NSG 3500 (MATERNAL) EXAM 1
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📋 DOCUMENT OVERVIEW 27 Qs
This document covers fetal development, pregnancy complications, postpartum care, and
pharmacological interventions during pregnancy. It provides a comprehensive review of maternal
newborn nursing concepts for exam preparation, containing 27 questions with correct answers and
detailed explanations for each topic. Students can use this document to study, review, and understand
key concepts, allowing them to reinforce their knowledge and prepare for exams in maternal newborn
nursing.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A nurse is caring for a pregnant client at 10 weeks gestation. Which development occurs in the female
fetus during this period?
A) Formation of the placenta
B) Development of the ovaries
C) Closure of the neural tube
D) Initiation of amniotic fluid production
CORRECT ANSWER
B) Development of the ovaries
RATIONALE: The development of ovaries in the female fetus occurs around 10 weeks gestation. The other options are
not accurate for this timeframe: placenta formation occurs around 12-16 weeks, neural tube closure is complete by 28
days, and amniotic fluid production begins around 12 weeks. Understanding fetal development is crucial for perinatal
nursing care.
QUESTION 2
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, A nurse is caring for a pregnant client at 32 weeks gestation. The client asks about a surgical
procedure that may be performed during delivery to enlarge the perineal opening. What term
describes this surgical incision?
A) Colposcopy
B) Episiotomy
C) Ligation
D) Septal myotomy
CORRECT ANSWER
B) Episiotomy
RATIONALE: An episiotomy is a surgical incision made to enlarge the perineal opening during delivery. This procedure is
performed to prevent severe tears or to facilitate a vaginal delivery. The correct answer is B, as it is the term used to
describe this specific surgical incision. Options A, C, and D are incorrect as they refer to different medical procedures:
colposcopy is a procedure used to examine the cervix and vagina, ligation is a procedure used to tie off a blood vessel,
and septal myotomy is a surgical procedure used to cut a muscle in the septum.
QUESTION 3
A pregnant client at 32 weeks states she has experienced a new onset of urinary stress incontinence.
The nurse should consider that this symptom is most likely related to which factor?
A) Decreased muscle tone
B) Increased bladder capacity
C) Elevated blood pressure
D) Weakened pelvic floor muscles
CORRECT ANSWER
C) Elevated blood pressure
RATIONALE: The nurse should consider that decreased estrogen levels, which often occur during pregnancy, contribute
to weakened pelvic floor muscles, leading to urinary stress incontinence. This option is the most accurate. The other
options are incorrect because decreased muscle tone is more related to muscle atrophy, increased bladder capacity is
not directly related to urinary stress incontinence, and elevated blood pressure is not a primary cause of urinary stress
incontinence in this client.
QUESTION 4
A nurse is caring for a client in the early postpartum period. The client asks about the phase of the
menstrual cycle that occurs between ovulation and the onset of menses. The nurse should explain
that this phase is characterized by:
A) Thickening of the uterine lining to prepare for implantation
B) Ischemic changes leading to menstrual bleeding
C) Proliferation of new follicles and growth of the endometrium
D) Secretory changes in response to progesterone levels
CORRECT ANSWER
Trusted by thousands of students and professionals worldwide Page 2 of 11
25+ (Fully Updated 2026) Exam Questions + Verified & Rationalized
Answers | A+ Graded
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 27 Qs
This document covers fetal development, pregnancy complications, postpartum care, and
pharmacological interventions during pregnancy. It provides a comprehensive review of maternal
newborn nursing concepts for exam preparation, containing 27 questions with correct answers and
detailed explanations for each topic. Students can use this document to study, review, and understand
key concepts, allowing them to reinforce their knowledge and prepare for exams in maternal newborn
nursing.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A nurse is caring for a pregnant client at 10 weeks gestation. Which development occurs in the female
fetus during this period?
A) Formation of the placenta
B) Development of the ovaries
C) Closure of the neural tube
D) Initiation of amniotic fluid production
CORRECT ANSWER
B) Development of the ovaries
RATIONALE: The development of ovaries in the female fetus occurs around 10 weeks gestation. The other options are
not accurate for this timeframe: placenta formation occurs around 12-16 weeks, neural tube closure is complete by 28
days, and amniotic fluid production begins around 12 weeks. Understanding fetal development is crucial for perinatal
nursing care.
QUESTION 2
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, A nurse is caring for a pregnant client at 32 weeks gestation. The client asks about a surgical
procedure that may be performed during delivery to enlarge the perineal opening. What term
describes this surgical incision?
A) Colposcopy
B) Episiotomy
C) Ligation
D) Septal myotomy
CORRECT ANSWER
B) Episiotomy
RATIONALE: An episiotomy is a surgical incision made to enlarge the perineal opening during delivery. This procedure is
performed to prevent severe tears or to facilitate a vaginal delivery. The correct answer is B, as it is the term used to
describe this specific surgical incision. Options A, C, and D are incorrect as they refer to different medical procedures:
colposcopy is a procedure used to examine the cervix and vagina, ligation is a procedure used to tie off a blood vessel,
and septal myotomy is a surgical procedure used to cut a muscle in the septum.
QUESTION 3
A pregnant client at 32 weeks states she has experienced a new onset of urinary stress incontinence.
The nurse should consider that this symptom is most likely related to which factor?
A) Decreased muscle tone
B) Increased bladder capacity
C) Elevated blood pressure
D) Weakened pelvic floor muscles
CORRECT ANSWER
C) Elevated blood pressure
RATIONALE: The nurse should consider that decreased estrogen levels, which often occur during pregnancy, contribute
to weakened pelvic floor muscles, leading to urinary stress incontinence. This option is the most accurate. The other
options are incorrect because decreased muscle tone is more related to muscle atrophy, increased bladder capacity is
not directly related to urinary stress incontinence, and elevated blood pressure is not a primary cause of urinary stress
incontinence in this client.
QUESTION 4
A nurse is caring for a client in the early postpartum period. The client asks about the phase of the
menstrual cycle that occurs between ovulation and the onset of menses. The nurse should explain
that this phase is characterized by:
A) Thickening of the uterine lining to prepare for implantation
B) Ischemic changes leading to menstrual bleeding
C) Proliferation of new follicles and growth of the endometrium
D) Secretory changes in response to progesterone levels
CORRECT ANSWER
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