PRACTICE QUESTIONS WITH ANSWERS
AND RATIONALES
SECTION 1: REPRODUCTIVE ANATOMY AND PHYSIOLOGY (Questions 135)
1. A nursing student is reviewing female reproductive anatomy. Which
structure is responsible for producing ova and secreting estrogen and
progesterone?
A. Fallopian tubes
B. Uterus
C. Ovaries
D. Cervix
Correct Answer: C
Rationale: The ovaries are the primary female reproductive organs
responsible for producing ova (egg cells) and secreting the hormones
estrogen and progesterone. The fallopian tubes transport the ovum, the
uterus houses the developing fetus, and the cervix is the lower portion of the
uterus.
2. The normal position of the uterus is:
A. Anteverted and retroflexed
,B. Retroverted and anteflexed
C. Anteverted and anteflexed
D. Retroverted and retroflexed
Correct Answer: C
Rationale: The normal position of the uterus is anteverted (tilted forward
toward the bladder) and anteflexed (flexed forward at the cervix).
3. Which of the following is considered part of the external female genitalia?
A. Vagina
B. Cervix
C. Labia majora
D. Fallopian tubes
Correct Answer: C
Rationale: The external female genitalia (vulva) include the labia majora, labia
minora, clitoris, and vestibule. The vagina, cervix, and fallopian tubes are
internal structures.
4. The cervix has which of the following parts?
A. Fundus, body, and isthmus
B. Internal os, cervical canal, and external os
C. Corpus, fundus, and cervix
D. None of the above
Correct Answer: B
,Rationale: The cervix consists of the internal os (opening into the uterus), the
cervical canal, and the external os (opening into the vagina).
5. Which hormone is primarily responsible for stimulating uterine
contractions during labor?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Correct Answer: C
Rationale: Oxytocin is the primary hormone that stimulates uterine
contractions during labor. It is released from the posterior pituitary gland and
causes rhythmic contractions of the uterine smooth muscle.
6. Which structure produces human chorionic gonadotropin (hCG) during
early pregnancy?
A. Corpus luteum
B. Anterior pituitary
C. Placenta
D. Hypothalamus
Correct Answer: C
Rationale: The placenta produces human chorionic gonadotropin (hCG),
which maintains the corpus luteum and progesterone production during early
pregnancy.
, 7. Fertilization typically occurs in which structure?
A. Ovary
B. Uterus
C. Ampulla of the fallopian tube
D. Cervix
Correct Answer: C
Rationale: Fertilization typically occurs in the ampulla (outer third) of the
fallopian tube. The fertilized ovum then travels to the uterus for implantation.
8. The decidua basalis refers to which structure?
A. The portion of the endometrium beneath the implanted embryo
B. The portion of the endometrium covering the embryo
C. The portion of the endometrium lining the rest of the uterus
D. The fetal portion of the placenta
Correct Answer: A
Rationale: The decidua basalis is the portion of the endometrium that lies
directly beneath the implanted embryo and becomes the maternal portion of
the placenta.
9. Fetoplacental circulation is established at approximately which week of
gestation?
A. Third week
B. Fifth week
C. Tenth week