GRAND CANYON UNIVERSITY
College of Nursing and Health Care Professions
FIND YOUR PURPOSE
NSG 432 — Exam 1
Nursing Care of the Childbearing Family
INSTITUTION Grand Canyon University
COURSE CODE NSG 432
PROGRAM Bachelor of Science in Nursing
ACADEMIC YEAR 2026/2027
EXAM TITLE NSG 432 — Exam 1 | Nursing Care of the Childbearing Family
TOTAL QUESTIONS 125 Questions
COURSE TITLE Nursing Care of the Childbearing Family
FORMAT Source Bank + NCLEX-Style Enrichment + Alternative Format + Medication Math
NSG 432 | 2026/2027
NSG 432 — Exam 1 | Nursing Care of the Childbearing Family
,INTRODUCTION
This document contains 125 verified questions covering the full NSG 432 Examination 1 content for Nursing Care
of the Childbearing Family at Grand Canyon University, College of Nursing and Health Care Professions. The
questions address every domain: Anatomy & Physiology of the Reproductive System; Prenatal Care & Fetal
Development; Antepartum Assessment & Complications; Intrapartum Care & Labor Management; Postpartum
Care & Newborn Transition; and Integrated Clinical Case Scenarios. Content is original and designed to reinforce
the official NSG 432 course objectives for actual exam readiness and childbearing family nursing proficiency,
aligned to the 2026/2027 academic year. Each question includes a correct answer and a rationale grounded in
foundational maternal-newborn nursing methodology, NCSBN Clinical Judgment Measurement Model principles,
and evidence-based clinical standards.
ACTUAL QUESTIONS
Domain 1: Anatomy & Physiology of the Reproductive System
Question 1. Which structure of the female reproductive system is responsible for the production
of ova and hormones including estrogen and progesterone?
A. Uterus
B. Ovary
C. Fallopian tube
D. Cervix
Correct Answer: B
Rationale: The ovaries are the primary female gonads responsible for oogenesis and the synthesis of estrogen
and progesterone. The uterus is the site of implantation and fetal development, the fallopian tubes transport the
ovum, and the cervix is the lower portion of the uterus that opens into the vagina. This aligns with foundational
reproductive anatomy in maternal-newborn nursing curricula.
Question 2. The myometrium of the uterus is best described as which of the following?
A. The innermost mucosal lining that sheds during menstruation
B. The thin connective tissue layer between endometrium and perimetrium
C. The outer serosal layer continuous with the broad ligament
D. The thick smooth muscle layer responsible for contractions during labor
Correct Answer: C
Rationale: The myometrium is the middle, thick layer of smooth muscle that contracts during labor and
menstruation. The endometrium is the inner mucosal layer, the perimetrium is the outer serosal covering, and
there is no separate thin connective layer described as such in standard anatomy. Understanding the
myometrium is essential for intrapartum care concepts.
Question 3. During a 28-day menstrual cycle, ovulation typically occurs on which day?
A. Day 14
B. Day 7
C. Day 21
D. Day 28
Correct Answer: B
Rationale: In a standard 28-day cycle, the luteinizing hormone surge triggers ovulation approximately on day
14. Days 1–14 constitute the follicular phase culminating in ovulation, followed by the luteal phase. Accurate
knowledge of cycle timing supports fertility counseling and prenatal education.
Question 4. Which hormone maintains the corpus luteum during the early weeks of pregnancy
until the placenta assumes this function?
A. Follicle-stimulating hormone (FSH)
B. Prolactin
C. Human chorionic gonadotropin (hCG)
D. Luteinizing hormone (LH)
NSG 432 — Exam 1 | Nursing Care of the Childbearing Family
,Correct Answer: D
Rationale: Human chorionic gonadotropin (hCG) produced by the trophoblast maintains the corpus luteum,
ensuring continued progesterone production until the placenta is fully functional around 8–10 weeks. FSH and
LH regulate the ovarian cycle, and prolactin is primarily involved in lactation. Detection of hCG is the basis of
pregnancy testing.
Question 5. Hegar's sign, a probable sign of pregnancy, refers to which physiological change?
A. Bluish-purple discoloration of the cervix and vagina
B. Softening of the lower uterine segment
C. Softening of the cervix
D. Presence of fetal heart tones
Correct Answer: B
Rationale: Hegar's sign is the softening of the lower uterine segment (isthmus) detectable on bimanual
examination around 6–8 weeks. Chadwick's sign is the bluish discoloration, Goodell's sign is cervical softening,
and fetal heart tones constitute a positive sign of pregnancy. Distinguishing presumptive, probable, and positive
signs is a core objective in prenatal assessment.
Question 6. Which of the following is classified as a positive sign of pregnancy?
A. Amenorrhea
B. Visualization of the fetus on ultrasound
C. Positive urine pregnancy test
D. Quickening
Correct Answer: A
Rationale: Positive signs of pregnancy include fetal heart tones detected by Doppler, visualization of the fetus
via ultrasound, and fetal movement palpated by an examiner. Amenorrhea and quickening are presumptive
(subjective), while a positive pregnancy test is a probable (objective) sign. Accurate classification supports
clinical judgment in confirming pregnancy.
Question 7. The process by which the fertilized ovum implants into the endometrial lining
typically occurs how many days after fertilization?
A. 1–2 days
B. 3–4 days
C. 6–10 days
D. 14–16 days
Correct Answer: B
Rationale: Implantation of the blastocyst into the endometrium generally occurs between 6 and 10 days after
fertilization. This timing is critical for understanding early pregnancy loss and the window for detecting hCG.
Knowledge of implantation supports counseling regarding early prenatal care initiation.
Question 8. Which layer of the uterus undergoes cyclic changes in preparation for implantation
and is shed during menstruation if pregnancy does not occur?
A. Myometrium
B. Endometrium
C. Perimetrium
D. Parametrium
Correct Answer: C
Rationale: The endometrium is the innermost mucosal layer that proliferates under estrogen influence and
becomes secretory under progesterone. If implantation does not occur, the functional layer is shed as menstrual
flow. The myometrium is muscle, the perimetrium is the outer covering, and the parametrium is connective
tissue lateral to the uterus.
Question 9. Sperm viability within the female reproductive tract is approximately how long under
optimal conditions?
A. 24–72 hours
NSG 432 — Exam 1 | Nursing Care of the Childbearing Family
, B. 12–18 hours
C. 7–10 days
D. 4–6 hours
Correct Answer: D
Rationale: Sperm can remain viable and capable of fertilization for 24 to 72 hours (up to 5 days in some
references) within the female reproductive tract. This knowledge informs fertility awareness methods and
timing of intercourse relative to ovulation. Ovum viability is shorter, typically 12–24 hours after ovulation.
Question 10. The primary function of the corpus luteum after ovulation is to:
A. Secrete progesterone to prepare the endometrium
B. Produce follicle-stimulating hormone
C. Initiate the luteinizing hormone surge
D. Transport the ovum through the fallopian tube
Correct Answer: A
Rationale: After ovulation, the ruptured follicle transforms into the corpus luteum, which secretes progesterone
(and some estrogen) to maintain the secretory endometrium in preparation for implantation. If pregnancy
occurs, hCG maintains the corpus luteum; otherwise it degenerates into the corpus albicans. This hormonal
regulation is foundational to reproductive physiology.
Question 11. Which structure connects the ovary to the uterus and is the usual site of fertilization?
A. Broad ligament
B. Ovarian ligament
C. Fallopian tube
D. Round ligament
Correct Answer: D
Rationale: The fallopian (uterine) tubes transport the ovum from the ovary toward the uterus and provide the
environment where fertilization most commonly occurs in the ampulla. The ligaments provide structural
support but are not involved in gamete transport or fertilization.
Question 12. Chadwick's sign is best defined as:
A. Softening of the cervix
B. Bluish-purple discoloration of the cervix and vaginal mucosa
C. Softening of the lower uterine segment
D. Enlargement of the uterus
Correct Answer: C
Rationale: Chadwick's sign is the bluish-purple discoloration of the cervix, vagina, and vulva caused by
increased vascularity, observable around 6–8 weeks of gestation. It is a probable sign of pregnancy. Goodell's
sign is cervical softening and Hegar's sign is isthmus softening.
Question 13. The embryonic period, during which organogenesis occurs and the developing
organism is most susceptible to teratogens, spans which gestational weeks?
A. Weeks 2 through 8
B. Weeks 9 through 12
C. Weeks 13 through 16
D. Weeks 20 through 24
Correct Answer: B
Rationale: The embryonic stage extends from approximately week 2 through week 8 post-fertilization,
encompassing organogenesis. Exposure to teratogens during this period carries the highest risk of major
structural anomalies. The fetal period follows, characterized primarily by growth and maturation.
Question 14. Which of the following structures produces the majority of estrogen and
progesterone after the first trimester of pregnancy?
A. Anterior pituitary
B. Corpus luteum
NSG 432 — Exam 1 | Nursing Care of the Childbearing Family
College of Nursing and Health Care Professions
FIND YOUR PURPOSE
NSG 432 — Exam 1
Nursing Care of the Childbearing Family
INSTITUTION Grand Canyon University
COURSE CODE NSG 432
PROGRAM Bachelor of Science in Nursing
ACADEMIC YEAR 2026/2027
EXAM TITLE NSG 432 — Exam 1 | Nursing Care of the Childbearing Family
TOTAL QUESTIONS 125 Questions
COURSE TITLE Nursing Care of the Childbearing Family
FORMAT Source Bank + NCLEX-Style Enrichment + Alternative Format + Medication Math
NSG 432 | 2026/2027
NSG 432 — Exam 1 | Nursing Care of the Childbearing Family
,INTRODUCTION
This document contains 125 verified questions covering the full NSG 432 Examination 1 content for Nursing Care
of the Childbearing Family at Grand Canyon University, College of Nursing and Health Care Professions. The
questions address every domain: Anatomy & Physiology of the Reproductive System; Prenatal Care & Fetal
Development; Antepartum Assessment & Complications; Intrapartum Care & Labor Management; Postpartum
Care & Newborn Transition; and Integrated Clinical Case Scenarios. Content is original and designed to reinforce
the official NSG 432 course objectives for actual exam readiness and childbearing family nursing proficiency,
aligned to the 2026/2027 academic year. Each question includes a correct answer and a rationale grounded in
foundational maternal-newborn nursing methodology, NCSBN Clinical Judgment Measurement Model principles,
and evidence-based clinical standards.
ACTUAL QUESTIONS
Domain 1: Anatomy & Physiology of the Reproductive System
Question 1. Which structure of the female reproductive system is responsible for the production
of ova and hormones including estrogen and progesterone?
A. Uterus
B. Ovary
C. Fallopian tube
D. Cervix
Correct Answer: B
Rationale: The ovaries are the primary female gonads responsible for oogenesis and the synthesis of estrogen
and progesterone. The uterus is the site of implantation and fetal development, the fallopian tubes transport the
ovum, and the cervix is the lower portion of the uterus that opens into the vagina. This aligns with foundational
reproductive anatomy in maternal-newborn nursing curricula.
Question 2. The myometrium of the uterus is best described as which of the following?
A. The innermost mucosal lining that sheds during menstruation
B. The thin connective tissue layer between endometrium and perimetrium
C. The outer serosal layer continuous with the broad ligament
D. The thick smooth muscle layer responsible for contractions during labor
Correct Answer: C
Rationale: The myometrium is the middle, thick layer of smooth muscle that contracts during labor and
menstruation. The endometrium is the inner mucosal layer, the perimetrium is the outer serosal covering, and
there is no separate thin connective layer described as such in standard anatomy. Understanding the
myometrium is essential for intrapartum care concepts.
Question 3. During a 28-day menstrual cycle, ovulation typically occurs on which day?
A. Day 14
B. Day 7
C. Day 21
D. Day 28
Correct Answer: B
Rationale: In a standard 28-day cycle, the luteinizing hormone surge triggers ovulation approximately on day
14. Days 1–14 constitute the follicular phase culminating in ovulation, followed by the luteal phase. Accurate
knowledge of cycle timing supports fertility counseling and prenatal education.
Question 4. Which hormone maintains the corpus luteum during the early weeks of pregnancy
until the placenta assumes this function?
A. Follicle-stimulating hormone (FSH)
B. Prolactin
C. Human chorionic gonadotropin (hCG)
D. Luteinizing hormone (LH)
NSG 432 — Exam 1 | Nursing Care of the Childbearing Family
,Correct Answer: D
Rationale: Human chorionic gonadotropin (hCG) produced by the trophoblast maintains the corpus luteum,
ensuring continued progesterone production until the placenta is fully functional around 8–10 weeks. FSH and
LH regulate the ovarian cycle, and prolactin is primarily involved in lactation. Detection of hCG is the basis of
pregnancy testing.
Question 5. Hegar's sign, a probable sign of pregnancy, refers to which physiological change?
A. Bluish-purple discoloration of the cervix and vagina
B. Softening of the lower uterine segment
C. Softening of the cervix
D. Presence of fetal heart tones
Correct Answer: B
Rationale: Hegar's sign is the softening of the lower uterine segment (isthmus) detectable on bimanual
examination around 6–8 weeks. Chadwick's sign is the bluish discoloration, Goodell's sign is cervical softening,
and fetal heart tones constitute a positive sign of pregnancy. Distinguishing presumptive, probable, and positive
signs is a core objective in prenatal assessment.
Question 6. Which of the following is classified as a positive sign of pregnancy?
A. Amenorrhea
B. Visualization of the fetus on ultrasound
C. Positive urine pregnancy test
D. Quickening
Correct Answer: A
Rationale: Positive signs of pregnancy include fetal heart tones detected by Doppler, visualization of the fetus
via ultrasound, and fetal movement palpated by an examiner. Amenorrhea and quickening are presumptive
(subjective), while a positive pregnancy test is a probable (objective) sign. Accurate classification supports
clinical judgment in confirming pregnancy.
Question 7. The process by which the fertilized ovum implants into the endometrial lining
typically occurs how many days after fertilization?
A. 1–2 days
B. 3–4 days
C. 6–10 days
D. 14–16 days
Correct Answer: B
Rationale: Implantation of the blastocyst into the endometrium generally occurs between 6 and 10 days after
fertilization. This timing is critical for understanding early pregnancy loss and the window for detecting hCG.
Knowledge of implantation supports counseling regarding early prenatal care initiation.
Question 8. Which layer of the uterus undergoes cyclic changes in preparation for implantation
and is shed during menstruation if pregnancy does not occur?
A. Myometrium
B. Endometrium
C. Perimetrium
D. Parametrium
Correct Answer: C
Rationale: The endometrium is the innermost mucosal layer that proliferates under estrogen influence and
becomes secretory under progesterone. If implantation does not occur, the functional layer is shed as menstrual
flow. The myometrium is muscle, the perimetrium is the outer covering, and the parametrium is connective
tissue lateral to the uterus.
Question 9. Sperm viability within the female reproductive tract is approximately how long under
optimal conditions?
A. 24–72 hours
NSG 432 — Exam 1 | Nursing Care of the Childbearing Family
, B. 12–18 hours
C. 7–10 days
D. 4–6 hours
Correct Answer: D
Rationale: Sperm can remain viable and capable of fertilization for 24 to 72 hours (up to 5 days in some
references) within the female reproductive tract. This knowledge informs fertility awareness methods and
timing of intercourse relative to ovulation. Ovum viability is shorter, typically 12–24 hours after ovulation.
Question 10. The primary function of the corpus luteum after ovulation is to:
A. Secrete progesterone to prepare the endometrium
B. Produce follicle-stimulating hormone
C. Initiate the luteinizing hormone surge
D. Transport the ovum through the fallopian tube
Correct Answer: A
Rationale: After ovulation, the ruptured follicle transforms into the corpus luteum, which secretes progesterone
(and some estrogen) to maintain the secretory endometrium in preparation for implantation. If pregnancy
occurs, hCG maintains the corpus luteum; otherwise it degenerates into the corpus albicans. This hormonal
regulation is foundational to reproductive physiology.
Question 11. Which structure connects the ovary to the uterus and is the usual site of fertilization?
A. Broad ligament
B. Ovarian ligament
C. Fallopian tube
D. Round ligament
Correct Answer: D
Rationale: The fallopian (uterine) tubes transport the ovum from the ovary toward the uterus and provide the
environment where fertilization most commonly occurs in the ampulla. The ligaments provide structural
support but are not involved in gamete transport or fertilization.
Question 12. Chadwick's sign is best defined as:
A. Softening of the cervix
B. Bluish-purple discoloration of the cervix and vaginal mucosa
C. Softening of the lower uterine segment
D. Enlargement of the uterus
Correct Answer: C
Rationale: Chadwick's sign is the bluish-purple discoloration of the cervix, vagina, and vulva caused by
increased vascularity, observable around 6–8 weeks of gestation. It is a probable sign of pregnancy. Goodell's
sign is cervical softening and Hegar's sign is isthmus softening.
Question 13. The embryonic period, during which organogenesis occurs and the developing
organism is most susceptible to teratogens, spans which gestational weeks?
A. Weeks 2 through 8
B. Weeks 9 through 12
C. Weeks 13 through 16
D. Weeks 20 through 24
Correct Answer: B
Rationale: The embryonic stage extends from approximately week 2 through week 8 post-fertilization,
encompassing organogenesis. Exposure to teratogens during this period carries the highest risk of major
structural anomalies. The fetal period follows, characterized primarily by growth and maturation.
Question 14. Which of the following structures produces the majority of estrogen and
progesterone after the first trimester of pregnancy?
A. Anterior pituitary
B. Corpus luteum
NSG 432 — Exam 1 | Nursing Care of the Childbearing Family
