WorksheetsFemale Reproductive System Quiz
Total questions: 100
Worksheet time: 50mins
Which structure is part of the external female genitalia?
Cervix
Uterus
Fallopian tube
Labia majora
What is the function of the cervix?
Protect the ovaries
Connect the uterus to the vagina
Transport the egg to the uterus
Maintain hormone levels
The uterus connects to the ovaries via which structures?
Labia minora
Round ligaments
Fallopian tubes
Cervical os
Which is a probable sign of pregnancy?
Nausea
Fetal movement felt by mother
Positive pregnancy test
Amenorrhea
A nurse auscultates fetal heart tones using Doppler. This is considered a:
Presumptive sign
Probable sign
Positive sign
Possible sign
Which of the following is a presumptive sign of pregnancy?
Hegar’s sign
Ultrasound visualization
Amenorrhea
Positive pregnancy test
Which change is normal in the cardiovascular system during pregnancy?
Decreased blood volume
Decreased cardiac output
Increased systemic vascular resistance
Increased blood volume
What respiratory change is expected during pregnancy?
Decreased tidal volume
Increased oxygen consumption
Decreased respiratory rate
Increased airway resistance
What causes increased urinary frequency in the first trimester?
Estrogen
Uterine pressure on bladder
Fetal movement
Constipation
Which vital sign change is expected during pregnancy?
Decreased heart rate
Blood pressure increases in second trimester
White blood cell count increases
Respiratory rate decreases significantly
A BP decrease in the 2nd trimester is due to:
Increased aldosterone
Compression of vena cava
Peripheral vasodilation
Increased cardiac output
Which lab result is expected in the 3rd trimester?
Decreased RBCs
Elevated hemoglobin
Leukocytosis
Thrombocytopenia
Which discomfort is caused by GI motility changes?
Leg cramps
Constipation
Round ligament pain
Varicosities
Teaching to relieve round ligament pain includes:
Supine rest
Massage with ice
Warm compresses and rest
Abdominal crunches
What advice helps reduce heartburn?
Lie flat after eating
Avoid fluids
Eat large meals
Small frequent meals and upright posture
A client has leg cramps. What teaching is appropriate?
Plantar flex the foot
Point toes inward
Dorsiflex foot and apply heat
Massage with ice
What position minimizes vena cava compression?
Supine
Right lateral
Left lateral
Trendelenburg
Teaching for back pain should include:
Rest in bed
Avoid exercise
Pelvic tilts and proper posture
Sleep on stomach
What is included in the initial prenatal panel?
Quad screen
Non-stress test
Pap smear and STI screen
Glucose tolerance test
Which finding during a follow-up prenatal visit requires follow-up?
FHR 140 bpm
Weight gain of 1 lb/week
Fundal height 2 cm > gestational age
Foul-smelling vaginal discharge
At what gestational age is the fundus at the umbilicus?
12 weeks
16 weeks
20 weeks
28 weeks
What is a reassuring NST result?
No fetal movement for 30 minutes
2 accelerations in 20 minutes
Late decelerations
Bradycardia without movement
What test confirms fetal lung maturity?
NST
Biophysical Profile
Lecithin/sphingomyelin ratio
Quad screen
A positive quad screen result means:
Immediate C-section needed
Diagnosis of Down syndrome confirmed
Need for further testing
Risk of postpartum hemorrhage
What instruction is important for air travel during pregnancy?
Avoid fluids before flight
Walk every 1–2 hours
Sit with legs crossed
Use compression corset
Teaching on fetal kick counts should include:
Call if <10 kicks in 2 hours
Track kicks only before meals
1 kick per hour is sufficient
5 kicks in 10 minutes always required
What is a warning sign that must be reported?
Braxton Hicks contractions
Mild backache
Blurred vision and headache
Round ligament pain
What does “passenger” refer to?
Contractions
Pelvic structure
Fetus and placenta
Uterine segment
Which “P” includes emotional support and anxiety?
Passage
Position
Passenger
Psyche
Which pelvis shape favors vaginal birth?
Platypelloid
Android
Gynecoid
Anthropoid
What does 10 cm dilation indicate?
Start of labor
Full effacement
Ready to push
End of latent phase
What does station "0" mean?
Fetal head is crowning
Head is at the ischial spines
Baby is still floating
Fetal head is visible
What is the significance of 100% effacement?
Need for C-section
Cervix fully thinned
Fetal distress
Normal postpartum finding
Which is a sign of true labor?
Irregular contractions
No cervical change
Pain relieved by walking
Progressive cervical dilation
Which indicates false labor?
Cervical dilation
Strong regular contractions
Pain that stops with activity
Bloody show
What confirms true labor?
Braxton Hicks
Cervical dilation and effacement
Leaking fluid
Fetal movement
Which action is appropriate in the 2nd stage?
Assess dilation
Encourage pushing
Check placenta
Apply fundal pressure
What should be assessed during the 4th stage?
Dilation
Fetal movement
Fundus firmness and bleeding
Amniotic fluid color
When does the placenta typically deliver?
Beginning of labor
During pushing
3rd stage of labor
After 1 hour postpartum
What is a side effect of IV opioids during labor?
Increased variability
Hypertension
Neonatal respiratory depression
Maternal hyperreflexia
When should a nurse withhold epidural placement?
FHR 150 bpm
Platelets <100,000
Cervix 3 cm
Client requests it
What non-pharm comfort measure helps OP fetal position?
Lithotomy position
Warm compress to fundus
Counterpressure on lower back
Supine rest
What is the primary role of the doula?
Monitor vitals
Provide medical care
Provide continuous labor support
Administer pain meds
How can the partner best support during labor?
Avoid touching client
Sit quietly without participating
Offer reassurance and apply techniques
Leave to allow privacy
What is the nurse’s top priority during active labor?
Prepare for discharge
Encourage fasting
Monitor fetal and maternal well-being
Document birth plan
What is the first step for suspected pPROM?
Immediate vaginal exam
Start Pitocin
Assess FHR and amniotic fluid
Encourage ambulation
What medication is given to mature fetal lungs?
Nifedipine
Betamethasone
Terbutaline
Indomethacin
What finding suggests infection in pPROM?
Clear fluid with mild odor
Maternal temp 99°F
FHR 180 bpm
Cervix closed
What fetal risk is associated with postterm pregnancy?
Pulmonary hypoplasia
Hyperbilirubinemia
Meconium aspiration
Hypotonia
What is the best strategy for a 41-week pregnancy with no complications?
Wait until 43 weeks
Prepare for Cesarean
Begin fetal monitoring and consider induction
Give corticosteroids
Which is a danger sign after 42 weeks?
Decreased fetal movement
Cervix 1 cm
Increased appetite
Increased urination
What intervention is appropriate for hypotonic contractions?
Administer Pitocin
Give tocolytics
Prepare for vacuum delivery
Rest the client
Shoulder dystocia occurs—what is the nurse’s first action?
Apply fundal pressure
Pull the baby
Perform McRoberts maneuver
Start chest compressions
What fetal position causes intense back labor?
Occiput anterior
Breech
Occiput posterior
Transverse
Which patient is a good candidate for TOLAC?
Classical uterine incision
Placenta previa
Prior low transverse C-section
Multiple gestations
What post-op finding requires immediate attention?
Firm fundus
Scant lochia
Foul-smelling discharge
Mild cramping
Which incision has the lowest risk for uterine rupture?
Vertical
Classical
Low transverse
Inverted T
A cord is seen at the vaginal opening—what is priority?
Notify provider and prep OR
Push cord back in
Change to prone position
Monitor vitals every 15 min
What sign indicates uterine rupture?
Steady contractions
Loss of fetal station
Bradycardia with accelerations
Fundus above umbilicus
Which symptom suggests amniotic fluid embolism?
Hypertension
Seizure and dyspnea
Bradycardia
Urinary retention
Which part of the female reproductive system is part of the external genitalia?
Cervix
Uterus
Fallopian tubes
Labia majora
What connects the uterus to the vagina?
Ovaries
Cervix
Fallopian tubes
Hormones
Which structure transports eggs from the ovaries to the uterus?
Labia minora
Round ligaments
Fallopian tubes
Cervical os
What is considered a probable sign of pregnancy?
Increased appetite
Nausea
Positive pregnancy test
Fatigue
Which of the following is a positive sign of pregnancy?
Presumptive signs are subjective.
Probable signs do not confirm.
Hearing FHR confirms fetal presence.
"Possible" is not a correct classification.
What is a presumptive sign of pregnancy related to menstruation?
Hegar’s sign is probable.
Ultrasound is positive.
Absence of menstruation.
Positive test is probable.
How much does blood volume increase during pregnancy to support fetal needs?
Decreases would be abnormal.
Cardiac output increases.
Systemic vascular resistance decreases.
Increases by 30–50%.
Why does oxygen consumption increase during pregnancy?
Tidal volume increases.
O2 needs rise to support fetus.
Cardiac output decreases.
Blood pressure increases.
What is the effect of an enlarging uterus on the bladder?
Estrogen doesn’t cause frequency.
Enlarging uterus compresses the bladder.
Fetal movement is later.
Constipation is unrelated.
What happens to white blood cell count during pregnancy?
HR increases.
BP decreases in 2nd trimester.
White blood cell count increases.
RR increases or stays the same.
How does progesterone affect blood pressure?
Aldosterone increases blood volume, not decreases BP.
Vena cava compression affects venous return, not arterial BP.
Progesterone causes vasodilation, lowering BP.
Increased CO doesn’t lower BP directly.
What is leukocytosis and when can it occur?
RBCs increase.
Hgb may be diluted.
WBCs can be elevated, especially during labor.
Platelets decrease.
What is the reason for constipation during pregnancy according to the document?
Cramps are from other causes.
Progesterone relaxes smooth muscle, slowing GI motility.
Round ligament pain is musculoskeletal.
Varicosities are vascular.
How can ligament pain be eased during pregnancy?
Supine can worsen pain.
Ice isn't ideal for ligament tension.
Heat and rest ease ligament pain.
Crunches increase strain.
What is the recommended method to prevent reflux during pregnancy?
Lying flat worsens heartburn.
Fluids help digestion.
Large meals increase pressure.
Small frequent meals and upright posture.
What action helps relieve cramps according to the document?
Plantar flexing worsens cramps.
Ice application.
Dorsiflex foot and apply heat.
Supine position.
What is the benefit of lying on the left side during pregnancy?
Supine compresses vena cava.
Right side still risks compression.
Left side lying improves circulation and reduces vena cava compression.
Trendelenburg is inappropriate.
How can back pain be relieved during pregnancy?
Bed rest isn’t advised.
Exercise is beneficial.
Pelvic tilts and proper posture.
Stomach sleep is discouraged.
When are Pap smear and STI screens typically done during pregnancy?
Quad screen is 15–20 weeks.
NST is 3rd trimester.
These are done early in pregnancy.
GTT is 24–28 weeks.
What might foul-smelling vaginal discharge indicate during pregnancy?
Normal FHR.
Normal weight gain.
May indicate infection.
Normal hormonal changes.
At approximately how many weeks does the fundus reach the umbilicus?
Too early.
Typically at symphysis.
20 weeks.
Fundus is above umbilicus by 28 weeks.
What defines a reactive NST?
No movement is concerning.
2 accelerations in 20 minutes.
Late decels are abnormal.
Bradycardia is abnormal.
What does the lecithin/sphingomyelin ratio assess?
NST assesses well-being.
BPP assesses multiple variables.
Lecithin/sphingomyelin ratio.
Quad screen detects anomalies.
What does a positive quad screen indicate?
No indication for C-section.
Not diagnostic.
Need for further testing.
Unrelated.
What is the recommended action to prevent DVT and promote circulation during antenatal care?
Fluids should be maintained.
Walk every 1–2 hours.
Crossed legs hinder circulation.
No need for corset.
What should you do if there are fewer than 10 kicks in 2 hours during pregnancy?
Should be tracked at consistent times daily.
Call if <10 kicks in 2 hours.
1 kick/hour is too low.
5 in 10 minutes is unrealistic.
What might blurred vision and headache indicate during pregnancy?
Braxton Hicks are normal.
Mild backache is common.
Blurred vision and headache.
Round ligament pain is expected.
In the context of the 5 P’s of Labor, what does "Passenger" refer to?
Contractions = Powers
Fetus and placenta
Cervix and uterus
Amniotic fluid
How does emotional state affect labor progress?
Passage = bony pelvis
Position = maternal position
Passenger = fetus/placenta
Emotional state affects labor progress
Which pelvic shape is most favorable for vaginal birth?
Platypelloid is flat and less favorable.
Android is heart-shaped and narrow.
Gynecoid is most favorable.
Anthropoid can work but has limitations.
What does 10 cm dilation indicate during labor?
Labor starts at 0–3 cm.
Effacement is thinning, not dilation.
Complete dilation = 2nd stage begins (pushing).
Latent phase ends around 6 cm.
What does "0 station" refer to in labor?
Crowning = +4 to +5.
Presenting part at ischial spines.
Floating = −3 to −5.
Effacement is thinning, not dilation.
Cervix fully thinned is an indication of what?
Not an indication for C-section.
100% effacement = fully thinned cervix.
Not related to fetal distress.
This is intrapartum, not postpartum.
What does progressive cervical dilation indicate?
Irregular = false labor.
No change = false labor.
Pain relieved by walking = false labor.
True labor causes cervical change.
What happens to pain in false labor when activity stops?
Dilation occurs in true labor.
Strong contractions = true.
False labor pain decreases with movement.
Bloody show = true sign.
What confirms labor according to cervical changes?
Braxton Hicks are false labor.
Only cervical changes confirm labor.
Fluid leaking may occur in false labor.
Movement is normal, not diagnostic.
Encourage pushing is active work in which stage of labor?
1st stage
2nd stage
3rd stage
4th stage
What is monitored during the 4th stage of labor?
Dilation
Fetal movement
Fundus firmness and bleeding
Amniotic fluid
When does the placenta deliver during labor?
1st stage
2nd stage
3rd stage
4th stage
What can cause neonatal respiratory depression if given near delivery?
Variability
Blood pressure medication
Opioids
Antibiotics
