NUR 202 Maternal-Newborn Nursing Exam 2 Practice
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SECTION 1: Reproductive Anatomy & Physiology (Questions 1–10)
Q1: A nurse is reviewing the female reproductive cycle with a client. The nurse
correctly identifies that ovulation typically occurs how many days before the next
menstrual period begins?
A. 7 days
B. 10 days
C. 14 days
D. 21 days
Correct Answer: C
Rationale: Ovulation consistently occurs approximately 14 days before the onset of
menses due to the fixed lifespan of the corpus luteum, regardless of total cycle
length.
Q2: During a preconception counseling session, a client asks about the function of
progesterone in early pregnancy. Which response by the nurse is most accurate?
A. "Progesterone stimulates uterine contractions to prepare for labor."
B. "Progesterone maintains the endometrial lining and prevents uterine contractions."
,C. "Progesterone triggers follicle development in the ovary."
D. "Progesterone causes cervical dilation and effacement."
Correct Answer: B
Rationale: Progesterone, produced by the corpus luteum and later the placenta,
maintains the thickened endometrium for implantation and exerts a quieting effect
on uterine smooth muscle to prevent premature contractions.
Q3: A nurse is teaching a male client about factors that can impair sperm
production. Which environmental factor should the nurse identify as most
detrimental to spermatogenesis?
A. Moderate caffeine intake
B. Brief warm showers
C. Prolonged exposure to high temperatures (hot tubs, tight clothing)
D. Occasional alcohol consumption
Correct Answer: C
Rationale: Spermatogenesis requires temperatures 2–3°C below core body
temperature; prolonged heat exposure to the scrotum, such as from hot tubs or tight
clothing, significantly impairs sperm production and motility.
Q4: The nurse is reviewing the structure of the breast with a pregnant client. Which
statement correctly describes the primary function of the myoepithelial cells
surrounding the alveoli?
A. They produce milk during lactation.
,B. They contract to eject milk during the let-down reflex.
C. They store milk between feedings.
D. They transport milk to the nipple via ducts.
Correct Answer: B
Rationale: Myoepithelial cells, stimulated by oxytocin release, contract to propel milk
from the alveoli into the ductal system during the milk ejection (let-down) reflex.
Q5: A nurse is explaining the process of fertilization to a couple undergoing fertility
counseling. Where does fertilization of the ovum most commonly occur?
A. In the ovary immediately after ovulation
B. In the proximal third of the fallopian tube (ampulla)
C. In the uterine cavity
D. In the distal end of the fallopian tube near the fimbriae
Correct Answer: B
Rationale: Fertilization most commonly occurs in the ampulla, the widened proximal
third of the fallopian tube, where the ovum and sperm typically meet within 12–24
hours of ovulation.
Q6: During a health history, a client reports her menstrual cycle is 28 days with
menses lasting 5 days. She states ovulation pain (mittelschmerz) on day 14. The
nurse recognizes that the luteal phase of her cycle is:
A. Days 1–5
, B. Days 6–13
C. Days 14–28
D. Days 1–14
Correct Answer: C
Rationale: The luteal (secretory) phase begins at ovulation (day 14 in a 28-day cycle)
and continues until the onset of menses, typically lasting 14 days and characterized
by progesterone dominance.
Q7: A nurse is assessing a newborn male and notes that the testes have descended
into the scrotum. The nurse understands that testicular descent normally occurs
during which developmental period?
A. First trimester of fetal development
B. Third trimester of fetal development
C. Within the first month after birth
D. During puberty
Correct Answer: B
Rationale: Testicular descent from the abdominal cavity through the inguinal canal
into the scrotum normally occurs during the third trimester of gestation, typically
between 28–35 weeks.
Q8: A client asks the nurse why she experiences vaginal dryness during certain times
of her cycle. The nurse correctly explains that cervical mucus is scant and thick
during which phase due to the influence of which hormone?
Test Actual 2024/2025 with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
SECTION 1: Reproductive Anatomy & Physiology (Questions 1–10)
Q1: A nurse is reviewing the female reproductive cycle with a client. The nurse
correctly identifies that ovulation typically occurs how many days before the next
menstrual period begins?
A. 7 days
B. 10 days
C. 14 days
D. 21 days
Correct Answer: C
Rationale: Ovulation consistently occurs approximately 14 days before the onset of
menses due to the fixed lifespan of the corpus luteum, regardless of total cycle
length.
Q2: During a preconception counseling session, a client asks about the function of
progesterone in early pregnancy. Which response by the nurse is most accurate?
A. "Progesterone stimulates uterine contractions to prepare for labor."
B. "Progesterone maintains the endometrial lining and prevents uterine contractions."
,C. "Progesterone triggers follicle development in the ovary."
D. "Progesterone causes cervical dilation and effacement."
Correct Answer: B
Rationale: Progesterone, produced by the corpus luteum and later the placenta,
maintains the thickened endometrium for implantation and exerts a quieting effect
on uterine smooth muscle to prevent premature contractions.
Q3: A nurse is teaching a male client about factors that can impair sperm
production. Which environmental factor should the nurse identify as most
detrimental to spermatogenesis?
A. Moderate caffeine intake
B. Brief warm showers
C. Prolonged exposure to high temperatures (hot tubs, tight clothing)
D. Occasional alcohol consumption
Correct Answer: C
Rationale: Spermatogenesis requires temperatures 2–3°C below core body
temperature; prolonged heat exposure to the scrotum, such as from hot tubs or tight
clothing, significantly impairs sperm production and motility.
Q4: The nurse is reviewing the structure of the breast with a pregnant client. Which
statement correctly describes the primary function of the myoepithelial cells
surrounding the alveoli?
A. They produce milk during lactation.
,B. They contract to eject milk during the let-down reflex.
C. They store milk between feedings.
D. They transport milk to the nipple via ducts.
Correct Answer: B
Rationale: Myoepithelial cells, stimulated by oxytocin release, contract to propel milk
from the alveoli into the ductal system during the milk ejection (let-down) reflex.
Q5: A nurse is explaining the process of fertilization to a couple undergoing fertility
counseling. Where does fertilization of the ovum most commonly occur?
A. In the ovary immediately after ovulation
B. In the proximal third of the fallopian tube (ampulla)
C. In the uterine cavity
D. In the distal end of the fallopian tube near the fimbriae
Correct Answer: B
Rationale: Fertilization most commonly occurs in the ampulla, the widened proximal
third of the fallopian tube, where the ovum and sperm typically meet within 12–24
hours of ovulation.
Q6: During a health history, a client reports her menstrual cycle is 28 days with
menses lasting 5 days. She states ovulation pain (mittelschmerz) on day 14. The
nurse recognizes that the luteal phase of her cycle is:
A. Days 1–5
, B. Days 6–13
C. Days 14–28
D. Days 1–14
Correct Answer: C
Rationale: The luteal (secretory) phase begins at ovulation (day 14 in a 28-day cycle)
and continues until the onset of menses, typically lasting 14 days and characterized
by progesterone dominance.
Q7: A nurse is assessing a newborn male and notes that the testes have descended
into the scrotum. The nurse understands that testicular descent normally occurs
during which developmental period?
A. First trimester of fetal development
B. Third trimester of fetal development
C. Within the first month after birth
D. During puberty
Correct Answer: B
Rationale: Testicular descent from the abdominal cavity through the inguinal canal
into the scrotum normally occurs during the third trimester of gestation, typically
between 28–35 weeks.
Q8: A client asks the nurse why she experiences vaginal dryness during certain times
of her cycle. The nurse correctly explains that cervical mucus is scant and thick
during which phase due to the influence of which hormone?
