Quiz NCLEX with Correct Answer (update.July 2019) 10th Edition (Maternity/Antepartum)
Quiz NCLEX with Correct Answer (update.July 2019) 10th Edition (Maternity/Antepartum)
1. A nurse is assisting in conducting a teaching session with a group of female adolescents. The nurse tells the adolescents that the primary hormone that induces the growth of pubic and axillary hair at puberty is:
A. Testosterone
B. Oxytocin
C. Prolactin
D. Progesterone
Answer: A. Testosterone
Rationale: Testosterone is produced by the adrenal glands in the female and induces the growth of pubic and axillary hair at puberty. Oxytocin stimulates contractions during birth and stimulates postpartum contractions to compress uterine vessels and control bleeding. Prolactin stimulates the secretion of milk. Progesterone stimulates the secretions of the endometrial glands, causing endometrial vessels to become highly dilated and tortuous in preparation for possible embryo implantation.
Test-Taking Strategy: Knowledge regarding the functions of the various hormones in the female reproductive system is needed to answer this question. Focusing on the key words induces the growth of pubic and axillary hair at puberty will assist in directing you to option A. If you had difficulty with this question, review the functions of the various hormones of the female reproductive system.
Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Teaching/Learning
Content Area: Fundamental Skills
Reference:
- Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, pp. 21-23.
2. A nursing student is reviewing the anatomy and physiology of the female reproductive system. The student reads oxytocin is produced by the:
A. Ovaries
B. Anterior pituitary gland
C. Posterior pituitary gland
D. Pancreas
Answer: C. Posterior pituitary gland
Rationale: Oxytocin is produced by the posterior pituitary gland and stimulates the uterus to produce contractions during birth. Follicle-stimulating hormone and luteinizing hormone are produced by the anterior pituitary gland. The ovaries are the endocrine glands that produce estrogen and progesterone. The pancreas produces insulin and other enzymes that aid in digestion.
Test-Taking Strategy: Knowledge regarding the various hormones and the productions and secretion of the hormones is needed to answer this question. Focus on the issue “oxytocin” to direct you to option C. If you had difficulty with this question or are unfamiliar with these hormones, review this content.
Level of Cognitive Ability: Knowledge
Client Needs: Physiological Integrity
Integrated Process: Teaching/Learning
Content Area: Fundamental Skills
Reference:
- Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, p. 225.
3. A nurse is reading the physician’s documentation regarding a pregnant client and notes that the physician has documented that the client has a platypelloid pelvic shape. The nurse understands that this pelvic shape is:
A. Rounded and most favorable for a vaginal birth
B. Narrow and oval and not the most favorable for a vaginal birth
C. Wedge-shaped and narrow and nonfavorable for a vaginal birth
D. Flat and nonfavorable for a vaginal birth
Answer: D. Flat and nonfavorable for a vaginal birth
Rationale: The platypelloid pelvic shape is flattened with a wide, short oval shape and is a nonfavorable shape for a vaginal birth. A gynecoid pelvic shape is rounded with a wide pubic arch and is the most favorable pelvic shape for a vaginal birth. An anthropoid pelvic shape is long, narrow, and oval. It is not as favorable of a shape for a vaginal birth as the gynecoid pelvic shape; however, it is a more favorable pelvic shape than the platypelloid or android. The android pelvic shape is wedge-shaped and narrow and is a nonfavorable shape for a vaginal birth.
Test-Taking Strategy: Use knowledge regarding the characteristics of the various pelvic shapes to answer the question. Recalling the characteristics of a platypelloid pelvic shape will direct you to option D. If you had difficulty with this question, review the characteristics of the various pelvic shapes.
Level of Cognitive Ability: Comprehension
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Maternity/Antepartum
Reference:
- Leifer, G. (2005). Maternity nursing (9th ed.). Philadelphia: W.B. Saunders, p. 14.
4. A nurse is collecting data from a female client who is suspected of having mittelschmerz. Which of the following would the nurse expect to note?
A. Pain at the beginning of menstruation
B. Profuse vaginal bleeding
C. Sharp pain located on the right side of the pelvis
D. Pain that occurs during intercourse
Answer: C. Sharp pain located on the right side of the pelvis
Rationale: Mittelschmerz (middle pain) refers to pelvic pain that occurs midway between menstrual periods or at the time of ovulation. The pain is due to growth of the dominant follicle within the ovary, or rupture of the follicle and subsequent spillage of follicular fluid and blood into the peritoneal space. The pain is fairly sharp and is felt on the right or left side of the pelvis. It generally lasts a few hours to two days, and slight vaginal bleeding may accompany the discomfort.
Test-Taking Strategy: Knowledge that mittelschmerz is “middle pain” will assist in eliminating option A. Knowing that this occurs because of growth of the follicle or rupture of the follicle will assist in eliminating options 2 and D. If you are unfamiliar with this disorder, review this content.
Level of Cognitive Ability: Comprehension
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Fundamental Skills
References:
- Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, p. 254.
- Leifer, G. (2005). Maternity nursing (9th ed.). Philadelphia: W.B. Saunders, p. 384.
5. A nurse is teaching a pregnant client how to perform Kegel exercises. The nurse tells the client that the purpose of these exercises is to:
A. Strengthen the pelvic floor in preparation for delivery
B. Prevent urinary tract infections
C. Reduce backache
D. Prevent ankle edema
Answer: A. Strengthen the pelvic floor in preparation for delivery
Rationale: Kegel exercises will assist in strengthening the pelvic floor. Pelvic tilt exercises will help reduce backaches. Instructing a client to drink 8 oz of fluids six times a day will help prevent urinary tract infections. Leg elevation will assist in preventing ankle edema.
Test-Taking Strategy: Focus on the issue of the question and use the process of elimination. Recalling that Kegel exercises will help strengthen the perineal floor muscles will assist in directing you to the correct option. If you had difficulty with this question, review the purpose of Kegel exercises.
Level of Cognitive Ability: Application
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Content Area: Maternity/Antepartum
Reference:
- Leifer, G. (2005). Maternity nursing (9th ed.). Philadelphia: W.B. Saunders, pp. 49, 55.
Source : NCLEX example quiz and answer
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