NP II – PRACTICE QUIZ
1. Which of the following refers to the single cell the reproduces itself after
conception?
a) Chromosome
b) Blastocysts
c) Zygote
d) Trophoblasts
2. A client has a midpelvic contracture from a previous pelvic injury due to a motor
vehicle accident as a teenager. The nurse is aware that this could prevent a fetus
from passing through or around which structure during childbirth?
a) Symphysis pubis
b) Sacral promontory
c) Ischial spine
d) Pubic arch
3. When teaching a group of adolescents about male hormone production, which of
the following would the nurse include as being produced by the Leydig Cells?
a) Follicle stimulating hormone
b) Testosterone
c) Luteinizing hormone
d) Gonadotropin-releasing hormone
4. When performing a pelvic examination, the nurse observes a regular swollen area
on the right side of the client’s vaginal orifice. The nurse would document this as
enlargement of which of the following?
a) Clitoris
b) Parotid gland
c) Skene’s gland
d) Bartholin’s gland
5. The physician documented gynecoid pelvis after a pelvic exam of a client. The
nurse knows that this refers to which of the following?
a) A typical female pelvis with a rounded inlet
b) A normal pelvis with a heart shaped inlet
c) Ab apelike pelvis with an oval inlet
d) A flat female pelvis with a transverse oval inlet
6. A client asks, “How much blood do I lose during menstruation?” Which of the
following would be the nurse best response?
a) Normal blood loss can be little or a lot
b) Normal blood loss is about 1 cup
c) Normal blood loss is about ½ cup
d) Normal blood loss is about ¼ cup
7. Which of the following hormones stimulate the ovary to produce estrogen during
the menstrual cycle?
a) FSH
b) GnRH
c) LH
d) HCG
8. Days 6 through 14 of the menstrual cycle institute which of the following?
a) Estrogen
b) Proliferative
c) Luteal
d) Secretory
9. Variations in the length of the menstrual cycle are due to variations in the number
of days in which of the following phases?
a) Proliferative phase
b) Luteal phase
c) Ischemic phase
d) Secretory phase
10. During the menstrual cycle, ovulation generally occurs at which of the following
times?
a) 7 days after the last day of menstruation
b) 14 days after the last day of menstrual cycle
c) 7 days before the end of menstruation
d) 14 days before the end of the menstrual cycle
11. Trixie tells the nurse that her last menstrual period started January 14 and ended
January 20. Using Nagele’s Rule, the nurse determines her estimated date of
delivery to be which of the following?
12. When taking an obstetric history of Trixie, who states, “I had a son born at 38 weeks
gestation, a daughter born at 30 weeks gestation, and I lost a baby at about 8
weeks” the nurse should record her obstetric history as which of the following?
13. When preparing to listen to the fetal heart rate at 12 week’s gestation, the nurse
would use which of the following?
a) Stethoscope placed midline at the suprapubic region
b) Doppler placed midline at the suprapubic region
c) Fetoscope placed midway between the umbilics and the xiphoid process
d) External electronic fetal monitor placed at the umbilicus
14. Which of the following findings during a prenatal exam should the nurse report to
the physician for further evaluation?
a) Breast tenderness
b) Increased areolar pigmentation
c) Nodularity in the upper-let outer quadrant
d) Prominent superficial veins
15. When measuring the fundal height of any pregnant client, which of the following
techniques denotes the correct method of measurement by the nurse?
a) From xiphoid process to the umbilicus
b) From symphysis pubis to the xiphoid process
c) From symphysis pubis to the fundus
d) From the fundus to the umbilicus
16. In counselling the couple about the various Family Planning Method, the nurse
identifies the most important factor in choosing a contraceptive method is?
a) Financial expenses
b) Compliance with cultural expectations
c) Non-contraceptive benefits
d) Correct and consistent use
17. When teaching the client who is receiving medroxyprogesterone (Depo-Provera)
contraceptive injections, at which of the following tomes would the nurse instruct
the client to return to the clinic for follow up?
a) Twelve weeks for subsequent injections
b) Six months for pap smear
c) One year for an annual gynecologic examination
d) Five years for reevaluation of family planning goals
18. For which of the following clients would the nurse expect that an intrauterine device
would not be recommended?
a) Woman over age 35
b) Multiparous woman
c) Promiscuous young adult
d) Postpartum client
19. When discussing contraceptive choices with a client who has a history of
thrombophlebitis, the nurse would keep in mind that which of the following would
be contraindicated?
a) Intrauterine device
b) Subdermal implants
c) Intramuscular injections
d) Hormonal contraceptives
20. Which of the following methods would be avoided for a woman who is 38 years
old, has three children, smokes one pack of cigarette per day?
a) Oral contraceptive
b) Cervical cap
c) Diaphragm
d) Intrauterine device
21. Which of the following best defines childbirth education? Information, Exercise,
and Techniques to deal with the discomfort
22. During which of the following would the focus classes be mainly on physiologic
changes, fetal development, sexuality during pregnancy and nutrition?
a) Prepregnant period
b) First trimester
c) Second trimester
d) Third trimester
23. Which of the following approaches to childbirth education advocates slow
breathing, deep relaxation, and a person to act coach?
a) Dick read method
b) New childbirth method
c) Bradley method
d) Lamaze method
24. Which of the following best describes the effectiveness of childbirth education? It
improves newborn health, parent-newborn bonding and ability to cope with labor.
25. The following topics should be included in childbirth education for pregnant
adolescents EXCEPT?
a) Interpersonal relationships
b) Sexuality issues
c) Weight gain
d) Sibling preparation classes