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Maternity Exam 2

Total questions: 65

Worksheet time: 1hrs 9mins

Name
Class
Date
1.

Serosal outermost layer composed of peritoneum

a)

Endometrium

b)

Myometrium

c)

Perimetrium

d)

Fallopian tubes

2.

Muscular middle layer - includes the fallopian tubes, Present a unified reaction to various stimuli (ovulation, orgasm, & the deposit of a sperm in vagina)

a)

Endometrium

b)

Myometrium

c)

Perimetrium

d)

Fallopian tubes

3.

Inner mucosal layer. From menarche to menopause, it goes through monthly renewal & degeneration in the absence of pregnancy in response to hormone cycles.

a)

Endometrium

b)

Myometrium

c)

Perimetrium

d)

Fallopian tubes

4.

3 Functions of this reproductive system:

1. Provides transport for the ovum from the ovary to the uterus. Takes 3-4 days

2. Provides a site for fertilization

3. Serves as a warm, moist, nourishing environment for the ovum or zygote (fertilized egg)

a)

Perimetrium

b)

Myometrium

c)

Endometrium

d)

Fallopian Tubes

5.

What is the function of the Longitudinal Muscle (Outer Layer)? See Picture

a)

Prevent back flow of mensural blood into fallopian tubes & dilate cervix during labor/delivery

b)

expel fetus

c)

constrict blood vessels to stop bleeding & prevent hemorrhage

6.

What is the function of Middle Layer? See picture

a)

Prevent backflow of menstrual blood into fallopian tubes & dilate cervix during labor/delivery

b)

expel fetus

c)

constrict blood vessels into stop bleeding & prevent hemorrhage

7.

What is the function of the inner layer? see picture

a)

prevent backflow of menstrual blood into fallopian tubes & dilate cervix during labor /delivery

b)

expel fetus

c)

constrict blood vessels into stop bleeding and prevent hemorrhage

8.

Which hormone Controls development of woman's secondary sex characteristics, maturation of ovarian follicles, causes enlargement of uterus, breasts, breast glandular disuse, increases vascularity and vasodilation, & produces in placenta by 7 wks. gestation

a)

Progesterone

b)

Prostaglandins

c)

Estrogen

d)

Follicular stimulating hormone

9.

Which hormone is secreted by corpus luteum, known as the hormone of pregnancy, maintains pregnancy, and must be present in high levels for implantation which occurs at 7-10 days after ovulation

a)

Estrogen

b)

Progesterone

c)

Follicular Stimulating hormone

d)

Prostaglandins

10.

Which hormone are oxygenated fatty acids produces by cells of endometrium, Group E relaxes smooth muscle (vasodilator) & Group F increases contractility of muscles (Vasoconstrictor)

a)

Estrogen

b)

Follicular Stimulating hormone

c)

progesterone

d)

prostaglandins

11.

primary function is to deposit sperm into the female vagina so fertilization of the ovum can occur

a)

testes

b)

semen

c)

scrotum

d)

penis

12.

protects the testes & sperm by maintaining a temperature lower than body temp & harm

a)

semen

b)

scrotum

c)

penis

d)

testes

13.

has 2 functions:

1. Serves as the site of spermatogenesis

2. Produce testosterone

a)

penis

b)

scrotum

c)

testes

d)

semen

14.

Seminal fluid made of spermatozoa & secretions of all accessory glands. Seminal fluid transport viable & motile sperm to the female. Effective transportation requires adequate nutrients & pH of 7.5

a)

Semen

b)

Penis

c)

Testes

d)

Scrotum

15.

The process by which germ cells (ovum& sperm) are produced, half of the genetic material of typical body cell, haploid number of cells to form full zygote & meiosis occurs

a)

Gametogenesis

b)

Meiosis

c)

Mitosis

d)

Chromosomes

16.

Reduction cell division- happens only in reproductive cell & results in the formation of sperm (gametes) & oocytes (ova). Creates two cells that contain half the genetic material of the parent cell.

a)

Mitosis

b)

Meiosis

c)

oogenesis

d)

gametogenesis

17.

Occurs with somatic (tissue) cells of the body, allowing for new cells. Division of cells results in 2 daughter cells genetically identical to the original cell.

a)

Mitosis

b)

Meiosis

c)

Gametogenesis

d)

Oogenesis

18.

one of two processes a sperm must undergo before fertilization can occur. Its the removal of plasma membrane & glycoprotein coat overlaying the spermatozoa's acrosomal area & the loss of seminal plasma proteins

a)

Capacitation

b)

Acrosomal Reaction

c)

Cortical reaction

d)

antepartum

19.

the caps of the sperm surrounding the ovum release their enzymes & thus break down the hyaluronic acid that holds elongated cells of the corona radiata (outer layer of ovum)

a)

capacitation

b)

cortical reaction

c)

antepartum

d)

acrosomal reaction

20.

Cellular change medicated by release of materials from the cortical granules, organelles found just below the ovum's surface at the moment of penetration by fertilizing sperm

a)

Cortical reaction

b)

Acrosomal reaction

c)

capacitation

d)

antepartum

21.

What happens after fertilization takes places - as soon as implantation (Nidation) has occurred?

a)

Pregnancy test will be negative

b)

The sex has not been determined yet

c)

The fertilized egg begins to secrete hCG

d)

The lining of the uterus thins out

22.

What are some of the amniotic fluids function? (Select all that apply)

a)

acts as a cushion to protect the fetus

b)

helps control temp. of embryo/fetus

c)

allows umbilical cord to be free of compression

d)

acts as extension of fetal extracellular space

23.

TRUE or FALSE:

Fraternal twins share the same placenta?

(a)  

24.

At how many weeks does the embryo become a fetus?

a)

at 3 weeks

b)

at 5 weeks

c)

at 9 weeks

d)

at 12 weeks

25.

The somatic cells contain how many chromosomes which is known as the diploid number?

a)

1 chromosome

b)

15 chromosomes

c)

45 chromosomes

d)

46 chromosomes

26.

How many autosomes (non-sex chromosomes) are there excluding the 1 sex chromosome from each parent?

a)

20

b)

22

c)

30

d)

35

27.

Pictorial analysis of an individuals chromosomes

a)

Homozygous

b)

Heterozygous

c)

Karyotype

d)

Gametes

28.

a. 21 (Downs syndrome)

b. 13 & 18 - Not compatible with life. Usually die within the first 3 months

These two Chromosome abnormalities are known as what?

a)

Polyploidies

b)

Trisomies

c)

Monosomies

d)

Mosaicism

29.

What 2 syndromes are are part of the Monosomies? (Select all that apply)

a)

Down's Syndrome

b)

Turner Syndrome

c)

XXXY - Klinefelter

d)

Rett syndrome

30.

No intellectual impairment. Facial & trunk abnormal features, underdeveloped secondary sex characteristics, amenorrhea, infertility, coacrtation of the aorta, renal anomalies

a)

Turner Syndrome

b)

13 & 18

c)

Downs Syndrome

d)

XXY- Klinefelter Syndrome

31.

Which Syndrome includes: ADHD, autism, gynecomastia, infertility (underdeveloped secondary sex characteristics)

a)

XXY- Klinefelter Syndrome

b)

Downs Syndrome

c)

Turner Syndrome

d)

Rett Syndrome

32.

Happens after fertilization. Tends to be more common in sex chromosomes- is an error in Mitosis

a)

Mosaicism

b)

Trisomies

c)

Polypeptides

d)

Karyotype

33.

TRUE or FALSE: Huntington disease, Myotonic dystrophy and Fragile X syndrome are considered X-Linked Inheritance?

(a)  

34.

TRUE or FALSE:

If a male is either X- Linked Recessive or Dominnant Inheritance disorder, he can not pass the inheritance to his son, BUT can pass it on to his daughter?

(a)  

35.

Which inheritance disorder is the most rare?

a)

Autosomal Dominant Inheritance

b)

Autosomal Recessive Inheritance

c)

X-Linked Recessive Inheritance

d)

X- Linked Dominant Inheritance

36.

Congenital malformation generally caused by an interaction of many genes & environmental factors is known as what?

a)

X-Linked Dominant Inheritance

b)

Multifactorial Inheritance

c)

X-Linked Recessive Inheritance

d)

Trinucleotide

37.

What are some signs of Multifactorial Inheritance? (Select All that Apply)

a)

Cleft palate, heart defect, spina bifida

b)

ADHD, autism, gynecomastia, infertility

c)

dislocated hips, clubfoot, pyloric stenosis

d)

coarction of aorta, renal anomalies, underdeveloped sex characteristics

38.

A diagnostic test that is done at 16-20 weeks, and can measure the thickness of tissue behind the neck that may indicate down syndrome or other genetic disorder

a)

Maternal serum Screening

b)

Genetic Ultrasound

c)

Genetic Amniocentesis

d)

MRI

39.

What test measures specific hormones and proteins that determines the risk for Downs syndrome, trisomy 18 or open spina bifida

a)

Genetic Ultrasound

b)

Maternal Serum Screening

c)

Genetic Amniocentesis

d)

Blood test

40.

A major method of prenatal diagnosis. Some indications include: maternal age 35 or older, Chromosomal abnormality, family history or neural tube defects

a)

Genetic Amniocentesis

b)

Maternal Serum Screening

c)

Genetic Ultrasound

d)

Blood Draw

41.

What is considered false labor contractions

a)

Eccentric Contractions

b)

Isometric Contractions

c)

Concentric Contraction

d)

Braxton Hicks

42.

Secretes a thick, tenacious mucus, which accumulates and thickens to form and seals the endocervical canal and prevents the ascent of bacteria or other substances into the uterus

a)

Chadwick Sign

b)

Placenta

c)

Mucous Plug

d)

Antepartum

43.

The gravid uterus compresses the vena cava when the woman's is supine. This reduces the blood flow returning to the heart and may cause maternal hypotension

a)

physiologic anemia of pregnancy

b)

Chadwick sign

c)

Orthostatic hypotension

d)

Vena Cava Syndrome

44.

TRUE or FALSE: Lordosis increases with pregnancy

(a)  

45.

Time between conception and onset of labor

a)

postpartum

b)

Gestation

c)

Antepartum

d)

Intrapartum

46.

Time from onset of labor until birth of infant and placenta

a)

Antepartum

b)

Intrapartum

c)

Gestation

d)

Gravida

47.

Time from birth until woman's body returns to prepregnant condition

a)

Antepartum

b)

Nulligravida

c)

Gestation

d)

Postpartum

48.

Number of weeks since first day of of LMP (last menstrual period)

a)

Gestation

b)

postpartum

c)

multigravida

d)

Gravida

49.

Labor after 30 weeks but before completion of 37 weeks of gestation

a)

Preterm

b)

Post term

c)

antepartum

d)

gravida

50.

Labor after 42 weeks gestation

a)

postpartum

b)

pre term

c)

Post term

d)

Nulligravida

51.

any pregnancy, including present

a)

term

b)

Gravida

c)

gestation

d)

nulligravida

52.

Woman who has never been pregnant before

a)

preterm

b)

gravida

c)

nulligravida

d)

intrapartum

53.

Woman in second or more pregnancy

a)

Multigravida

b)

gravida

c)

postpartum

d)

post term

54.

What are some appropriate Initial Prenatal Assessment? (Select all that apply)

a)

focus on woman holistically

b)

prepare woman for physical exam

c)

perform a cultural assessment, education, support systems, stable living conditions

d)

Have the mother drink plenty of water

55.

How do you determine a woman's due date? (Select all that apply)

a)

Nagele's Rule

b)

Early Ultrasound

c)

EDB Wheel

d)

MRI of the abdomen

56.

How does Nageles rule determine a woman's estimated due date?

a)

Count 10 months from first of LMP

b)

Count 9 months from first day LMP

c)

First day of LMP:

3 months + 7 days

d)

Last day of LMP:

1 month + 5 days

57.

For a normal pregnancy, how many weeks is considered full gestation?

a)

40 weeks

b)

43 weeks

c)

37 weeks

d)

36 weeks

58.

TRUE or FALSE: Quickening is one assessment of fetal development?

(a)  

59.

When does a fetal heartbeat begin?

a)

5 -9 weeks gestation

b)

10-12 weeks gestation

c)

1st week of gestation

d)

15-20 weeks gestation

60.

What are some signs of preterm? (Select all that apply)

a)

Uterine contractions

b)

painful like menstrual cramps

c)

Leaking of water from vagina

d)

Low backache

61.

What are some discomforts of First Trimester? (Select all that apply)

a)

hemorrhoids, constipation

b)

Ankle edema, heartburn, varicose veins

c)

Nausea, fatigue, breast tenderness

d)

increased vaginal discharge, frequency urinating

62.

What are some discomforts of the 2nd & 3rd trimester? (Select all that apply)

a)

heartburn, constipation, flatulence (gas)

b)

Ankle edema, varicose veins

c)

backache, hemorrhoids

d)

breast tenderness, nasal stuffiness, increased vaginal discharge

63.

Which immunizations should a pregnant mother avoid? (Select all that apply)

a)

Hepatitis B

b)

Tdap

c)

Varicella

d)

Rubella (MMR) vaccine

64.

TURE or FALSE: Caffeine is considered a teratogenic Substance

(a)  

65.

TRUE or FALSE: Subjective = Presumptive changes & Objective = Probable Change

(a)