NCLEX 3000 Maternal-Antepartum Exam/ Practice
Questions with Correct Verified Answers/ Updated .
1. A nursing instructor is reviewing the functions of the female
reproductive system with a student. The student correctly
identifies that follicle-stimulating hormone (FSH) and luteinizing
hormone (LH) are released from which structure?
A. The corpus luteum of the ovary
B. The adrenal glands
C. The anterior pituitary gland
D. The hypothalamus
Correct Answer: C
Rationale: FSH and LH are gonadotropic hormones released
from the anterior pituitary gland. FSH stimulates ovarian follicle
growth and estrogen production, while LH triggers ovulation and
stimulates progesterone production from the corpus luteum. The
corpus luteum produces progesterone, not FSH/LH. The adrenal
1
,glands produce corticosteroids and androgens. The hypothalamus
releases gonadotropin-releasing hormone (GnRH), which
stimulates the anterior pituitary to release FSH and LH .
2. A nurse is describing fetal circulation to a client during a
prenatal visit. Which statement accurately describes fetal
circulation?
A. Two umbilical veins and one umbilical artery carry blood
B. Two umbilical arteries and one umbilical vein are present
C. Arteries carry oxygenated blood to the fetus
D. Veins carry deoxygenated blood to the fetus
Correct Answer: B
Rationale: Fetal circulation consists of two umbilical arteries and
one umbilical vein. The umbilical vein carries oxygenated blood
from the placenta TO the fetus. The two umbilical arteries carry
deoxygenated blood FROM the fetus back to the placenta for
oxygenation. This is opposite to adult circulation where arteries
carry oxygenated blood away from the heart .
2
,3. The developing cells are called a fetus from which point?
A. The time the fetal heart is heard
B. Implantation of the fertilized ovum
C. The end of the second week to the onset of labor
D. The eighth week to the time of birth
Correct Answer: D
Rationale: The developing human is called a zygote during the
first 2 weeks, an embryo from weeks 3 through 8, and a fetus
from the 8th week until birth. By the 8th week, all major organ
systems have begun to form, and the developing organism is now
recognizable as human .
4. A nurse is assessing a pregnant client and notes a purplish
discoloration of the vaginal mucosa. This finding is known as:
A. Ladin's sign
B. Hegar's sign
C. Goodell's sign
D. Chadwick's sign
3
, Correct Answer: D
Rationale: Chadwick's sign refers to the purplish or bluish
discoloration of the vaginal mucosa and cervix caused by
increased vascularity and blood flow to the pelvic region during
pregnancy. Goodell's sign is softening of the cervix. Hegar's sign
is softening of the lower uterine segment. Ladin's sign is softening
of the uterus at the site of implantation .
5. The chief function of progesterone during pregnancy is:
A. Development of the female reproductive system
B. Stimulation of the follicles for ovulation
C. Preparation of the uterus to receive a fertilized egg
D. Establishment of secondary male sex characteristics
Correct Answer: C
Rationale: Progesterone's primary function is to prepare the
uterus for implantation of a fertilized egg and to maintain the
endometrial lining during pregnancy. It also decreases uterine
contractility to prevent premature labor. Estrogen is responsible
4
Questions with Correct Verified Answers/ Updated .
1. A nursing instructor is reviewing the functions of the female
reproductive system with a student. The student correctly
identifies that follicle-stimulating hormone (FSH) and luteinizing
hormone (LH) are released from which structure?
A. The corpus luteum of the ovary
B. The adrenal glands
C. The anterior pituitary gland
D. The hypothalamus
Correct Answer: C
Rationale: FSH and LH are gonadotropic hormones released
from the anterior pituitary gland. FSH stimulates ovarian follicle
growth and estrogen production, while LH triggers ovulation and
stimulates progesterone production from the corpus luteum. The
corpus luteum produces progesterone, not FSH/LH. The adrenal
1
,glands produce corticosteroids and androgens. The hypothalamus
releases gonadotropin-releasing hormone (GnRH), which
stimulates the anterior pituitary to release FSH and LH .
2. A nurse is describing fetal circulation to a client during a
prenatal visit. Which statement accurately describes fetal
circulation?
A. Two umbilical veins and one umbilical artery carry blood
B. Two umbilical arteries and one umbilical vein are present
C. Arteries carry oxygenated blood to the fetus
D. Veins carry deoxygenated blood to the fetus
Correct Answer: B
Rationale: Fetal circulation consists of two umbilical arteries and
one umbilical vein. The umbilical vein carries oxygenated blood
from the placenta TO the fetus. The two umbilical arteries carry
deoxygenated blood FROM the fetus back to the placenta for
oxygenation. This is opposite to adult circulation where arteries
carry oxygenated blood away from the heart .
2
,3. The developing cells are called a fetus from which point?
A. The time the fetal heart is heard
B. Implantation of the fertilized ovum
C. The end of the second week to the onset of labor
D. The eighth week to the time of birth
Correct Answer: D
Rationale: The developing human is called a zygote during the
first 2 weeks, an embryo from weeks 3 through 8, and a fetus
from the 8th week until birth. By the 8th week, all major organ
systems have begun to form, and the developing organism is now
recognizable as human .
4. A nurse is assessing a pregnant client and notes a purplish
discoloration of the vaginal mucosa. This finding is known as:
A. Ladin's sign
B. Hegar's sign
C. Goodell's sign
D. Chadwick's sign
3
, Correct Answer: D
Rationale: Chadwick's sign refers to the purplish or bluish
discoloration of the vaginal mucosa and cervix caused by
increased vascularity and blood flow to the pelvic region during
pregnancy. Goodell's sign is softening of the cervix. Hegar's sign
is softening of the lower uterine segment. Ladin's sign is softening
of the uterus at the site of implantation .
5. The chief function of progesterone during pregnancy is:
A. Development of the female reproductive system
B. Stimulation of the follicles for ovulation
C. Preparation of the uterus to receive a fertilized egg
D. Establishment of secondary male sex characteristics
Correct Answer: C
Rationale: Progesterone's primary function is to prepare the
uterus for implantation of a fertilized egg and to maintain the
endometrial lining during pregnancy. It also decreases uterine
contractility to prevent premature labor. Estrogen is responsible
4
