Nursing Practice - Maternal
Health - Galen
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Galen College Of Nursing Exam 1
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,1. Which hormone causes additional growth of blood vessels in the
endometrium in prep for fertilized ovum and storage of nutrients?
A. progesterone
B. estrogen
C. inhibit
Answer: A
Explanation: Progesterone, secreted in the luteal phase by the corpus
luteum, stimulates spiral arteriole growth and endometrial gland secretion,
preparing the uterine lining for implantation and nutrition of the embryo.
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2. A 17-year-old female is brought to the family practice clinic by her
mother, who is worried that her daughter has not yet developed
secondary sex characteristics. Which action by the nurse is best?:
Answer: inform them that their daughter will be tested for estrogen
deficiency
Explanation: Delayed puberty can indicate endocrine abnormalities such
as estrogen deficiency. Evaluation including hormone levels is needed to
determine if an underlying pathology exists impacting normal sexual
maturation.
3. The part of the uterine cycle which occurs during the period of time
b/w ovulation and onset of menses is known as::
Answer: secretory phase; changes caused by increase in progesterone,
suitable for implantation of fertilized ovum, glycogen producing glands
secrete endometrial fluid in prep for fertilized ovum
,Explanation: After ovulation, the corpus luteum secretes progesterone,
transforming the endometrium into a secretory state providing nutrients via
glycogen-rich secretions to support potential embryo implantation.
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4. Platypelloid pelvic women usually causes babies to be::
Answer: positioned transversely
Explanation: Platypelloid pelvis is a flattened and widened pelvis type
limiting the space in the anterior-posterior dimension. This often prevents
the fetus from engaging in the ideal head-down (cephalic) position,
resulting in transverse lie that complicates vaginal delivery.
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5. hCG plays a role in::
Answer: limiting the maternal immune response to the pregnancy;
maintains the ovarian corpus luteum (remainder of ovarian follicle after
ovulation) by keeping est/prog levels elevated until placenta has developed
enough to assume that function
Explanation: Human chorionic gonadotropin (hCG) is secreted by
syncytiotrophoblast cells of the early embryo. It prevents regression of the
corpus luteum, ensuring continuous progesterone secretion to maintain the
endometrium and immune tolerance to the semi-allogenic fetus.
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, 6. The process of oogonia is dictated by which hormone?
A. LH
B. Estrogen
C. FSH
Answer: C
Explanation: Follicle-stimulating hormone (FSH) promotes the growth and
maturation of ovarian follicles containing oocytes (oogonia derivatives).
FSH initiates follicular recruitment and development during the menstrual
cycle.
7. The term thelarche refers to::
Answer: formation of breast buds; the 1st signal that ovarian function has
begun followed by growth of pubic hair
Explanation: Thelarche is the onset of breast development, marking the
beginning of puberty in females. It reflects the initiation of ovarian estrogen
secretion, which stimulates breast tissue growth. It usually precedes pubic
hair development (pubarche), indicating the early activation of the
hypothalamic-pituitary-ovarian axis.
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8. In perimenopause, women experience vaginal dryness and urinary
changes due to::
Answer: loss of estrogen and progesterone production; ovarian follicles
responsive to gonadotropins decreases and responsive follicles do not
develop as quickly as before