NSG 3500 Maternal Exam 1 & Exam 3
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Galen NSG 3500 Exams 1 & 3 Latest
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Exam 1: Antepartum & Reproductive Health
Question 1: A perinatal nurse explains to a new nurse that a female fetus has developed
ovaries by which gestational age?
A. 8 weeks
B. 10 weeks
C. 12 weeks
D. 16 weeks
Correct Answer: B. 10 weeks
Rationale: Ovarian development in a female fetus is complete by approximately 10
weeks of gestation. This is an important milestone in fetal reproductive system
,development. At 8 weeks, the gonads are still undifferentiated. By 12 weeks, external
genitalia begin to show differentiation, but ovarian development is already established
by week 10.
Why the others are wrong:
• A (8 weeks): At 8 weeks, the fetal gonads are still in an undifferentiated state and
have not yet developed into ovaries.
• C (12 weeks): While external genitalia differentiation is occurring at 12 weeks,
ovarian development was completed earlier at 10 weeks.
• D (16 weeks): By 16 weeks, the reproductive system is well-developed; ovarian
development occurred much earlier in gestation.
Reference: Ricci, S.S. (2026). Essentials of Maternity, Newborn, and Women's Health
Nursing, 6th Ed., Ch. 6
Question 2: A clinic nurse is working with a perimenopausal woman who complains of
new-onset urinary stress incontinence. Which statement by the nurse is most accurate?
A. "A little incontinence is normal at your age."
B. "Clonidine (Catapres) is a new treatment for this."
C. "This is probably related to decreased estrogen."
D. "We need to start you on estrogen therapy."
Correct Answer: C. "This is probably related to decreased estrogen."
Rationale: During perimenopause, declining estrogen levels lead to decreased collagen
and tissue elasticity in the pelvic floor and urethral mucosa, contributing to stress
incontinence. This is a common physiological change. The nurse should provide
accurate education about the hormonal basis of this symptom.
Why the others are wrong:
• A: Dismissing symptoms as "normal" minimizes the patient's concerns and fails to
address potential treatment options.
, • B: Clonidine is not a standard treatment for stress incontinence; it is used for
hypertension and menopausal hot flashes.
• D: While estrogen therapy may be considered, the nurse should not
independently recommend hormone therapy without a full assessment and
provider evaluation due to potential risks.
Reference: Cunningham, F. (2026). Williams Obstetrics, 26th Ed., Ch. 10
Question 3: A woman is in the family planning clinic to learn about her menstrual cycle
and the best times to conceive. What information should the nurse include?
A. An ovum can be fertilized for 12-24 hours after ovulation.
B. Pregnancy can only occur during the follicular phase.
C. There are no physiological signs that demonstrate ovulation.
D. You can easily get pregnant if your cycles are irregular.
Correct Answer: A. An ovum can be fertilized for 12-24 hours after ovulation.
Rationale: After ovulation, the ovum remains viable for fertilization for approximately 12
to 24 hours. This is a critical concept for family planning and understanding fertility.
Sperm can survive in the reproductive tract for up to 5 days, so the fertile window
extends before ovulation as well.
Why the others are wrong:
• B: Pregnancy can occur from intercourse during the days leading up to ovulation
(due to sperm survival) as well as on the day of ovulation.
• C: There are physiological signs of ovulation including changes in cervical mucus
(spinnbarkeit), basal body temperature shifts, and mittelschmerz.
• D: Irregular cycles make predicting ovulation more challenging, and pregnancy is
not necessarily "easy" with irregular cycles.
Reference: Ricci, S.S. (2026). Essentials of Maternity, Newborn, and Women's Health
Nursing, 6th Ed., Ch. 4
, Question 4: A woman is asking the family health nurse if she needs to use
contraception while breastfeeding. Which response by the nurse is most appropriate?
A. "You cannot get pregnant while you are exclusively breastfeeding."
B. "Breastfeeding provides reliable contraception for the first 6 months."
C. "You should use contraception if you do not want to become pregnant."
D. "Breastfeeding only prevents pregnancy if you have not had a period."
Correct Answer: C. "You should use contraception if you do not want to become
pregnant."
Rationale: While breastfeeding can suppress ovulation (lactational amenorrhea method
- LAM), it is not 100% reliable. LAM is only effective if the mother is exclusively
breastfeeding, is amenorrheic, and the infant is less than 6 months old. The safest advice
is to recommend contraception if pregnancy is not desired.
Why the others are wrong:
• A: This is false; pregnancy can occur during breastfeeding.
• B: Breastfeeding is not reliably contraceptive for 6 months unless strict LAM
criteria are met.
• D: While amenorrhea is part of LAM criteria, the absence of a period does not
guarantee ovulation has not occurred; ovulation can precede the first postpartum
period.
Reference: ACOG (2026). Breastfeeding and Contraception Guidelines
Question 5: Which hormone is responsible for regulating oogenesis (the process of
ovum formation)?
A. Estrogen
B. Follicle-stimulating hormone (FSH)
Latest Practice Test Banks with 100
Correctly Answered Practice Questions/
Galen NSG 3500 Exams 1 & 3 Latest
Practice Test ()
Exam 1: Antepartum & Reproductive Health
Question 1: A perinatal nurse explains to a new nurse that a female fetus has developed
ovaries by which gestational age?
A. 8 weeks
B. 10 weeks
C. 12 weeks
D. 16 weeks
Correct Answer: B. 10 weeks
Rationale: Ovarian development in a female fetus is complete by approximately 10
weeks of gestation. This is an important milestone in fetal reproductive system
,development. At 8 weeks, the gonads are still undifferentiated. By 12 weeks, external
genitalia begin to show differentiation, but ovarian development is already established
by week 10.
Why the others are wrong:
• A (8 weeks): At 8 weeks, the fetal gonads are still in an undifferentiated state and
have not yet developed into ovaries.
• C (12 weeks): While external genitalia differentiation is occurring at 12 weeks,
ovarian development was completed earlier at 10 weeks.
• D (16 weeks): By 16 weeks, the reproductive system is well-developed; ovarian
development occurred much earlier in gestation.
Reference: Ricci, S.S. (2026). Essentials of Maternity, Newborn, and Women's Health
Nursing, 6th Ed., Ch. 6
Question 2: A clinic nurse is working with a perimenopausal woman who complains of
new-onset urinary stress incontinence. Which statement by the nurse is most accurate?
A. "A little incontinence is normal at your age."
B. "Clonidine (Catapres) is a new treatment for this."
C. "This is probably related to decreased estrogen."
D. "We need to start you on estrogen therapy."
Correct Answer: C. "This is probably related to decreased estrogen."
Rationale: During perimenopause, declining estrogen levels lead to decreased collagen
and tissue elasticity in the pelvic floor and urethral mucosa, contributing to stress
incontinence. This is a common physiological change. The nurse should provide
accurate education about the hormonal basis of this symptom.
Why the others are wrong:
• A: Dismissing symptoms as "normal" minimizes the patient's concerns and fails to
address potential treatment options.
, • B: Clonidine is not a standard treatment for stress incontinence; it is used for
hypertension and menopausal hot flashes.
• D: While estrogen therapy may be considered, the nurse should not
independently recommend hormone therapy without a full assessment and
provider evaluation due to potential risks.
Reference: Cunningham, F. (2026). Williams Obstetrics, 26th Ed., Ch. 10
Question 3: A woman is in the family planning clinic to learn about her menstrual cycle
and the best times to conceive. What information should the nurse include?
A. An ovum can be fertilized for 12-24 hours after ovulation.
B. Pregnancy can only occur during the follicular phase.
C. There are no physiological signs that demonstrate ovulation.
D. You can easily get pregnant if your cycles are irregular.
Correct Answer: A. An ovum can be fertilized for 12-24 hours after ovulation.
Rationale: After ovulation, the ovum remains viable for fertilization for approximately 12
to 24 hours. This is a critical concept for family planning and understanding fertility.
Sperm can survive in the reproductive tract for up to 5 days, so the fertile window
extends before ovulation as well.
Why the others are wrong:
• B: Pregnancy can occur from intercourse during the days leading up to ovulation
(due to sperm survival) as well as on the day of ovulation.
• C: There are physiological signs of ovulation including changes in cervical mucus
(spinnbarkeit), basal body temperature shifts, and mittelschmerz.
• D: Irregular cycles make predicting ovulation more challenging, and pregnancy is
not necessarily "easy" with irregular cycles.
Reference: Ricci, S.S. (2026). Essentials of Maternity, Newborn, and Women's Health
Nursing, 6th Ed., Ch. 4
, Question 4: A woman is asking the family health nurse if she needs to use
contraception while breastfeeding. Which response by the nurse is most appropriate?
A. "You cannot get pregnant while you are exclusively breastfeeding."
B. "Breastfeeding provides reliable contraception for the first 6 months."
C. "You should use contraception if you do not want to become pregnant."
D. "Breastfeeding only prevents pregnancy if you have not had a period."
Correct Answer: C. "You should use contraception if you do not want to become
pregnant."
Rationale: While breastfeeding can suppress ovulation (lactational amenorrhea method
- LAM), it is not 100% reliable. LAM is only effective if the mother is exclusively
breastfeeding, is amenorrheic, and the infant is less than 6 months old. The safest advice
is to recommend contraception if pregnancy is not desired.
Why the others are wrong:
• A: This is false; pregnancy can occur during breastfeeding.
• B: Breastfeeding is not reliably contraceptive for 6 months unless strict LAM
criteria are met.
• D: While amenorrhea is part of LAM criteria, the absence of a period does not
guarantee ovulation has not occurred; ovulation can precede the first postpartum
period.
Reference: ACOG (2026). Breastfeeding and Contraception Guidelines
Question 5: Which hormone is responsible for regulating oogenesis (the process of
ovum formation)?
A. Estrogen
B. Follicle-stimulating hormone (FSH)
