Reproductive System Practice Test 6
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 6th 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 6
Which female reproductive organ is responsible for producing eggs?
- Vagina
- Cervix
- Ovary
- Uterus
Explanation: Answer reason: Oocytes are produced and mature in the ovaries; other listed organs do not produce eggs.
What is the average length of the menstrual cycle?
- 20 Days
- 24 Days
- 32 Days
- 28 Days
Explanation: Answer reason: The typical average menstrual cycle length is about 28 days, though normal ranges from roughly 21 to 35 days.
In a patient with preeclampsia, which of the following is NOT a typical feature?
- Hypertension
- Proteinuria
- Edema
- Hyperglycemia
Explanation: Answer reason: Preeclampsia is characterized by new-onset hypertension after 20 weeks of gestation with proteinuria and often edema. Hyperglycemia is not part of preeclampsia and is more consistent with gestational diabetes.
What is the type of fetal presentation shown in the options?
- Cephalic
- Breech
- Transverse
- Oblique
Explanation: Answer reason: Cephalic presentation is when the fetal head is the presenting part at the cervix; this is the standard and most common fetal presentation.
In the testis, which cells produce sperm?
- Germinal cell
- Sertoli cell
- Epithelial cell
- None of them
Explanation: Answer reason: Sperm are derived from germ cells (spermatogonia) in the seminiferous tubules; Sertoli cells provide support and epithelial cells do not produce sperm.
How many sperm are produced by the male human body per day?
- 1 to 2 million
- 2 to 5 million
- 8 million
- All of them
Explanation: Answer reason: Among the provided options, the accepted estimate given is 2 to 5 million sperm produced per day.
What is endometriosis?
- Infection of the uterus
- Growth of endometrial tissue outside the uterus
- Cancer of the endometrium
- Blockage of the fallopian tubes
Explanation: Answer reason: Endometriosis is defined by ectopic endometrial glands and stroma located outside the uterine cavity; it is not an infection, malignancy, or tubal blockage.
What is the inflammation of the testes known as?
- Cystitis
- Orchitis
- Otitis
- Oophoritis
Explanation: Answer reason: The root orchi- refers to testis and -itis means inflammation; thus inflammation of the testes is orchitis. Cystitis is bladder inflammation, otitis is ear inflammation, and oophoritis is ovarian inflammation.
What is removed in a hysterectomy?
- Spleen
- Uterus
- Liver
- Ovaries
Explanation: Answer reason: Hysterectomy is the surgical removal of the uterus; removal of ovaries is oophorectomy.
The Bartholin's gland is present in which anatomical location?
- Uterus
- Vagina
- Ovary
- Cervix
Explanation: Answer reason: Bartholin (greater vestibular) glands lie in the vulvar vestibule at the posterior aspect of the vaginal opening, providing lubrication. Among the options, this corresponds to the vagina.
What is the name of the first milk a woman gives to her baby after birth?
- Endometrium
- Androstrium
- Colostrum
- Oestrogen
Explanation: Answer reason: The initial secretion from the mammary glands after birth is colostrum, a thick, antibody-rich milk that precedes mature breast milk.
What does greenish yellow color amniotic fluid indicate?
- Respiratory distress
- Rh incompatibility
- Post maturity of foetus
- Fetal death
Explanation: Answer reason: Greenish-yellow amniotic fluid indicates meconium staining that commonly occurs with postmaturity.
What is the appropriate treatment for a hydatidiform mole in a 40-year-old woman?
- Hysterotomy
- Hysterectomy
- Suction evacuation
- Dilatation and curettage
Explanation: Answer reason: The standard management of a molar pregnancy is evacuation of the uterus by vacuum (suction) aspiration, which is preferred over sharp curettage; hysterectomy is reserved for selected cases when fertility is not desired.
What is the normal gestation period in women?
- 30 days
- 120 days
- 180 days
- 280 days
Explanation: Answer reason: Normal human pregnancy lasts about 280 days (40 weeks) from the last menstrual period.
What is the medical term for painful menstrual bleeding?
- Endometriosis
- Uterine Fibroids
- Interstitial Cystitis
- Dysmenorrhoea
Explanation: Answer reason: Painful menstruation is termed dysmenorrhea; the other options refer to different conditions (endometriosis, fibroids, bladder inflammation).
Which of the following is the least common variety of pelvis?
- Gynecoid
- Android
- Anthropoid
- Platypelloid
Explanation: Answer reason: Among the classic pelvic types, the platypelloid pelvis is the rarest (least common).
Four days after delivery, a client develops complications of postpartal hemorrhage. The most common cause of late postpartal hemorrhage is?
- Uterine atony
- Retained placental fragments
- Cervical laceration
- Perineal tears
Explanation: Answer reason: Late postpartum hemorrhage (24 hours to 6 weeks) is most commonly due to retained placental fragments causing subinvolution; uterine atony is more typical of early PPH.
What is the process called when male and female gametes fuse in plants?
- Fertilization
- Pollination
- Syngamy
- Conjugation
Explanation: Answer reason: Fusion of male and female gametes is fertilization (also termed syngamy). Pollination is only the transfer of pollen, and conjugation is a different reproductive process in microorganisms.
How does human sperm locomote?
- Flagella
- Neutrophils
- Cilia
- None
Explanation: Answer reason: Human sperm move by the whip-like motion of a single flagellum (tail). Neutrophils are leukocytes, cilia are not used by sperm, and 'None' is incorrect.
Which hormone is responsible for the maturation of the follicles?
- FSH
- LH
- Progesterone
- Thyroxine
Explanation: Answer reason: FSH from the anterior pituitary stimulates growth and maturation of ovarian follicles; LH triggers ovulation, progesterone maintains the endometrium, and thyroxine is a thyroid hormone.
DNA is present in which part of the sperm?
- Head
- Tail
- Body
- Hand
Explanation: Answer reason: The genetic material is contained in the nucleus located in the head of the sperm; the midpiece contains mitochondria and the tail provides motility.
What is the term for infection of the genital tract due to a complication of delivery?
- Puerperal sepsis
- Cervical infection
- Peritoneal sepsis
- Vaginal infection
Explanation: Answer reason: Puerperal sepsis is the term for postpartum infection of the genital tract occurring after delivery.
How many contractions does a pregnant woman have at 31 weeks of gestation?
- 3
- 5
- 7
- 10
- 13
Explanation: Answer reason: By around 30–32 weeks, normal Braxton Hicks uterine activity commonly occurs at roughly five contractions per hour; thus the expected number is 5.
What is the length of the fallopian tube?
- 10 cm
- 8-10 cm
- 5 cm
- 10-12 cm
Explanation: Answer reason: The uterine (fallopian) tube measures about 10 cm in adults; commonly cited range is approximately 8–10 cm.
What will be the attitude of the head during face and brow presentation?
- Flexion
- Complete extension
- Adduction
- Abduction
Explanation: Answer reason: Face presentation requires complete extension of the fetal head (brow is partial extension). Among the options, complete extension best represents the attitude in these presentations.
What is the medical term for white discharge from the vagina?
- Menorrhagia
- Leucorrhea
- Menarche
- Otorrhoea
Explanation: Answer reason: Leucorrhea is the term for white vaginal discharge. Menorrhagia is heavy menstrual bleeding, menarche is the first menstruation, and otorrhoea is ear discharge.
Which part of the male reproductive system transfers sperm into the woman?
- Testis
- Penis
- Scrotum
- Urethra
- None of them
Explanation: Answer reason: The penis deposits semen into the female reproductive tract during intercourse. Testes produce sperm, the scrotum houses the testes, and the urethra is a passage; the organ that transfers sperm is the penis.
Which procedure involves cutting the vas deferens to prevent sperm from entering the semen?
- Tubactomy
- Vasactomy
- Vein cutting
- Testies surgery
Explanation: Answer reason: A vasectomy involves cutting or occluding the vas deferens to prevent sperm from entering the ejaculate.
What is the average length of the menstrual cycle?
- 20 days
- 24 days
- 28 days
- 32 days
Explanation: Answer reason: Typical menstrual cycle averages 28 days, with a normal range of about 21–35 days.
DNA is present in which part of the sperm?
- Body
- Tail
- Head
- Hands
Explanation: Answer reason: The sperm’s nuclear DNA is located in the head, which contains the nucleus; the midpiece (body) has mitochondria and the tail provides motility.
During a circumcision procedure, which part is surgically removed?
- Penis
- Testis
- Prepuce
- Corpus spongiosum
Explanation: Answer reason: Circumcision removes the foreskin (prepuce) of the penis; the penis, testis, and corpus spongiosum are not removed.
Which part of the sperm contains the enzymes necessary to penetrate the egg?
- Head
- Midpiece
- Tail
- Acrosome
Explanation: Answer reason: The acrosome, a cap on the sperm head, contains hydrolytic enzymes (e.g., acrosin) that digest the zona pellucida, allowing penetration of the egg.
What is the term for the first menstruation in a female?
- Amenorrhea
- Menopause
- Dysmenorrhea
- Menarche
Explanation: Answer reason: Menarche is the first menstrual period; amenorrhea is absence of menses, dysmenorrhea is painful menses, and menopause is permanent cessation.
Of all the factors listed below that influence the mechanism of labour and vacuum delivery which one is the least variable?
- Uterine contractions and maternal expulsive effort
- Size and weight of the fetal head
- Moulding of the head and amount of caput succedaneum
- Position and attitude of the fetal head
- Resistance and friction between fetus and maternal tissues
Explanation: Answer reason: Head size and weight are essentially fixed for a given fetus during labor, whereas contractions, maternal effort, molding and caput, fetal position/attitude, and tissue resistance vary considerably. Thus, the least variable factor is the size and weight of the fetal head.
Aregash is a 24 years old mother. She presents to the clinic with a complaint of excessive amount of menstrual bleeding. What will be your pattern diagnosis?
- Menorrhagia (Hypermenorrhea)
- Hypomenorrhea (Cryptomenorrhea)
- Metrorrhagia (intermenstrual bleeding)
- Polymenorrhea
Explanation: Answer reason: Excessive menstrual blood loss is termed menorrhagia (hypermenorrhea). Hypomenorrhea is scanty flow, metrorrhagia is bleeding between periods, and polymenorrhea is too-frequent menses.
Amarech is a 28 years old female, she comes to the health center and complains absence of menses for the last three months. She reported that she was having regular menstrual cycles before six months. This is?
- Secondary Amenorrhea
- Primary amenorrhea
- Tertiary amenorrhea
- All
Explanation: Answer reason: Secondary amenorrhea is defined as the absence of menses for at least 3 months in a woman who previously had menstruation; this matches the scenario.
Definition of abortion in Ethiopia?
- Pregnancy termination prior to 20 weeks' gestation or with a fetus born weighing less than 500 g
- Pregnancy termination of GA less than 28 weeks or weight less than 1000 g
- Pregnancy termination of GA greater than 28 weeks or weight greater than 1000gms
- Pregnancy termination of GA less than 24 weeks
Explanation: Answer reason: Ethiopia defines abortion based on fetal nonviability at GA <28 weeks or birth weight <1000 g. Option B states this criterion. A reflects a 20-week/500 g definition; C is the opposite; D uses 24 weeks.
Which of the following is/are mismatched with its management?
- Threatened abortion- Bed rest, pelvic rest (avoidance of coitus)
- Inevitable abortion- surgical or medical methods to complete it
- Incomplete abortion- surgical or medical methods to complete it
- All are correct
Explanation: Answer reason: Each pairing is appropriate: threatened abortion is typically managed expectantly with pelvic/bed rest; inevitable and incomplete abortions are managed by uterine evacuation via medical or surgical methods. Therefore none are mismatched.
Which of the following regarding uterine descent is not correct?
- First degree descent implied the cervix descends below its normal level on straining but does not protrude from the vulva
- First degree descent implied the cervix descends below its normal level on straining and protrudes from the vulva
- Second degree descent implies the cervix reaches upto the vulva on straining
- Procidentia means whole of the uterus is prolapsed outside the vulva
Explanation: Answer reason: In first-degree uterine prolapse, the cervix descends but does not protrude beyond the vulva; protrusion occurs with higher degrees. Thus option B misstates first-degree descent.
Which of the following are etiologies of uterovaginal prolapse?
- Aging
- Estrogen deprivation
- Intrinsic collagen abnormalities
- Chronic increase in intraabdominal pressure
- Acute and chronic trauma of vaginal delivery
- All of above
Explanation: Answer reason: Pelvic organ prolapse is associated with aging and estrogen deficiency, connective-tissue (collagen) weakness, chronic elevated intraabdominal pressure, and obstetric trauma from vaginal deliveries—thus all listed factors are etiologies.
Following are the first level of support in DeLancy system?
- Cardinal ligament
- Pubocervical fascia
- Rectovaginal fascia
- Pubo-urethral ligaments
- Perineal body
Explanation: Answer reason: DeLancey Level I (apical) support is provided by the uterosacral–cardinal ligament complex. Among the options, only the cardinal ligament belongs to Level I; the others are Level II or III supports.
Which of the following is not an indication for use of pessary?
- When future childbearing is intended in near future
- Refusal for operation by patient
- As a therapeutic test
- Prolapse with pregnancy
- Non healing decubitus ulcer
Explanation: Answer reason: Pessaries are indicated when surgery is refused or deferred (e.g., plans for future childbearing), during pregnancy, and as a therapeutic/diagnostic test. An actively non-healing decubitus (vaginal) ulcer is a contraindication until healed, so it is not an indication.
Ayantu is a 27 years old para-I (still birth) lady presented with 3rd degree prolapse, management can be all except?
- Vaginal hysterectomy
- Fothergill’s surgery
- Sling surgery
- Ring pessary
Explanation: Answer reason: In a 27-year-old who likely desires future fertility, uterine-sparing options (Fothergill’s/Manchester operation, uterine sling procedures, or temporary pessary) are appropriate. Vaginal hysterectomy removes the uterus and is not suitable for a young woman wanting fertility, thus the exception.
One of the following cause for PELVIC ORGAN PROLAPSE is different from others?
- Menopause
- Instrumental delivery
- Prolonged labor
- Mismanagement of third stage of labor
- Unnecessary use of fundal pressure
Explanation: Answer reason: Menopause is a non-obstetric cause related to atrophic pelvic support; the other options are obstetric/labor-related traumatic factors contributing to pelvic organ prolapse.
Which stage of Gestational Trophoblastic Tumour is characterized by extension to the adnexae, outside the uterus, but more or less limited to the genital structures?
- I
- II
- III
- IV
Explanation: Answer reason: FIGO staging for gestational trophoblastic neoplasia: Stage I confined to uterus; Stage II extends outside the uterus but limited to genital structures (adnexa, vagina, broad ligament); Stage III involves lungs; Stage IV other metastases. Thus the description matches Stage II.
While taking history about reproductive system patient stated about excessive per vaginal bleeding for 15 days. You as a nurse know(s), about the normal menstrual days?
- 25-30 days
- 10-15 days
- 5-7 days
- No exact days
Explanation: Answer reason: Normal menstruation lasts about 3–7 days; commonly cited as 5–7 days. Thus 15 days of bleeding is abnormal.
Which of the following is a hypertensive disorder of pregnancy?
- Eclampsia
- Placenta praevia
- Hyperemesis gravidarum
- Ectopic pregnancy
Explanation: Answer reason: Eclampsia is a hypertensive disorder of pregnancy characterized by severe preeclampsia with seizures. The other options are not hypertensive conditions.
Which structure secretes estrogen?
- Graffian follicle
- Corpus luteum
- Ovary
- Uterus
Explanation: Answer reason: Estrogen is primarily produced by granulosa cells of developing ovarian (Graafian) follicles; the corpus luteum mainly secretes progesterone.
What hormone does the corpus luteum secrete?
- Progesterone
- LH
- FSH
- Estrogen
Explanation: Answer reason: The corpus luteum primarily secretes progesterone to maintain the endometrium; LH and FSH are pituitary hormones, and estrogen is not the main secretion of the corpus luteum.
What is the average blood loss during a cesarean section delivery?
- 400-500ml
- 600-750ml
- 800-1000ml
- 200-300ml
Explanation: Answer reason: Typical estimated average blood loss for cesarean delivery is around 600–750 mL, higher than vaginal delivery (~400–500 mL) but below the 1000 mL threshold used to define hemorrhage.
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