Reproductive System Practice Test 2
Reproductive System NCLEX Practice Test
Reproductive System is a key topic within the NCLEX test plan, located under Nursing Science → Clinical Foundations → Reproductive System. This section covers anatomy, physiology, and nursing management of reproductive health conditions. Each test contains 50 questions designed to mirror the difficulty and variety of the real exam.
This is the 2nd part of the Reproductive System series. To explore all practice tests under this topic, use the “Back to Main Topic” button at the end of the page.
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Reproductive System Practice Test 2
What is the approximate volume of blood in a mature placenta?
- 500 mL
- 150 mL
- 1000 mL
- 50 mL
Explanation: Answer reason: The intervillous space of a term placenta contains about 150 mL of maternal blood at any given time and is replenished several times per minute.
The termination of a pregnancy by the removal or expulsion from the uterus of a fetus or embryo before viability is?
- Abortion
- Ectopic pregnancy
- Miscarriage
- Molar pregnancy
Explanation: Answer reason: Abortion is the medical term for the termination of pregnancy before fetal viability by removal or expulsion of the products of conception. "Miscarriage" specifically denotes spontaneous abortion, but the broader definition given matches abortion.
Abnormal uterine bleeding without any structural abnormality in the genital tract?
- DUB
- AUB
- PPH
- APH
Explanation: Answer reason: Dysfunctional uterine bleeding (DUB) is defined as abnormal uterine bleeding that occurs without structural or systemic pathology. AUB is the general term; PPH and APH refer to obstetric hemorrhage.
Causes of infertility?
- Male factor: 25–40%
- Female factor: 40–55%.
- Both: 10%, Unexplained: 10%
- All
Explanation: Answer reason: Male, female, combined, and unexplained factors are all recognized contributors to infertility; therefore, 'All' is correct.
The part of the uterus that lies above the entrance of the uterine tube is called?
- Fundus
- Body
- Cervix
- Vagina
- Ampulla
Explanation: Answer reason: The dome-shaped superior portion of the uterus above the openings of the uterine (Fallopian) tubes is the fundus.
The outpouching of the testis is?
- Omenta
- Tunica albuginea
- Rete testis
- Scrotum
- Ductus deferens
Explanation: Answer reason: The scrotum is the external sac, an outpouching of the anterior abdominal wall, that contains the testes. The other options are internal structures and are not external outpouchings.
What is the outpouching of the testis?
- Omenta
- Tunica albuginea
- Rete testis
- Scrotum
- Ductus deferens
Explanation: Answer reason: The scrotum, formed as an outpouching of the anterior abdominal wall, is the external pouch that contains the testes.
The widest part of the uterine tube is called?
- Ampulla
- Fimbriae
- Isthmus
- Infundibulum
- All of the above.
Explanation: Answer reason: In the Fallopian (uterine) tube, the ampulla is the longest and widest segment; fertilization commonly occurs there. The infundibulum is the funnel-shaped distal part with fimbriae, and the isthmus is the narrow medial portion.
The outpouching of the testis is?
- ductus deferens
- Omenta
- Rete testis
- Scrotum
- Tunica albuginea
Explanation: Answer reason: The scrotum is an outpouching of the anterior abdominal wall that contains and supports the testes. The other options are internal ducts or coverings, not an external outpouching.
The part of the uterus that lies above the entrance of the uterine tube is called?
- Ampulla
- Body
- Cervix
- Fundus
- Vagina
Explanation: Answer reason: The uterine fundus is the rounded top of the uterus, located superior to the openings of the uterine (Fallopian) tubes. The ampulla is a part of the tube; the body is the central portion below the fundus; the cervix is the lower neck; and the vagina is the canal.
The part of the uterus that lies above the entrance to the uterine tube is called?
- Ampulla
- Body
- Cervix
- Fundus
- vagina
Explanation: Answer reason: The fundus is the dome-shaped superior portion of the uterus above the openings of the uterine (fallopian) tubes. The ampulla is part of the tube; the body is below the fundus, and the cervix and vagina are inferior parts.
Striae gravidarum is a term used for scars on the abdomen in __________?
- Lethargic patient
- Mental patient
- Old women
- Pregnant women
- Surgical patient
Explanation: Answer reason: Striae gravidarum are stretch marks that commonly appear on the abdomen due to skin stretching and hormonal changes during pregnancy.
The non-surgical treatment of undescended testes includes?
- Human chorionic gonadotropin hormone
- Progesterone
- Androgen
- Corticosteroid
Explanation: Answer reason: hCG therapy can stimulate Leydig cells to produce testosterone, promoting testicular descent in cryptorchidism. Progesterone, androgens alone, and corticosteroids are not standard treatments.
Ovulation usually occurs in a 28-day cycle on?
- The 14th day
- The 12th day
- The 16th day
- The 20th day
Explanation: Answer reason: In a typical 28-day menstrual cycle, ovulation occurs about 14 days before the next menses, i.e., around day 14.
The type of pelvis most suited to delivery is?
- Platypelloid
- Gynecoid
- Anthropoid
- Android
Explanation: Answer reason: The gynecoid pelvis has a wide, round pelvic inlet, a roomy midpelvis, and a broad pubic arch, which best facilitates vaginal delivery.
Which is the most common site for an ectopic pregnancy?
- Uterine ligament
- Fallopian tube
- Abdomen
- Ovary
- Cervix
Explanation: Answer reason: Over 90% of ectopic pregnancies implant in the fallopian tubes, most commonly in the ampulla.
At term, amniotic fluid volume is?
- 800 mL
- 400 ml
- 600 ml
- 2000 mL
Explanation: Answer reason: Normal amniotic fluid volume near term averages about 800 mL (roughly 500–800 mL).
Which part of the sperm cell contains the chromosomes?
- Head
- Neck
- Tail
- None of them
Explanation: Answer reason: Chromosomes are located in the nucleus, which is contained in the sperm's head.
Normal position of the uterus before 8 weeks?
- Anteverted
- Anti-flexion
- Erect
- Report
Explanation: Answer reason: Uterine position refers to version; the normal uterus before early pregnancy is anteverted. Anteflexion describes the bend of the body toward the cervix, and "erect" occurs later in gestation.
The inner wall of the uterus is...?
- Endosteum
- Endocardium
- Endometrium
- Endothelium
Explanation: Answer reason: The uterine inner lining is the endometrium, which proliferates and sheds with the menstrual cycle. The endocardium lines the heart, the endothelium lines blood vessels, and the endosteum lines bone.
What is the monthly discharge of blood and cell debris from the vagina called?
- Ovulation
- Secretion
- Abortion
- Menstruation
Explanation: Answer reason: The monthly shedding of the uterine lining with blood and cellular debris through the vagina is menstruation; ovulation is the release of an ovum and not a vaginal discharge.
The death of a fetus in the womb is called_____?
- Abortion
- Term birth
- Miscarriage
- Stillbirth
Explanation: Answer reason: Intrauterine fetal death after the age of viability is termed stillbirth (IUFD). Abortion or miscarriage refers to expulsion or termination, not merely death in utero. A term birth is a live birth.
First sign of pregnancy?
- Bleeding
- Vomiting
- Labor pain
- Cramping
Explanation: Answer reason: Among the given options, nausea and vomiting (morning sickness) are the earliest common presumptive symptoms of pregnancy. Labor pain occurs later; bleeding and cramping are not typical first signs.
Increased pulsation felt through the lateral fornix at the 8th week is called?
- Osiander's sign
- Chadwick's sign
- Goodell's sign
- Piskacek's sign
Explanation: Answer reason: Osiander's sign is the increased pulsation of the uterine arteries felt through the lateral fornices at around 8 weeks of pregnancy. Chadwick's sign is a bluish discoloration, Goodell's sign is softening of the cervix, and Piskacek's sign is uterine asymmetry.
Life of sperm for fertilization in the vagina is?
- 96 hours
- 72 hours
- 48 hours
- 24 hours
Explanation: Answer reason: Sperm remain viable and capable of fertilization in the female reproductive tract for about 72 hours.
Smegma is secreted by whom?
- Tyson gland
- Brenner gland
- Cowper's gland
- Bartholin's gland
Explanation: Answer reason: Smegma is a whitish secretion produced by the Tyson’s glands located around the glans penis in males and by sebaceous glands near the clitoris in females. It helps lubricate epithelial surfaces.
Which part of the Fallopian tube is closest to the ovary?
- Infundibulum
- Cervix
- Isthmus
- Ampulla
Explanation: Answer reason: The infundibulum with fimbriae lies adjacent to the ovary and captures the ovum; the ampulla is more medial, the isthmus is near the uterus, and the cervix is not part of the tube.
What is the typical lifespan of sperm for fertilization in the vagina?
- 96 hours
- 72 hours
- 48 hours
- 60 hours
Explanation: Answer reason: Sperm are typically viable within the female reproductive tract for about 48–72 hours; the commonly cited timeframe for potential fertilization is up to 72 hours.
What is the chief source of progesterone?
- Adrenal medulla
- Corpus luteum
- Ovary
- Adrenal cortex
Explanation: Answer reason: After ovulation, the corpus luteum forms in the ovary and is the primary source of progesterone. Adrenal medulla secretes catecholamines, adrenal cortex produces corticosteroids, and "ovary" is nonspecific.
What marks the end of fertility in a human female?
- Puberty
- Menopause
- Menarche
- Menstruation
Explanation: Answer reason: Menopause is the permanent cessation of menstruation due to ovarian follicle depletion, marking the end of reproductive capability. Puberty and menarche begin fertility; menstruation is a cyclic event during reproductive years.
What is the structure that encircles the male urethra?
- Bulbourethral gland
- Prostate gland
- Seminal vesicle
Explanation: Answer reason: The prostate gland surrounds the proximal (prostatic) urethra just below the bladder; the bulbourethral glands lie beside the membranous urethra and the seminal vesicles are posterior to the bladder, not encircling the urethra.
By which process are sperm produced?
- Ovulation
- Oogenesis
- Spermatogenesis
- Gestational
Explanation: Answer reason: Sperm cells are formed in the testes via the process of spermatogenesis; ovulation and oogenesis relate to female gametes.
The following are true for management of prolapse, except?
- Any decision for surgical intervention should take into account how prolapse is affecting lifestyle.
- A vaginal pessary can be used in elderly patients with prolapse who have associated medical complications that contraindicate surgery.
- Vaginal hysterectomy is the only treatment for prolapse in all women.
- Sling surgeries are indicated in women who desire to retain reproductive function.
- Assessment of SUI is a must during the examination of prolapse so that it can be corrected during surgery.
Explanation: Answer reason: Multiple management options exist for pelvic organ prolapse: conservative measures (pessary), uterine-sparing procedures (e.g., sling/hysteropexy), and various surgical repairs. Therefore stating vaginal hysterectomy is the only treatment for all women is false.
Which method is the barrier method?
- Copper
- Injectable
- Pills
- Condom
Explanation: Answer reason: Barrier methods physically block sperm from reaching the egg; among the options only the condom is a barrier method. Copper is an IUD and injectables and pills are hormonal.
The uterus is also called ____?
- Vagina
- Cervix
- Womb
- Ovary
Explanation: Answer reason: The uterus is commonly referred to as the womb; the vagina and cervix are distinct structures and the ovary is a separate organ.
Pregnancy tests are based on the estimation of hormones named?
- FSH
- LH
- Progesterone
- hCG
Explanation: Answer reason: Pregnancy tests detect human chorionic gonadotropin (hCG). The option 'hCG' is clearly a typographical error intended to represent hCG, making D the best choice among the provided options.
What is the Barrier method of contraception?
- Oral pills
- Injectable
- IUDs
- Condom
Explanation: Answer reason: Barrier (misspelled as 'Berrie') contraception includes condoms; pills and injectables are hormonal methods and IUDs are intrauterine devices.
What do Leydig cells produce?
- Androgen-binding globulin
- Estrogen
- Testosterone
- Semen
Explanation: Answer reason: Leydig (interstitial) cells of the testes synthesize and secrete testosterone in response to LH. Androgen-binding globulin is produced by Sertoli cells; oestrogen is not their main product; semen is from accessory glands and sperm.
Female sterilization is called?
- Tubectomy
- Vasectomy
- Laparotomy
- None of the above
Explanation: Answer reason: Female sterilization is achieved by occluding the fallopian tubes (tubal ligation), termed tubectomy. Vasectomy is male sterilization and laparotomy is a general surgical approach, not a contraceptive method.
Location and secretion of Leydig cells are?
- Testis — testosterone
- Ovary — estrogen
- Pancreas: glucagon
- Liver cholesterol
Explanation: Answer reason: Leydig (interstitial) cells are located in the testes and secrete the androgen testosterone.
The term used for babies born as a result of intrauterine growth retardation is?
- Preterm babies
- LBW babies
- Small-for-date babies
- IUGR babies I can provide a respectful alternative: children with intellectual disabilities.
Explanation: Answer reason: Intrauterine growth restriction results in infants who are small for gestational age, commonly termed 'small for date' babies. LBW can also be due to prematurity, so it is less specific.
The process of breastfeeding is known as?
- Lactation
- Sucking
- Nesting
- Bottle feeding
Explanation: Answer reason: Breastfeeding as a maternal physiological process of producing and providing milk is termed lactation.
The phenomenon of Mittelschmerz indicates?
- Implantation
- Menstruation
- Ovulation
- Fertilisation
Explanation: Answer reason: Mittelschmerz is mid-cycle unilateral pelvic pain caused by follicular rupture, indicating ovulation.
The following pelvis is usually associated with transverse arrest?
- Anthropoid
- Android
- Gynecoid
- Platypelloid
Explanation: Answer reason: Deep transverse arrest is classically associated with an android pelvis due to a narrow midpelvis and prominent ischial spines that impede internal rotation.
The following is the function of the fallopian tube?
- Secretion of estrogen and progesterone.
- Helps in fetal development.
- Act as a passageway for the fetus.
- Mobility of the fertilized ovum
Explanation: Answer reason: The fallopian tube transports the ovum/zygote to the uterus via ciliary action. Hormone secretion is ovarian, fetal development occurs in the uterus, and the tube is not a passageway for the fetus.
The length of the Fallopian tube ranges from?
- 22-27 cm
- 7–12 cm
- 28-31 cm
- 2–7 cm
Explanation: Answer reason: The uterine (fallopian) tube is approximately 10–12 cm long; among the choices only 7–12 cm matches this range.
The longest portion of the fallopian tube is?
- The interstitial portion
- The isthmus
- Infundibular portion
- Ampullary portion
Explanation: Answer reason: The ampulla is the longest and widest segment of the uterine (fallopian) tube, where fertilization most commonly occurs.
The strongest stimulus for lactation is?
- Metoclopramide
- PPH
- Bromocriptine
- Sucking
Explanation: Answer reason: Nipple suckling triggers the strongest neuroendocrine reflex for lactation, increasing prolactin and oxytocin. Metoclopramide can raise prolactin but is not as potent; bromocriptine suppresses prolactin; PPH does not stimulate lactation.
Caput succedaneum is?
- Birthmark
- Swelling on the baby's face.
- Collection of fluid under the scalp
- Swelling will not cross the suture line.
Explanation: Answer reason: Caput succedaneum is a diffuse, edematous collection of serous fluid in the subcutaneous tissues of the newborn scalp due to pressure during labor; it typically crosses suture lines. Therefore, it is a collection of fluid under the scalp.
The amount of fetal blood flow per minute through the placenta at term is?
- 200 ml/min.
- 300 ml/min.
- 400 ml/min.
- 500 ml/min.
Explanation: Answer reason: Umbilical (fetal) placental blood flow at term is about 120 mL/kg/min; for a ~3.5 kg fetus this is ~420 mL/min, best matching 400 ml/min.
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