REVIEWER ( NCMA 217 ) 11.
Which of the following is NOT a component of
1. Derick visits the clinic and is told that his
sperm count is normal. A normal sperm count
ranges from:
ANS : 20million to 100 million/ml.
2. Female reproductive cells are produced by
the:
ANS : Ovaries
3. The portion of the uterus whose significant
characteristic is to stretch during vaginal birth
is the:
ANS: Cervix
4. The hormone responsible for the
development of the ovum during the
menstrual cycle is:
ANS: Follicle-stimulating hormone (FSH)
5. The normal female pelvis is well suited for
labor and birth and has:
ANS: A rounded inlet, non prominent ischial
spines, straight sides walls, and a deep and
roomy posterior segment.
6. In the male, a primary reason for the scrotal
sac to be descended is to:
ANS: maintain a temperature lower than that
of the body to ensure spermatogenesis.
7. 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:
ANS: The sex of the baby is determined by the
sperm.
8. Human beings have which chromosomal
structure?
ANS: 46 chromosomes: 22 pairs of autosomes
and 1 pair of sex chromosomes
9. The uterine layer responsible for expelling the
fetus during birth is the:
ANS: Myometrium
10. What is the average weight of the nulliparous
adult uterus?
ANS: 50 to 60 g
the bony pelvis?
ANS: Femoral head
12. What is the average transverse diameter of
the pelvic outlet.
ANS: 11cm
13. What type of pelvis is characterized by a short
anterior-posterior diameter and a wide
transverse diameter?
ANS: Platypelloid
14. 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?
ANS: Gynecoid
15. What does the portion of the deciduas
invaded by the tropoblast become?
ANS: Decidua basalis
16. The epididymis is where:
ANS: Sperms mature
17. The body organs that produce sex cells for the
male and female are the:
ANS: Testes and ovaries
18. The following are the functions of the uterus:
1. To aid in labor and delivery
2. To retain and nourish the products of
conception
3. Site of implantation
4. To receive the penis during intercourse
ANS: 1,2, and 3 only
19. 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:
ANS: Hypothalamus and anterior pituitary
gland
20. 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:
 ANS: FSH
21. The anterior pituitary hormone that
stimulates production of progesterone during
the latter half of the menstrual cycle is the:
ANS: Luteinizing Hormone
22. 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:
ANS: GnRH
23. This is the hormone produced by the anterior
pituitary gland which is responsible for
ovulation:
ANS: LH
24. Gonadotrophic hormones will be released by
the anterior pituitary gland under the
regulation of the__
ANS: Hypothalamus
25. Among the following, which one is a pituitary
hormone that stimulates the ovary to produce
estrogen during the menstrual cycle?
ANS: FSH
26. One of the functions of luteinizing hormone is
ANS: Ovulation
27. The following changes occur at the beginning
of menstruation except:
ANS: LH is at its highest amount
28. It is also a fact that ovulation occurs when the:
ANS: Progesterone level is high.
29. The student nurse tells the adolescents that
the normal duration of the menstrual cycle is
about:
ANS: 28 days
30. One of the audience asks, "How much blood
do lose during menstruation?" Which of the
following would be your best response.
ANS: Normal blood loss is about ¼ cup (60ml).
31. 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:
ANS: Menorrhagia
32. In response to the APG stimulation, the
graafian follicle secrets:
ANS: Estrogen
33. The cyclic activities of the ovaries and uterine
endothelium are regulated by the:
ANS: Hypothalamus and anterior pituitary
gland
34. The hormone that enhances ovarian
production of estrogen during the first half of
the menstrual cycle is the:
ANS: Follicle stimulating hormone
35. At which of the following points of the
menstrual cycle is the serum level of estrogen
highest?
ANS: 13th day
36. 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?
ANS: After a weight gain of 10 to 20 lb (4.5 to
9 kg)
37. How long should Ms. Reyes leave the
diaphragm in place after intercourse?
ANS: At least 6 hours
38. After having a vasectomy, Mr. Reyes asks the
nurse if he'll become sterile immediately. The
nurse's best response is:
ANS: It may take several weeks and as many
as 30 to 40 ejaculations to remove all the live
sperm.
39. 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?
ANS: Hopefully, I'll never have to worry about
getting pregnant again. 45.
40. SITUATION: Beth is a 15-year-old gravida 1
para 1who comes to the family planning clinic
for her 6-week postpartum checkup.
When the nurse offers information on 46.
contraceptive methods, the patient states, "I'll
never have sex again; I don't need a method."
Which response by the nurse is most 47.
appropriate?
ANS: Using a contraceptive methods keeps
you in a control of what happens to you.
41. When the nurse helps Beth decide on the
"correct" contraceptive method, which of the 48.
following must she consider as the most
important concern for her patient?
ANS: Comfort with the method
42. In counselling Beth about contraceptive
methods, the nurse informs her that the least
effective method is the: 49.
ANS: Spermicidal cream or jelly.
43. Because Beth is breast-feeding, the nurse on
the postpartum unit recommends which of
the following as an excellent and effective
method of contraception?
ANS : Oral Contraceptives 50.
44. SITUATION: Mrs. Julia McNamara is on her 3/2
month of her pregnancy and under going
prenatal check-up at the RHU. This is her first 51.
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 52.
husband Sean are volunteer social workers
trying to improve the literacy rate of different
tribes in their area. She is adapting well to her 53.
new environment although she complains of
occasional back pain. She has one nephew
with Down syndrome.
Mrs. McNamara asks the nurse how frequent 54.
she should visit the RHU for her regular pre-
natal check up. Your best reply is:
ANS: Once in every trimester and more
frequent if there are risk factors and
problems.
Nurse Kim is explaining to Julia the ultimate
goal of prenatal check-up which is:
ANS : To decrease maternal morbidity and
mortality rates.
To decrease maternal morbidity and mortality
rates.
ANS: Instruct her to void.
Kim explains to Julia why she needs to
undergo the pelvic exam. This includes the
following:
ANS : To determine probable signs of
pregnancy
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.
ANS : G6 P 32151
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:
ANS:
Nurse Kim knows that MSAFP is best done on
what week of pregnancy:
ANS: 15-16 weeks
She explains to Julia the result that may
indicate chromosomal defect is
ANS:
Chorionic Villi sampling is best done on what
week of pregnancy:
ANS : 10-12 weeks
Mrs. Mc Namara asks Kim when she can
expect her baby to move. You expect Kim to
answer:
ANS: Two weeks from now
Nurse Kim measures the fundic height of Mrs.
Mc Namara. You expect that her fundic height
is approximately:
ANS:
55. Nurse Kim is expected to palpate Julia's
fundus
ANS: Between the pubis and umbilicus
56. 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:
ANS: 2,500 calories/day
57. The recommended daily calcium requirement
per day for Julia is
ANS: 1,000 mg
58. Daily folic acid requirement is
ANS: 400 mcg
59. Daily iron requirement is
ANS: 60mg
60. 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: QUIZ (WEEK 1) Perspective on Maternal, newborn and
ANS: Avoid supine position while sleeping or women's healthcare
resting.
61. To avoid varicosities in the lower extremities, 1. A nurse is preparing a presentation for a local
you would advice her to EXCEPT: community group about health status and
ANS: Wear knee-high stockings childrens health. Which of the following would
62. In order to relieve leg cramp, you would the nurse include as one of the most
suggest to Julia to: significant measures?
ANS: Extend her knees and dorsiflex her feet ANS: Infant mortality rate
63. Mild edema of the lower extremities is 2. What is the primary role of practicing nurses
common during pregnancy. This is commonly in the research process?
caused by: ANS: Identifying researchable problems
ANS : Progesterone-Aldosterone interaction 3. Contemporary maternity nursing is
exemplified by:
ANS: Family-centered care.
4. Maternity nurses can work to dispel the
health disparities among women through:
ANS: Increased education for mothers.
5. The term used to describe legal and
professional responsibility for practice for
maternity nurses is:
ANS: Accountability.
6. The United States ranks 25th in infant
mortality rates of the world. Which factor has
a significant im
ANS: Ensuring early and adequate prenatal
care
7. Many communities now offer the availability
of free standing birth centers to provide care
for low-risk women during pregnancy, birth,
and postpartum. When counseling the newly
pregnant woman regarding this option, the
nurse should be aware that this type of care
setting includes which advantages? Select all
that apply.
ANS: - Less expensive than acute-care
hospitals
- Access to follow-up care for 6 weeks
postpartum
- Safe, home-like births in a familiar setting
8. A nursing instructor is preparing a class
discussion on case management in maternal
and newborn health care. Which of the
following would the instructor include as a key
component? Select all that apply.
ANS: Advocacy , Coordination ,
Communication & Resource management
9. The nurse is working with a group of
community health members to develop a plan
to address the special health needs of women.
Which of the following conditions would the
group address as the major problem?
ANS: Heart disease
10. When assessing a family for possible barriers
to health care, the nurse would consider
which factor to be most important?
ANS: Finances
QUIZ (WEEK 2) Structure and function of the
Reproductive System
1. After teaching a group of students about fetal
development, the instructor determines that
the teaching was successful when the
students identify which of the following as
providing the barrier to other sperm after
fertilization?
ANS: Zona pellucida
2. The second phase of the menstrual cycle is
called secretory phase. It is also termed as:
ANS: postovulatory phase
3. Which statement best describes when
fertilization occurs?
ANS: When the spermatozoon passes into the
ovum and the nuclei fuse into a single cell.
4. In explaining the development of her baby,
you identified in chronological order growth of
the fetus as it occurs in pregnancy as:
ANS: ovum, zygote, embryo, fetus, infant
5. The hormone responsible for maturation of
ovum is:
ANS: Follicle stimulating hormone
6. In this phase, degenerated portion of
endometrium is shed. Estrogen levels are low.
ANS: menstruation phase
7. Menstrual cramps is usually due to the
increase production of which hormone?
ANS: Prostaglandin
8. The final process which the sperm has to
undergo before fertilizing the ovum:
ANS: capacitation
9. The chief of function of progesterone is the:
ANS: preparation of the uterus to receive a
fertilized ovum
10. A regular 32-day menstrual cycle, the client
will probably ovulate:
ANS: on day 18
11. Structure which contains high amount of
progesterone.
ANS: corpus luteum
12. In counting the days of menstrual cycle, day 1
is the:
ANS: first day of menstruation
13. Which one is not included in the signs &
symptoms of ovulation?
ANS: Irritability
14. Which action occurs during follicular phase of
the ovarian cycle?
ANS: Maturation of Ovum
15. Using a diagram, the nurse points out the
common site for fertilization, which is the:
ANS: Outer third of the fallopian tube near the
ovary
16. A pregnant woman is having an ultrasound
because there is some concern about the
implantation of the zygote. The nurse explains
that the usual location for implantation is the:
ANS: Upper section of the posterior uterine
wall
17. A nursing instructor is describing the
hormones involved in the menstrual cycle to a
group of nursing students. The instructor
determines the teaching was successful when
the students identify follicle-stimulating
hormone as being secreted by which of the
following?
ANS: Anterior pituitary gland
18. The nurse is explaining the process of cell
division during the preembryonic period to a
group of nursing students. Which describes
the morula?
ANS: Solid ball composed of the first cells
formed after fertilization
19. The pediatrician's nurse is educating the
mother of a young preadolescent girl. She
advises the mother that puberty is marked by
the appearance of secondary sexual
characteristics and maturation of the
reproductive organs. The mother asks the
nurse when this will happen. The nurse's reply
is based on her knowledge that puberty
usually occurs between:
ANS: 10 and 14 years of age
20. With sexual stimulation the penis becomes
erect. What is the physiologic cause of an
erection?
ANS: Penile sinuses fill up with blood.
QUIZ (WEEK 2) GENETICS
1. A newborn has been diagnosed with a
disorder that occurs through an autosomal
recessive inheritance pattern. The parents ask
the nurse, Which of us passed on the gene
that caused the disorder? Which answer
should the nurse tell them?
ANS: Both ( Female & Male )
2. A nurse is teaching a class on X-linked
recessive disorders. Which of the following
statements would the nurse most likely
include?
ANS: No male-to-male transmission occurs.
3. The parents of a child with a karyotype of
47,XY, +21 ask the nurse what this means.
Which is an accurate response by the nurse?
ANS: This karyotype is for a male with Down
syndrome.
4. When describing genetic disorders to a group
of childbearing couples, the nurse would
identify which as an example of an autosomal
dominant inheritance disorder?
ANS: Huntingtons disease
5. While talking with a pregnant woman who has
undergone genetic testing, the woman
informs the nurse that her baby will be born
 with Down syndrome. The nurse understands
that Down syndrome is an example of:
ANS: Trisomy numeric abnormality
6. The nurse is providing genetic counseling for
an expectant couple who already have a child
with trisomy 18. The nurse should:
ANS: Discuss options with the couple,
including amniocentesis to determine
whether the fetus is affected.
7. In practical terms regarding genetic health
care, nurses should be aware that:
ANS: The most important of all nursing
functions is providing emotional support to
the family during counseling.
8. Regarding the estimation and interpretation
of the recurrence of risks for genetic
disorders, nurses should be aware that:
ANS: The risk factor remains the same no
matter how many affected children are
already in the family.
9. The nurse must be cognizant that an
individuals genetic makeup is known as his or
her
ANS: Genotype.
10. While talking with a pregnant woman who has
undergone genetic testing, the woman
informs the nurse that her baby will be born
with Down syndrome. The nurse understands
that Down syndrome is an example of:
ANS: Trisomy numeric abnormality
QUIZ (WEEK 2) Anatomy and Physiology
1. The main purpose of the male reproductive
system is to:
ANS : Create as many sperm as possible
2. A man is able to ejaculate but has a very low
sperm count. The man probably has a problem
with which organ?
ANS: Testes
3. Mr Z ask the nurse “Why my left testicle is
lower than the right?” The most appropriate
answer is.
ANS: It prevents friction during active
movement.
4. Which of the following statement is
INCORRECT about prostate gland?
ANS: Secretion is acidic in nature
5. The following statement is true about the
testes except:
ANS: - Retracted when cold and loose when
warm
- Needs to maintain temperature for the
sperm
- Ovoid glands that composed of numerous
lobules
6. Students are asking how many days will it take
for the sperm to travel the length of the
epididymis? The best answer that can be
provided is:
ANS: 12-20 days
7. How many days will it take for the sperm to
reach its maturity?
ANS: 64 days
8. The following statement is true regarding
Ductus Deferens, except:
ANS: The length is controversial,
approximately 20 ft long.
9. Thick, creamy white fluid with the consistency
of mucus or egg whites that is ejaculated from
the penis:
ANS: Semen
10. The nurse, speaking with a couple trying to
conceive a child, reminds the patients that a
factor that can decrease sperm production is:
ANS: The testes are too warm
11. While discussing anatomy and physiology of
the reproductive cycle, the client asks the
nurse, “Where is the ovum fertilized?” The
best response by the nurse is to instruct the
client that fertilization normally occurs in the:
ANS: fallopian tube
12. Mrs. Luna decided to undergo tubal ligation.
She ask the nurse which part of the fallopian
tube will be cut and tied. The appropriate
QUIZ (WEEK 3) Family Planning and Contraception
response of the nurse is
ANS: Isthmus
13. Which part of the ovary contains the ovum
during maturation?
ANS: cortex
14. What is the life span of the ovum once it is
released by the ovary?
ANS: 24 hrs
15. The nurse uses a diagram to demonstrate the
fimbriae that:
ANS: Are fingerlike projections that capture
the ovum.
16. Bartholin’s glands in the female are
homologous to what structure in the male?
ANS: Bulbourethral glands
17. The client tells the nurse that she often
experiences orgasms during sexual
intercourse. The nurse should explain to the
client that the primary anatomic female
structure involved in sexual arousal and
orgasm is the:
ANS: clitoris
18. To facilitate the passage of fetus during
delivery, this portion is usually cut:
ANS: fourchette
19. When explaining the female reproductive
tract to a pregnant woman, the nurse would
refer to the uterine layer that is involved in
implantation as the:
ANS: Endometrium
20. The portion of the uterus whose significant
characteristic is to stretch during vaginal birth
is the:
ANS: Corpus
1. It is generally recommended that the first pill
be started on:
ANS: the 1st Sunday after the beginning of a
menstrual flow
2. The 21 and 28-pill container are the same in
the following features, except:
ANS: They both contain placebo pills.
3. Mini-pills do not contain:
ANS: Estrogen
4. According to the BBT method, at the time of
ovulation, the woman's basal body
temperature:
ANS: drops 0.5 °F the day before ovulation
then rises 1°F on ovulation day
5. Before counselling a patient about
contraceptive methods, the nurse must first:
ANS: Evaluate her own beliefs and values
regarding family planning
6. Women with recurrent UTIs should avoid
which type of birth control method?
ANS: diaphragm
7. The diaphragm should be left in place at least
6 hours after coitus but not more than:
ANS: 48 hours
8. In teaching about the mechanism of action of
the IUD, the student nurse is correct if he
stated that:
ANS: It prevents the entry of the spermatozoa
into the uterus by acting as a mechanical
barrier.
9. A nurse informs a client contemplating
implantable progestin (Norplant) as a means
of contraception that the most common side
effect is:
 ANS: Irregular menstrual bleeding
10. A 28 yr old married woman seeks advice from
the nurse in her company health office about
oral contraceptives. The nurse should advise
her that if she smokes:
ANS: Oral contraceptives can cause
thrombophlebitis
11. After vas ligation, the man is considered
sterile:
ANS: After 20 ejaculation
12. A client at 33 weeks' gestation is experiencing
regular contractions. Her cervix is dilated 4
cm. The lung tissue of her fetus is immature.
What medication does the nurse expect to be
prescribed?
ANS: Betamethasone (Celestone)
13. A client is scheduled to have a contraction
stress test (CST) to determine fetal well-being.
Which type of fetal heart rate (FHR)
decelerations constitutes a nonreassuring
outcome?
ANS: Late
14. Which neonatal disorder does folic acid
prevent?
ANS: A folic acid supplement (0.4 mg/day)
greatly reduces the incidence of fetal neural
tube defects.
15. What is a tubal ligation?
ANS: Tubes tied
QUIZ (WEEK 4) Amniotic, Gastrointestinal, and Seminal
Fluids
1. Amniotic, Gastrointestinal, and Seminal Fluids
ANS: When L/S ratio is 2:1 majority of infant
develops mature lungs
2. Which of the following statements is not true
about Chorionic Villi Sampling?
ANS: Chorionic villi cells are examined to
detect chromosome abnormalities such as
Down syndrome and NTD.
3. A pregnant client reveals a low alpha-
fetoprotein. The nurse is aware that this test
result may indicate the presence of:
ANS: Down syndrome
4. The nurse understands that when a
contraction stress test is interpreted as
negative it means:
ANS: The fetus at this time has oxygen
reserves but the test should be repeated
weekly
5. Mrs. Cherry Santos tells the nurse that she
had weekly Non stress test. A review of Mrs.
Santos last non stress test shows that, after 20
minutes 2 periods of fetal activity were noted
with accelerations of 15 beats/min lasting for
15 secs. The nurse would interpret the result
as:
ANS: Reactive
6. A pregnant client reveals an elevated alpha-
fetoprotein. The nurse is aware that this test
result may indicate the presence of :
ANS: Neural tube defect
7. When is the best time to determine
gestational age based on biparietal diameter
through ultrasound?
ANS: 12 to 20 weeks
8. While working with the pregnant woman in
her first trimester, the nurse is aware that
chorionic villus sampling can be performed
during pregnancy as early as _____ weeks.
ANS: 10
9. Which diagnostic test evaluates the effect of
fetal movement on fetal heart activity?
ANS: Nonstress test (NST)
10. Which nursing intervention is necessary
before a second-trimester transabdominal
ultrasound?
ANS: Instruct the woman to drink 1 to 2 quarts
of water.
11. The purpose of initiating contractions in a CST
is to
ANS: Apply a stressful stimulus to the fetus.
QUIZ (WEEK 4)