Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A woman missed her menstrual period 2 weeks ago and has come to the doctor’s office
for a pregnancy test. Which placental hormone is measured in pregnancy tests?
a. Progesterone
b. Estrogen
c. Human chorionic gonadotropin
d. Human placental lactogen
ANS: C
Human chorionic gonadotropin is the basis for most pregnancy tests. It is detectable in
maternal blood as soon as implantation occurs, usually 7 to 9 days after fertilization.
DIF: Cognitive Level: Knowledge REF: 51 OBJ: 6
TOP: Accessory Structures of Pregnancy KEY: Nursing Process Step: Data
Collection
2. When preparing to teach a class about prenatal development, the nurse would include
information about folic acid supplementation. What is folic acid known to prevent?
a. Congenital heart defects
b. Neural tube defects
c. Developmental delays
d. Premature birth
ANS: B
It is now known that folic acid supplements can prevent neural tube defects such as
spina bifida.
DIF: Cognitive Level: Comprehension REF: 47 OBJ: 5
TOP: Prenatal Development KEY: Nursing Process Step: Planning
, 3. The nurse is educating a class of expectant parents about fetal development. What is
considered fetal age of viability?
a. 14 weeks
b. 22 weeks
c. 25 weeks
d. 30 weeks
ANS: B
By 22 weeks of gestation, the lungs have matured enough for the fetus to survive
outside the uterus (age of viability).
DIF: Cognitive Level: Knowledge REF: 47 OBJ: 5
TOP: Prenatal Development KEY: Nursing Process Step: N/A
4. What is the total number of chromosomes contained in a mature sperm or ovum?
a. 22
b. 23
c. 44
d. 46
ANS: B
Gametes (sex cells) contain 23 chromosomes.
DIF: Cognitive Level: Knowledge REF: 42 OBJ: 2
TOP: Gametogenesis KEY: Nursing Process Step: N/A
5. A pregnant woman states, “My husband hopes I will give him a boy because we have
three girls.” What will the nurse explain to this woman?
a. “The sex chromosome of the fertilized ovum determines the gender of the child.”
b. “When the sperm and ovum are united, there is a 75% chance the child will be a
girl.”
c. “When the pH of the female reproductive tract is acidic, the child will be a girl.”
d. “If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.”
ANS: D
When a Y-bearing sperm fertilizes an ovum, a male child is produced.
MULTIPLE CHOICE
1. A woman missed her menstrual period 2 weeks ago and has come to the doctor’s office
for a pregnancy test. Which placental hormone is measured in pregnancy tests?
a. Progesterone
b. Estrogen
c. Human chorionic gonadotropin
d. Human placental lactogen
ANS: C
Human chorionic gonadotropin is the basis for most pregnancy tests. It is detectable in
maternal blood as soon as implantation occurs, usually 7 to 9 days after fertilization.
DIF: Cognitive Level: Knowledge REF: 51 OBJ: 6
TOP: Accessory Structures of Pregnancy KEY: Nursing Process Step: Data
Collection
2. When preparing to teach a class about prenatal development, the nurse would include
information about folic acid supplementation. What is folic acid known to prevent?
a. Congenital heart defects
b. Neural tube defects
c. Developmental delays
d. Premature birth
ANS: B
It is now known that folic acid supplements can prevent neural tube defects such as
spina bifida.
DIF: Cognitive Level: Comprehension REF: 47 OBJ: 5
TOP: Prenatal Development KEY: Nursing Process Step: Planning
, 3. The nurse is educating a class of expectant parents about fetal development. What is
considered fetal age of viability?
a. 14 weeks
b. 22 weeks
c. 25 weeks
d. 30 weeks
ANS: B
By 22 weeks of gestation, the lungs have matured enough for the fetus to survive
outside the uterus (age of viability).
DIF: Cognitive Level: Knowledge REF: 47 OBJ: 5
TOP: Prenatal Development KEY: Nursing Process Step: N/A
4. What is the total number of chromosomes contained in a mature sperm or ovum?
a. 22
b. 23
c. 44
d. 46
ANS: B
Gametes (sex cells) contain 23 chromosomes.
DIF: Cognitive Level: Knowledge REF: 42 OBJ: 2
TOP: Gametogenesis KEY: Nursing Process Step: N/A
5. A pregnant woman states, “My husband hopes I will give him a boy because we have
three girls.” What will the nurse explain to this woman?
a. “The sex chromosome of the fertilized ovum determines the gender of the child.”
b. “When the sperm and ovum are united, there is a 75% chance the child will be a
girl.”
c. “When the pH of the female reproductive tract is acidic, the child will be a girl.”
d. “If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.”
ANS: D
When a Y-bearing sperm fertilizes an ovum, a male child is produced.
