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During sexual intercourse, the sperm cells then enter the uterus though the and travel to the egg tubes:
- A. Cervix
- B. Fallopian tubes
- C. Ovaries
- D. Mammary glands
Correct Answer: A
Rationale: Sperm enters the uterus through the cervix and travels to the fallopian tubes to reach the egg.
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A patient in her first trimester complains of nausea and vomiting. She asks, 'Why does this happen?' The nurse's best response is:
- A. It is due to an increase in gastric motility.'
- B. It may be due to changes in hormones.'
- C. It is related to an increase in glucose levels.'
- D. It is caused by a decrease in gastric secretions.'
Correct Answer: B
Rationale: Nausea and vomiting are believed to be caused by increased levels of hormones, decreased gastric motility, and hypoglycemia.
Which comment made by a patient in her first trimester indicates ambivalent feelings?
- A. "My body is changing so quickly."
- B. "I haven't felt well since this pregnancy began."
- C. "I'm concerned about the amount of weight I've gaine
- D. "I wanted to become pregnant, but I'm scared about being a mother."
Correct Answer: D
Rationale: The correct answer is D because the patient expresses conflicting emotions of wanting to become pregnant but feeling scared about being a mother, indicating ambivalence. Choice A indicates awareness of physical changes, not necessarily ambivalence. Choice B reflects physical discomfort, not emotional conflict. Choice C shows concern about weight gain, not conflicting feelings. Overall, D is the only option reflecting mixed emotions about pregnancy and motherhood.
A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:
- A. amenorrhe
- B. positive pregnancy test.
- C. Chadwick's sign.
- D. Hegar's sign.
Correct Answer: A
Rationale: The correct answer is A: amenorrhea. At 10 weeks of gestation, a woman should have missed at least two menstrual periods, indicating amenorrhea. This is a presumptive sign of pregnancy as it is a common early pregnancy symptom. Positive pregnancy test (B) confirms pregnancy but is not specific to 10 weeks. Chadwick's sign (C) is a bluish discoloration of the cervix and vagina, typically seen around 6-8 weeks, not specifically at 10 weeks. Hegar's sign (D) is softening of the lower uterine segment, usually felt around 6-12 weeks, not specifically at 10 weeks.
A first-time mother at 18 weeks of gestation comes for her regularly scheduled prenatal visit. The patient tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions. The nurse explains that this is the Braxton Hicks sign and teaches the patient that this type of contraction:
- A. is painless.
- B. increases with walking.
- C. causes cervical dilation.
- D. impedes oxygen flow to the fetus.
Correct Answer: A
Rationale: The correct answer is A: is painless. Braxton Hicks contractions are practice contractions that are usually painless and irregular. They do not lead to cervical dilation or impede oxygen flow to the fetus. By educating the patient that these contractions are normal and not a cause for concern, the nurse can help alleviate the patient's fears. Choices B, C, and D are incorrect because Braxton Hicks contractions do not increase with walking, cause cervical dilation, or impact oxygen flow to the fetus. It is important for the patient to understand the difference between Braxton Hicks contractions and true labor contractions to avoid unnecessary anxiety and stress.
Numerous changes in the integumentary system occur during pregnancy. Which change persists after birth?
- A. Epulis
- B. Chloasma
- C. Telangiectasia
- D. Striae gravidarum
Correct Answer: D
Rationale: Striae gravidarum, or stretch marks, persist after pregnancy, although they may fade over time. Other changes like epulis and chloasma typically resolve postpartum.