NUR 202 – Maternal-Newborn Nursing: Exam 2
Practice Test Actual 2025/2026 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: Reproductive Anatomy & Physiology (Questions 1–10)
Q1: Which hormone is primarily responsible for triggering ovulation in a normal
menstrual cycle?
A. Estrogen
B. Luteinizing hormone (LH)
C. Progesterone
D. Follicle-stimulating hormone (FSH)
Correct Answer: B
Rationale: Correct because the midcycle LH surge is the primary hormonal trigger
that causes the mature ovarian follicle to rupture and release the ovum.
Q2: A nursing student is reviewing the layers of the uterus. Which layer contracts
during labor to expel the fetus?
A. Perimetrium
B. Myometrium
C. Endometrium
D. Basilar layer
,Correct Answer: B
Rationale: Correct because the myometrium is the thick muscular middle layer of the
uterus responsible for powerful rhythmic contractions during labor.
Q3: During which phase of the menstrual cycle does the corpus luteum form and
secrete progesterone?
A. Menstrual phase
B. Proliferative phase
C. Secretory phase
D. Ischemic phase
Correct Answer: C
Rationale: Correct because the secretory (luteal) phase occurs after ovulation when
the corpus luteum develops and produces progesterone to prepare the endometrium
for implantation.
Q4: A nurse is teaching a client about male reproductive anatomy. The nurse
correctly identifies that sperm mature and gain motility primarily in which structure?
A. Seminiferous tubules
B. Epididymis
C. Vas deferens
D. Seminal vesicles
Correct Answer: B
,Rationale: Correct because sperm are produced in the seminiferous tubules but
mature and develop motility during their passage through the epididymis over
approximately 12 days.
Q5: Which structure produces the hormone human chorionic gonadotropin (hCG)
following fertilization and implantation?
A. Corpus luteum
B. Syncytiotrophoblast
C. Decidua basalis
D. Amnion
Correct Answer: B
Rationale: Correct because the syncytiotrophoblast, the outer layer of the developing
blastocyst, is the first structure to produce hCG to maintain the corpus luteum and
progesterone production.
Q6: A client asks the nurse how the female body prevents sperm from entering the
uterus when she is not ovulating. The nurse's best response refers to which cervical
change?
A. The cervix dilates to 10 cm
B. Cervical mucus becomes thick and acidic
C. The cervical os closes completely
D. Cervical mucus becomes thin and watery
Correct Answer: B
, Rationale: Correct because under progesterone influence, cervical mucus thickens,
becomes more acidic, and forms a plug that inhibits sperm penetration during
non-fertile periods.
Q7: The nurse is reviewing the process of fertilization. Fertilization typically occurs in
which anatomical location?
A. Ovary
B. Uterine fundus
C. Ampulla of the fallopian tube
D. Isthmus of the fallopian tube
Correct Answer: C
Rationale: Correct because fertilization most commonly occurs in the ampulla, the
widest and longest portion of the fallopian tube where sperm and ovum typically
meet.
Q8: Which pelvic type is characterized by a rounded inlet, wide pubic arch, and is
considered most favorable for vaginal delivery?
A. Android
B. Gynecoid
C. Anthropoid
D. Platypelloid
Correct Answer: B
Practice Test Actual 2025/2026 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: Reproductive Anatomy & Physiology (Questions 1–10)
Q1: Which hormone is primarily responsible for triggering ovulation in a normal
menstrual cycle?
A. Estrogen
B. Luteinizing hormone (LH)
C. Progesterone
D. Follicle-stimulating hormone (FSH)
Correct Answer: B
Rationale: Correct because the midcycle LH surge is the primary hormonal trigger
that causes the mature ovarian follicle to rupture and release the ovum.
Q2: A nursing student is reviewing the layers of the uterus. Which layer contracts
during labor to expel the fetus?
A. Perimetrium
B. Myometrium
C. Endometrium
D. Basilar layer
,Correct Answer: B
Rationale: Correct because the myometrium is the thick muscular middle layer of the
uterus responsible for powerful rhythmic contractions during labor.
Q3: During which phase of the menstrual cycle does the corpus luteum form and
secrete progesterone?
A. Menstrual phase
B. Proliferative phase
C. Secretory phase
D. Ischemic phase
Correct Answer: C
Rationale: Correct because the secretory (luteal) phase occurs after ovulation when
the corpus luteum develops and produces progesterone to prepare the endometrium
for implantation.
Q4: A nurse is teaching a client about male reproductive anatomy. The nurse
correctly identifies that sperm mature and gain motility primarily in which structure?
A. Seminiferous tubules
B. Epididymis
C. Vas deferens
D. Seminal vesicles
Correct Answer: B
,Rationale: Correct because sperm are produced in the seminiferous tubules but
mature and develop motility during their passage through the epididymis over
approximately 12 days.
Q5: Which structure produces the hormone human chorionic gonadotropin (hCG)
following fertilization and implantation?
A. Corpus luteum
B. Syncytiotrophoblast
C. Decidua basalis
D. Amnion
Correct Answer: B
Rationale: Correct because the syncytiotrophoblast, the outer layer of the developing
blastocyst, is the first structure to produce hCG to maintain the corpus luteum and
progesterone production.
Q6: A client asks the nurse how the female body prevents sperm from entering the
uterus when she is not ovulating. The nurse's best response refers to which cervical
change?
A. The cervix dilates to 10 cm
B. Cervical mucus becomes thick and acidic
C. The cervical os closes completely
D. Cervical mucus becomes thin and watery
Correct Answer: B
, Rationale: Correct because under progesterone influence, cervical mucus thickens,
becomes more acidic, and forms a plug that inhibits sperm penetration during
non-fertile periods.
Q7: The nurse is reviewing the process of fertilization. Fertilization typically occurs in
which anatomical location?
A. Ovary
B. Uterine fundus
C. Ampulla of the fallopian tube
D. Isthmus of the fallopian tube
Correct Answer: C
Rationale: Correct because fertilization most commonly occurs in the ampulla, the
widest and longest portion of the fallopian tube where sperm and ovum typically
meet.
Q8: Which pelvic type is characterized by a rounded inlet, wide pubic arch, and is
considered most favorable for vaginal delivery?
A. Android
B. Gynecoid
C. Anthropoid
D. Platypelloid
Correct Answer: B
