2026/2027 Galen College
Q1. A pregnant client asks the nurse when conception is considered
to have occurred. Which response is correct?
A) When implantation occurs
B) When the embryo forms
C) When the sperm and ovum unite
D) When the placenta develops
Correct Answer: C) When the sperm and ovum unite
Rationale: Conception, or fertilization, occurs when a sperm unites with an
ovum to form a zygote.
Q2. Which structure is the usual site of fertilization?
A) Uterus
B) Fallopian tube
C) Cervix
D) Vagina
Correct Answer: B) Fallopian tube
Rationale: Fertilization normally occurs in the fallopian tube before the
developing conceptus travels to the uterus.
Q3. Which term describes the attachment of the developing
blastocyst to the uterine lining?
A) Ovulation
B) Fertilization
C) Implantation
D) Menstruation
Correct Answer: C) Implantation
Rationale: Implantation occurs when the developing blastocyst attaches to
the endometrium of the uterus.
Q4. Which hormone is primarily responsible for maintaining the
uterine lining during early pregnancy?
A) Progesterone
B) Follicle-stimulating hormone
, C) Oxytocin
D) Human chorionic gonadotropin
Correct Answer: A) Progesterone
Rationale: Progesterone supports the endometrium and helps maintain the
uterine environment needed for pregnancy.
Q5. Which hormone is detected by most pregnancy tests?
A) Estrogen
B) Human chorionic gonadotropin
C) Oxytocin
D) Prolactin
Correct Answer: B) Human chorionic gonadotropin
Rationale: Human chorionic gonadotropin is produced after implantation
and is the hormone detected by pregnancy tests.
Q6. Which finding is considered a positive sign of pregnancy?
A) Amenorrhea
B) Nausea and vomiting
C) Fetal heart tones heard by Doppler
D) Positive pregnancy test
Correct Answer: C) Fetal heart tones heard by Doppler
Rationale: Positive signs of pregnancy are findings that can be attributed
only to the presence of a fetus, such as fetal heart activity.
Q7. Which finding is considered a probable sign of pregnancy?
A) Fetal movement felt by the examiner
B) Positive pregnancy test
C) Fetal heart tones
D) Visualization of the fetus by ultrasound
Correct Answer: B) Positive pregnancy test
Rationale: A positive pregnancy test is a probable sign because conditions
other than pregnancy can occasionally produce a positive result.
Q8. A pregnant client reports feeling fluttering movements for the
first time. What is this called?