1. Postpartum
Period: The fundus of the uterus is expected to go down normally
postpartally about __ cm per day.
A.
cm
B.
cm
C.
2.5 cm
D.
Cm
2. The lochia on the first
few days after delivery is characterized as
A. Pinkish with some blood clots
B. Whitish with some mucus
C. Reddish with some mucus
D. Serous with some brown tinged mucus
3. Lochia normally
disappears after how many days postpartum?
A.
5 days
B.
7-10 days
C.
18-21 days
D.
28-30 days
4. After an Rh(-) mother
has delivered her Rh (+) baby, the mother is given RhoGam. This is done in
order to:
A.
Prevent the
recurrence of Rh(+) baby in future pregnancies
B.
Prevent the
mother from producing antibodies against the Rh(+) antigen that she may have
gotten when she delivered to her Rh(+) baby
C.
Ensure that
future pregnancies will not lead to maternal illness
D.
To prevent the
newborn from having problems of incompatibility when it breastfeeds
5. To enhance milk
production, a lactating mother must do the following interventions EXCEPT:
A.
Increase fluid
intake including milk
B.
Eat foods that
increases lactation which are called galactagues
C.
Exercise
adequately like aerobics
D.
Have adequate
nutrition and rest
6. The nursing
intervention to relieve pain in breast engorgement while the mother continues
to breastfeed is
A.
Apply cold
compress on the engorged breast
B.
Apply warm compress
on the engorged breast
C.
Massage the
breast
D.
Apply analgesic
ointment
7. A woman who delivered
normally per vagina is expected to void within ___ hours after delivery.
A.
3 hrs
B.
4 hrs.
C.
6-8 hrs
D.
12-24 hours
8. To ensure adequate
lactation the nurse should teach the mother to:
A.
Breast feed the
baby on self-demand day and night
B.
Feed primarily
during the day and allow the baby to sleep through the night
C.
Feed the baby
every 3-4 hours following a strict schedule
D.
Breastfeed when
the breast are engorged to ensure adequate supply
9. An appropriate nursing
intervention when caring for a postpartum mother with thrombophlebitis is:
A.
Encourage the
mother to ambulate to relieve the pain in the leg
B.
Instruct the
mother to apply elastic bondage from the foot going towards the knee to improve
venous return flow
C.
Apply warm
compress on the affected leg to relieve the pain
D.
Elevate the
affected leg and keep the patient on bedrest
10. The nurse should
anticipate that hemorrhage related to uterine atony may occur postpartally if
this condition was present during the delivery:
A.
Excessive
analgesia was given to the mother
B.
Placental
delivery occurred within thirty minutes after the baby was born
C.
An episiotomy had
to be done to facilitate delivery of the head
D.
The labor and
delivery lasted for 12 hours
11. According to Rubin’s
theory of maternal role adaptation, the mother will go through 3 stages during
the post partum period. These stages are:
A.
Going through,
adjustment period, adaptation period
B.
Taking-in,
taking-hold and letting-go
C.
Attachment phase,
adjustment phase, adaptation phase
D.
Taking-hold,
letting-go, attachment phase
12. The neonate of a
mother with diabetes mellitus is prone to developing hypoglycemia because:
A.
The pancreas is
immature and unable to secrete the needed insulin
B.
There is rapid
diminution of glucose level in the baby’s circulating blood and his pancreas is
normally secreting insulin
C.
The baby is
reacting to the insulin given to the mother
D.
His kidneys are
immature leading to a high tolerance for glucose
13. Which of the following
is an abnormal vital sign in postpartum?
A.
Pulse rate
between 50-60/min
B.
BP diastolic
increase from 80 to 95mm Hg
C.
BP systolic
between 100-120mm Hg
D.
Respiratory rate
of 16-20/min
14. The uterine fundus
right after delivery of placenta is palpable at
A.
Level of Xyphoid
process
B.
Level of
umbilicus
C.
Level of
symphysis pubis
D.
Midway between
umbilicus and symphysis pubis
15. After how many weeks
after delivery should a woman have her postpartal check-up based on the
protocol followed by the DOH?
A.
2 weeks
B.
3 weeks
C.
6 weeks
D.
12 weeks
16. In a woman who is not
breastfeeding, menstruation usually occurs after how many weeks?
A.
2-4 weeks
B.
6-8 weeks
C.
6 months
D.
12 months
17. The following are
nursing measures to stimulate lactation EXCEPT
A.
Frequent regular
breast feeding
B.
Breast pumping
C.
Breast massage
D.
Application of
cold compress on the breast
18. When the uterus is
firm and contracted after delivery but there is vaginal bleeding, the nurse
should suspect
A.
Laceration of
soft tissues of the cervix and vagina
B.
Uterine atony
C.
Uterine inversion
D.
Uterine
hypercontractility
19. The following are
interventions to make the fundus contract postpartally EXCEPT
A.
Make the baby
suck the breast regularly
B.
Apply ice cap on
fundus
C.
Massage the
fundus vigorously for 15 minutes until contracted
D.
Give oxytocin as
ordered
20. The following are
nursing interventions to relieve episiotomy wound pain EXCEPT
A.
Giving analgesic
as ordered
B.
Sitz bath
C.
Perineal heat
D.
Perineal care
21. Postpartum blues is
said to be normal provided that the following characteristics are present.
These are
1.
Within 3-10 days
only;
2.
Woman exhibits
the following symptoms- episodic tearfulness, fatigue, oversensitivity, poor
appetite;
3.
Maybe more severe
symptoms in primpara
A.
All of the above
B.
1 and 2
C.
2 only
D.
2 and 3
22. The neonatal
circulation differs from the fetal circulation because
A.
The fetal lungs
are non-functioning as an organ and most of the blood in the fetal circulation
is mixed blood.
B.
The blood at the
left atrium of the fetal heart is shunted to the right atrium to facilitate its
passage to the lungs
C.
The blood in left
side of the fetal heart contains oxygenated blood while the blood in the right
side contains unoxygenated blood.
D.
None of the above
23. The normal respiration
of a newborn immediately after birth is characterized as:
A.
Shallow and
irregular with short periods of apnea lasting not longer than 15 seconds, 30-60
breaths per minute
B.
20-40 breaths per
minute, abdominal breathing with active use of intercostals muscles
C.
30-60 breaths per
minute with apnea lasting more than 15 seconds, abdominal breathing
D.
30-50 breaths per
minute, active use of abdominal and intercostal muscles
24. The anterior
fontanelle is characterized as:
A.
3-4 cm
antero-posterior diameter and 2-3 cm transverse diameter, diamond shape
B.
2-3 cm
antero-posterior diameter and 3-4 cm transverse diameter and diamond shape
C.
2-3 cm in both
antero-posterior and transverse diameter and diamond shape
D.
none of the above
25. The ideal site for
vitamin K injection in the newborn is:
A.
Right upper arm
B.
Left upper arm
C.
Either right or
left buttocks
D.
Middle third of
the thigh
26. At what APGAR score at
5 minutes after birth should resuscitation be initiated?
A.
1-3
B.
7-8
C.
9-10
D.
6-7
27. Right after birth,
when the skin of the baby’s trunk is pinkish but the soles of the feet and palm
of the hands are bluish this is called:
A.
Syndactyly
B.
Acrocyanosis
C.
Peripheral
cyanosis
D.
Cephalo-caudal
cyanosis
28. The minimum birth
weight for full term babies to be considered normal is:
A.
2,000gms
B.
1,500gms
C.
2,500gms
D.
3,000gms
29. The procedure done to
prevent ophthalmia neonatorum is:
A.
Marmet’s
technique
B.
Crede’s method
C.
Ritgen’s method
D.
Ophthalmic wash
30. Which of the following
characteristics will distinguish a postmature neonate at birth?
A.
Plenty of lanugo
and vernix caseosa
B.
Lanugo mainly on
the shoulders and vernix in the skin folds
C.
Pinkish skin with
good turgor
D.
Almost
leather-like, dry, cracked skin, negligible vernix caseosa
31. According to the
Philippine Nursing Law, a registered nurse is allowed to handle mothers in
labor and delivery with the following considerations:
1.
The pregnancy is
normal.;
2.
The labor and
delivery is uncomplicated;
3.
Suturing of
perineal laceration is allowed provided the nurse had special training;
4.
As a delivery
room nurse she is not allowed to insert intravenous fluid unless she had
special training for it.
A.
1 and 2
B.
1, 2, and 3
C.
3 and 4
D.
1, 2, and 4
32. Birth Control Methods
and Infertility: In basal body temperature (BBT) technique, the sign that
ovulation has occurred is an elevation of body temperature by
A.
1.0-1.4 degrees
centigrade
B.
0.2-0.4 degrees
centigrade
C.
2.0-4.0 degrees
centigrade
D.
1.0-4.0 degrees
centigrade
33. Lactation Amenorrhea
Method(LAM) can be an effective method of natural birth control if
A.
The mother breast
feeds mainly at night time when ovulation could possibly occur
B.
The mother
breastfeeds exclusively and regularly during the first 6 months without giving
supplemental feedings
C.
The mother uses
mixed feeding faithfully
D.
The mother
breastfeeds regularly until 1 year with no supplemental feedings
34. Intra-uterine device
prevents pregnancy by the ff. mechanism EXCEPT
A.
Endometrium
inflames
B.
Fundus contracts
to expel uterine contents
C.
Copper embedded
in the IUD can kill the sperms
D.
Sperms will be
barred from entering the fallopian tubes
35. Oral contraceptive
pills are of different types. Which type is most appropriate for mothers who
are breastfeeding?
A.
Estrogen only
B.
Progesterone only
C.
Mixed type-
estrogen and progesterone
D.
21-day pills
mixed type
36. The natural family
planning method called Standard Days (SDM), is the latest type and easy to use
method. However, it is a method applicable only to women with regular menstrual
cycles between ___ to ___ days.
A.
21-26 days
B.
26-32 days
C.
28-30 days
D.
24- 36 days
37. Which of the following
are signs of ovulation?
1.
Mittelschmerz;
2.
Spinnabarkeit;
3.
Thin watery
cervical mucus;
4.
Elevated body
temperature of 4.0 degrees centigrade
A.
1 & 2
B.
1, 2, & 3
C.
3 & 4
D.
1, 2, 3, 4
38. The following methods
of artificial birth control works as a barrier device EXCEPT:
A.
Condom
B.
Cervical cap
C.
Cervical
Diaphragm
D.
Intrauterine
device (IUD)
39. Which of the following
is a TRUE statement about normal ovulation?
A.
It occurs on the
14th day of every cycle
B.
It may occur
between 14-16 days before next menstruation
C.
Every menstrual
period is always preceded by ovulation
D.
The most fertile
period of a woman is 2 days after ovulation
40. If a couple would like
to enhance their fertility, the following means can be done:
1.
Monitor the basal
body temperature of the woman everyday to determine peak period of fertility;
2.
Have adequate
rest and nutrition;
3.
Have sexual
contact only during the dry period of the woman;
4.
Undergo a
complete medical check-up to rule out any debilitating disease
A.
1 only
B.
1 & 4
C.
1,2,4
D.
1,2,3,4
41. In sympto-thermal
method, the parameters being monitored to determine if the woman is fertile or
infertile are:
A.
Temperature,
cervical mucus, cervical consistency
B.
Release of ovum,
temperature and vagina
C.
Temperature and
wetness
D.
Temperature,
endometrial secretion, mucus
42. The following are
important considerations to teach the woman who is on low dose (mini-pill) oral
contraceptive EXCEPT:
A.
The pill must be
taken everyday at the same time
B.
If the woman
fails to take a pill in one day, she must take 2 pills for added protection
C.
If the woman
fails to take a pill in one day, she needs to take another temporary method
until she has consumed the whole pack
D.
If she is breast
feeding, she should discontinue using mini-pill and use the progestin-only type
43. To determine if the
cause of infertility is a blockage of the fallopian tubes, the test to be done
is
A.
Huhner’s test
B.
Rubin’s test
C.
Postcoital test
D.
None of the above
44. Infertility can be
attributed to male causes such as the following EXCEPT:
A.
Cryptorchidism
B.
Orchitis
C.
Sperm count of
about 20 million per milliliter
D.
Premature
ejaculation
45. Spinnabarkeit is an
indicator of ovulation which is characterized as:
A.
Thin watery mucus
which can be stretched into a long strand about 10 cm
B.
Thick mucus that
is detached from the cervix during ovulation
C.
Thin mucus that
is yellowish in color with fishy odor
D.
Thick mucus
vaginal discharge influence by high level of estrogen
46. Vasectomy is a
procedure done on a male for sterilization. The organ involved in this
procedure is
A.
Prostate gland
B.
Seminal vesicle
C.
Testes
D.
Vas deferens
47. Breast self
examination is best done by the woman on herself every month during
A.
The middle of her
cycle to ensure that she is ovulating
B.
During the
menstrual period
C.
Right after the
menstrual period so that the breast is not being affected by the increase in
hormones particularly estrogen
D.
Just before the
menstrual period to determine if ovulation has occurred
48. A woman is considered
to be menopause if she has experienced cessation of her menses for a period of
A.
6 months
B.
12 months
C.
18 months
D.
24 months
49. Which of the following
is the correct practice of self breast examination in a menopausal woman?
A.
She should do it
at the usual time that she experiences her menstrual period in the past to
ensure that her hormones are not at its peak
B.
Any day of the
month as long it is regularly observed on the same day every month
C.
Anytime she feels
like doing it ideally every day
D.
Menopausal women
do not need regular self breast exam as long as they do it at least once every
6 months
50. 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:
A.
Bromocriptine
B.
Clomiphene
C.
Provera
D.
Estrogen
Answers and Rationales
1.
Answer:
(A) 1.0 cm. The uterus will begin
involution right after delivery. It is expected to regress/go down by 1 cm. per
day and becomes no longer palpable about 1 week after delivery.
2.
Answer:
(C) Reddish with some mucus. Right
after delivery, the vaginal discharge called lochia will be reddish because
there is some blood, endometrial tissue and mucus. Since it is not pure blood
it is non-clotting.
3.
Answer:
(B) 7-10 days. Normally, lochia
disappears after 10 days postpartum. What’s important to remember is that the
color of lochia gets to be lighter (from reddish to whitish) and scantier
everyday.
4.
Answer:
(B) Prevent the mother from producing antibodies against the Rh(+) antigen that
she may have gotten when she delivered to her Rh(+) baby. In Rh incompatibility, an Rh(-) mother will produce
antibodies against the fetal Rh (+) antigen which she may have gotten because
of the mixing of maternal and fetal blood during labor and delivery. Giving her
RhoGam right after birth will prevent her immune system from being permanently
sensitized to Rh antigen.
5.
Answer:
(C) Exercise adequately like aerobics. All
the above nursing measures are needed to ensure that the mother is in a healthy
state. However, aerobics does not necessarily enhance lactation.
6.
Answer:
(B) Apply warm compress on the engorged breast. Warm compress is applied if the purpose is to relieve
pain but ensure lactation to continue. If the purpose is to relieve pain as
well as suppress lactation, the compress applied is cold.
7.
Answer:
(C) 6-8 hrs. A woman who has had
normal delivery is expected to void within 6-8 hrs. If she is unable to do so
after 8 hours, the nurse should stimulate the woman to void. If nursing
interventions to stimulate spontaneous voiding don’t work, the nurse may decide
to catheterize the woman.
8.
Answer:
(A) Breast feed the baby on self-demand day and night. Feeding on self-demand means the mother feeds the baby
according to baby’s need. Therefore, this means there will be regular emptying
of the breasts, which is essential to maintain adequate lactation.
9.
Answer:
(D) Elevate the affected leg and keep the patient on bedrest. If the mother already has thrombophlebitis, the
nursing intervention is bedrest to prevent the possible dislodging of the
thrombus and keeping the affected leg elevated to help reduce the inflammation.
10.
Answer:
(A) Excessive analgesia was given to the mother. Excessive analgesia can lead to uterine relaxation
thus lead to hemorrhage postpartally. Both B and D are normal and C is at the
vaginal introitus thus will not affect the uterus.
11.
Answer:
(B) Taking-in, taking-hold and letting-go. Rubin’s theory states that the 3 stages that a mother goes through for
maternal adaptation are: taking-in, taking-hold and letting-go. In the
taking-in stage, the mother is more passive and dependent on others for care.
In taking-hold, the mother begins to assume a more active role in the care of
the child and in letting-go, the mother has become adapted to her maternal
role.
12. Answer:
(B) There is rapid diminution of glucose level in the baby’s circulating blood
and his pancreas is normally secreting insulin. If the mother is diabetic, the fetus while in utero
has a high supply of glucose. When the baby is born and is now separate from
the mother, it no longer receives a high dose of glucose from the mother. In
the first few hours after delivery, the neonate usually does not feed yet thus
this can lead to hypoglycemia.
13. Answer:
(B) BP diastolic increase from 80 to 95mm Hg. All the vital signs given in the choices are within
normal range except an increase of 15mm Hg in the diastolic which is a possible
sign of hypertension in pregnancy.
14. Answer:
(B) Level of umbilicus. Immediately
after the delivery of the placenta, the fundus of the uterus is expected to be
at the level of the umbilicus because the contents of the pregnancy have
already been expelled. The fundus is expected to recede by 1 fingerbreadths
(1cm) everyday until it becomes no longer palpable above the symphysis pubis.
15. Answer:
(C) 6 weeks. According to the DOH
protocol postpartum check-up is done 6-8 weeks after delivery to make sure
complete involution of the reproductive organs has be achieved.
16. Answer:
(B) 6-8 weeks. When the mother does
not breastfeed, the normal menstruation resumes about 6-8 weeks after delivery.
This is due to the fact that after delivery, the hormones estrogen and
progesterone gradually decrease thus triggering negative feedback to the
anterior pituitary to release the Folicle-Stimulating Hormone (FSH) which in
turn stimulates the ovary to again mature a graafian follicle and the menstrual
cycle post pregnancy resumes.
17. Answer:
(D) Application of cold compress on the breast. To stimulate lactation, warm compress is applied on
the breast. Cold application will cause vasoconstriction thus reducing the
blood supply consequently the production of milk.
18. Answer:
(A) Laceration of soft tissues of the cervix and vagina. When uterus is firm and contracted it means that the
bleeding is not in the uterus but other parts of the passageway such as the
cervix or the vagina.
19. Answer:
(C) Massage the fundus vigorously for 15 minutes until contracted. Massaging the fundus of the uterus should not be
vigorous and should only be done until the uterus feel firm and contracted. If
massaging is vigorous and prolonged, the uterus will relax due to over
stimulation.
20. Answer:
(D) Perineal care. Perineal care is
primarily done for personal hygiene regardless of whether there is pain or not;
episiotomy wound or not.
21. Answer:
(A) All of the above. All the
symptoms 1-3 are characteristic of postpartal blues. It will resolve by itself
because it is transient and is due to a number of reasons like changes in hormonal
levels and adjustment to motherhood. If symptoms lasts more than 2 weeks, this
could be a sign of abnormality like postpartum depression and needs treatment.
22. Answer:
(A) The fetal lungs are non-functioning as an organ and most of the blood in
the fetal circulation is mixed blood.. The
fetal lungs is fluid-filled while in utero and is still not functioning. It
only begins to function in extra uterine life. Except for the blood as it
enters the fetus immediately from the placenta, most of the fetal blood is
mixed blood.
23. Answer:
(A) Shallow and irregular with short periods of apnea lasting not longer than
15 seconds, 30-60 breaths per minute. A
newly born baby still is adjusting to xtra uterine life and the lungs are just
beginning to function as a respiratory organ. The respiration of the baby at
this time is characterized as usually shallow and irregular with short periods
of apnea, 30-60 breaths per minute. The apneic periods should be brief lasting
not more than 15 seconds otherwise it will be considered abnormal.
24. Answer:
(A) 3-4 cm antero-posterior diameter and 2-3 cm transverse diameter, diamond
shape. The anterior fontanelle is
diamond shape with the antero-posterior diameter being longer than the
transverse diameter. The posterior fontanelle is triangular shape.
25. Answer:
(D) Middle third of the thigh. Neonates
do not have well developed muscles of the arm. Since Vitamin K is given
intramuscular, the site must have sufficient muscles like the middle third of
the thigh.
26. Answer:
(A) 1-3. An APGAR of 1-3 is a sign
of fetal distress which requires resuscitation. The baby is alright if the
score is 8-10.
27. Answer:
(B) Acrocyanosis. Acrocyanosis is
the term used to describe the baby’s skin color at birth when the soles and
palms are bluish but the trunk is pinkish.
28. Answer:
(C) 2,500gms. According to the WHO
standard, the minimum normal birth weight of a full term baby is 2,500 gms or
2.5 Kg.
29. Answer:
(B) Crede’s method. Crede’s
method/prophylaxis is the procedure done to prevent ophthalmia neonatorum which
the baby can acquire as it passes through the birth canal of the mother.
Usually, an ophthalmic ointment is used.
30. Answer:
(D) Almost leather-like, dry, cracked skin, negligible vernix caseosa. A post mature fetus has the appearance of an old
person with dry wrinkled skin and the vernix caseosa has already diminished.
31. Answer:
(B) 1, 2, and 3. To be allowed to
handle deliveries, the pregnancy must be normal and uncomplicated. And in
RA9172, the nurse is now allowed to suture perineal lacerations provided s/he
has had the special training. Also, in this law, there is no longer an explicit
provision stating that the nurse still needs special training for IV insertion.
32. Answer:
(B) 0.2-0.4 degrees centigrade. The
release of the hormone progesterone in the body following ovulation causes a
slight elevation of basal body temperature of about 0.2 – 0.4 degrees
centigrade
33. Answer:
(B) The mother breastfeeds exclusively and regularly during the first 6 months
without giving supplemental feedings. A
mother who breastfeeds exclusively and regularly during the first 6 months
benefits from lactation amenorrhea. There is evidence to support the
observation that the benefits of lactation amenorrhea lasts for 6 months provided
the woman has not had her first menstruation since delivery of the baby.
34. Answer:
(D) Sperms will be barred from entering the fallopian tubes. An intrauterine device is a foreign body so that if it
is inserted into the uterine cavity the initial reaction is to produce
inflammatory process and the uterus will contract in order to try to expel the
foreign body. Usually IUDs are coated with copper to serve as spermicide
killing the sperms deposited into the female reproductive tract. But the IUD
does not completely fill up the uterine cavity thus sperms which are
microscopic is size can still pass through.
35. Answer:
(B) Progesterone only. If mother is
breastfeeding, the progesterone only type is the best because estrogen can
affect lactation.
36. Answer:
(B) 26-32 days. Standard Days Method
(SDM) requires that the menstrual cycles are regular between 26-32 days. There
is no need to monitor temperature or mucus secretion. This natural method of
family planning is very simple since all that the woman pays attention to is
her cycle. With the aid of CycleBeads, the woman can easily monitor her cycles.
37. Answer:
(B) 1, 2, & 3. Mittelschmerz,
spinnabarkeit and thin watery cervical mucus are signs of ovulation. When
ovulation occurs, the hormone progesterone is released which can cause a slight
elevation of temperature between 0.2-0.4 degrees centigrade and not 4 degrees
centigrade.
38. Answer:
(D) Intrauterine device (IUD). Intrauterine
device prevents pregnancy by not allowing the fertilized ovum from implanting
on the endometrium. Some IUDs have copper added to it which is spermicidal. It
is not a barrier since the sperms can readily pass through and fertilize an
ovum at the fallopian tube.
39. Answer:
(B) It may occur between 14-16 days before next menstruation. Not all menstrual cycles are ovulatory. Normal
ovulation in a woman occurs between the 14th to the 16th day before the NEXT
menstruation. A common misconception is that ovulation occurs on the 14th day
of the cycle. This is a misconception because ovulation is determined NOT from
the first day of the cycle but rather 14-16 days BEFORE the next menstruation.
40. Answer:
(C) 1,2,4. All of the above are
essential for enhanced fertility except no. 3 because during the dry period the
woman is in her infertile period thus even when sexual contact is done, there
will be no ovulation, thus fertilization is not possible.
41. Answer:
(A) Temperature, cervical mucus, cervical consistency. The 3 parameters measured/monitored which will
indicate that the woman has ovulated are- temperature increase of about 0.2-0.4
degrees centigrade, softness of the cervix and cervical mucus that looks like
the white of an egg which makes the woman feel “wet”.
42. Answer:
(B) If the woman fails to take a pill in one day, she must take 2 pills for
added protection. 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.
43. Answer:
(B) Rubin’s test. Rubin’s test is a
test to determine patency of fallopian tubes. Huhner’s test is also known as
post-coital test to determine compatibility of the cervical mucus with sperms
of the sexual partner.
44. Answer:
(C) Sperm count of about 20 million per milliliter. 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.
45. Answer:
(A) Thin watery mucus which can be stretched into a long strand about 10 cm
. 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 spinnabarkeit. And the woman feels “wet”. When
progesterone is secreted by the ovary, the mucus becomes thick and the woman
will feel “dry”.
46. Answer:
(D) 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.
47. Answer:
(C) Right after the menstrual period so that the breast is not being affected
by the increase in hormones particularly estrogen. 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.
48. Answer:
(B) 12 months. If a woman has not
had her menstrual period for 12 consecutive months, she is considered to be in
her menopausal stage.
49. Answer:
(B) Any day of the month as long it is regularly observed on the same day every
month. 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.
50. Answer:
(B) Clomiphene. 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.