Chapter 03: Assessment and Health
PromotionPerry: Maternal Child Nursing Care, 6th
Edition Exam Question and Answer
1. 1. The two primary functions of the ovaries are correct answer:
a. normal female development and sex hormone release.
b. ovulation and internal pelvic support.
c. sexual response and ovulation.
d. ovulation and hormone production. correct answer: ANS correct
answer: D
The two functions of the ovaries are ovulation and hormone production. The presence of ovaries does
not guarantee normal female development. The ovaries produce estrogen, progesterone, and androgen.
Ovulation is the release of a mature ovum from the ovary; the ovaries are not responsible for internal
pelvic support. Sexual response is a feedback mechanism involving the hypothalamus, anterior pituitary
gland, and the ovaries. Ovulation does occur in the ovaries.
2. 2. The uterus is a muscular, pear-shaped organ that is responsible
for correct answer:
a. cyclic menstruation.
b. sex hormone production.
c. fertilization.
d. sexual arousal. correct answer: ANS correct answer: A
The uterus is an organ for reception, implantation, retention, and nutrition of the fertilized ovum; it also is
responsible for cyclic menstruation. Hormone production and fertilization occur in the ovaries. Sexual
arousal is a feedback mechanism involving the hypothalamus, the pituitary gland, and the ovaries.
3. 3. Unique muscle fibers make the uterine myometrium ideally
suited for correct answer:
a. menstruation.
b. the birth process.
c. ovulation.
d. fertilization. correct answer: ANS correct answer: B
The myometrium is made up of layers of smooth muscles that extend in three directions. These muscles
,assist in the birth process by expelling the fetus, ligating blood vessels after birth, and controlling the
opening of the cervical os.
4. 4. The hormone responsible for maturation of mammary gland
tissue is correct answer:
a. estrogen.
b. testosterone.
c. prolactin.
d. progesterone. correct answer: ANS correct answer: D
Progesterone causes maturation of the mammary gland tissue, specifically acinar structures of the
lobules. Estrogen increases the vascularity of the breast tissue. Testosterone has no bearing on breast
development. Prolactin is produced
, after birth and released from the pituitary gland. It is produced in response to infant suckling and
emptying of the breasts.
5. 5. Because of the effect of cyclic ovarian changes on the breast,
the best time for breast self-examination (BSE) is correct answer:
a. 5 to 7 days after menses ceases.
b. Day 1 of the endometrial cycle.
c. mid-menstrual cycle.
d. any time during a shower or bath. correct answer: ANS correct answer:
A
The physiologic alterations in breast size and activity reach their minimal level about 5 to 7 days after
menstruation stops. All women should perform BSE during this phase of the menstrual cycle.
6. 6. Menstruation is periodic uterine bleeding correct answer:
a. that occurs every 28 days.
b. in which the entire uterine lining is shed.
c. that is regulated by ovarian hormones.
d. that leads to fertilization. correct answer: ANS correct answer: C
Menstruation is periodic uterine bleeding that is controlled by a feedback system involving three cycles
correct answer: endometrial, hypothalamic-pituitary, and ovarian. The average length of a menstrual cycle
is 28 days, but variations are normal.
During the endometrial cycle, the functional two thirds of the endometrium are shed. Lack of fertilization
leads to menstruation.
7. 7. Individual irregularities in the ovarian (menstrual) cycle are
most often caused by correct answer:
a. variations in the follicular (preovulatory) phase.
b. an intact hypothalamic-pituitary feedback mechanism.
c. a functioning corpus luteum.
d. a prolonged ischemic phase. correct answer: ANS correct answer: A
Almost all variations in the length of the ovarian cycle are the result of variations in the length of the
follicular phase. An intact hypothalamic-pituitary feedback mechanism is regular, not irregular. The luteal
phase begins after ovulation. The corpus luteum depends on the ovulatory phase and fertilization.
During the ischemic phase, the blood supply to the functional endometrium is blocked and necrosis
PromotionPerry: Maternal Child Nursing Care, 6th
Edition Exam Question and Answer
1. 1. The two primary functions of the ovaries are correct answer:
a. normal female development and sex hormone release.
b. ovulation and internal pelvic support.
c. sexual response and ovulation.
d. ovulation and hormone production. correct answer: ANS correct
answer: D
The two functions of the ovaries are ovulation and hormone production. The presence of ovaries does
not guarantee normal female development. The ovaries produce estrogen, progesterone, and androgen.
Ovulation is the release of a mature ovum from the ovary; the ovaries are not responsible for internal
pelvic support. Sexual response is a feedback mechanism involving the hypothalamus, anterior pituitary
gland, and the ovaries. Ovulation does occur in the ovaries.
2. 2. The uterus is a muscular, pear-shaped organ that is responsible
for correct answer:
a. cyclic menstruation.
b. sex hormone production.
c. fertilization.
d. sexual arousal. correct answer: ANS correct answer: A
The uterus is an organ for reception, implantation, retention, and nutrition of the fertilized ovum; it also is
responsible for cyclic menstruation. Hormone production and fertilization occur in the ovaries. Sexual
arousal is a feedback mechanism involving the hypothalamus, the pituitary gland, and the ovaries.
3. 3. Unique muscle fibers make the uterine myometrium ideally
suited for correct answer:
a. menstruation.
b. the birth process.
c. ovulation.
d. fertilization. correct answer: ANS correct answer: B
The myometrium is made up of layers of smooth muscles that extend in three directions. These muscles
,assist in the birth process by expelling the fetus, ligating blood vessels after birth, and controlling the
opening of the cervical os.
4. 4. The hormone responsible for maturation of mammary gland
tissue is correct answer:
a. estrogen.
b. testosterone.
c. prolactin.
d. progesterone. correct answer: ANS correct answer: D
Progesterone causes maturation of the mammary gland tissue, specifically acinar structures of the
lobules. Estrogen increases the vascularity of the breast tissue. Testosterone has no bearing on breast
development. Prolactin is produced
, after birth and released from the pituitary gland. It is produced in response to infant suckling and
emptying of the breasts.
5. 5. Because of the effect of cyclic ovarian changes on the breast,
the best time for breast self-examination (BSE) is correct answer:
a. 5 to 7 days after menses ceases.
b. Day 1 of the endometrial cycle.
c. mid-menstrual cycle.
d. any time during a shower or bath. correct answer: ANS correct answer:
A
The physiologic alterations in breast size and activity reach their minimal level about 5 to 7 days after
menstruation stops. All women should perform BSE during this phase of the menstrual cycle.
6. 6. Menstruation is periodic uterine bleeding correct answer:
a. that occurs every 28 days.
b. in which the entire uterine lining is shed.
c. that is regulated by ovarian hormones.
d. that leads to fertilization. correct answer: ANS correct answer: C
Menstruation is periodic uterine bleeding that is controlled by a feedback system involving three cycles
correct answer: endometrial, hypothalamic-pituitary, and ovarian. The average length of a menstrual cycle
is 28 days, but variations are normal.
During the endometrial cycle, the functional two thirds of the endometrium are shed. Lack of fertilization
leads to menstruation.
7. 7. Individual irregularities in the ovarian (menstrual) cycle are
most often caused by correct answer:
a. variations in the follicular (preovulatory) phase.
b. an intact hypothalamic-pituitary feedback mechanism.
c. a functioning corpus luteum.
d. a prolonged ischemic phase. correct answer: ANS correct answer: A
Almost all variations in the length of the ovarian cycle are the result of variations in the length of the
follicular phase. An intact hypothalamic-pituitary feedback mechanism is regular, not irregular. The luteal
phase begins after ovulation. The corpus luteum depends on the ovulatory phase and fertilization.
During the ischemic phase, the blood supply to the functional endometrium is blocked and necrosis
