NSG 3500 (MATERNAL) EXAM 1 UPDATED WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
1. A perinatal nurse explains that a female fetus develops ovaries at approximately:
A. 8 weeks
B. 10 weeks
C. 12 weeks
D. 16 weeks
Correct Answer: B
Rationale: Ovarian differentiation begins around 10 weeks’ gestation in a female fetus.
2. Ova production and estrogen secretion begin at which life phase?
A. Puberty
B. Birth
C. Climacteric
D. Pregnancy
Correct Answer: A
Rationale: Puberty activates the hypothalamic–pituitary–ovarian axis, initiating ovulation and
estrogen production.
3. The surgical incision made to enlarge the perineal opening during vaginal birth is called:
A. Colposcopy
B. Episiotomy
C. Ligation
D. Septal myotomy
Correct Answer: B
Rationale: An episiotomy is an incision of the perineum to facilitate childbirth.
4. Which hormone directly regulates oogenesis?
A. Estrogen
B. Follicle-stimulating hormone (FSH)
,ESTUDYR
C. Gonadotropin-releasing hormone (GnRH)
D. Progesterone
Correct Answer: B
Rationale: FSH stimulates ovarian follicle development and oocyte maturation.
5. A woman is diagnosed with a platypelloid pelvis. What is the nurse’s BEST response?
A. Advise that cesarean delivery may be required
B. Teach about posterior fetal presentation
C. Instruct on back-strengthening exercises
D. Reassure that labor will be uncomplicated
Correct Answer: A
Rationale: Platypelloid pelvises are associated with labor dystocia and higher C-section risk.
6. Thelarche refers to:
A. Appearance of breast buds
B. Pubic hair growth
C. Menarche
D. Secondary sex characteristics
Correct Answer: A
Rationale: Thelarche is the first visible sign of puberty in females.
7. Thin, watery, stretchable cervical mucus indicates:
A. Menstruation
B. Fertile period
C. Infection
D. Hormonal imbalance
Correct Answer: B
Rationale: Estrogen causes cervical mucus to become thin and elastic to facilitate sperm
passage.
, ESTUDYR
8. A perimenopausal woman develops stress urinary incontinence. The nurse explains this is
MOST likely due to:
A. Aging
B. Clonidine use
C. Decreased estrogen levels
D. Need for estrogen therapy
Correct Answer: C
Rationale: Estrogen deficiency weakens pelvic floor and urethral support.
9. The uterine cycle phase between ovulation and menses is the:
A. Ischemic
B. Menstrual
C. Proliferative
D. Secretory
Correct Answer: D
Rationale: Progesterone dominates the secretory phase, preparing the uterus for implantation.
10. A transverse fetal lie is MOST associated with which pelvic type?
A. Android
B. Anthropoid
C. Gynecoid
D. Platypelloid
Correct Answer: D
11. Which hormone limits the maternal immune response to pregnancy?
A. Human chorionic gonadotropin (hCG)
B. Progesterone
C. Prostaglandins
D. Relaxin
Correct Answer: A