Maternal Exam Questions PDF

**MATERNAL** **SET A** **I. SEXUAL RESPONSE CYCLE** 1. **1. Which phase of the sexual response cycle is characterized by increased heart rate, muscle tension, and vasocongestie leading to heightened sensitivity and excitement?** A. Excitement phase 2. **How do psychological factor...

**MATERNAL** **SET A** **I. SEXUAL RESPONSE CYCLE** 1. **1. Which phase of the sexual response cycle is characterized by increased heart rate, muscle tension, and vasocongestie leading to heightened sensitivity and excitement?** A. Excitement phase 2. **How do psychological factors influence the plateau phase of the sexual response cycle?** B. Positive mental states can enhance sexual pleasure whilst stress or anxiety can diminish arousal 3. **In analyzing the differences between male and female orgasm, which of the following statements is most accurate?** B. Males typically experience a more intense orgasm but a shorter refractory period, while females can have multiple orgasms with varying intensity. 4. **What role do hormones, such as oxytocin and prolactin, play during the sexual response cycle, particularly in the resolution phase?** b\. They promote relaxation and bonding, helping the body to return to a baseline state. 5. **how might an individual sexual response cycle be affected by external factors such as relationship dynamics or stress levels?** b\. Stress and poor relationship dynamics can hinder arousal and enjoyment, leading to dysfunction in any phase of the cycle. **II. FERTILIZATION** 6. **Which mechanism is primarily responsible for preventing polyspermy during fertilization?** B. Cortical Reaction 7. **How does the process of fertilization enhance genetic diversity in a population?** b\. Through the random combination of alleles from two parents 8. **What is the significance of the zona pellucida during the fertilization process?** c\. It serves as a barrier that must be penetrated by the sperm. 9. **Which hormonal change occurs immediately after successful fertilization?** c\. Increase in progesterone 10. **What role do enzymes released from the acrosome play during fertilization?** b\. They dissolve the protective layers around the egg. 11. **how does the timing of ovulation affect the probability of fertilization?** b\. The egg is viable for fertilization for about 12-24 hours post ovulation. 12. **What want is the consequence of fertilization occurring outside the optimal environments?** b\. Potential failure of embryo implantation 13. **which is the following best describing the process of cleavage after fertilization?** A. The single-cell zygote divides into multiple cells without growth. 14. **in the context of fertilization what is the role of the fallopian tubes?** B. They are the site of fertilization and facilitate the movement of the fertilized egg to the uterus. 15. **how does fertilization influence the development of the placenta?** B. It begins immediately after the egg is fertilized. 16. **What factor is essential for sperm to acquire fertilization competence?** B. Capacitation. 17. **what potential issue arise says if fertilization occurs but implantation does not?** B. it can lead to an ectopic pregnancy 18. **what is the primary function of the human chronic gonadotropin hormone after fertilization?** B.it signals the corpus luteum to produce progesterone 19. **what is the evolutionary advantage of the process of fertilization** B. It allows for genetic diversity, which can improve adaptability 20. **what might be the result of a genetic mutation affecting the zona pellucidas structure** B. higher likelihood of polyspermy III\. IMPLANTATION 21. **what is the primary role of the trophoblast during implantation?** b\. to differentiate into the placenta and invade uterine lining. 22. **which phase of the menstrual cycle is the most conducive to implantation?** c\. luteal phase 23. **how does the endometrium prepare for implantation?** B. It thickens and secretes nutrients and signaling molecules. 24. **What is the consequence of inadequate progesterone levels during the implantation process?** b\. The embryo may be expelled or fail to implant 25. **Which factor can negatively influence the success of implantation** b\. Presence of uterine abnormalities 26. **What role do cytokines and growth factors play during implantation?** b\. They promote communication between the embryo and the endometrium 27. **what is the significance of the blastocyte stage in relation to implantation?** b\. it is the stage at which the embryo can implant into the uterine wall. 28. **which cellular process occurs in the trophoblast during implantation?** c\. invasion and remodeling of maternal tissue. 29. **how does maternal immune system respond to implantation** b\. it suppresses its activity to tolerate embryo 30. **what is the role of the human chorionic gonadotropin during early pregnancy?** b\. to maintain the corpus luteum and support progesterone production 31. **what is a potential result of a failed implantation?** b\. a chemical pregnancy may occur, where hcG levels rise but no viable pregnancy is established. 32. **Which condition can lead to ectopic implantation?** b\. Abnormalities in the fallopian tubes 33. **How does endometrial receptivity influence implantation?** b\. It determines the timing and success of embryo attachment 34. **What is the relationship between implantation and embryonic development?** b\. Successful implantation is critical for the embryo to receive nutrients. 35. **what can be inferred about the role of the maternal diet during implantation?** b\. a nutritious diet can enhance endometrial receptivity and support implantation. **IV. ESTIMATED EDC AND AOG** 36. **a 28-year-old woman has a regular 28- day menstrual cycle. her last menstrual cycle period began on January 1. what is the estimated date of confinement?** b\. oct 8. Solution: Start with the first day of the last menstrual period (LMP): January 1. Add one year: January 1 + 1 year = January 1 of the following year. Subtract three months: January 1 - 3 months = October 1. Add seven days: October 1 + 7 days = **October 8.** 37. **a woman presents 8 weeks of gestation, and her LMP was July 10. Using Naegele\'s Rule, what is her EDC?** a\. april 17 Add one year: July 10 + 1 year = July 10 of the following year. Subtract three months: July 10 - 3 months = April 10. Add seven days: April 10 + 7 days = April 17. 38. **a pregnant woman presents for her first visit at 12 weeks of gestation. you perform a fundal height measurement and find it at 10 cm. Based on mc donalds rule, how would you interpret this measurement** 39. **during a routine check up a patient at 24 weeks has fundal height measurement of 30 cm. using mcdonalds rule, what can you conclude about her fetal growth?** 40. a patient at 18 weeks gestation presents with a fundal heigh of 20 cm. what does this indicate about her pregnancy? **.b. the fetus is growing well** 41. **during a checkup, a woman at 22 weeks has a fundal heigh of 22 cm. how would you niterpret this finding using mcdonalds rule?** 42. **a woman comes in for her routine check up at 26 weeks of gestation. her fundal height is 28 cm. how does this measurement compare to what you would expect using Bartholome\'s rule** b\. 2 cm smaller, possible growth restriction. 43. **A woman is 28 weeks pregnant. During her check-up, her fundal height is measured at 30 cm. According to Bartholomew's Rule, how many weeks is she ahead of her expected fundal height?** 44. **A 36-week pregnant woman measures her fundal height at 31 cm. How many weeks is she behind in terms of expected growth using Bartholomew's Rule?** c. 5 weeks 45. **A woman is 4 months pregnant. According to Haase's Rule, the expected fundal height in centimeters should be roughly equal to ?** c. 16 cm V. 46\. A 28-week pregnant woman reports experiencing significant back pain. Which of the following recommendations would be most appropriate for her discomfort? c\. Use a heating pad and practice pelvic tilts 47\. 47. a patient in her first trimester complain of severe morning sickness. which intervention should be prioritized to help manage her symptoms? b\. suggest high carb before getting out of bed 48\. a 36 weeks pregnant womaen expressess anxiety about labor. wha approach would best addres her emotional needs? a. discuss her concerns as normall anxiety 49\. a pregant woman at 20 weeks is concerned about swelling in her feet and legs. what is the best advice to alleviate for discomfort? a\. elevate her legs when sitting or lying down 50\. berlinda, a first time mother at 3o weeks is experiencing heartburn. which dietary modification would you suggest to help manage discomfort b\. consume smaller, more frequent meals. 51\. a pregant woman is experiencing insomnia due to discomfort while sleeping. what is the most effective strategy would you recommend b\. use pillows to support her body in a side lying position 52\. a 32 week pregnant woman is feeling overwhelmed with preparations for the baby. what resource would be most beneficial for addressing her needs? a\. offer her a checklist of essential items **53. A patient at 26 weeks is concerned about gaining too much weight. How would you best address her concerns while promoting a healthy approach?** **b. Discuss healthy eating and regular physical activity** **54. A pregnant woman is dealing with frequent headaches. What is the most appropriate first-line recommendation for her?** **d. Recommend hydration and rest** **55. A woman in her third trimester expresses feelings of isolation and sadness. What intervention could best address her emotional needs?** **b. Suggest joining a prenatal support group** VI. 56\. A first time mother at 36 weeks is anxious about labor. what would best help her? b\. attend a comprehensive childbirth education classes 57\. a pregnant woman is packing her hospital bag at 35 weeks. which item is essential for her comfort during her hospital stay? b\. a cozy blanket from home 58\. a 34 week pregnant woman wants to enure she has a supportive team during labor. What is the best way for her to achieve this? **b. Discuss her need with her healthcare provider and consider hiring a doula** 59\. a pregnant woman with a history of anxiety expresses fear about labor process. which factor is most likely to affect her labor progression? a\. maternal anxiety and stress 60\. A 30-year-old woman is pregnant for the first time and has a BMI classified as obese. How is her weight likely to affect her labor experience b\. Increased risk of complications **61. A woman in labor is advised to stay mobile and change positions frequently. How does this factor influence labor?** **c. It can enhance labor progression** **62. A woman arrives at the hospital at 41 weeks and has not started labor. What factor related to gestational age may influence her delivery options?** **b. Risk of post-term complications** 63\. a womans partner is highly supportive and involved during labor. what is the impact of this factor? b\. improved coping mechanism and emotional support VII. **64. a pregnant woman at 28 weeks reports experiencing intermittent lower back painand cramping. what sign of labor is she experiencing?** **b. braxton hicks contractions c** **65. A woman notices an increase in vaginal discharge that is pink and slightly bloody. What sign of labor could this indicate?** **a. Loss of the mucus plug** **66. A 30-week pregnant woman feels contractions that are becoming more regular and intense. What should she consider regarding the type of contractions she is experiencing?** **a. They are likely false labor** **67. A woman arrives at the hospital reporting contractions every 5 minutes for the last hour. What sign does this indicate about her labor status?** **b. Active labor** **68. A woman at 37 weeks reports frequent, irregular contractions that ease with movement. How should this be interpreted?** **b. Likely Braxton Hicks contractions** **VIII.** **69. A woman in active labor is dilated to 6 cm and experiencing regular contractions. Which stage of labor is she currently in?** **B. Active stage** **79. During a routine check-up at 32 weeks, a woman expresses concern about the baby's movement. The nurse suggests monitoring fetal heart tones for reassurance. What is the typical range for normal fetal heart tones at this gestational age?** **c. 120-160 bpm** **80. A pregnant woman in the third trimester is advised to perform kick counts. How does this relate to assessing fetal heart tones?** **c. It helps identify potential fetal distress**