Nursing Practice - Maternal Health – Galen
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Galen College Of Nursing Exam 1
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1. Which hormone causes additional growth of blood vessels in the endometrium in prep for
fertilized ovum and storage of nutrients?
A. progesterone
, B. estrogen
C. inhibit
Answer: A
Explanation: Progesterone, secreted in the luteal phase by the corpus luteum, stimulates spiral arteriole
growth and endometrial gland secretion, preparing the uterine lining for implantation and nutrition of the
embryo.
2. A 17-year-old female is brought to the family practice clinic by her mother, who is worried that her
daughter has not yet developed secondary sex characteristics. Which action by the nurse is best?:
Answer: inform them that their daughter will be tested for estrogen deficiency
Explanation: Delayed puberty can indicate endocrine abnormalities such as estrogen deficiency.
Evaluation including hormone levels is needed to determine if an underlying pathology exists impacting
normal sexual maturation.
3. The part of the uterine cycle which occurs during the period of time b/w ovulation and onset of
menses is known as::
Answer: secretory phase; changes caused by increase in progesterone, suitable for implantation of
fertilized ovum, glycogen producing glands secrete endometrial fluid in prep for fertilized ovum
Explanation: After ovulation, the corpus luteum secretes progesterone, transforming the endometrium into
a secretory state providing nutrients via glycogen-rich secretions to support potential embryo implantation.
4. Platypelloid pelvic women usually causes babies to be::
Answer: positioned transversely
Explanation: Platypelloid pelvis is a flattened and widened pelvis type limiting the space in the anterior-
posterior dimension. This often prevents the fetus from engaging in the ideal head-down (cephalic) position,
resulting in transverse lie that complicates vaginal delivery.
5. hCG plays a role in::
Answer: limiting the maternal immune response to the pregnancy; maintains the ovarian corpus luteum
(remainder of ovarian follicle after ovulation) by keeping est/prog levels elevated until placenta has
developed enough to assume that function
Explanation: Human chorionic gonadotropin (hCG) is secreted by syncytiotrophoblast cells of the early
embryo. It prevents regression of the corpus luteum, ensuring continuous progesterone secretion to
maintain the endometrium and immune tolerance to the semi-allogenic fetus.