NUR 353 Exam 1: Reproductive
Questions with Correct Answers
100% Pass
Your pregnant patient has an STD. This is an example of which category risk factor for
reproduction?
a. Biophysical
b. Psychosocial
c. Sociodemographic
d. Environmental - ✔✔A (Biophysical risk factors include PID, HIV/AIDS, any STD,
chromosomal abnormalities, hypertension, heart failure, type I diabetes, and obesity.
Basically, any medical condition.)
You know that which of the following would be an example of a psychosocial risk
factor related to reproduction?
a. Pelvic Inflammatory Disease (PID)
b. Secondhand smoking
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,c. Drug addiction
d. Lack of insurance - ✔✔C (Psychosocial risk factors include: Isolation, anxiety,
depression, spousal abuse or inter partner violence, drug and alcohol use and
addiction.)
You are working with a college student who is planning to become sexually active. She
is requesting a reliable method of birth control that could be easily discontinued if
necessary. Which option should be given the strongest recommendation?
a. Intrauterine device (IUD)
b. Coitus interruptus
c. Natural family planning
d. Oral contraceptive pills - ✔✔D (Oral contraceptive pills prevent ovulation, are easy to
stop, and are 99% effective in pregnancy prevention. Intrauterine devices, coitus
interruptus, and natural family planning will not prevent ovulation; they should not be
recommended for this college student who desires a reliable method of birth control
that can be easily discontinued.)
A 20-year-old woman comes for preconceptual counseling. She wants to get pregnant
soon. Which of the following health-promoting habits would have the highest priority
at this time?
a. Immediate tobacco cessation
b. Getting daily exercise
c. Stopping all caffeine
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,d. Avoidance of sweets - ✔✔A (Psychosocial factors affecting pregnancy include
smoking, excessive use of caffeine, alcohol and drug abuse, psychological status
including impaired mental health, an addictive lifestyle, spouse abuse, and
noncompliance with cultural norms. Immediate tobacco cessation would be the highest
priority because continued smoking could be teratogenic if the woman should become
pregnant. Smoking causes vasoconstriction which restricts the amount of oxygen and
nutrients to the rapidly growing fetus. Daily exercise promotes health but would not be
the highest priority among these factors. Stopping caffeine and avoiding sweets are
important and can be addressed after tobacco cessation.)
A female patient comes to the clinic at 8 weeks' gestation. She lives in a house beneath
electrical power lines, which is located near an oil field. She drinks two caffeinated
beverages a day, is a daily beer drinker, and has not stopped eating sweets. She takes a
multivitamin and exercises daily. She denies drug use. Which finding in the history has
the greatest implication for this patient's plan of care?
a. Electrical power lines are a potential hazard to the woman and her fetus.
b. Living near an oil field may mean the water supply is polluted.
c. Drinking alcohol should be avoided during pregnancy because of its teratogenic
effects.
d. Eating sweets may cause gestational diabetes or miscarriage. - ✔✔C (Stages of
development include the ovum, the embryo, and the fetus. The embryonic period lasts
from the beginning of the fourth week to the end of the eighth week of gestation.
Teratogenicity is a major concern because all external and internal structures are
developing in the embryonic period. During pregnancy, a woman should avoid
exposure to all potential toxins, especially alcohol, tobacco, radiation, and infectious
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 3
, agents. Living beneath power line or near an oil field is not teratogenic in itself.
Stopping sweets can be addressed after the alcohol cessation is addressed.)
A married couple present to the preconceptual clinic with questions about how a fetus's
chromosomal sex is established. What is the nurse's best response?
a. At ovulation, chromosomal sex is established.
b. At ejaculation, chromosomal sex is established.
c. At climax, chromosomal sex is established.
d. At fertilization, chromosomal sex is established. - ✔✔D (Remember that the primary
spermatocyte contains two sex chromosomes, one X chromosome and one Y
chromosome, and the primary oocyte contains two sex chromosomes, both X
chromosomes. During the first reduction division, two secondary spermatocytes are
produced, one X and one Y, establishing X and Y cell lines. The X-bearing cell line is
established during oogenesis. Female gametes will all be X bearing and male gametes
will be either X or Y bearing. A female develops through the fertilization of the ovum
by an X-bearing sperm producing an XX zygote; a male is produced through the
fertilization of a Y-bearing sperm producing an XY zygote. Therefore, at fertilization,
chromosomal sex is established. Chromosomal sex is not established at ovulation,
ejaculation, or climax, so these choices are erroneous.)
The embryonic period is critical because external and internal structures in the fetus are
forming. All teratogens should be avoided from
a. 4 to 8 weeks.
b. 8 to 12 weeks.
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Questions with Correct Answers
100% Pass
Your pregnant patient has an STD. This is an example of which category risk factor for
reproduction?
a. Biophysical
b. Psychosocial
c. Sociodemographic
d. Environmental - ✔✔A (Biophysical risk factors include PID, HIV/AIDS, any STD,
chromosomal abnormalities, hypertension, heart failure, type I diabetes, and obesity.
Basically, any medical condition.)
You know that which of the following would be an example of a psychosocial risk
factor related to reproduction?
a. Pelvic Inflammatory Disease (PID)
b. Secondhand smoking
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 1
,c. Drug addiction
d. Lack of insurance - ✔✔C (Psychosocial risk factors include: Isolation, anxiety,
depression, spousal abuse or inter partner violence, drug and alcohol use and
addiction.)
You are working with a college student who is planning to become sexually active. She
is requesting a reliable method of birth control that could be easily discontinued if
necessary. Which option should be given the strongest recommendation?
a. Intrauterine device (IUD)
b. Coitus interruptus
c. Natural family planning
d. Oral contraceptive pills - ✔✔D (Oral contraceptive pills prevent ovulation, are easy to
stop, and are 99% effective in pregnancy prevention. Intrauterine devices, coitus
interruptus, and natural family planning will not prevent ovulation; they should not be
recommended for this college student who desires a reliable method of birth control
that can be easily discontinued.)
A 20-year-old woman comes for preconceptual counseling. She wants to get pregnant
soon. Which of the following health-promoting habits would have the highest priority
at this time?
a. Immediate tobacco cessation
b. Getting daily exercise
c. Stopping all caffeine
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 2
,d. Avoidance of sweets - ✔✔A (Psychosocial factors affecting pregnancy include
smoking, excessive use of caffeine, alcohol and drug abuse, psychological status
including impaired mental health, an addictive lifestyle, spouse abuse, and
noncompliance with cultural norms. Immediate tobacco cessation would be the highest
priority because continued smoking could be teratogenic if the woman should become
pregnant. Smoking causes vasoconstriction which restricts the amount of oxygen and
nutrients to the rapidly growing fetus. Daily exercise promotes health but would not be
the highest priority among these factors. Stopping caffeine and avoiding sweets are
important and can be addressed after tobacco cessation.)
A female patient comes to the clinic at 8 weeks' gestation. She lives in a house beneath
electrical power lines, which is located near an oil field. She drinks two caffeinated
beverages a day, is a daily beer drinker, and has not stopped eating sweets. She takes a
multivitamin and exercises daily. She denies drug use. Which finding in the history has
the greatest implication for this patient's plan of care?
a. Electrical power lines are a potential hazard to the woman and her fetus.
b. Living near an oil field may mean the water supply is polluted.
c. Drinking alcohol should be avoided during pregnancy because of its teratogenic
effects.
d. Eating sweets may cause gestational diabetes or miscarriage. - ✔✔C (Stages of
development include the ovum, the embryo, and the fetus. The embryonic period lasts
from the beginning of the fourth week to the end of the eighth week of gestation.
Teratogenicity is a major concern because all external and internal structures are
developing in the embryonic period. During pregnancy, a woman should avoid
exposure to all potential toxins, especially alcohol, tobacco, radiation, and infectious
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 3
, agents. Living beneath power line or near an oil field is not teratogenic in itself.
Stopping sweets can be addressed after the alcohol cessation is addressed.)
A married couple present to the preconceptual clinic with questions about how a fetus's
chromosomal sex is established. What is the nurse's best response?
a. At ovulation, chromosomal sex is established.
b. At ejaculation, chromosomal sex is established.
c. At climax, chromosomal sex is established.
d. At fertilization, chromosomal sex is established. - ✔✔D (Remember that the primary
spermatocyte contains two sex chromosomes, one X chromosome and one Y
chromosome, and the primary oocyte contains two sex chromosomes, both X
chromosomes. During the first reduction division, two secondary spermatocytes are
produced, one X and one Y, establishing X and Y cell lines. The X-bearing cell line is
established during oogenesis. Female gametes will all be X bearing and male gametes
will be either X or Y bearing. A female develops through the fertilization of the ovum
by an X-bearing sperm producing an XX zygote; a male is produced through the
fertilization of a Y-bearing sperm producing an XY zygote. Therefore, at fertilization,
chromosomal sex is established. Chromosomal sex is not established at ovulation,
ejaculation, or climax, so these choices are erroneous.)
The embryonic period is critical because external and internal structures in the fetus are
forming. All teratogens should be avoided from
a. 4 to 8 weeks.
b. 8 to 12 weeks.
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 4
