis is the process of producing mature female gamete, the egg cell
or ovum. Spermatocytogenesis is the process where the diploid primary
spermatogonium divides to produce 2 diploid primary spermatocytes which
is turn divide into 2 haploid secondary spermatocytes. Spermatidogenesis
is the creation of spermatids from secondary spermatocytes.
Spermiogenesis is the development of the psermatids into haploid
spermatozoa.
Reference: Maternal - Child Nursing by Adele Pilliterri
2. The clitoris is the seat of sexual excitement in the female. Its
significance is valuable for obstetrics is that it:
A. guides catheterization.
B. serves as the sexual organ of stimulation.
C. guides internal examination.
D. protects vestibular parts.
Rationale: A. The clitoris is located anterior to the urinary meatus and
posterior the procedure that it is used as guide to female catheterization.
Although the clitoris is the sexual organ of stimulation as it is highly
sensitive, this is not an obstetrical value. The clitoris does not guide internal
examination; the anus which lies posterior to the vaginal canal, may guid
internal vaginal examination. Labia minor protects the vestibule, the urinary
meatus and vaginal os.
Reference: Maternal - Child Nursing by Adele Pilliterri
3. The pregnant mothers ask about external organs of reproduction and are
collectively called:
A. Vulva
B. Perineum
C. Vagina
D. External organs
Rationale: A. The vulva is the term used for all parts of the female external
reproductive tract namely the mons pubis, the labia majora, labia minora,
vestibule with openings to the Bartholin’s glands (or vulvovaginal glands)
and Skene’s glands (or paraeurethral glands), the urinary meatus and
vaginal os. The perineum is simply the space between the vaginal os and the
anus, while the vagina is part of the internal organs of reproduction.
Reference: Maternal - Child Nursing by Adele Pilliterri
4. One of the mothers ask why the vagina is acidic with pH of 4-6. The
appropriate respond of the Nurse would be because of the function of
which bacteria?
, NURS PEDS EXAM II QUESTIONS WITH ANSWERS
GUARANTEED SATSFACTION 2023 A+
B. Doderlein’s bacilli
C. Escherichia coli
D. Staphylococci
Rationale: B. Doderlein’s bacilli are the bacteria normally residing in the
vaginal canal; they make the vagina acidic so other microorganisms do not
usually thrive. But if the birth canal gets lacerated, they can invade lacerated
wounds to cause vaginitis or cervicitis. With frequent internal examination
in labor, especially if the bag of waters is no longer intact, they can be
pushed upward by the examining fingers and cause endometritis or
puerperal sepsis. Streptococci may come from infected upper respiratory
tract, E.coli normally resides in the bowels, and staphylococci may come
from infected hands/skin.
Reference: Maternal - Child Nursing by Adele Pilliterri
5. The Nurses explains the function of cervix. and ask Which of the
following statements is not true of the cervix? The
A. cervix is 1/3 of the uterine length
B. cervical internal os opens into the vagina
C. cervical os dilates in labor
D. cervical os is open with a pinpoint that widens in labor
Rationale: B. The cervix, 1/3 of the uterine length, is composed of a cervical
external os that opens into the vagina, an internal os that leads to the
uterine cavity and a cervical canal (2.5 cm in the length) that joins the two.
During the labor the cervical os dilutes (opens, increase in diameter), while
the cervical canal effaces (shortens, narrows, thins).
Reference: Maternal - Child Nursing by Adele Pilliterri
6. Martha emphasized that the uterus functions as the organ:
1. Of gestation which houses growing fetus.
2. That propels the products of conception into the birth canal.
3. Of nidation.
4. Of female copulation.
2 and
A. 1, 2 and 3 C. 3
D 2,3
B. 1 and 3 . and 4
, NURS PEDS EXAM II QUESTIONS WITH ANSWERS
GUARANTEED SATSFACTION 2023 A+
Rationale: A. The uterus is the organ of menstruation, site of implantation
(also called nidation), and the organ that houses the growing baby during
pregnancy (gestation). During labor, it propels the fetus into the birth canal.
The female organ of copulation is the vagina, analogous with male penis.
Reference: Maternal - Child Nursing by Adele Pilliterri
Situation: The Mothers’ Class is also one of the ways where students
can impart learning to pregnant mothers. The following topics were
discussed to them.
7. The nursing students emphasized that the most common site of
implantation is which part of the uterus?
A. Uterine fundus, posterior portion
B. Uterine isthmus
C. Uterine corpus
D. Outer portion of the uterine tube
Rationale: A. Implantation is the embedding of the blasmocyst into the
uterine wall; the most common site is the upper third of the uterus called
fundus, and the most frequently on the posterior fundus. Isthmus is the lower
uterine portion; implantation at this site may cause placenta previa. The
outer portion of the uterine tube (fallopian tube) is called ampulla, the most
common site of fertilization and ectopic pregnancy.
Reference: Maternal - Child Nursing by Adele Pilliterri
8. Student Nurses are teaching the mothers that the main blood supply in
the uterus is directly from the:
A. aorta and ovarian arteries
B. uterine and deep pelvic arteries
C. inferior vena cava and hypogastric arteries
D. uterine and ovarian arteries
Rationale: D. The main blood supply of the uterus is directly from the uterine
and ovarian arteries. In later pregnancy, the uteros-placental-fetal perfusion
is affected by maternal supine position which can cause supine hypotensive
syndrome or vena caval syndrome and hypotension. The pregnant woman
(gravida) and the woman in labor (parturient) are best positioned on the side
(particularly left side) and should avoid the supine position. Likewise, during
the abdominal palpation and FHR auscultation, avoid prolonged supine
position; better still place a pillow or rolled towel under the right hip during
such procedures to prevent pressure on the aorta and inferior vena cava.
Reference: Maternal - Child Nursing by Adele Pilliterri
9. The topic of great interest for the pregnant mothers are fertilization and
conception which occurs in the fallopian tube, the most common site of
which is the:
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