NSG 3500 - EXAM 1 QUESTIONS AND ANSWERS
LATEST UPDATED 2026/2027 A COMPLETE
SOLUTION ALL ANSWERS GET IT 100% CORRECT
VERIFIED BEST GRADED A+ FOR SUCCESS
5. The perinatal nurse explains to the new nurse that the maternal pelvic
shape can determine the fetal presentation. A fetus in a transverse
presentation may be due to which maternal pelvic type?
A. Android
B. Anthropoid
C. Gynecoid
D. Platypelloid
ANS: D
The gynecoid pelvic type is the typical, traditional female pelvis (present
in 50% of women) that is best suited for childbirth. Fetal descent through
a platypelloid pelvis is usually in a transverse presentation and will not
allow for a vaginal birth. Fetal descent through an anthropoid pelvis is
more likely to be in a posterior (facing the woman's front) rather than
anterior (facing the woman's back) presentation. The android pelvis
resembles a typical male pelvis, and this pelvic shape can also cause
difficulty during fetal descent.
5. The clinic nurse explains to a student that the hormone responsible for
limiting the maternal immune response to pregnancy is which of the
following?
A. Human chorionic gonadotropin
B. Progesterone
C. Prostaglandin
D. Relaxin
ANS: A
Human chorionic gonadotropin may play a role in limiting the maternal
,immune response to the pregnancy. Prostaglandins modulate hormonal
activity and have an effect on ovulation, fertility, and cervical mucus
viscosity. Relaxin aids in the softening and lengthening of the uterine
cervix and works on the myometrial smooth muscle to promote uterine
relaxation.
Progesterone functions to create a highly vascular secretory endometrium
that will be suitable for implantation of a fertilized ovum.
5. A woman who might be pregnant is excited to learn when she will know
the gender of the baby. What is the best response by the nurse?
A. 5 weeks
B. 6 weeks
C. 8 weeks
D. 12 weeks
ANS: D
It takes about 8 weeks of development before the reproductive system
becomes differentiated as male or female, but external genitalia are not
visible until after 12 weeks.
5. The pediatric nurse explains to the student that production of
testosterone by the male embryo causes what to occur?
A. Creation of a gonad
B. Formation of the male genital tract
C. Production of spermatozoa
D. Stimulation of external genitalia growth
ANS: B
The mesonephric ducts evolve into the male genital tract due to the
influence of testosterone in the 7th or 8th week of gestation. A gonad is
the first reproductive structure formed. Production of spermatozoa
doesn't occur until puberty. The growth of external genitalia does not
begin until the 12th week of gestation.
5. The nursing instructor explains to the students that external female
genitalia develop under what influence?
A. Absence of androgens
,B. Ductal pair dominance
C. Ovary production
D. Process of oogonia
ANS: A
The external female genitalia develop in the absence of androgens. The
paramesonephric ducts are dominant in females, but this does not lead
directly to the development of external genitalia. Ovaries are created
when the medulla of the first primitive gonad regresses as the outer
cortex becomes the ovary at around 10 weeks of gestation. Oogonia are
underdeveloped fetal egg cells; it is not a process.
5. A woman sustained a moderate blow to the lower pelvic region in an
occupational accident. She is surprised to find out that no bones were
broken. What explanation by the nurse is best?
A. "Blunt force trauma doesn't cause fractures."
B. "Pelvic bones are very hard to fracture."
C. "Some fractures don't show up right away."
D. "You have a fat pad in front of your pelvis."
ANS: D
The mons pubis is a layer of subcutaneous tissue anterior to the genitalia
in front of the symphysis pubis. It is essentially a protective fat pad, and
although it will not prevent fracture of the pelvis in a serious trauma, the
mons pubis does offer some protection to these tissues. Blunt force is the
usual cause of fractures. The pelvis is often fractured, especially in motor
vehicle crashes. Some fractures do not show up immediately, but this is
not the best answer because most do.
5. A new nurse is attempting to catheterize a female patient. The nurse
has a difficult time and after three attempts, finally inserts the catheter
into the bladder and has urine output. What suggestion by the more
experienced nurse is best?
A. "Leave the incorrectly placed catheters where they are while inserting
a fresh one."
B. "Place the patient in a high Fowler's position and have another nurse
, adduct the legs."
C. "Position the patient prone with another nurse abducting the patient's
legs."
D. "To save the patient some charges, use the same catheter for two
attempts."
ANS: A
Because the clitoris often resembles the urinary meatus, nurses
sometimes try to insert a catheter in it instead of the real meatus.
Leaving the incorrectly placed catheter while attempting another
insertion shows the nurse where not to insert it. The patient should be in
a low semi-Fowler's or supine position with the legs abducted (or frog-
legged). To maintain infection control, never use a catheter for more
than one catheterization attempt.
5. A nurse is examining a patient's Skene's glands. What action is best to
visualize these structures?
A. Place a gloved finger in the rectum.
B. Place a gloved finger in the vagina.
C. Pull the urethral margins apart.
D. Use a speculum and a bright light.
ANS: C
The Skene's glands are located on each side of the urethra. To examine
them, the nurse should gently pull the margins of the urethra apart and
evert the mucous membranes.
5. A woman is in the family planning clinic to learn about her cycle and
the best times to get pregnant. What information should the nurse plan
to teach her?
A. An ovum can be fertilized for 12 to 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't easily get pregnant if your cycles are irregular.
ANS: A
An ovum is capable of being fertilized by a sperm cell for approximately
LATEST UPDATED 2026/2027 A COMPLETE
SOLUTION ALL ANSWERS GET IT 100% CORRECT
VERIFIED BEST GRADED A+ FOR SUCCESS
5. The perinatal nurse explains to the new nurse that the maternal pelvic
shape can determine the fetal presentation. A fetus in a transverse
presentation may be due to which maternal pelvic type?
A. Android
B. Anthropoid
C. Gynecoid
D. Platypelloid
ANS: D
The gynecoid pelvic type is the typical, traditional female pelvis (present
in 50% of women) that is best suited for childbirth. Fetal descent through
a platypelloid pelvis is usually in a transverse presentation and will not
allow for a vaginal birth. Fetal descent through an anthropoid pelvis is
more likely to be in a posterior (facing the woman's front) rather than
anterior (facing the woman's back) presentation. The android pelvis
resembles a typical male pelvis, and this pelvic shape can also cause
difficulty during fetal descent.
5. The clinic nurse explains to a student that the hormone responsible for
limiting the maternal immune response to pregnancy is which of the
following?
A. Human chorionic gonadotropin
B. Progesterone
C. Prostaglandin
D. Relaxin
ANS: A
Human chorionic gonadotropin may play a role in limiting the maternal
,immune response to the pregnancy. Prostaglandins modulate hormonal
activity and have an effect on ovulation, fertility, and cervical mucus
viscosity. Relaxin aids in the softening and lengthening of the uterine
cervix and works on the myometrial smooth muscle to promote uterine
relaxation.
Progesterone functions to create a highly vascular secretory endometrium
that will be suitable for implantation of a fertilized ovum.
5. A woman who might be pregnant is excited to learn when she will know
the gender of the baby. What is the best response by the nurse?
A. 5 weeks
B. 6 weeks
C. 8 weeks
D. 12 weeks
ANS: D
It takes about 8 weeks of development before the reproductive system
becomes differentiated as male or female, but external genitalia are not
visible until after 12 weeks.
5. The pediatric nurse explains to the student that production of
testosterone by the male embryo causes what to occur?
A. Creation of a gonad
B. Formation of the male genital tract
C. Production of spermatozoa
D. Stimulation of external genitalia growth
ANS: B
The mesonephric ducts evolve into the male genital tract due to the
influence of testosterone in the 7th or 8th week of gestation. A gonad is
the first reproductive structure formed. Production of spermatozoa
doesn't occur until puberty. The growth of external genitalia does not
begin until the 12th week of gestation.
5. The nursing instructor explains to the students that external female
genitalia develop under what influence?
A. Absence of androgens
,B. Ductal pair dominance
C. Ovary production
D. Process of oogonia
ANS: A
The external female genitalia develop in the absence of androgens. The
paramesonephric ducts are dominant in females, but this does not lead
directly to the development of external genitalia. Ovaries are created
when the medulla of the first primitive gonad regresses as the outer
cortex becomes the ovary at around 10 weeks of gestation. Oogonia are
underdeveloped fetal egg cells; it is not a process.
5. A woman sustained a moderate blow to the lower pelvic region in an
occupational accident. She is surprised to find out that no bones were
broken. What explanation by the nurse is best?
A. "Blunt force trauma doesn't cause fractures."
B. "Pelvic bones are very hard to fracture."
C. "Some fractures don't show up right away."
D. "You have a fat pad in front of your pelvis."
ANS: D
The mons pubis is a layer of subcutaneous tissue anterior to the genitalia
in front of the symphysis pubis. It is essentially a protective fat pad, and
although it will not prevent fracture of the pelvis in a serious trauma, the
mons pubis does offer some protection to these tissues. Blunt force is the
usual cause of fractures. The pelvis is often fractured, especially in motor
vehicle crashes. Some fractures do not show up immediately, but this is
not the best answer because most do.
5. A new nurse is attempting to catheterize a female patient. The nurse
has a difficult time and after three attempts, finally inserts the catheter
into the bladder and has urine output. What suggestion by the more
experienced nurse is best?
A. "Leave the incorrectly placed catheters where they are while inserting
a fresh one."
B. "Place the patient in a high Fowler's position and have another nurse
, adduct the legs."
C. "Position the patient prone with another nurse abducting the patient's
legs."
D. "To save the patient some charges, use the same catheter for two
attempts."
ANS: A
Because the clitoris often resembles the urinary meatus, nurses
sometimes try to insert a catheter in it instead of the real meatus.
Leaving the incorrectly placed catheter while attempting another
insertion shows the nurse where not to insert it. The patient should be in
a low semi-Fowler's or supine position with the legs abducted (or frog-
legged). To maintain infection control, never use a catheter for more
than one catheterization attempt.
5. A nurse is examining a patient's Skene's glands. What action is best to
visualize these structures?
A. Place a gloved finger in the rectum.
B. Place a gloved finger in the vagina.
C. Pull the urethral margins apart.
D. Use a speculum and a bright light.
ANS: C
The Skene's glands are located on each side of the urethra. To examine
them, the nurse should gently pull the margins of the urethra apart and
evert the mucous membranes.
5. A woman is in the family planning clinic to learn about her cycle and
the best times to get pregnant. What information should the nurse plan
to teach her?
A. An ovum can be fertilized for 12 to 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't easily get pregnant if your cycles are irregular.
ANS: A
An ovum is capable of being fertilized by a sperm cell for approximately
