1. A postpartum client who had a vaginal birth asks the nurse, “Will my cervix return to its
previous shape before I had my baby?” Which is the best response by the nurse?
a. The cervix will now have a slitlike 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 slitlike shape and may have tags of scar
tissue. The external os of a childless woman is round and smooth, but after a vaginal birth it
will not 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.
PTS: 1 DIF: Cognitive Level: Application REF: 47
OBJ: Nursing Process Step: Implementation
MSC: Client 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
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
to reproduction and is a primary sexual characteristic.
PTS: 1 DIF: Cognitive Level: Understanding REF: 43, 44
OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. Which 16-year-old girl may experience secondary amenorrhea?
a. Jackie, 5 ft 2 in, 130 lb
b. Karen, 5 ft 9 in, 150 lb
c. Carol, 5 ft 7 in, 96 lb
d. Linda, 5 ft 4 in, 120 lb
ANS: C
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, Because of her height and low body weight, Carol is at risk of developing secondary
amenorrhea, which 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. Jackie,
Karen, and Linda are of sufficient height and weight to promote sex hormone production.
4. Which 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.
PTS: 1 DIF: Cognitive Level: Remembering REF: 49
OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance
5. The nurse is describing the size and shape of the nonpregnant uterus to a client. Which is an
accurate description?
a. The nonpregnant uterus is the size and shape of a 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 nonpregnant 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.
PTS: 1 DIF: Cognitive Level: Application REF: 47
OBJ: Nursing Process Step: Implementation
MSC: Client 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
This study source was downloaded by 100000834230206 from CourseHero.com on 01-24-2022 03:45:58 GMT -06:00
https://www.coursehero.com/file/21087132/c4-1/
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