1
NSG
NSG 3500 / NSG3500 E XAM 1: (NEW 2025/
2026 UPDATE) NURSING PRACTICE - MATERNAL
HEALTH GUIDE| QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED SOLUTIONS)- GALEN
5. The perinatal nurse knows that the lowest portion of the true pelvis is which of the
following anatomical landmarks ?
A. Pelvic outlet
B. Linea terminalis
C. Sacral promontory
D. Sacrum - ANS ✓ANS: A
Inferiorly, the lowest portion of the true pelvis is termed the pelvic outlet. Superiorly, the true
pelvis is bounded by the sacral promontory (anterior projecting portion of the base of the
sacrum) and the sacral alae (broad bilateral projections from the base of the sacrum), the linea
terminalis, and the upper margins of the pubic bones. The "false pelvis" and the "true pelvis"
are divided by the linea terminalis, or pelvic brim
5. The clinic nurse knows that the part of the uterine cycle that occurs during the period of
time between ovulation and the onset of menses is known as which of the following?
A. Ischemic phase
B. Menstrual phase
C. Proliferative phase
D. Secretory phase - ANS ✓ANS: D
The secretory phase occurs from the time of ovulation to the period just prior to menses, or
approximately days 15 to 26. The menstrual phase is the time of vaginal bleeding,
approximately days 1 to 6. The proliferative phase is the end of menses through ovulation,
approximately days 7 to 14. The ischemic phase occurs from the end of the secretory phase to
the onset of menstruation, approximately days 27 to 28.
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 ✓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
NSG 3500
, 2
NSG
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 ✓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 ✓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 ✓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 ✓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
NSG 3500
, 3
NSG
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 ✓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 ✓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 ✓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 nursing instructor is planning to teach students about the process of oogenesis. Which
information does the nurse plan to include?
A. All polar bodies in the ovary become ova.
B. It is regulated by follicle-stimulating hormone (FSH).
C. The graafian follicle eventually secretes prolactin.
D. It usually occurs in a twice-monthly cycle. - ANS ✓ANS: B
NSG 3500
NSG
NSG 3500 / NSG3500 E XAM 1: (NEW 2025/
2026 UPDATE) NURSING PRACTICE - MATERNAL
HEALTH GUIDE| QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED SOLUTIONS)- GALEN
5. The perinatal nurse knows that the lowest portion of the true pelvis is which of the
following anatomical landmarks ?
A. Pelvic outlet
B. Linea terminalis
C. Sacral promontory
D. Sacrum - ANS ✓ANS: A
Inferiorly, the lowest portion of the true pelvis is termed the pelvic outlet. Superiorly, the true
pelvis is bounded by the sacral promontory (anterior projecting portion of the base of the
sacrum) and the sacral alae (broad bilateral projections from the base of the sacrum), the linea
terminalis, and the upper margins of the pubic bones. The "false pelvis" and the "true pelvis"
are divided by the linea terminalis, or pelvic brim
5. The clinic nurse knows that the part of the uterine cycle that occurs during the period of
time between ovulation and the onset of menses is known as which of the following?
A. Ischemic phase
B. Menstrual phase
C. Proliferative phase
D. Secretory phase - ANS ✓ANS: D
The secretory phase occurs from the time of ovulation to the period just prior to menses, or
approximately days 15 to 26. The menstrual phase is the time of vaginal bleeding,
approximately days 1 to 6. The proliferative phase is the end of menses through ovulation,
approximately days 7 to 14. The ischemic phase occurs from the end of the secretory phase to
the onset of menstruation, approximately days 27 to 28.
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 ✓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
NSG 3500
, 2
NSG
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 ✓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 ✓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 ✓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 ✓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
NSG 3500
, 3
NSG
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 ✓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 ✓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 ✓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 nursing instructor is planning to teach students about the process of oogenesis. Which
information does the nurse plan to include?
A. All polar bodies in the ovary become ova.
B. It is regulated by follicle-stimulating hormone (FSH).
C. The graafian follicle eventually secretes prolactin.
D. It usually occurs in a twice-monthly cycle. - ANS ✓ANS: B
NSG 3500
