Situation: During an Anatomy and Physiology class, the lecturer discussed about the female reproductive system. 1.

Estrogen, one of the hormones regulating cyclic activities in female reproductive system is responsible for which effect? a. Increases the quantity and pH of cervical mucus, causing it to become thin and watery and can be stretched to a distance of 10-13 cm. b. Inhibits the production of LH c. Increases endometrial tortuosity d. All of the above 2. Jessa, 17 years old, is bleeding between periods of less than two weeks. This condition is an abnormality in the menstrual cycle known as: a. Metrorrhagia b. Menorrhagia c. Amenorrhea d. Dysmenorrheal 3. One factor of having a normal delivery is the size of the pelvis. Pelvis serves as the passageway for the passenger (fetus) during childbirth. The most ideal pelvis for childbirth is: a. Android b. Anthropoid c. Platypelloid d. Gynecoid 4. An important landmark of the pelvis that determines the distance of the descent of the head is known as: a. Linea terminalis b. Sacrum c. Ischial spines d. Ischial tuberosities 5. The permanent cessation of menstruation is: a. Amenorrhea b. Menopause c. Oligomenorrhea d. Hypomenorrhea Situation: Mrs. Donna, pregnant for 16 weeks age of gestation (AOG), visits the health care facility for her prenatal check-up with her only son, Mark. During assessment the client told the nurse that previously she got pregnant twice. The first was with her only child, Mark, who was delivered at 35 weeks AOG and the other pregnancy was terminated at about 20 weeks AOG. 6. Based on the data obtained, Mrs. Donnas GTPAL score is: a. 20111 b. 21111 c. 30111 d. 31111 7. Discomforts during pregnancy are discussed by the nurse to the Mrs. Donna. Which of the following, when complained by the client would alert the nurse? a. Easy fatigability b. Nausea and vomiting c. Edema of the lower extremities d. Heartburn 8. Psychological and emotional responses of pregnant women differ. However, general emotional response has been noted during pregnancy based on their gestational age. Mrs. Donna will most likely have which emotional response towards her pregnancy? a. Presents denial disbelief and sometimes repression. b. Has personal identification of the baby and realistic plans for future of the child.

c. Fantasizes the appearance of the baby. d. Verbalizes fear of death during childbirth. 9. The nurse assisted Mrs. Donna to a dorsal recumbent position and is about to assess the fetal heart rate (FHR). Which of the following apparatus should the nurse use in auscultating for the FHR? a. Doppler apparatus b. Fetoscope c. Ultrasound d. Stethoscope 10. Mrs. Donna asked the nurse, when a fetal heart starts beating. The nurse correctly responded by stating: a. 3 weeks AOG b. 8 weeks AOG c. 12 weeks AOG d. 20 weeks AOG Situation: Mrs. Dela Cruz is in labor and is brought to the emergency room with a ruptured bag of water. 11. The nurses initial action once the bag of water has ruptured is: a. Take the fetal heart tones b. Put the client to the bed immediately c. Perform an IE d. Take the womans temperature 12. Mrs. Dela Cruzs has contractions growing stronger which lasts for 40-60 seconds and occur approximately every 3-5 minutes. The doctor is about to perform an IE, the nurse expects that the clients cervical dilatation will be: a. 0-3 cm b. 4-7 cm c. 8-10 cm d. 11-13 cm 13. The doctor informed the woman that she is on station -1. Mrs. Dela Cruz asked the nurse, what does a station -1 means, the most appropriate response of the nurse is: a. It means that engagement has already occurred. b. The presenting part of your baby is at the entrance of the true pelvis or the largest diameter of the presenting part into the true pelvis. c. Your baby is still floating or ballotable d. The presenting part of your baby is at the vulvar ring of your reproductive organ. 14. The history of Mrs. Dela Cruz revealed that she is a multipara. When should the nurse transport the client from the labor room to the delivery room? a. When the cervical dilatation is 8 cm. b. When the cervical dilatation is 10 cm. c. When the cervical dilatation is 9 cm. d. When the client feels the urge to push. 15. Monitoring contractions is very important during labor. To monitor uterine contractions, what should the nurse do? a. Observe for the clients facial expression to know that the contraction has started or stopped. b. Instruct the client take note of the duration of her contractions. c. Offer ice chips to the woman. d. Spread the fingers lightly over the fundus to monitor the contraction. 16. Uterine contractions can occur because of the interplay of the contractile enzyme adenosine triphosphate and the influence some hormones. Which of the following least likely contributes to the occurrence of uterine contractions? a. Oxytocin b. Estrogen

c. Prolactin d. All of the above 17. Dysfunctional labor may be caused by which of the following? a. Excessive or too early analgesia administration b. Exhausted mother c. Overdistention of the uterus d. All of the above 18. The clients uterine contractions are hypotonic. The nurses top priority with hypotonic contractions during the intrapartal period is: a. Pain relief b. Psychological support c. Monitoring the lochia for possible bleeding d. Infection control 19. For a woman experiencing hypotonic contractions, what should be done initially? a. Obtain an ultrasonic result b. Infusion of oxytocin c. Administration of analgesia d. Amniotomy
20. The most important nursing consideration in a postpartal woman with a hypotonic contraction is: a. Assessment for infection b. Assessment for bleeding c. Assessment for FHR d. Assessment for womans coping mechanism Situation: Bleeding during pregnancy is a serious case and should be managed immediately. 21. Mrs. Diane is diagnosed with Placenta Previa. The main difference with the bleeding in placenta previa and abruption placenta is that placenta previa has: a. Painful bleeding b. Rigid abdomen c. Bright-red blood d. Blood filled with clots 22. In caring for a client diagnosed with placenta previa, the nurse should avoid which of the following? a. Inspecting the perineum b. Performing a Kleihauer-Betke test c. Performing a pelvic examination d. All of the above 23. For the nurse to distinguish that the bleeding of the patient is placenta previa or abruption placenta what should she ask the woman? a. Whether there was accompanying pain b. What she has done for bleeding c. Estimation of blood loss d. All of the above 24. Continued bleeding may result to fetal distress. The nurse knows that the fetus is being compromised when she observed or note which of the following: a. Fetal tachycardia b. Fetal bradycardia c. Fetal thrashing d. All of the above 25. A woman in labor is diagnosed with abruption placenta. The nurse would expect which findings in the clients history that may contribute to the occurrence of the complication? a. Age of 24 years old b. Cigarette smoking c. Sleeping 8 hours per night d. Sitting for long period