IMMACULATE CONCEPTION COLLEGE-ALBAY 9.

Which of the following is not a function of the

Daraga, Albay vagina?
A. Organ of intercourse
NCM 101 (Maternal & Newborn Nursing) B. Conveys sperm to the cervix
by Paul Jhon A. Vergara, RN C. Serves as the birth canal
PRELIMINARY EXAMINATION D. Contracts during labor

Name:______________________________ Block:____ 10. The layer of the uterine wall that contracts during
labor is the:
INSTRUCTIONS: Read each item carefully. Choose the A. Endometrium
best response to each question and shade the circle of B. Myometrium
the corresponding letter in the separate answer sheet C. Perimetrium
provided. D. Epimetrium

1. The structures that form the female external 11. Ordinarily, the body of the uterus is positioned:
genitalia are collectively termed as the: A. Tipped slightly forward
A. Vagina B. Tipped backward
B. Perineum C. Bent sharply forward
C. Gonads D. Bent sharply backward
D. Vulva
12. A positional deviation of the uterus in which the
2. The small erectile structure in the female external fundus is tipped forward is termed:
genitalia which is the center of sexual arousal and A. Anteversion
orgasm in female is called the: B. Retroversion
A. Vagina C. Anteflexion
B. Prepuce D. Retroflexion
C. Clitoris
D. Hymen 13. What microorganism, that is part of the normal
vaginal flora, is responsible for making the usual
3. To help improve sperm survival in the vagina, the pH of the vagina acidic?
pH of the secretions from both Skene’s and A. Candida albicans
Bartholin’s glands are normally: B. Döderleins bacillus
A. Acidic C. Chlamydia trachomatis
B. Alkaline
D. Hemophilus ducreyi
C. Neutral
D. None of the above
14. What is the primary purpose why the vaginal pH is
acidic?
4. The structure that is sometimes cut (episiotomy)
A. To reduce odor
during childbirth to enlarge the vaginal opening is
B. To increase sperm survival
the:
C. To maintain sterility of the vaginal canal
A. Fourchette
D. To prevent infection
B. Labia majora
C. Labia minora 15. What type of pelvis is the most favorable for labor
D. Hymen and delivery?
A. Android
5. The functions of the ovaries are the following B. Gynecoid
EXCEPT: C. Platypelloid
A. Produce, mature, and discharge ova D. Anthropoid
B. Produce oxytocin
C. Produce estrogen 16. What are the two types of pelvis that are favorable
D. Produce progesterone for labor and delivery?
1. Android
6. In which part of the fallopian tube does fertilization 2. Gynecoid
usually occurs? 3. Platypelloid
A. Interstitial 4. Anthropoid
B. Isthmus A. 2 and 1
C. Ampulla B. 2 and 3
D. Infundibulum C. 2 and 4
D. 1 and 3
7. Which part of the cervix is at the level of the ischial
spine? 17. The distance between the sacral prominence and
A. Internal os the posterior surface of the lower margin of the
B. External os symphysis pubis is the:
C. Anterior os A. Diagonal conjugate
D. Posterior os B. True conjugate
C. Obstetrical conjugate
8. The layer of the uterine wall that grows and D. Ischial tuberosity diameter
thickens each menstrual cycle in preparation for
implantation is the: 18. When obtaining a client’s diagonal conjugate, the
A. Endometrium nurse knows that the adequate size for childbirth
B. Myometrium is:
C. Perimetrium A. > 11 cm
D. Epimetrium B. < 11 cm
C. > 12.5 cm
D. < 12.5 cm
19. A client has a diagonal conjugate measuring 13 28. The proliferative phase is also called the:
cm, the nurse estimates the client’s true conjugate A. Estrogenic phase
is approximately: B. Follicular phase
A. 10.5-11 cm C. Postmenstrual phase
B. 11-11.5 cm D. All of the above
C. 11.5-12 cm
D. 12-12.5 cm 29. The secretory phase is also called the:
A. Progestational phase
20. The following are body structures involved in B. Luteal phase
menstruation EXCEPT: C. Premenstrual phase
A. Hypothalamus D. All of the above
B. Pituitary gland
C. Ovaries 30. The structure in the fetus that carries oxygenated
D. Adrenal cortex blood from the umbilical vein to the inferior vena
cava is the:
21. What condition stimulates the hypothalamus to A. Ductus arteriosus
release GnRH? B. Ductus venosus
A. Low serum level of progesterone
C. Foramen ovale
B. High serum level of progesterone
D. Pulmonary artery
C. Low serum level of estrogen
D. High serum level of estrogen 31. While discussing the growth and development of
the fetus, you were asked by the patient, “During
22. What are the two gonadotropic hormones produced what time in my pregnancy is my baby most
by the anterior pituitary gland? vulnerable?” as a nurse your best response is:
1. Luteinizing hormone A. “As your baby is forming in the first 2 months
2. Follicle stimulating hormone because organ development takes place at this
3. Human chorionic gonadortopin time.”
4. Luteinizing hormone-releasing hormone B. “Throughout your pregnancy.”
A. 3 and 2 C. “Near the end of your pregnancy.”
B. 3 and 4 D. “Halfway through your pregnancy: around 20
C. 1 and 2 weeks or 5 months.”
D. 1 and 3
32. An adolescent girl asks the nurse at a clinic if the
23. Which of these statements are true regarding FSH? “test for virginity” is an intact hymen. The correct
1. Responsible for ovulation response is:
2. Stimulates maturation of ovum A. “Evidence of bleeding with a first sexual
3. Active during first half of menstrual cycle encounter indicates virginity.”
4. Most active at the midpoint of the cycle B. “No, this is a common myth. The hymen may
A. 1 and 3 be torn during exercise, the use of tampons,
B. 1 and 4 masturbation, or other activities.”
C. 2 and 3 C. “Yes, an intact hymen isn’t seen in sexually
D. 2 and 4 active and parous women.”
D. “Why are you asking this question? Are you
24. Which of these statements are true regarding LH? sexually active?”
1. Responsible for ovulation
2. Stimulates maturation of ovum 33. The area in the female between the vagina and the
3. Active during first half of menstrual cycle anus is known as the:
4. Most active at the midpoint of the cycle A. Vestibule
A. 1 and 3 B. Mons pubis
B. 1 and 4 C. Perineum
C. 2 and 3
D. Labia majora
D. 2 and 4
34. Gabriel, a student nurse, is asked by a patient,
25. For a woman having a 30-day cycle, ovulation
“What determines if my baby’s lungs are mature?”
would occur on:
Gabriel’s correct response is:
A. Day 13
A. Fern test
B. Day 14
C. Day 15 B. Nitrazine test
D. Day 16 C. Phosphatidylglycerol test
D. Lecithin-sphingomyelin ratio
26. After ovulation, the corpus luteum forms and is
filled with a bright-yellow fluid called lutein. Lutein 35. The L/S ratio that indicates fetal lung maturity is:
is high in what specific hormone? A. 2:1
A. Oxytocin B. 2:2
B. Estradiol C. 1:2
C. Estrogen D. 1:1
D. Progesterone
36. At about 24th week of pregnancy the fetus starts
27. What do you call the vague pain on either right or producing surfactant. The function of surfactant is
left lower quadrant that is sometimes felt by a to:
woman during ovulation? A. Lubricate the fetus
A. Dysmenorrhea B. Cushion the fetus
B. Spinnbarkeit C. Increase the surface tension in the alveoli
C. Mettelschmerz D. Prevent collapse of the alveoli
D. Dyspareunia
37. The portion of the uterus whose significant
characteristic is to stretch during childbirth is the: 48. The black or greenish and sticky stool of a newborn
A. Corpus is called:
B. Fundus A. Wharton’s jelly
C. Cervix B. Transition stool
D. Internal os C. Vernix caseosa
D. Meconium
38. The usual site for implantation of the zygote is:
A. Low in the uterus, in the anterior surface 49. Hydramnios is a condition wherein the amniotic
B. Low in the uterus, in the posterior surface fluid is:
C. High in the uterus, in the anterior surface A. >2,000 mL
D. High in the uterus, in the posterior surface B. <2,000 mL
39. When teaching a pregnant woman the position to C. >300 mL
maximize uterine perfusion, the nurse instructs the
D. <300 mL
client to lie:
A. Supine
50. At
12 weeks age of gestation, the fundus is:
B. Prone
A.Just above the symphysis pubis
C. On her right side
B.At the level of the umbilicus
D. On her left side
C.Midway between the symphysis pubis and the
umbilicus
40. Which of these conditions can lead to
D. At the level of the xiphoid process
oligohydramnios?
A. Disturbance in kidney function
For items 51-60 write your answer in the space
B. Esophageal atresia provided in the separate answer sheet.
C. Anencephaly
D. Diabetes mellitus
51. A client’s last menstrual period is from May 23-26,
2009. Using Nagele’s rule, what is this patient’s
41. The fetal heart starts to beat at:
EDD?
A. 18th day
B. 20th day 52. A client’s last menstrual period is from February 2-
C. 22nd day 5, 2009. Using Nagele’s rule, what is this patient’s
D. 24th day EDD?

42. The fetal heart beat can be heard using a Doppler 53. A nurse measures the fundal height of a client and
at: notes that it is 27 cm, based on the McDonald’s
A. 6th-8th week rule, the client’s age of gestation is how many
B. 8th-10th week weeks?
C. 10th-12th week
D. 12th-14th week 54-60. Fill in the blanks to complete the fetal
circulation.
43. The fetal heart sounds are audible with an ordinary
stethoscope at the end of: PLACENTA → OXYGENATED BLOOD → 54___ →
A. 12th week 55___ →INFERIOR VENA CAVA → RIGHT ATRIUM →
B. 16th week 56____ →
C. 20th week 57_ ___ → LEFT VENTRICLE → AORTA →
CIRCULATION → UNOXYGENATED BLOOD → VENA CAVA
D. 24th week
→ RIGHT ATRIUM → RIGHT VENTRICLE → __ 58_____
→ 59_____ → AORTA →
44. Which of the following immunoglobulins crosses DESCENDING AORTA → 60_____ → PLACENTA
the placenta to provide the fetus a temporary
passive immunity against diseases for which the
mother has antibodies?
A. IgA
B. IgG
C. IgM
D. IgE

45. The immunoglobulin described in item no. 44

crosses the placenta during the:
A. 1st trimester
B. 2nd trimester
C. 3rd trimester
D. 4th trimester

46. The umbilical arteries carry:

A. Oxygenated blood to the placenta
B. Oxygenated blood to the fetus
C. Deoxygenated blood to the placenta
D. Deoxygenated blood to the fetus

47. The umbilical vein carries:

A. Oxygenated blood to the placenta
B. Oxygenated blood to the fetus
C. Unoxygenated blood to the placenta
D. Unoxygenated blood to the fetus