Page 1 of 43
SAFE MATERNITY AND PEDIATRIC NURSING CARE EXAM
COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
1. What is the total number of chromosomes contained in a mature sperm or
ovum?
a. 22
b. 23
c. 44
d. 46
23
. A pregnant woman states, My husband hopes I will give him a boy because
we have three girls. What will the nurse explain to this woman?
a. The sex chromosome of the fertilized ovum determines the gender of the
child.
b. When the sperm and ovum are united, there is a 75% chance the child will
be a girl.
c. When the pH of the female reproductive tract is acidic, the child will be a
girl.
d. If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is
produced
, Page 2 of 43
If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.
3. What is the most common site for fertilization?
a. Lower segment of the uterus
b. Outer third of the fallopian tube near the ovary
c. Upper portion of the uterus
d. Area of the fallopian tube farthest from the ovary
Outer third of the fallopian tube near the ovary
4. The embryo is termed a fetus at which stage of prenatal development?
a. 2 weeks
b. 4 weeks
c. 9 weeks
d. 16 weeks
9 weeks
The nurse is reviewing fetal circulation with a pregnant patient and explains
that blood circulates through the placenta to the fetus. What vessel(s) carry
blood to the fetus?
a. One umbilical vein
b. Two umbilical veins
c. One umbilical artery
d. Two umbilical arteries
One umbilical vein
Where is the usual location for implantation of the zygote?
a. Upper section of the posterior uterine wall
b. Lower portion of the uterus near the cervical os
c. Inner third of the fallopian tube near the uterus
d. Lateral aspect of the uterine wall
Upper section of the posterior uterine wall
, Page 3 of 43
What is the embryonic membrane that contains fingerlike projections on its
surface, which attach to the uterine wall?
a. Amnion
b. Yolk sac
c. Chorion
d. Decidua basalis
Chorion
Which hormone is responsible for converting the endometrium into decidual
cells for implantation?
a. Estrogen
b. Human chorionic gonadotropin c. Human placental lactogen
d. Progesterone
Progesterone
A patient asks the nurse when her infants heart will begin to pump blood. What
will the nurse reply?
a. By the end of week 3
b. Beginning in week 8
c. At the end of week 16
d. Beginning in week 24
By the end of week 3
What organ does the ductus venosus shunt blood away from in fetal
circulation?
a. Liver
b. Heart
c. Lungs
d. Kidneys
Liver
What complication can result from untreated respiratory distress in the
newborn?
a. Esophageal atresia
, Page 4 of 43
b. Gastric dilation
c. Cold stress
d. Reopening of the foramen ovale
Reopening of the foramen ovale
During an ultrasound, two amnions and two placentas are observed. What will
be the most likely result of this pregnancy?
a. Dizygotic twins
b. Monozygotic twins
c. Conjoined twins
d. High birth-weight twins
Dizygotic twins
A woman who is 25 weeks pregnant asks the nurse what her fetus looks like.
What does the nurse explain is one physical characteristic present in a 25-
week-old fetus?
a. Lanugo covering the body
b. Constant motion
c. Skin that is pink and smooth
d. Eyes that are closed
Lanugo covering the body
At what point in prenatal development do the lungs begin to produce
surfactant?
a. 17 weeks
b. 20 weeks
c. 25 weeks
d. 30 weeks
25 weeks
A woman missed her menstrual period 1 week ago and has come to the
doctors office for a pregnancy test. Which placental hormone is measured in
pregnancy tests?
a. Progesterone
SAFE MATERNITY AND PEDIATRIC NURSING CARE EXAM
COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
1. What is the total number of chromosomes contained in a mature sperm or
ovum?
a. 22
b. 23
c. 44
d. 46
23
. A pregnant woman states, My husband hopes I will give him a boy because
we have three girls. What will the nurse explain to this woman?
a. The sex chromosome of the fertilized ovum determines the gender of the
child.
b. When the sperm and ovum are united, there is a 75% chance the child will
be a girl.
c. When the pH of the female reproductive tract is acidic, the child will be a
girl.
d. If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is
produced
, Page 2 of 43
If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.
3. What is the most common site for fertilization?
a. Lower segment of the uterus
b. Outer third of the fallopian tube near the ovary
c. Upper portion of the uterus
d. Area of the fallopian tube farthest from the ovary
Outer third of the fallopian tube near the ovary
4. The embryo is termed a fetus at which stage of prenatal development?
a. 2 weeks
b. 4 weeks
c. 9 weeks
d. 16 weeks
9 weeks
The nurse is reviewing fetal circulation with a pregnant patient and explains
that blood circulates through the placenta to the fetus. What vessel(s) carry
blood to the fetus?
a. One umbilical vein
b. Two umbilical veins
c. One umbilical artery
d. Two umbilical arteries
One umbilical vein
Where is the usual location for implantation of the zygote?
a. Upper section of the posterior uterine wall
b. Lower portion of the uterus near the cervical os
c. Inner third of the fallopian tube near the uterus
d. Lateral aspect of the uterine wall
Upper section of the posterior uterine wall
, Page 3 of 43
What is the embryonic membrane that contains fingerlike projections on its
surface, which attach to the uterine wall?
a. Amnion
b. Yolk sac
c. Chorion
d. Decidua basalis
Chorion
Which hormone is responsible for converting the endometrium into decidual
cells for implantation?
a. Estrogen
b. Human chorionic gonadotropin c. Human placental lactogen
d. Progesterone
Progesterone
A patient asks the nurse when her infants heart will begin to pump blood. What
will the nurse reply?
a. By the end of week 3
b. Beginning in week 8
c. At the end of week 16
d. Beginning in week 24
By the end of week 3
What organ does the ductus venosus shunt blood away from in fetal
circulation?
a. Liver
b. Heart
c. Lungs
d. Kidneys
Liver
What complication can result from untreated respiratory distress in the
newborn?
a. Esophageal atresia
, Page 4 of 43
b. Gastric dilation
c. Cold stress
d. Reopening of the foramen ovale
Reopening of the foramen ovale
During an ultrasound, two amnions and two placentas are observed. What will
be the most likely result of this pregnancy?
a. Dizygotic twins
b. Monozygotic twins
c. Conjoined twins
d. High birth-weight twins
Dizygotic twins
A woman who is 25 weeks pregnant asks the nurse what her fetus looks like.
What does the nurse explain is one physical characteristic present in a 25-
week-old fetus?
a. Lanugo covering the body
b. Constant motion
c. Skin that is pink and smooth
d. Eyes that are closed
Lanugo covering the body
At what point in prenatal development do the lungs begin to produce
surfactant?
a. 17 weeks
b. 20 weeks
c. 25 weeks
d. 30 weeks
25 weeks
A woman missed her menstrual period 1 week ago and has come to the
doctors office for a pregnancy test. Which placental hormone is measured in
pregnancy tests?
a. Progesterone
