ACTUAL EXAM TEST BANK| NUR 418 NURSING CARE
OF THE CHILDBEARING FAMILY EXAM 1 REVIEW WITH
300 REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
(MOST RECENT!!)
1. The nurse is reviewing female reproductive anatomy.
Which structure is responsible for the production of estrogen
and progesterone?
A. Fallopian tube
B. Ovary (graafian follicle → corpus luteum)
C. Uterus
D. Cervix
Correct Answer: B. Ovary (graafian follicle → corpus luteum)
Rationale: The ovaries are the primary female reproductive
organs responsible for producing ova (eggs) and secreting
estrogen and progesterone. The graafian follicle produces
estrogen; after ovulation, the corpus luteum produces
progesterone and estrogen. The uterus is for implantation;
fallopian tubes for transport; cervix is the lower uterine segment .
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,2. The nurse is teaching a class on the menstrual cycle. Which
hormone surge triggers ovulation?
A. Estrogen
B. Progesterone
C. Follicle-stimulating hormone (FSH)
D. Luteinizing hormone (LH)
Correct Answer: D. Luteinizing hormone (LH)
Rationale: The mid-cycle LH surge (typically around day 14 of a
28-day cycle) triggers ovulation (release of the mature oocyte
from the ovarian follicle). FSH stimulates follicle development.
Estrogen rises before LH surge. Progesterone rises after ovulation
.
3. A client asks, “What is the normal duration of the menstrual
cycle?” The nurse’s best response is:
A. 14 days
B. 21–35 days (average 28 days)
C. 40–45 days
D. Exactly 28 days for all women
Correct Answer: B. 21–35 days (average 28 days)
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,Rationale: The normal menstrual cycle length ranges from 21 to
35 days in adults, with an average of 28 days. Variations of a
few days are normal. Cycle length is measured from the first day
of one menses to the first day of the next .
4. Which phase of the menstrual cycle is most variable in
length?
A. Menstrual phase
B. Follicular (proliferative) phase
C. Ovulation
D. Luteal (secretory) phase
Correct Answer: B. Follicular (proliferative) phase
Rationale: The follicular phase (from onset of menses until
ovulation) is the most variable phase, ranging from 10 to 22
days. The luteal phase (post-ovulation to menses) is relatively
fixed at approximately 14 days (±2 days). Variation in cycle
length is due to the follicular phase .
5. The nurse understands that the hormone progesterone is
primarily produced by which structure after ovulation?
A. Graafian follicle
B. Corpus luteum
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, C. Anterior pituitary
D. Hypothalamus
Correct Answer: B. Corpus luteum
Rationale: After ovulation, the ruptured follicle transforms into
the corpus luteum, which produces progesterone (and some
estrogen). Progesterone prepares the endometrium for
implantation and maintains early pregnancy. The graafian
follicle produces estrogen before ovulation .
6. A client asks, “What is the purpose of the fallopian tubes?”
The nurse’s best response is:
A. “They produce estrogen and progesterone.”
B. “They transport the ovum from the ovary to the uterus and are
the usual site of fertilization.”
C. “They are where the fetus develops.”
D. “They produce cervical mucus.”
Correct Answer: B. “They transport the ovum from the ovary
to the uterus and are the usual site of fertilization.”
Rationale: The fallopian tubes (oviducts) have fimbriae that
sweep the ovulated oocyte into the tube, where cilia and
peristalsis move it toward the uterus. Fertilization typically occurs
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