TEST BANK FOR ESSENTIALS OF
MATERNITY, NEWBORN, AND WOMEN'S
HEALTH NURSING 6TH EDITION BY SUSAN
RICCI
COMPREHENSIVE FINAL EXAMINATION
Section I: Reproductive Anatomy and Physiology (Questions 1–10)
1. A nursing student is reviewing female reproductive anatomy.
Which structure secretes estrogen and progesterone?
a) Fallopian tube
b) Ovary
c) Uterus
d) Vagina
Answer: b) Ovary
Rationale: The ovaries are the primary female reproductive organs
that produce estrogen and progesterone. Fallopian tubes transport the
ovum; the uterus supports fetal development; the vagina is the birth
canal.
2. During a lecture on the menstrual cycle, the instructor asks
which phase corresponds to the proliferation of the endometrial
lining. What is the correct answer?
,a) Menstrual phase
b) Proliferative phase
c) Secretory phase
d) Ischemic phase
Answer: b) Proliferative phase
Rationale: The proliferative phase (follicular phase) occurs after
menstruation, when estrogen causes endometrial thickening. The
secretory phase follows ovulation; the ischemic phase precedes
menstruation.
3. The nurse explains that the function of the fallopian tube
includes:
a) Implantation of the fertilized ovum
b) Production of cervical mucus
c) Transport of the ovum to the uterus
d) Expansion during pregnancy
Answer: c) Transport of the ovum to the uterus
Rationale: The fallopian tubes (oviducts) transport the ovum from the
ovary to the uterus. Implantation occurs in the uterus; cervical mucus
is produced by cervical glands.
4. A patient asks about the purpose of the endometrium. The
nurse’s best response is:
a) It produces eggs for fertilization
b) It serves as the site for implantation of a fertilized egg
c) It secretes hormones to maintain pregnancy
d) It prevents bacteria from entering the uterus
,Answer: b) It serves as the site for implantation of a fertilized egg
Rationale: The endometrium is the inner uterine lining where
implantation occurs. Ovaries produce eggs; the placenta secretes
hormones; cervical mucus provides some protection.
5. Which hormone is responsible for stimulating follicle development
and estrogen production?
a) Luteinizing hormone (LH)
b) Progesterone
c) Follicle-stimulating hormone (FSH)
d) Human chorionic gonadotropin (hCG)
Answer: c) Follicle-stimulating hormone (FSH)
Rationale: FSH from the anterior pituitary stimulates follicle growth
and estrogen secretion. LH triggers ovulation; progesterone maintains
pregnancy; hCG is from the placenta.
6. The nurse is teaching a patient about ovulation. When does
ovulation typically occur in a 28-day cycle?
a) Day 1
b) Day 7
c) Day 14
d) Day 28
Answer: c) Day 14
Rationale: Ovulation usually occurs around day 14 of a 28-day cycle,
approximately 14 days before the next menses.
7. Which cells produce testosterone in males?
a) Sertoli cells
b) Leydig cells
, c) Seminiferous tubules
d) Epididymis
Answer: b) Leydig cells
Rationale: Leydig cells (interstitial cells) in the testes produce
testosterone. Sertoli cells support spermatogenesis; seminiferous
tubules produce sperm; epididymis stores sperm.
8. The nurse explains that the structure that connects the uterus
to the vagina is the:
a) Cervix
b) Fundus
c) Isthmus
d) Corpus
Answer: a) Cervix
Rationale: The cervix is the lower part of the uterus that opens into
the vagina. The fundus is the top portion; the isthmus is a narrow area
between the corpus and cervix.
9. Which phase of the ovarian cycle is characterized by the
formation of the corpus luteum?
a) Follicular phase
b) Ovulation
c) Luteal phase
d) Menstrual phase
Answer: c) Luteal phase
Rationale: After ovulation, the ruptured follicle becomes the corpus
luteum during the luteal phase. The follicular phase precedes ovulation.
MATERNITY, NEWBORN, AND WOMEN'S
HEALTH NURSING 6TH EDITION BY SUSAN
RICCI
COMPREHENSIVE FINAL EXAMINATION
Section I: Reproductive Anatomy and Physiology (Questions 1–10)
1. A nursing student is reviewing female reproductive anatomy.
Which structure secretes estrogen and progesterone?
a) Fallopian tube
b) Ovary
c) Uterus
d) Vagina
Answer: b) Ovary
Rationale: The ovaries are the primary female reproductive organs
that produce estrogen and progesterone. Fallopian tubes transport the
ovum; the uterus supports fetal development; the vagina is the birth
canal.
2. During a lecture on the menstrual cycle, the instructor asks
which phase corresponds to the proliferation of the endometrial
lining. What is the correct answer?
,a) Menstrual phase
b) Proliferative phase
c) Secretory phase
d) Ischemic phase
Answer: b) Proliferative phase
Rationale: The proliferative phase (follicular phase) occurs after
menstruation, when estrogen causes endometrial thickening. The
secretory phase follows ovulation; the ischemic phase precedes
menstruation.
3. The nurse explains that the function of the fallopian tube
includes:
a) Implantation of the fertilized ovum
b) Production of cervical mucus
c) Transport of the ovum to the uterus
d) Expansion during pregnancy
Answer: c) Transport of the ovum to the uterus
Rationale: The fallopian tubes (oviducts) transport the ovum from the
ovary to the uterus. Implantation occurs in the uterus; cervical mucus
is produced by cervical glands.
4. A patient asks about the purpose of the endometrium. The
nurse’s best response is:
a) It produces eggs for fertilization
b) It serves as the site for implantation of a fertilized egg
c) It secretes hormones to maintain pregnancy
d) It prevents bacteria from entering the uterus
,Answer: b) It serves as the site for implantation of a fertilized egg
Rationale: The endometrium is the inner uterine lining where
implantation occurs. Ovaries produce eggs; the placenta secretes
hormones; cervical mucus provides some protection.
5. Which hormone is responsible for stimulating follicle development
and estrogen production?
a) Luteinizing hormone (LH)
b) Progesterone
c) Follicle-stimulating hormone (FSH)
d) Human chorionic gonadotropin (hCG)
Answer: c) Follicle-stimulating hormone (FSH)
Rationale: FSH from the anterior pituitary stimulates follicle growth
and estrogen secretion. LH triggers ovulation; progesterone maintains
pregnancy; hCG is from the placenta.
6. The nurse is teaching a patient about ovulation. When does
ovulation typically occur in a 28-day cycle?
a) Day 1
b) Day 7
c) Day 14
d) Day 28
Answer: c) Day 14
Rationale: Ovulation usually occurs around day 14 of a 28-day cycle,
approximately 14 days before the next menses.
7. Which cells produce testosterone in males?
a) Sertoli cells
b) Leydig cells
, c) Seminiferous tubules
d) Epididymis
Answer: b) Leydig cells
Rationale: Leydig cells (interstitial cells) in the testes produce
testosterone. Sertoli cells support spermatogenesis; seminiferous
tubules produce sperm; epididymis stores sperm.
8. The nurse explains that the structure that connects the uterus
to the vagina is the:
a) Cervix
b) Fundus
c) Isthmus
d) Corpus
Answer: a) Cervix
Rationale: The cervix is the lower part of the uterus that opens into
the vagina. The fundus is the top portion; the isthmus is a narrow area
between the corpus and cervix.
9. Which phase of the ovarian cycle is characterized by the
formation of the corpus luteum?
a) Follicular phase
b) Ovulation
c) Luteal phase
d) Menstrual phase
Answer: c) Luteal phase
Rationale: After ovulation, the ruptured follicle becomes the corpus
luteum during the luteal phase. The follicular phase precedes ovulation.
