PNH 201 Final Prep 1/2 – Questions With Complete
Solutions
Save
Students also studied
WSC 2026: Are we there yet? Social Science Nationalism Vocab T... WSC 2026 Next Year
Teacher 156 terms 21 terms Teacher 50 terms
Amy_Woodall4 Preview Keiya_Raja Preview Sandywu1205
Terms in this set (384)
Which data indicates that the woman may B. gynecoid-shaped pelvis with a history of rickets
have pelvic dimensions that would be
inadequate for a normal vaginal delivery? A Rationale: Although the gynecoid-shaped pelvis is considered
woman with a(n): most favorable for a vaginal delivery, a woman with a history
of rickets (a disease in which normal bone formation is
A. anthropoid-shaped pelvis with a history disturbed when bone fails to mineralize and becomes soft
of pelvic inflammatory disease and distorted) would be the most likely of the choices for
inadequate normal vaginal delivery. An anthropoid-shaped
B. gynecoid-shaped pelvis with a history of pelvis with a history of PID, although not most favorable,
rickets allows for possible vaginal delivery, and history of PID might
interfere with conception but not delivery. Previous delivery
C. anthropoid-shaped pelvis that of a large infant is evidence of adequate pelvic dimensions for
preaviously delivered a 9lb baby a normal vaginal delivery. Although poor maternal nutrition
can affect the health of the newborn, delivery is not
D. gynecoid-shaped pelvis with a history of necessarily affected.
poor nutrition
The muscular layer of the uterus that is the B. myometrium
functional unit in pregnancy and labor is
the:A. perimetriumB. myometriumC. Rationale: The myometrium is the middle muscular uterine
endometriumD. cervix layer and is functional in pregnancy and labor. The
perimetrium is the outermost, or serosal, layer that envelops
the uterus. The endometrium is the inner, or mucosal, layer
that is functional during menstruation and implantation of the
fertilized ovum. The cervix is the lower part of the uterus that
lubricates the vagina, acts as a bacteriostatic agent, provides
an alkaline environment, and produces a mucous plug.
What is the function of Montgomery's D. Secrete substances to lubricate and protect the breasts
glands?A. Secrete lubricant into vagina for during lactationRationale: The purpose is to secrete
the purpose of sexual intercourseB. Create substances to lubricate and protect the breasts during
an alkaline environment for sperm to lactation.
progress into the fallopian tubesC. Secrete
milk and lubricant when stimulated by the
infant when nursing IncorrectD. Secrete
substances to lubricate and protect the
breasts during lactation
,Which statements are true about puberty? A. The first outward change of puberty for a girl is
(Select all that apply.)A. The first outward development of breasts.
change of puberty for a girl is development C. Testosterone causes boys to develop secondary sex
of breasts.B. Male hormonal changes are characteristics.
complete by age 13.C. Testosterone causes E. The first menstrual period in females occurs 2 to 2½ years
boys to develop secondary sex after development of breasts.
characteristics.D. Hormonal changes for the
male and female begin before age 10.E. The Rationale: Breast development is the first outward change of
first menstrual period in females occurs 2 to puberty in females. Male hormone changes may not be
2½ years after development of breasts. complete until age 16. Testosterone is the cause of secondary
sex characteristics. Both sexes' hormonal changes begin after
age 10. The first menstrual period does occur 2 to 2½ years
after development of breasts.
Testosterone has what effects not related to A.Increases sebum production
reproduction? (Select all that apply.) D. Promotes growth of long bones
A.Increases sebum production E. Increases muscle mass and strength
B. Decreases hematocrit in males
C. Decreases basal metabolic rate Rationale: Testosterone promotes growth of long bones,
D. Promotes growth of long bones increases sebum production, and increases muscle mass and
E. Increases muscle mass and strength strength. Testosterone is responsible for an increase in
hematocrit and basal metabolic rate in males.
What is the most accurate response from a D. "The tenth week is when the external genitalia are visible on
nurse when a pregnant woman having an ultrasound."
ultrasound at 8 weeks of gestation asks if
she may learn her expectant child's sex? Rationale: By 8 weeks of gestation, the ovaries or testes are
A. "Yes, we will be able to tell the sex of present and the beginnings of all systems have developed. By
your child." the tenth week, the external genitalia are visible to ultrasound
B. "No, the sex organs have not yet started examination.
to develop."
C. "We will have to wait until the birth of
your child to know for sure."
D. "The tenth week is when the external
genitalia are visible on ultrasound."
Which hormones have a role in the B. Follicle-stimulating hormone
reproductive cycle for the female? (Select C. Luteinizing hormone
all that apply.) D. Estrogen
A. Testosterone E. Progesterone
B. Follicle-stimulating hormone
C. Luteinizing hormone
D. Estrogen
E. Progesterone
F. Cortisol
Which hormone is produced by the A. Estrogen
placenta?
A. Estrogen Rationale: Luteinizing hormone is produced by the anterior
B. LH (luteinizing hormone) pituitary. Testosterone is produced by the testes. Aldosterone
C. Testosterone is secreted by the adrenal cortex.
D. Aldosterone
The maternal hormone _________________ reduces Progesterone
uterine contractions to prevent spontaneous
abortions. Rationale: One of the functions of progesterone is to reduce
uterine contractions and is sometimes supplemented by
physicians to prevent spontaneous abortions.
,The purpose of the foramen ovale is to: D. reduce blood flow to the lungs.
A. increase fetal blood flow tot he lungs.
B. limit blood flow to the liver. Rationale: The foramen ovale diverts most blood from the
C. raise the oxygen content of fetal blood. right atrium directly to the left atrium, rather than circulating it
D. reduce blood flow to the lungs. to the lungs. Therefore, blood flow to the lungs is reduced.
Rubin identified a series of changes that a Taking-in, taking-hold, letting-go
new mother makes during the postpartum Correct
period. The correct sequence of these Explanation:
changes is The new mother makes progressive changes to know her
infant, review the pregnancy and labor, validate her safe
a) Taking-in, taking-hold, letting-go passage through these phases, learn the initial tasks of
b) Taking, holding-on, letting-go mothering, and let go of her former life to incorporate this
c) Taking-in, holding-on, letting-go new child.
d) Taking-in, taking-on, letting-go
A postpartum client complains of stress Perform Kegel's exercises
incontinence. What information should the Correct
nurse suggest to the client to overcome Explanation:
stress incontinence? The nurse should ask the client to perform the Kegel's
exercises in which the client needs to alternately contract and
relax the perineal muscles. Aerobic exercises will not help to
a) Perform aerobic exercises strengthen perineal muscles. Reduced fluid intake and
b) Frequently empty the bladder frequent emptying of the bladder will not help the client
c) Reduce fluid intake overcome stress incontinence.
d) Perform Kegel's exercises
A nurse is monitoring the vital signs of a Bleeding
client 24 hours after childbirth. She notes Correct
that the client's blood pressure is 100/60 mm Explanation:
Hg. Which of the following postpartum Blood pressure should also be monitored carefully during the
complications should the nurse most postpartal period, because a decrease in this can also
suspect in this client, based on this finding? indicate bleeding. In contrast, an elevation above 140 mm Hg
systolic or 90 mm Hg diastolic may indicate the development
a) Postpartal gestational hypertension of postpartal gestational hypertension, an unusual but serious
b) Bleeding complication of the puerperium. An infection would best be
c) Diabetes indicated by an elevated oral temperature. Diabetes would be
d) Infection indicated by an elevated blood glucose level.
The process by which the reproductive Involution
organs return to the nonpregnant size and Correct
function is termed what? Explanation:
Involution is the term used to describe the process of the
a) Evolution return to nonpregnancy size and function of reproductive
b) Involution organs. Evolution is change in the genetic material of a
c) Decrement population of organisms from one generation to the next.
d) Progression Decrement is the act or process of decreasing . Progression is
defined as movement through stages such as the progression
of labor. Options A, C, and D are distracters for this question.
The nurse is providing education to a Wear a tight, supportive bra
mother who is going to bottle feed her Explanation:
infant. What information will the nurse The patient trying to dry up her milk supply should do as little
provide to this mom regarding breast care? stimulation to the breast as possible. She needs to wear a
tight, supportive bra and use ice. Running warm water over
a) Wear a tight, supportive bra the breasts in the shower will only stimulate the secretion, and
b) Massage the breast when they are painful therefore the production, of milk. Massaging the breasts will
c) Express small amounts of milk when they stimulate them to expel the milk and therefore produce more
are too full milk, as will expressing small amounts of milk when the breasts
d) Run warm water over the breast in the are full.
shower
, A new mother is concerned because it is 24 "It takes about 3 days after birth for milk to begin forming."
hours after childbirth and her breasts have Correct
still not become engorged with breast milk. Explanation:
How should the nurse respond to this The formation of breast milk (lactation) begins in a postpartal
concern? woman regardless of her plans for feeding. For the first 2 days
after birth, an average woman notices little change in her
a) "You are experiencing lactational breasts from the way they were during pregnancy as, since
amenorrhea. It may be several weeks before midway through pregnancy, she has been secreting
your milk comes in." colostrum, a thin, watery, prelactation secretion. On the third
b) "You may have developed mastitis. I'll ask day post birth, her breasts become full and feel tense or
the physician to examine you." tender as milk forms within breast ducts and replaces
c) "I'm sorry to hear that. There are some colostrum. There is no need to recommend formula feeding to
excellent formulas on the market now, so the mother. Mastitis is inflammation of the lactiferous (milk-
you will still be able to provide for your producing) glands of the breast; there is no indication that the
infant's nutritional needs." client has this condition. Lactational amenorrhea is the
d) "It takes about 3 days after birth for milk absence of menstrual flow that occurs in many women during
to begin forming." the lactation period.
A nurse is caring for a client in the Suggesting proper exercise
postpartum period. The nurse observes that Correct
distention of the abdominal muscles during Explanation:
pregnancy has resulted in separation of the The nurse should suggest proper exercise to the client to heal
rectus muscles. What intervention should the distended abdominal muscles. Application of warm
the nurse perform to assist in healing the compresses, application of moist heat, and massaging the
distended abdominal muscles? muscles gently are not suggested for distended abdominal
muscles.
a) Applying warm compresses
b) Massaging the muscles
c) Applying moist heat
d) Suggesting proper exercise
When caring for a postpartum client who Decreased intra-abdominal pressure
has given birth vaginally, the nurse assesses Correct
the client's respiratory status, noting that it Explanation:
has quickly returned to normal. The nurse The nurse should identify decreased intra-abdominal pressure
understands that which of the following is as the cause of the respiratory system functioning normally.
responsible for this change? Progesterone levels do not influence the respiratory system.
Decreased bladder pressure does not affect breathing.
Anesthesia used during delivery causes the respiratory system
a) Decreased bladder pressure to take a longer time to return to normal.
b) Increased progesterone levels
c) Decreased intra-abdominal pressure
d) Use of anesthesia during delivery
A woman who gave birth to a healthy "You might try using a water-soluble lubricant to ease the
newborn 2 months ago comes to the clinic discomfort."
and reports discomfort during sexual Correct
intercourse. Which suggestion by the nurse Explanation:
would be most appropriate? Coital discomfort and localized dryness usually plague most
postpartum women until menstruation returns. Water-soluble
a) "You might try using a water-soluble lubricants can reduce discomfort during intercourse. Although
lubricant to ease the discomfort." it may take some time for the woman's body to return to its
b) "This is entirely normal, and many women prepregnant state, telling the woman this does not address
go through it. It just takes time." her concern. Telling her that dyspareunia is normal and that it
c) "It takes a while to get your body back to takes time to resolve also ignores her concern. Kegel
its normal function after having a baby." exercises are helpful for improving pelvic floor tone but
d) "Try doing Kegel exercises to get your would have no effect on vaginal dryness.
pelvic muscles back in shape."
Solutions
Save
Students also studied
WSC 2026: Are we there yet? Social Science Nationalism Vocab T... WSC 2026 Next Year
Teacher 156 terms 21 terms Teacher 50 terms
Amy_Woodall4 Preview Keiya_Raja Preview Sandywu1205
Terms in this set (384)
Which data indicates that the woman may B. gynecoid-shaped pelvis with a history of rickets
have pelvic dimensions that would be
inadequate for a normal vaginal delivery? A Rationale: Although the gynecoid-shaped pelvis is considered
woman with a(n): most favorable for a vaginal delivery, a woman with a history
of rickets (a disease in which normal bone formation is
A. anthropoid-shaped pelvis with a history disturbed when bone fails to mineralize and becomes soft
of pelvic inflammatory disease and distorted) would be the most likely of the choices for
inadequate normal vaginal delivery. An anthropoid-shaped
B. gynecoid-shaped pelvis with a history of pelvis with a history of PID, although not most favorable,
rickets allows for possible vaginal delivery, and history of PID might
interfere with conception but not delivery. Previous delivery
C. anthropoid-shaped pelvis that of a large infant is evidence of adequate pelvic dimensions for
preaviously delivered a 9lb baby a normal vaginal delivery. Although poor maternal nutrition
can affect the health of the newborn, delivery is not
D. gynecoid-shaped pelvis with a history of necessarily affected.
poor nutrition
The muscular layer of the uterus that is the B. myometrium
functional unit in pregnancy and labor is
the:A. perimetriumB. myometriumC. Rationale: The myometrium is the middle muscular uterine
endometriumD. cervix layer and is functional in pregnancy and labor. The
perimetrium is the outermost, or serosal, layer that envelops
the uterus. The endometrium is the inner, or mucosal, layer
that is functional during menstruation and implantation of the
fertilized ovum. The cervix is the lower part of the uterus that
lubricates the vagina, acts as a bacteriostatic agent, provides
an alkaline environment, and produces a mucous plug.
What is the function of Montgomery's D. Secrete substances to lubricate and protect the breasts
glands?A. Secrete lubricant into vagina for during lactationRationale: The purpose is to secrete
the purpose of sexual intercourseB. Create substances to lubricate and protect the breasts during
an alkaline environment for sperm to lactation.
progress into the fallopian tubesC. Secrete
milk and lubricant when stimulated by the
infant when nursing IncorrectD. Secrete
substances to lubricate and protect the
breasts during lactation
,Which statements are true about puberty? A. The first outward change of puberty for a girl is
(Select all that apply.)A. The first outward development of breasts.
change of puberty for a girl is development C. Testosterone causes boys to develop secondary sex
of breasts.B. Male hormonal changes are characteristics.
complete by age 13.C. Testosterone causes E. The first menstrual period in females occurs 2 to 2½ years
boys to develop secondary sex after development of breasts.
characteristics.D. Hormonal changes for the
male and female begin before age 10.E. The Rationale: Breast development is the first outward change of
first menstrual period in females occurs 2 to puberty in females. Male hormone changes may not be
2½ years after development of breasts. complete until age 16. Testosterone is the cause of secondary
sex characteristics. Both sexes' hormonal changes begin after
age 10. The first menstrual period does occur 2 to 2½ years
after development of breasts.
Testosterone has what effects not related to A.Increases sebum production
reproduction? (Select all that apply.) D. Promotes growth of long bones
A.Increases sebum production E. Increases muscle mass and strength
B. Decreases hematocrit in males
C. Decreases basal metabolic rate Rationale: Testosterone promotes growth of long bones,
D. Promotes growth of long bones increases sebum production, and increases muscle mass and
E. Increases muscle mass and strength strength. Testosterone is responsible for an increase in
hematocrit and basal metabolic rate in males.
What is the most accurate response from a D. "The tenth week is when the external genitalia are visible on
nurse when a pregnant woman having an ultrasound."
ultrasound at 8 weeks of gestation asks if
she may learn her expectant child's sex? Rationale: By 8 weeks of gestation, the ovaries or testes are
A. "Yes, we will be able to tell the sex of present and the beginnings of all systems have developed. By
your child." the tenth week, the external genitalia are visible to ultrasound
B. "No, the sex organs have not yet started examination.
to develop."
C. "We will have to wait until the birth of
your child to know for sure."
D. "The tenth week is when the external
genitalia are visible on ultrasound."
Which hormones have a role in the B. Follicle-stimulating hormone
reproductive cycle for the female? (Select C. Luteinizing hormone
all that apply.) D. Estrogen
A. Testosterone E. Progesterone
B. Follicle-stimulating hormone
C. Luteinizing hormone
D. Estrogen
E. Progesterone
F. Cortisol
Which hormone is produced by the A. Estrogen
placenta?
A. Estrogen Rationale: Luteinizing hormone is produced by the anterior
B. LH (luteinizing hormone) pituitary. Testosterone is produced by the testes. Aldosterone
C. Testosterone is secreted by the adrenal cortex.
D. Aldosterone
The maternal hormone _________________ reduces Progesterone
uterine contractions to prevent spontaneous
abortions. Rationale: One of the functions of progesterone is to reduce
uterine contractions and is sometimes supplemented by
physicians to prevent spontaneous abortions.
,The purpose of the foramen ovale is to: D. reduce blood flow to the lungs.
A. increase fetal blood flow tot he lungs.
B. limit blood flow to the liver. Rationale: The foramen ovale diverts most blood from the
C. raise the oxygen content of fetal blood. right atrium directly to the left atrium, rather than circulating it
D. reduce blood flow to the lungs. to the lungs. Therefore, blood flow to the lungs is reduced.
Rubin identified a series of changes that a Taking-in, taking-hold, letting-go
new mother makes during the postpartum Correct
period. The correct sequence of these Explanation:
changes is The new mother makes progressive changes to know her
infant, review the pregnancy and labor, validate her safe
a) Taking-in, taking-hold, letting-go passage through these phases, learn the initial tasks of
b) Taking, holding-on, letting-go mothering, and let go of her former life to incorporate this
c) Taking-in, holding-on, letting-go new child.
d) Taking-in, taking-on, letting-go
A postpartum client complains of stress Perform Kegel's exercises
incontinence. What information should the Correct
nurse suggest to the client to overcome Explanation:
stress incontinence? The nurse should ask the client to perform the Kegel's
exercises in which the client needs to alternately contract and
relax the perineal muscles. Aerobic exercises will not help to
a) Perform aerobic exercises strengthen perineal muscles. Reduced fluid intake and
b) Frequently empty the bladder frequent emptying of the bladder will not help the client
c) Reduce fluid intake overcome stress incontinence.
d) Perform Kegel's exercises
A nurse is monitoring the vital signs of a Bleeding
client 24 hours after childbirth. She notes Correct
that the client's blood pressure is 100/60 mm Explanation:
Hg. Which of the following postpartum Blood pressure should also be monitored carefully during the
complications should the nurse most postpartal period, because a decrease in this can also
suspect in this client, based on this finding? indicate bleeding. In contrast, an elevation above 140 mm Hg
systolic or 90 mm Hg diastolic may indicate the development
a) Postpartal gestational hypertension of postpartal gestational hypertension, an unusual but serious
b) Bleeding complication of the puerperium. An infection would best be
c) Diabetes indicated by an elevated oral temperature. Diabetes would be
d) Infection indicated by an elevated blood glucose level.
The process by which the reproductive Involution
organs return to the nonpregnant size and Correct
function is termed what? Explanation:
Involution is the term used to describe the process of the
a) Evolution return to nonpregnancy size and function of reproductive
b) Involution organs. Evolution is change in the genetic material of a
c) Decrement population of organisms from one generation to the next.
d) Progression Decrement is the act or process of decreasing . Progression is
defined as movement through stages such as the progression
of labor. Options A, C, and D are distracters for this question.
The nurse is providing education to a Wear a tight, supportive bra
mother who is going to bottle feed her Explanation:
infant. What information will the nurse The patient trying to dry up her milk supply should do as little
provide to this mom regarding breast care? stimulation to the breast as possible. She needs to wear a
tight, supportive bra and use ice. Running warm water over
a) Wear a tight, supportive bra the breasts in the shower will only stimulate the secretion, and
b) Massage the breast when they are painful therefore the production, of milk. Massaging the breasts will
c) Express small amounts of milk when they stimulate them to expel the milk and therefore produce more
are too full milk, as will expressing small amounts of milk when the breasts
d) Run warm water over the breast in the are full.
shower
, A new mother is concerned because it is 24 "It takes about 3 days after birth for milk to begin forming."
hours after childbirth and her breasts have Correct
still not become engorged with breast milk. Explanation:
How should the nurse respond to this The formation of breast milk (lactation) begins in a postpartal
concern? woman regardless of her plans for feeding. For the first 2 days
after birth, an average woman notices little change in her
a) "You are experiencing lactational breasts from the way they were during pregnancy as, since
amenorrhea. It may be several weeks before midway through pregnancy, she has been secreting
your milk comes in." colostrum, a thin, watery, prelactation secretion. On the third
b) "You may have developed mastitis. I'll ask day post birth, her breasts become full and feel tense or
the physician to examine you." tender as milk forms within breast ducts and replaces
c) "I'm sorry to hear that. There are some colostrum. There is no need to recommend formula feeding to
excellent formulas on the market now, so the mother. Mastitis is inflammation of the lactiferous (milk-
you will still be able to provide for your producing) glands of the breast; there is no indication that the
infant's nutritional needs." client has this condition. Lactational amenorrhea is the
d) "It takes about 3 days after birth for milk absence of menstrual flow that occurs in many women during
to begin forming." the lactation period.
A nurse is caring for a client in the Suggesting proper exercise
postpartum period. The nurse observes that Correct
distention of the abdominal muscles during Explanation:
pregnancy has resulted in separation of the The nurse should suggest proper exercise to the client to heal
rectus muscles. What intervention should the distended abdominal muscles. Application of warm
the nurse perform to assist in healing the compresses, application of moist heat, and massaging the
distended abdominal muscles? muscles gently are not suggested for distended abdominal
muscles.
a) Applying warm compresses
b) Massaging the muscles
c) Applying moist heat
d) Suggesting proper exercise
When caring for a postpartum client who Decreased intra-abdominal pressure
has given birth vaginally, the nurse assesses Correct
the client's respiratory status, noting that it Explanation:
has quickly returned to normal. The nurse The nurse should identify decreased intra-abdominal pressure
understands that which of the following is as the cause of the respiratory system functioning normally.
responsible for this change? Progesterone levels do not influence the respiratory system.
Decreased bladder pressure does not affect breathing.
Anesthesia used during delivery causes the respiratory system
a) Decreased bladder pressure to take a longer time to return to normal.
b) Increased progesterone levels
c) Decreased intra-abdominal pressure
d) Use of anesthesia during delivery
A woman who gave birth to a healthy "You might try using a water-soluble lubricant to ease the
newborn 2 months ago comes to the clinic discomfort."
and reports discomfort during sexual Correct
intercourse. Which suggestion by the nurse Explanation:
would be most appropriate? Coital discomfort and localized dryness usually plague most
postpartum women until menstruation returns. Water-soluble
a) "You might try using a water-soluble lubricants can reduce discomfort during intercourse. Although
lubricant to ease the discomfort." it may take some time for the woman's body to return to its
b) "This is entirely normal, and many women prepregnant state, telling the woman this does not address
go through it. It just takes time." her concern. Telling her that dyspareunia is normal and that it
c) "It takes a while to get your body back to takes time to resolve also ignores her concern. Kegel
its normal function after having a baby." exercises are helpful for improving pelvic floor tone but
d) "Try doing Kegel exercises to get your would have no effect on vaginal dryness.
pelvic muscles back in shape."
