APPLICATION EXAM 1(V1)
Updated Questions & Answers With Rationale
A+ Graded| Brand New Release!
The NUR 335 Exam 1 is the first of four unit examinations in the Maternal
Health Theory & Application course at Arizona College of Nursing. This exam
assesses the student's foundational knowledge of reproductive anatomy and
physiology, the physiology of pregnancy, signs and symptoms of pregnancy,
prenatal care, and early pregnancy concepts.
The examination emphasizes clinical judgment, patient education, and safe
nursing care for the childbearing family during the antepartum period. The
exam includes multiple-choice and select-all-that-apply (SATA) questions
formatted in NCLEX style.
DOMAINS COVERED
1. Reproductive Anatomy & Physiology
2. Menstrual Cycle and Hormonal Regulation
3. Gametogenesis (Oogenesis and Spermatogenesis)
4. Fertilization and Implantation
5. Signs of Pregnancy (Presumptive, Probable, Positive)
6. Fetal Development and Milestones
7. Prenatal Care and Assessment
8. Maternal Adaptations to Pregnancy
9. Nutrition and Weight Gain in Pregnancy
10. Early Pregnancy Complications
SECTION 1: REPRODUCTIVE ANATOMY & PHYSIOLOGY
1. The nurse is reviewing the menstrual cycle with a client. Which hormone
,is responsible for ovulation?
A) Estrogen
B) Progesterone
C) Luteinizing Hormone (LH)
D) Follicle-Stimulating Hormone (FSH)
Correct Answer: C
Rationale: The mid-cycle LH surge triggers ovulation (release of the mature
oocyte from the ovary). FSH stimulates follicle development; estrogen
thickens the endometrium; progesterone maintains the uterine lining for
implantation [citation:1].
2. A nurse is teaching a client about the female reproductive cycle. The
nurse should explain that the inner layer of the uterus that is shed during
menstruation is called the:
A) Myometrium
B) Perimetrium
C) Endometrium
D) Cervix
Correct Answer: C
Rationale: The endometrium is the inner, vascular layer of the uterus that
proliferates and sheds during the menstrual cycle. The myometrium is the
middle muscular layer; the perimetrium is the outer serosal layer [citation:1].
,3. Which structure produces the female gametes (eggs)?
A) Uterus
B) Fallopian tubes
C) Ovaries
D) Vagina
Correct Answer: C
Rationale: The ovaries are the primary female reproductive organs
responsible for oogenesis (egg production) and hormone secretion (estrogen
and progesterone) [citation:1].
4. The nurse explains that fertilization typically occurs in which part of
the fallopian tube?
A) Infundibulum
B) Ampulla
C) Isthmus
D) Interstitial segment
Correct Answer: B
Rationale: The ampulla is the widest, longest portion of the fallopian tube
and is the most common site for fertilization. The infundibulum is the
funnel-shaped end near the ovary [citation:1].
5. How many days is the typical menstrual cycle?
A) 21 days
, B) 28 days
C) 35 days
D) 40 days
Correct Answer: B
Rationale: The average menstrual cycle is 28 days, though normal cycles can
range from 21 to 35 days [citation:1].
6. Which phase of the menstrual cycle occurs after ovulation and is
characterized by secretion of progesterone?
A) Follicular phase
B) Proliferative phase
C) Secretory phase (Luteal phase)
D) Menstrual phase
Correct Answer: C
Rationale: After ovulation, the ruptured follicle becomes the corpus luteum,
which secretes progesterone to prepare the endometrium for implantation
[citation:1].
7. The nurse is teaching a client about spermatogenesis. The nurse should
explain that sperm are produced in the:
A) Prostate gland
B) Seminal vesicles
C) Testes