Maternal And Child Health Nursing NCLEX Quiz 38

1. Vasectomy is a procedure done on a male for sterilization. The organ involved in this procedure is

Prostate gland

Seminal vesicle

Testes

Vas deferens

Vasectomy is a procedure wherein the vas deferens of the male is ligated and cut to prevent the passage of the sperms from the testes to the penis during ejaculation.

Explanation

Vasectomy is a procedure wherein the vas deferens of the male is ligated and cut to prevent the passage of the sperms from the testes to the penis during ejaculation.

2. Breast self-examination is best done by the woman on herself every month during

The middle of her cycle to ensure that she is ovulating

During the menstrual period

Right after the menstrual period so that the breast is not being affected by the increase in hormones particularly estrogen

Just before the menstrual period to determine if ovulation has occurred

The best time to do self-breast examination is right after the menstrual period is over so that the hormonal level is low thus the breasts are not tender.

Explanation

The best time to do self-breast examination is right after the menstrual period is over so that the hormonal level is low thus the breasts are not tender.

3. In the sympto-thermal method. the parameters being monitored to determine if the woman is fertile or infertile are:

Temperature. cervical mucus. cervical consistency

Release of ovum. temperature. and vagina

Temperature and wetness

Temperature. endometrial secretion. mucus

The 3 parameters measured/monitored which will indicate that the woman has ovulated are- a temperature increase of about 0.2-0.4 degrees centigrade. a softness of the cervix and cervical mucus that looks like the white of an egg which makes the woman feel “wet”.

Explanation

The 3 parameters measured/monitored which will indicate that the woman has ovulated are- a temperature increase of about 0.2-0.4 degrees centigrade. a softness of the cervix and cervical mucus that looks like the white of an egg which makes the woman feel “wet”.

4. Spinnbarkeit is an indicator of ovulation which is characterized as:

Thin watery mucus which can be stretched into a long strand about 10 cm

Thick mucus that is detached from the cervix during ovulation

Thin mucus that is yellowish in color with fishy odor

Thick mucus vaginal discharge influence by high level of estrogen

At the midpoint of the cycle when the estrogen level is high. the cervical mucus becomes thin and watery to allow the sperm to easily penetrate and get to the fallopian tubes to fertilize an ovum. This is called spinnbarkeit. And the woman feels “wet”. When progesterone is secreted by the ovary. the mucus becomes thick and the woman will feel “dry”.

Explanation

At the midpoint of the cycle when the estrogen level is high. the cervical mucus becomes thin and watery to allow the sperm to easily penetrate and get to the fallopian tubes to fertilize an ovum. This is called spinnbarkeit. And the woman feels “wet”. When progesterone is secreted by the ovary. the mucus becomes thick and the woman will feel “dry”.

5. A woman is considered to be menopause if she has experienced cessation of her menses for a period of

6 months

12 months

18 months

24 months

If a woman has not had her menstrual period for 12 consecutive months. she is considered to be in her menopausal stage.

Explanation

If a woman has not had her menstrual period for 12 consecutive months. she is considered to be in her menopausal stage.

6. In assisted reproductive technology (ART). there is a need to stimulate the ovaries to produce more than one mature ovA. The drug commonly used for this purpose is:

Bromocriptine

Clomiphene

Provera

Estrogen

Clomiphene or Clomid acts as an ovarian stimulant to promote ovulation. The mature ova are retrieved and fertilized outside the fallopian tube (in-vitro fertilization) and after 48 hours the fertilized ovum is inserted into the uterus for implantation.

Explanation

Clomiphene or Clomid acts as an ovarian stimulant to promote ovulation. The mature ova are retrieved and fertilized outside the fallopian tube (in-vitro fertilization) and after 48 hours the fertilized ovum is inserted into the uterus for implantation.

7. The following are important considerations to teach the woman who is on a low dose (mini-pill) oral contraceptive EXCEPT:

The pill must be taken every day at the same time

If the woman fails to take a pill in one day. she must take 2 pills for added protection

If she is breastfeeding. she should discontinue using mini-pill and use the progestin-only type

If the woman fails to take her usual pill for the day. taking a double dose does not give additional protection. What she needs to do is to continue taking the pills until the pack is consumed and use at the time another temporary method to ensure that no pregnancy will occur. When a new pack is started. she can already discontinue using the second temporary method she employed.

Explanation

If the woman fails to take her usual pill for the day. taking a double dose does not give additional protection. What she needs to do is to continue taking the pills until the pack is consumed and use at the time another temporary method to ensure that no pregnancy will occur. When a new pack is started. she can already discontinue using the second temporary method she employed.

8. Infertility can be attributed to male causes such as the following EXCEPT:

Cryptorchidism

Orchitis

Sperm count of about 20 million per milliliter

Premature ejaculation

Sperm count must be within normal in order for a male to successfully sire a child. The normal sperm count is 20 million per milliliter of seminal fluid or 50 million per ejaculate.

Explanation

Sperm count must be within normal in order for a male to successfully sire a child. The normal sperm count is 20 million per milliliter of seminal fluid or 50 million per ejaculate.

9. Which of the following is the correct practice of self-breast examination in a menopausal woman?

Any day of the month as long it is regularly observed on the same day every month

Anytime she feels like doing it ideally every day

Menopausal women do not need regular self-breast exam as long as they do it at least once every 6 months

Menopausal women still need to do self-examination of the breast regularly. Any day of the month is alright provided that she practices it monthly on the same day that she has chosen. The hormones estrogen and progesterone are already diminished during menopause so there is no need to consider the time to do it in relation to the menstrual cycle.

Explanation

Menopausal women still need to do self-examination of the breast regularly. Any day of the month is alright provided that she practices it monthly on the same day that she has chosen. The hormones estrogen and progesterone are already diminished during menopause so there is no need to consider the time to do it in relation to the menstrual cycle.

10. To determine if the cause of infertility is a blockage of the fallopian tubes. the test to be done is

Huhner’s test

Rubin’s test

Postcoital test

None of the above

Rubin’s test is a test to determine patency of fallopian tubes. Huhner’s test is also known as post-coital test to determine the compatibility of the cervical mucus with sperms of the sexual partner.

Explanation

Rubin’s test is a test to determine patency of fallopian tubes. Huhner’s test is also known as post-coital test to determine the compatibility of the cervical mucus with sperms of the sexual partner.