Maternal and Child Nursing Care 3rd Edition London Test Bank

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London et al., Maternal & Child Nursing Care, 3e
©2011 by Pearson Education, Inc.

Chapter 3: Reproductive Anatomy and Physiology

Chapter 03_LO01_Q01
The normal position of the uterus within the body cavity is:
1. Anteflexed.
2. Retroflexed.
3. Retroverted.
4. Anteverted.
Correct Answer: 4
Rationale:
1. Retroflexed, or bending backward; retroverted; and anteflexed, or not flexed, are not normal
uterine positions within the body cavity.
2. Retroflexed, or bending backward; retroverted; and anteflexed, or not flexed, are not normal
uterine positions within the body cavity.
3. Retroflexed, or bending backward; retroverted; and anteflexed, or not flexed, are not normal
uterine positions within the body cavity.
4. Anteverted is the normal position of the uterus as the uterus bends forward, forming a sharp
angle with the vagina.
Cognitive Level: Comprehension
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Assessment
Learning Outcome: 3.1 Identify the structures and functions of the female reproductive system.

Chapter 03_LO01_Q02
The client shows an understanding of the pelvic cavity divisions by stating:
1. “The true pelvis is made up of the sacrum, coccyx, and the innominate bones.”
2. “The false pelvis consists of the inlet, the pelvic cavity, and the outlet.”
3. “The true pelvis is the portion above the pelvic brim.”
4. “The relationship between the false pelvis and the fetal head is of paramount
importance.”
Correct Answer: 1

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 London et al., Maternal & Child Nursing Care, 3e
©2011 by Pearson Education, Inc.

Rationale:
1. The true pelvis is made up of the sacrum, coccyx, and two innominate bones (or hip bones),
and represents the bony limits of the birth canal.
2. The true pelvis consists of the inlet, the pelvic cavity, and the outlet, not the false pelvis.
3. The false pelvis is the portion above the pelvic brim.
4. The relationship between the true pelvis (not the false) and the fetal head is of paramount
importance.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Evaluation
Learning Outcome: 3.1 Identify the structures and functions of the female reproductive system.

Chapter 03_LO01_Q03
The uterine ligaments support and stabilize the various reproductive organs. Which of the
following are true statements about the individual ligaments? Select all that apply.
1. The infundibulopelvic ligaments suspend and support the uterus.
2. The broad ligament keeps the uterus centrally placed.
3. The uterosacral ligaments contribute to the pain of dysmenorrhea (painful menstruation).
4. The ovarian ligaments anchor the ovary to the uterus.
5. The cardinal ligaments prevent uterine prolapse and support the upper vagina.
Correct Answers: 2; 3; 4; 5
Rationale:
1. The infundibulopelvic ligaments suspend and support the ovaries, not the uterus.
2. The broad ligament keeps the uterus centrally placed.
3. The uterosacral ligaments contribute to the pain of dysmenorrhea (painful menstruation).
4. The ovarian ligaments anchor the ovary to the uterus.
5. The cardinal ligaments prevent uterine prolapse and support the upper vagina.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Assessment
Learning Outcome: 3.1 Identify the structures and functions of the female reproductive system.
 London et al., Maternal & Child Nursing Care, 3e
©2011 by Pearson Education, Inc.

Chapter 03_LO02_Q04
A man who has had a vasectomy becomes functionally sterile because the sperm:
1. Are no longer being produced.
2. Are no longer motile and fertile.
3. Cannot reach the outside of the body.
4. Cannot penetrate an ovum.
Correct Answer: 3
Rationale:
1. Sperm are produced in the seminiferous tubules in the testes, and are not affected by a
vasectomy.
2. A vasectomy does not affect motility or fertility of sperm.
3. Sperm cannot reach the outside of the body in a man who has a vasectomy. The main function
of the vas deferens, which is ligated in a vasectomy, is to squeeze the sperm from their storage
site into the urethra.
4. Sperm cannot penetrate an ovum, but only because they cannot reach the outside of the body
due to the ligation.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Assessment
Learning Outcome: 3.2 Identify the structures and functions of the male reproductive system.

Chapter 03_LO02_Q05
A school nurse, teaching a health class to adolescent boys, explains that spermatozoa become
motile and fertile during the 2–10 days they are stored in the:
1. Epididymis.
2. Vas deferens.
3. Prostate gland.
4. Urethra.
Correct Answer: 1
 London et al., Maternal & Child Nursing Care, 3e
©2011 by Pearson Education, Inc.

Rationale:
1. The epididymis provides a reservoir where maturing spermatozoa become both motile and
fertile. The spermatozoa remain in the epididymis for 2–10 days.
2. The vas deferens connects the epididymis with the prostate.
3. The prostate gland secretes a fluid that protects the sperm from the acidic environment of the
vagina.
4. The urethra is the passageway for both urine and semen.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Implementation
Learning Outcome: 3.2 Identify the structures and functions of the male reproductive system.

Chapter 03_LO02_Q06
Based on the anatomy of the male external genitalia, which of the following is the most logical
cause of inability to achieve erection?
1. Weakness or atrophy of the penile muscles
2. Poor circulation to the penis
3. An undescended testicle
4. Decreased functioning of the seminiferous tubules
Correct Answer: 2
Rationale:
1. Weakness or atrophy of the penile muscle does not play a primary role in the inability to
achieve erection.
2. Poor circulation to the penis is the most logical cause because the penis becomes erect as
result of innervation from the pudendal nerve, causing its blood vessels to become engorged.
3. An undescended testicle does not play a primary role in the inability to achieve erection.
4. Decreased function of the seminiferous tubules does not play a primary role in the inability to
achieve erection.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
 London et al., Maternal & Child Nursing Care, 3e
©2011 by Pearson Education, Inc.

Nursing Process: Diagnosis

Learning Outcome: 3.2 Identify the structures and functions of the male reproductive system.

Chapter 03_LO03_Q07
A pregnant adolescent asks the nurse, “Why does the physician call measuring my uterus ‘a
fundal height’?” The nurse’s answer is based on the fact that the fundus of the uterus is located:
1. Between the internal cervical os and the endometrial cavity.
2. In the elongated portion where the fallopian tubes enter.
3. In the lower third area.
4. In the uppermost (dome-shaped top) portion.
Correct Answer: 4
Rationale:
1. The isthmus is that portion of the uterus between the internal cervical os and the endometrial
cavity.
2. The elongated portion where the fallopian tubes enter the uterus is called the cornua.
3. The lower third of the uterus is called the cervix or neck.
4. The rounded uppermost (dome-shaped top) portion of the uterus that extends above the points
of attachment of the fallopian tubes is called the fundus.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Implementation
Learning Outcome: 3.3 Discuss the significance of specific female reproductive structures during
childbirth.

Chapter 03_LO03_Q08
When planning care for a client who has undergone an episiotomy, it would be important to
include a goal that addresses the need for pain relief of the:
1. Mons pubis.
2. Perineum.
3. Labia minora.
 London et al., Maternal & Child Nursing Care, 3e
©2011 by Pearson Education, Inc.

4. Hymen.
Correct Answer: 2
Rationale:
1. The mons pubis refers to the soft mound overlying the pubic bone, and is not involved in an
episiotomy.
2. The perineum is the superficial area between the anus and vagina, and this tissue is often the
site of an episiotomy or lacerations during childbirth.
3. The labia minora are the inner folds of the vagina, and are not cut in an episiotomy.
4. The hymen, if present, is a thin elastic collar of tissue that surrounds the vaginal opening; it is
not cut in an episiotomy.
Cognitive Level: Application
Category of Client Need: Physiological Integrity
Nursing Process: Planning
Learning Outcome: 3.3 Discuss the significance of specific female reproductive structures during
childbirth.

Chapter 03_LO03_Q09
The nurse explains to the client that the obstetric conjugate measurement is important because:
1. The size of this diameter determines whether the fetus can move down into the birth
canal so that engagement can occur.
2. This measurement determines the shape of the inlet.
3. The fetus passes under it during birth.
4. This determines the tilt of the pelvis.
Correct Answer: 1
Rationale:
1. The obstetric conjugate extends from the middle of the sacral promontory to an area
approximately 1 cm below the pubic crest. The fetus passes through the obstetric conjugate, and
the size of this diameter determines whether the fetus can move down into the birth canal in
order for engagement to occur.
2. The transverse diameter is the largest diameter of the inlet, and helps determine its shape.
3. The fetus passes under the pubic arch, which is part of the pelvic outlet.
 London et al., Maternal & Child Nursing Care, 3e
©2011 by Pearson Education, Inc.

4. A change in the lumbar curve can increase or decrease the tilt of the pelvis.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Implementation
Learning Outcome: 3.3 Discuss the significance of specific female reproductive structures during
childbirth.

Chapter 03_LO04_Q10
A school nurse is teaching a health class to middle school children. The nurse explains that
follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are secreted by the:
1. Hypothalamus.
2. Ovaries and testes.
3. Posterior pituitary.
4. Anterior pituitary.
Correct Answer: 4
Rationale:
1. The hypothalamus secretes gonadotropin-releasing hormone to the pituitary gland in response
to signals from the central nervous system.
2. The ovaries secrete the female hormone of estrogen and progesterone, and the testes secrete
testosterone.
3. The posterior pituitary gland secretes oxytocin and antidiuretic hormone.
4. The anterior pituitary secretes FSH and LH, which are primarily responsible for maturation of
the ovarian follicle.
Cognitive Level: Analysis
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Implementation
Learning Outcome: 3.4 Summarize the actions of the hormones that affect reproductive
functioning.

Chapter 03_LO04_Q11
A nurse teaches newly pregnant clients that if an ovum is fertilized and implants in the
 London et al., Maternal & Child Nursing Care, 3e
©2011 by Pearson Education, Inc.

endometrium, the hormone the fertilized egg begins to secrete is:

1. Estrogen.
2. Human chorionic gonadotropin (hCG).
3. Progesterone.
4. Luteinizing.
Correct Answer: 2
Rationale:
1. Estrogen and progesterone are ovarian hormones.
2. When the ovum is fertilized, and implants in the endometrium, the fertilized egg begins to
secrete human chorionic gonadotropin (hCG) hormone to maintain the corpus luteum.
3. Estrogen and progesterone are ovarian hormones.
4. Luteinizing hormone is excreted by the anterior pituitary.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Implementation
Learning Outcome: 3.4 Summarize the actions of the hormones that affect reproductive
functioning.

Chapter 03_LO04_Q12
A woman has been unable to complete a full-term pregnancy because the fertilized ovum failed
to implant in the uterus. This is most likely due to a lack of which hormone?
1. Estrogen
2. Progesterone
3. FSH
4. LH
Correct Answer: 2
Rationale:
1. Estrogen primarily assists in maturation of the ovarian follicles and causes endometrial
mucosa to proliferate.
2. Progesterone decreases uterine motility and contractility; thus a lack of progesterone will
 London et al., Maternal & Child Nursing Care, 3e
©2011 by Pearson Education, Inc.

affect the ability of the uterus to be prepared for implantation after the ovum is fertilized.
3. FSH and LH are hormones secreted by the pituitary gland.
4. FSH and LH are hormones secreted by the pituitary gland.
Cognitive Level: Analysis
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Diagnosis
Learning Outcome: 3.4 Summarize the actions of the hormones that affect reproductive
functioning.

Chapter 03_LO05_Q13
A woman is experiencing mittelschmerz and increased vaginal discharge. Her temperature has
increased by 0.6ºC (1.0ºF) over the past 36 hours. This most likely indicates that:
1. Menstruation is about to begin.
2. Ovulation will occur soon.
3. Ovulation has occurred.
4. She is pregnant, and will not menstruate.
Correct Answer: 3
Rationale:
1. A temperature increase does not occur when menstruation is about to begin or before
ovulation has occurred.
2. A temperature increase does not occur when menstruation is about to begin or before
ovulation has occurred.
3. Signs that ovulation has occurred include pain associated with rupture of the ovum
(mittelschmerz), increased vaginal discharge, and a temperature increase of 0.6ºC for the past 36
hours.
4. She is pregnant, and will not menstruate is incorrect because this can only be detected through
testing the urine for the presence of human chorionic gonadotropin hormone.
Cognitive Level: Analysis
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Diagnosis
 London et al., Maternal & Child Nursing Care, 3e
©2011 by Pearson Education, Inc.

Learning Outcome: 3.5 Identify the two phases of the ovarian cycle and the changes that occur in
each phase.

Chapter 03_LO06_Q14
Place the phases of the uterine (menstrual) cycle in order, beginning with the end of the
menstrual phase. (Write your answer in the space below.)
1. Ischemic phase
2. Proliferative
3. Secretory
Correct Answer: 2, 3, 1
Rationale:
1. After the menstrual phase ends, the proliferative phase begins when the endometrial glands
enlarge. The secretory phase follows. If fertilization does not occur, the ischemic phase begins.
2. After the menstrual phase ends, the proliferative phase begins when the endometrial glands
enlarge. The secretory phase follows. If fertilization does not occur, the ischemic phase begins.
3. After the menstrual phase ends, the proliferative phase begins when the endometrial glands
enlarge. The secretory phase follows. If fertilization does not occur, the ischemic phase begins.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Assessment
Learning Outcome: 3.6 Describe the phases of the uterine (menstrual) cycle, their dominant
hormones, and the changes that occur in each phase.

Chapter 03_LO06_Q15
The vascularity of the uterus increases and the endometrium becomes prepared for a fertilized
ovum in which phase of the menstrual cycle?
1. Menstrual
2. Proliferative
3. Secretory
4. Ischemic
Maternal and Child Nursing Care 3rd Edition London Test Bank
Full Download: https://testbankreal.com/download/maternal-and-child-nursing-care-3rd-edition-london-test-bank/
London et al., Maternal & Child Nursing Care, 3e
©2011 by Pearson Education, Inc.

Correct Answer: 2
Rationale:
1. The menstrual phase refers to the cyclic uterine bleeding in response to hormonal changes.
2. The proliferative phase refers to the buildup of the endometrium as blood supply and uterine
size are increased.
3. The secretory phase occurs after ovulation.
4. The ischemic phase occurs if fertilization does not occur.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Assessment
Learning Outcome: 3.6 Describe the phases of the uterine (menstrual) cycle, their dominant
hormones, and the changes that occur in each phase.

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