NURSING CARE (ASSESSMENT AND
HEALTH PROMOTION) QUESTIONS
AND THEIR 100% CORRECT
SOLUTIONS
1. The two primary functions of the ovaries are:
a. normal female development and sex hormone
release.
b. ovulation and internal pelvic support.
c. sexual response and ovulation.
d. ovulation and hormone production.
ANS: 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. The uterus is a muscular, pear-shaped organ that is
responsible for:
a. cyclic menstruation.
b. sex hormone production.
,c. fertilization.
d. sexual arousal.
ANS: 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. Unique muscle fibers make the uterine myometrium
ideally suited for:
a. menstruation.
b. the birth process.
c. ovulation.
d. fertilization.
ANS: 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. The hormone responsible for maturation of
mammary gland tissue is:
a. estrogen.
b. testosterone.
c. prolactin.
d. progesterone.
ANS: 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. Because of the effect of cyclic ovarian changes on
the breast, the best time for breast self-examination
(BSE) is:
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.
ANS: 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. Menstruation is periodic uterine bleeding:
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.
ANS: C
Menstruation is periodic uterine bleeding that is controlled
by a feedback system involving three cycles: 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. Individual irregularities in the ovarian (menstrual)
cycle are most often caused by:
a. variations in the follicular (preovulatory) phase.