NSG 3500 (MATERNAL) EXAM 1
45+ (Fully Updated 2026) Exam Questions + Verified & Rationalized
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📋 DOCUMENT OVERVIEW 47 Qs
This document, "NSG 3500 (Maternal) Exam 1," covers fetal development, maternal anatomy and
physiology, pregnancy complications, and newborn care, including topics such as fetal presentation,
external genitalia development, and preterm labor. Each of the 47 questions is provided with a correct
answer and detailed explanation, offering a comprehensive review of maternal newborn nursing
concepts for exam preparation. Students can utilize this document to study, review, and deepen their
understanding of maternal newborn nursing concepts.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A nurse is providing education to a new colleague about fetal development in pregnancy. Which
statement describes the correct timing for the development of ovaries in a female fetus?
A) Ovaries develop by 8 weeks of gestation
B) Ovaries develop by 10 weeks of gestation
C) Ovaries develop by 12 weeks of gestation
D) Ovaries develop by 16 weeks of gestation
CORRECT ANSWER
B) Ovaries develop by 10 weeks of gestation
RATIONALE: The correct answer is B. Ovaries develop by 10 weeks of gestation. This is a critical period in fetal
development when the female fetus begins to form reproductive organs. Understanding this timeline is essential for
nurses to provide accurate education to patients and colleagues.
QUESTION 2
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, Which of the following actions is most appropriate for a nurse caring for a pregnant woman diagnosed
with a platypelloid pelvis type?
A) Recommend back strengthening exercises to prepare for a vaginal delivery
B) Educate the woman on the possibility of a posterior fetal presentation
C) Inform the woman that she will definitely require a cesarean delivery
D) Reassure the woman that a trial of labor will still be allowed without further evaluation
CORRECT ANSWER
A) Recommend back strengthening exercises to prepare for a vaginal delivery
RATIONALE: A platypelloid pelvis type may increase the risk of complications during labor, but the nurse should
prioritize preparing the woman for possible delivery options, including back strengthening exercises to facilitate a vaginal
delivery. Options B and D are misleading because a platypelloid pelvis type may increase the risk of complications, but
it's not a guarantee. Option C is incorrect because the nurse should not make assumptions about the woman's delivery
method without further evaluation.
QUESTION 3
A pediatric client is brought to the clinic because of concerns about her development. The nurse notes
that she is 13 years old and has begun to show signs of breast development. Which of the following
terms refers to this physical change?
A) Thelarche
B) Pubarche
C) Menarche
D) Gonadarche
CORRECT ANSWER
A) Thelarche
RATIONALE: Thelarche refers to the first signs of breast development, which is a normal part of puberty in females.
This term is often used to describe the initial physical changes that occur during this stage. The other options are
incorrect because pubarche refers to the growth of pubic hair, menarche refers to the first menstrual period, and
gonadarche refers to the onset of puberty, which includes both physical and hormonal changes.
QUESTION 4
A nurse is caring for a young client who presents with vaginal secretions that seem thinner, more
watery, and stretchy than usual. Which statement indicates understanding of the client's condition?
A) The nurse should advise the client that this is related to her menstrual cycle.
B) The nurse should educate the client that she is fertile when this occurs.
C) The nurse should instruct the client to douche after her periods to prevent infections.
D) The nurse should screen the client for urinary tract infections.
CORRECT ANSWER
B) The nurse should educate the client that she is fertile when this occurs.
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, RATIONALE: The client's symptoms are indicative of ovulation, which is a normal physiological process. Educating the
client that she is fertile when this occurs is an essential aspect of reproductive health care. Options A and C are
incorrect because they do not accurately reflect the client's condition, and option D is unrelated to the client's
symptoms.
QUESTION 5
A pregnant client at 32 weeks states that her healthcare provider has mentioned that her pelvic shape
may influence the fetal presentation. The nurse explains that a fetus in a traverse presentation is
more likely to be associated with which maternal pelvic type?
A) Android
B) Anthropoid
C) Gynecoid
D) Platypelloid
CORRECT ANSWER
D) Platypelloid
RATIONALE: A traverse presentation occurs when the fetus is positioned with its back to the mother's back. This
presentation is more commonly associated with a platypelloid pelvic shape, which is characterized by a wide, shallow
pelvis. The other options are not typically associated with a traverse presentation.
QUESTION 6
Which factor influences the development of external female genitalia in females?
A) Production of androgens
B) Dominance of ductal pairs
C) Absence of androgens
D) Ovary production
CORRECT ANSWER
C) Absence of androgens
RATIONALE: The development of external female genitalia is influenced by the absence of androgens during fetal
development. In the absence of androgens, the external genitalia develop into a female phenotype. This knowledge is
essential for nurses to understand the normal development of the female reproductive system.
QUESTION 7
A pregnant woman reports sharp abdominal pain that worsens with coughing or sneezing. Which
finding indicates the need for the nurse to educate the client about potential causes of this symptom?
A) Braxton Hicks contractions are a normal cause of abdominal pain
B) Ligament stretching is the primary cause of abdominal pain during pregnancy
C) Abdominal pain is a symptom of preterm labor
D) Vaginal bleeding is a normal symptom of pregnancy
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45+ (Fully Updated 2026) Exam Questions + Verified & Rationalized
Answers | A+ Graded
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 47 Qs
This document, "NSG 3500 (Maternal) Exam 1," covers fetal development, maternal anatomy and
physiology, pregnancy complications, and newborn care, including topics such as fetal presentation,
external genitalia development, and preterm labor. Each of the 47 questions is provided with a correct
answer and detailed explanation, offering a comprehensive review of maternal newborn nursing
concepts for exam preparation. Students can utilize this document to study, review, and deepen their
understanding of maternal newborn nursing concepts.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A nurse is providing education to a new colleague about fetal development in pregnancy. Which
statement describes the correct timing for the development of ovaries in a female fetus?
A) Ovaries develop by 8 weeks of gestation
B) Ovaries develop by 10 weeks of gestation
C) Ovaries develop by 12 weeks of gestation
D) Ovaries develop by 16 weeks of gestation
CORRECT ANSWER
B) Ovaries develop by 10 weeks of gestation
RATIONALE: The correct answer is B. Ovaries develop by 10 weeks of gestation. This is a critical period in fetal
development when the female fetus begins to form reproductive organs. Understanding this timeline is essential for
nurses to provide accurate education to patients and colleagues.
QUESTION 2
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, Which of the following actions is most appropriate for a nurse caring for a pregnant woman diagnosed
with a platypelloid pelvis type?
A) Recommend back strengthening exercises to prepare for a vaginal delivery
B) Educate the woman on the possibility of a posterior fetal presentation
C) Inform the woman that she will definitely require a cesarean delivery
D) Reassure the woman that a trial of labor will still be allowed without further evaluation
CORRECT ANSWER
A) Recommend back strengthening exercises to prepare for a vaginal delivery
RATIONALE: A platypelloid pelvis type may increase the risk of complications during labor, but the nurse should
prioritize preparing the woman for possible delivery options, including back strengthening exercises to facilitate a vaginal
delivery. Options B and D are misleading because a platypelloid pelvis type may increase the risk of complications, but
it's not a guarantee. Option C is incorrect because the nurse should not make assumptions about the woman's delivery
method without further evaluation.
QUESTION 3
A pediatric client is brought to the clinic because of concerns about her development. The nurse notes
that she is 13 years old and has begun to show signs of breast development. Which of the following
terms refers to this physical change?
A) Thelarche
B) Pubarche
C) Menarche
D) Gonadarche
CORRECT ANSWER
A) Thelarche
RATIONALE: Thelarche refers to the first signs of breast development, which is a normal part of puberty in females.
This term is often used to describe the initial physical changes that occur during this stage. The other options are
incorrect because pubarche refers to the growth of pubic hair, menarche refers to the first menstrual period, and
gonadarche refers to the onset of puberty, which includes both physical and hormonal changes.
QUESTION 4
A nurse is caring for a young client who presents with vaginal secretions that seem thinner, more
watery, and stretchy than usual. Which statement indicates understanding of the client's condition?
A) The nurse should advise the client that this is related to her menstrual cycle.
B) The nurse should educate the client that she is fertile when this occurs.
C) The nurse should instruct the client to douche after her periods to prevent infections.
D) The nurse should screen the client for urinary tract infections.
CORRECT ANSWER
B) The nurse should educate the client that she is fertile when this occurs.
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, RATIONALE: The client's symptoms are indicative of ovulation, which is a normal physiological process. Educating the
client that she is fertile when this occurs is an essential aspect of reproductive health care. Options A and C are
incorrect because they do not accurately reflect the client's condition, and option D is unrelated to the client's
symptoms.
QUESTION 5
A pregnant client at 32 weeks states that her healthcare provider has mentioned that her pelvic shape
may influence the fetal presentation. The nurse explains that a fetus in a traverse presentation is
more likely to be associated with which maternal pelvic type?
A) Android
B) Anthropoid
C) Gynecoid
D) Platypelloid
CORRECT ANSWER
D) Platypelloid
RATIONALE: A traverse presentation occurs when the fetus is positioned with its back to the mother's back. This
presentation is more commonly associated with a platypelloid pelvic shape, which is characterized by a wide, shallow
pelvis. The other options are not typically associated with a traverse presentation.
QUESTION 6
Which factor influences the development of external female genitalia in females?
A) Production of androgens
B) Dominance of ductal pairs
C) Absence of androgens
D) Ovary production
CORRECT ANSWER
C) Absence of androgens
RATIONALE: The development of external female genitalia is influenced by the absence of androgens during fetal
development. In the absence of androgens, the external genitalia develop into a female phenotype. This knowledge is
essential for nurses to understand the normal development of the female reproductive system.
QUESTION 7
A pregnant woman reports sharp abdominal pain that worsens with coughing or sneezing. Which
finding indicates the need for the nurse to educate the client about potential causes of this symptom?
A) Braxton Hicks contractions are a normal cause of abdominal pain
B) Ligament stretching is the primary cause of abdominal pain during pregnancy
C) Abdominal pain is a symptom of preterm labor
D) Vaginal bleeding is a normal symptom of pregnancy
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