NRNP 6552 WOMEN(S) HEALTH FINAL EXAM 2023,

LATEST SUMMER SESSION, A PLUS ASSURED.

Question 1 1/1
In a woman who is 20 weeks pregnant, the fundus is typically the same height as:

A The symphysis
pubis
.
B The umbilicus
.
C The xiphoid
process
.
D None
above
of the
.

Question 2 0/1
The following are risk factors for breast cancer except:

A Menarche after the age of 12

.
B Nulliparity
.
C Menopause
older
at age 55 years or
.
D First full-term pregnancy after
age 30
.

Question 3 1/1
Your patient is pregnant and has three cats. You educate her that she should have someone
else clean the litter box as there is an infection that can spread through cat feces that can
be harmful to the unborn baby. The infection is called:

A E. Coli
.
B Toxoplasmosis
.
C Cat-scratch
fever
.
D Tetanus
.

Question 4 1/1
All of the following are disadvantages of Combined Oral Contraceptives except:

A The need for daily pill taking

.
 B The ongoing cost of the method for some
individuals
.
C Side effects for some women
.
D Reduction
cancer
in the risk of some types of
.

Question 5 0/1
With irritable bowel syndrome (IBS), typically defecation:

A Makes
intense
the pain more
.
Provides relief from the
B Pain
.
Makes no difference in the
C pain
.
D Causes intense cramping
.

Question 6 1/1
The Tanner scale divides sexual physical maturity into stages

A eThre
.
B Five
.
CnSeve
.
D Nine
.

Question 7 1/1
Nonlatex condoms:

A Fit tighter on the penis than latex condoms

.
B Come in a variety of colors
.
C Have an increased risk of breakage or slippage during intercourse than
latex condom
.
D Lead to a greater incidence of allergies than latex condoms
.
Question 8 1/1
A potentially toxic environmental substance is lead. In pregnancy, lead is a neurotoxin and
can cause learning deficits and developmental delays. Lead is found in all of the following
except:

A Fish
.
B Older
paint
homes with lead
.
C Certain types of pottery
.
D Some stained glass
.

Question 9 1/1
Prior to giving semen for an analysis, a male should be abstinent for:

24 hours prior to the

A test
.
2-5 days prior to the
B test
.
2 weeks prior to the
C test
.
D None of the above
.

Question 10 1/1
When medical therapy for heavy menstrual bleeding occurs, the following surgical
management option(s) are available:

A Dilation and curettage

.
B Endometrial ablation
.
C Uterine artery
embolization
.
D Hysterectomy
.
E A , B, and D
.
A, B, C, and D
F.

Question 11 1/1
All of the following are risk factors for fetal genetic or development abnormalities in
maternal, paternal, and family history except:

A Maternal
30 years
age equal or greater than
.
B Mother and father related by blood
.
C Maternal exposure to toxins
.
D Congenital blindness or deafness
.

Question 12 1/1
During pregnancy, blood volume:

A Remains
amounts
the same as pre-pregnant
.
B Increases by 10%
.
C Increases by 30-50%
.
D Decreases by 20%
.

Question 13 0/1
A complete male evaluation usually includes:

A Two semen analyses, approximately one

hour apart
.
B Two semen analyses, approximately one
month apart
.
C One complete semen analysis
.
D A fractionated semen analysis
.

Question 14 1/1
Maura is pregnant and comes in for a visit. She tells you that she has never had chicken pox
and is wanting to know if she should get the varicella vaccine today. You let her know that:

A It is very important that she receive this vaccine today because you do not want her
to get chicken pox while she is pregnant.
.
B She should not get the vaccine today as it is contraindicated in pregnancy.
.
 C Most health care providers leave it up to the patient and you are willing to do
whatever she requests.
.
D Adults never need this vaccine.
.

Question 15 1/1
The following gonadotropins are responsible for regulating gynecologic organ activities.

A Testosterone
androgen
and
.
B FSH and progesterone
.
C FSH and LH
.
D LH and prolactin
.

Question 16 1/1
Clara is a 67-year-old female who comes in requesting a pap smear. In gathering her history,
she tells you all of her pap smear have been normal. Her last pap smear was at age 64.

A You tell her you are pleased she remembered this important test and proceed with
the pap smear.
.
B You tell her that she hasn’t really needed to have a pap smear since age 50.
.
C You explain to her that this is important, and you also need to test for HPV.
.
D You explain to her that the USPTF and ASCCP recommend that in a woman with a
history of negative pap smears, the test can be discontinued at age 65
.

Question 17 1/1
Paula is 30 weeks pregnant and is in your office today. She is very concerned about her
stretch marks. She wants to know if there is anything, she can put on them to make them go
away. She has seen a few products on infomercials and wonders if they work. You tell her:

A There are a few products on the market which have proven to be very helpful in
making stretch marks disappear
.
B Despite
go away.
advertiser’s claims, there is no magic cream to prevent them or make them
.
C Watching
severity
weight gain and eating nutritiously can help decrease their number and
.
D B and C
.
Question 18 1/1
All of the following are barrier methods of contraception except

A Male condom
.
B Female
condom
.
C Diaphragm
.
D Coitus
interruptus
.

Question 19 1/1
The following are risk factors associated with acquiring HPV except:

A Nulliparity
.
B Early age at first
intercourse
.
C Having multiple sexual
partners
.
D Smoking
.

Question 20 1/1
When the cervix softens in pregnancy, this is called:

A Goodell’s
sign
.
B Cervical
sign
lip
.
C Mucus
sign
plug
.
D Vulvar sign
.

Question 21 1/1
The following vaccine(s) is/are contraindicated in pregnancy:

A MMR
.
B Varicella
.
 C Tdap
.
D A and B
.
E A, B,
and C
.

Question 22 1/1
When presenting the laboratory tests that should be performed during the pregnancy it is
important to let the woman know:

A She must have all the recommended tests done or it can be

considered child abuse
.
B She is required to have all tests done, except for the HIV test
.
C She can “opt out” of any test
.
D She should make sure that her partner signs the consent for all the
tests done.
.

Question 23 1/1
During the second trimester, a test that is offered is the alpha-fetoprotein test. This test
indicates:

A If the woman will go to full term

.
B If the heart has any defects
.
C Whether the fetal neural tube has
properly fused
.
D If the fetus is living
.

Question 24 1/1
Taylor just found out she is pregnant. She has irregular periods so she is not exactly sure
how far along she is, but she thinks it is pretty early. She asks you about an ultrasound to
find out how many weeks she is. You tell her that:

A Early in the pregnancy is ideal because the ultrasound dating is more accurate than
later in the pregnancy
.
B She should wait a couple of months as ultrasound dating is most accurate in the
second trimester of pregnancy
.
C An ultrasound really won’t be able to tell her that information
.
 D An ultrasound is contraindicated this early in the pregnancy
.

Question 25 1/1
With prepackaged lunch meat, hot dogs, pate, and meat spreads there is an increased risk
of:

A Toxoplasmosis
.
Cytomegalovir
B us
.
C Listeriosis
.
D Coliform
bacteria
.

Question 26 1/1
It is believed that women acquire most of their bone mass

A As infants
.
B Inadolescence
early
.
C In their 20’s
.
D In their 50’s
.

Question 27 1/1
Emergency contraception

A Can be used as an ongoing method of

contraception
.
B Provides STI protection
.
C Isintercourse
the only method that can be used after
.
D Is available by prescription only
.

Question 28 1/1
Contractions that may occur in early pregnancy are called:

A Souffle contractions
 .
B Chadwick contractions
.
C Uteroplacental
contractions
.
D Braxton-Hicks
contractions
.

Question 29 1/1
Ibandronate (Boniva, a medication for osteoporosis, can be administered:

A Orally
.
B Through
injection
an IM
.
C Intravenously
.
D A and C
.
E A, B, and C
.

Question 30 1/1
Progestin-only contraceptives are generally considered safer for women who:

A Have a diagnosis of
Diabetes
.
B Experience
aura
Migraines with
.
C Are 15 or younger
.
D Are healthy and fit
.

Question 31 1/1
The following are foods to avoid during pregnancy except:

A Soy products
.
B Unpasteurized
milk
.
C Raw eggs
.
 D Raw alfalfa
sprouts
.

Question 32 1/1
A generic prenatal vitamin supplement should be prescribed and should include:

A Iron, folic acid, and vitamins

.
B Mercury, folic acid, and vitamins
.
C Vitamins only with no other
supplements
.
D Iron and Vitamins with no other
supplements
.

Question 33 1/1
When using FIGO staging for cancer of the ovary, fallopian tube, and peritoneum, Stage I
means:

A The tumor is confined to the ovaries or fallopian tube(s)

.
B The tumor involves one or both ovaries or fallopian tubes with pelvic extension or
primary peritoneal cancer
.
The tumor involves one or both ovaries or fallopian tubes, or primary peritoneal
cancer, with cytologically and histologically confirmed spread to the peritoneum
C outside the pelvis and/or metastasis to the retroperitoneal lymph nodes, and pelvis;
. has extended to bowel, peritoneum, or lymph nodes

D Distant metastasis excluding peritoneal metastasis

.

Question 34 1/1
When discussing contraception, LARC stands for:

A Less aggressive reversible

contraception
.
B Long awaited reversible
contraception
.
C Long acting reversible
contraception
.
D None of the above
.

Question 35 1/1
Women who have a history of immediate hypersensitivity to should not receive
the 4-valent or 9-valent HPV series.

A Milk
products
.
B Eggs
.
C Cats
.
D Yeast
.

Question 36 0/1
Transvaginal ultrasound can provide information about pregnancy viability weeks
after the LMP.

A 1-
2
.
B4
.
C6
.
D 12
.

Question 37 1/1
The HPV vaccine is contraindicated in:

A Pregnancy
.
B Breastfeedi
ng
.
C Males
.
D A and B
.
E A, B, and C
.

Question 38 1/1
Blood serum pregnancy tests can detect the presence of HCG days after
fertilization.

A 24
hours
.
 B 1-3
days
.
C 3-5
days
.
D 8-10
days
.

Question 39 1/1
The following is/are absolute contraindication(s) to estrogen use:

A Known
breast
or suspected cancer of the
.
B History of biliary tract disorder
.
C History
cancer
of uterine or ovarian
.
D A and C
.
E A, B, and C
.

Question 40 0/1
The standard treatment for patients with vulvar cancer regardless of the stage of the
disease is:

A Laser treatment
.
B Cryosurgery
.
C Surgical
resection
.
D Topical
medication
.

Question 41 0/1
In a male, the urethra carries through the penis.

A Urine
.
B Semen
.
C Testostero
.
 ne

D A and B
.
E A, B, and C
.

Question 42 1/1
When using the TNM system for staging cancers, the letters stand for:

A Tumor, nodes,
melanoma
.
B Tumor, nodes,
metastasis
.
C Tension, number,
metastasis
.
D Tumor, number,
metastasis
.

Question 43 1/1
The bluish hue that the cervix takes on during pregnancy is called:

A Goodell’s sign
.
B Baby Blues sign
.
C Cervical
sign
ripening
.
D Chadwick’s sign
.

Question 44 1/1
Paula also asks you about the dark line that starts at her sternal notch and goes down
toward the genitalia vertically. You tell her that is called and that is normal in
pregnancy and may appear due to increasing levels of melanocyte-stimulating hormone.

A Linea alba
.
B Striae
gravidarum
.
C Linea nigra
.
D Melanin
.
Question 45 0/1
Laboratory testing that might be indicated to rule out vaginal discharge include:

A STI testing
.
B Wet Mount
.
C Endocervical
curettage
.
D A and B
.
E A, B, and C
.

Question 46 1/1
Ectopic pregnancy involves a pregnancy that implants:

A Outside of the uterus

.
B In the uterus
.
C Through in vitro
fertilization
.
D None of the above
.

Question 47 1/1
The following are warning signs of pregnancy except:

A Bleeding
spotting
more than light
.
B Severe abdominal pain
.
C Extreme
vomiting
nausea and
.
D Braxton-Hicks contractions
.

Question 48 1/1
Menarche usually occurs between the ages of:

A 9-11
.
B 11-
 12
.

C 12-
15
.
D 13-
17
.

Question 49 1/1
The current FDA approval limit for the copper IUD is:

A 3years
.
B 5years
.
C 7years
.
D 10
years
.

Question 50 1/1
When a woman is pregnant and calculating the last menstrual period (LMP), it should be
counted from:

A The first day of the last

period
.
B The last day of the last
period
.
C The middle of the last
period
.
D None of the above
.

Question 51 0/1
The most frequent causal finding(s) on laparoscopy for chronic pelvic pain is/are:

A Endometriosis
.
B Adhesions
.
C Absence
condition
of pathologic
.
 D A and B
.
E A, B, and C
.

Question 52 1/1
Annabelle is a 17-year-old who came in to see you because she is concerned about a “lump”
in her right breast. She first noticed it about a month ago and it has not changed in size
since then. On exam you note the mass to be about 2 cm in diameter at about 7:00 on her
breast. It feels well-delineated and is freely mobile. There is no nipple discharge. You decide
to proceed with imaging. The best diagnostic imaging test for this patient would be:

A MRI
.
B Diagnostic
mammography
.
C Ultrasound
.
D CT scan
.

Question 53 0/1
The following is a type of permanent contraception:

A Hysteroscopy
.
B Vasectomy
.
C DMPA injections
.
D Emergency
contraception
.

Question 54 1/1
Fetal heart tones can typically be initially heard with a handheld doppler by:

A 6-8 weeks of
pregnancy
.
B 10-12 weeks of
pregnancy
.
C 14-16 weeks of
pregnancy
.
D 20-24 weeks of
pregnancy
.
Question 55 0/1
When performing a semen analysis, the following is/are measured:

A Semen
volume
.
B Total
motility
.
C pH
.
D A and B
.
E A, B, and C
.

Question 56 1/1
A woman with a normal BMI of 18.5-24.9 should ideally gain pounds during
pregnancy.

A 11-
20
.
B 15-
25
.
C 25-
35
.
D 28-
40
.

Question 57 1/1
The following are LARC methods of contraception except:

A Mirena
.
B Nexplanon
.
C Liletta
.
D Oral
contraceptives
.

Question 58 0/1
Men have little or no measurable decline in fertility before age:

A 35 to
 40
.

B 45
50
to
.
C 55
60
to
.
D 65
70
to
.

Question 59 0/1
The gold standard for assessing uterine bleeding and diagnosing endometrial cancer is:

A Endometrial biopsy
.
B Transvaginal
ultrasound
.
C Dilation
curettage
and
.
D CA-125 levels
.

Question 60 1/1
The following are presumptive signs of pregnancy except:

A Urinary
frequency
.
B Nausea and
vomiting
.
C Fatigue
.
D Nipple lightening
.

Question 61 1/1
The vaginal ring (Nuva ring) is:

A Replaced on a weekly basis

.
B Left in place for 21 days and then removed for a week
.
C Replaced on a monthly basis
.
 D Placed in the vagina at least 2 hours prior to intercourse and removed at least 6
hours after intercourse
.

Question 62 1/1
DMPA should be administered:

A Every
weeks
4
.
B Every
weeks
9
.
C Every
weeks
13
.
D Every
weeks
24
.

Question 63 1/1
Sometime in the last month of pregnancy, the fundal height drops slightly. This is called:

A Lightening
.
B Flexing
.
C Pubic
cradling
.
D Hegar’s
sign
.

Question 64 1/1
When assessing fetal heart tones with the doppler, the normal range is:

A 60-80 BPM
.
B 100-120
BPM
.
C 120-160
BPM
.
D 160-200
BPM
.

Question 65 1/1
The quadrivalent HPV vaccine protects against HPV genotypes
 A 1, 2, 3, and 4
.
B A, X, C, F
.
C 6. 11, 16, 18
.
D Beta,
sigma
magda, gamma, and
.

Question 66 1/1
When a woman is lying down, it is best to lie to avoid hypotension and
potential syncope.

A In a supine
position
.
B On her left side
.
C On her right
side
.
D Face down
.

Question 67 0/1
In a patient with irritable bowel syndrome, a diet that eliminates is
recommended.

A Fat
.
Carbohydrat
B es
.
C Protein
.
D Purine
.

Question 68 1/1
To reduce risk of illness during pregnancy, fish and shellfish should be:

A Served raw
.
B Cooked thoroughly
.
C Served at every meal
.
 D Encouraged
possible
as often as
.

Question 69 1/1
The following is/are types of assisted reproductive technology:

A IVF
.
B GIFT
.
C ZIFT
.
D A and B
.
E A, B,
and C
.

Question 70 1/1
Urine pregnancy tests are considered to be:

A Reliable
.
B eUnreliabl
.
Expensi
C ve
.
D Invasive
.

Question 71 0/1
The following routines can help with sleep patterns:

A Taking a warm bath

.
B Exercising
.
C Changing
sleepwear
into
.
D A and C
.
E A, B, and C
.

Question 72 1/1
Depot medroxyprogesterone acetate (DMPA) is widely known as:

A Mirena
.
B Depo-
Provera
.
C Mini-pill
.
D Nexplanon
.

Question 73 1/1
Lauren comes into your office stating she thinks she might be pregnant. She missed a period
and her breasts are tender. She has also been feeling a little nauseous. On gathering her
history, she tells you her LMP was 6/14/2020 and that her periods are very regular on a 28
day cycle. You do a urine HCG and it is positive. Using Nagele’s rule, calculate her estimated
due date.

A 13/15/202
.
B 13/19/202
.
C 13/21/202
.
D 13/28/202
.

Question 74 1/1
The following are preventive factors for the development of ovarian cancer:

A Pregnancy
term birth
resulting in at least one full-
.
B Factors that inhibit ovulation
.
C Breastfeeding
.
D A and C
.
E A, B, and C
.

Question 75 1/1
When using the Bethesda system to categorize epithelial cell abnormalities on pap smear,
the term used when squamous cells do not appear completely normal, but it is not possible
to determine the cause of the abnormal cells is;

A ASC-H
.
B ASC-
US
.
C HSIL
.
D LSIL
.

Question 76 1/1
As women age, adipose tissue is redistributed and begins to accumulate in the:

A Hips and
thighs
.
B Breasts
.
C Waist
.
D Triceps area
.

Question 77 1/1
The three trisomies for which testing is offered during the second trimester are:

A 13.
21
18,
.
B 16,
21
19,
.
C 3, 9, 19
.
D 16,
22
21,
.

Question 78 1/1
WIC is a federally operated assistance program that also offers dietary counseling and
provides vouchers for healthy foods for women living at or below 185% of the poverty level.
WIC stands for:

A Women in Care
.
 B Why I Care
.
C Women,
Children
Infants, and
.
D Wonderful
Children
Infants and
.

Question 79 1/1
While there is no conclusive data on safe doses, caffeine intake during pregnancy should be
limited to approximately mg daily.

A 50
.
B 010
.
C 020
.
D040
.

Question 80 0/1
When taking alendronate (Fosamax) for postmenopausal osteoporosis,

A It should always be taken with food

.
B Itempty
should be taken first think in the morning on an
stomach
.
C It should be taken with an 8 oz glass of water
.
D B and C
.

Question 81 1/1
Progestin-only methods are:

A Likely to improve menstrual

symptoms
.
B Unlikely
bleeding
to ever cause breakthrough
.
C A and B
.
D None of the above
 .

Question 82 1/1
HPV can be spread through:

A Skin-to-skin
contact
genital
.
B Only through actual
intercourse
.
C The
virus
air as it is an airborne
.
D Dirty needles
.

Question 83 1/1
The copper IUD is a T shaped device and

A Is made entirely of copper

.
B Isstem
made of polyethylene with copper wire around the
and arms
.
C Releases hormones from the copper to help prevent
pregnancy
.
D Does
IUD
not really have copper; it is just called the copper
.

Question 84 1/1
Urogenital changes that can occur with menopause include:

A Vaginal dryness
.
B Dyspareunia
.
C Urinary
incontinence
.
D A and C
.
E A, B, and C
.

Question 85 0/1
All women should be offered testing for cystic fibrosis carrier status during pregnancy. This
test should be done:

A Only once in a lifetime, as the status will not change

.
B With every pregnancy that results in a live birth
.
C With every pregnancy, including those that do not result in
a live birth
.
D Every five years
.

Question 86 1/1
If a pregnant woman has traveled to areas where tuberculosis is common and is at risk, she
should:

A Take preventive medication

.
B Have a tuberculin skin test
.
C Terminate the pregnancy
.
D Be aware that the baby may be born with an aortic
valve disorder
.

Question 87 1/1
Physiologic methods of contraception include:

A Abstinence
.
B Coitus interruptus
.
C Lactational
method
amenorrhea
.
D B and C
.
E A, B, and C
.

Question 88 1/1
The following are differential diagnoses for pelvic pain that are of gynecologic origin except:

A Interstitial
cystitis
.
 B Mittelschmerz
.
C Fibroids
.
D Uterine
prolapse
.

Question 90 1/1
Advantages of f the Lactational Amenorrhea method include all of the following except:

A It is readily available
.
B Itpostpartum
can be used immediately
.
C It is free
.
D Itcontrol
is the most effective method of birth
.

Question 91 1/1
The majority of vulvar malignancies are:

A Squamous
carcinomas
cell
.
B Basal cell carcinomas
.
C Adenocarcinomas
.
D Malignant melanomas
.

Question 92 1/1
Osteoporosis is characterized by:

A Low bone mass

.
B Deterioration
tissue
of bone
.
C Disruption of bone
architecture
.
D All of the above
.
Question 93 1/1
Ovarian reserve testing assesses a woman’s reproductive potential by:

A Measuring the quality of her remaining oocytes

.
B Measuring
oocytes
the quantity of her remaining
.
C Assessing the color and motility of her
remaining oocytes
.
D A and B
.
E A, B, and C
.

Question 94 1/1
In the case that a biopsy has been recommended for a palpable breast mass, the procedure
would most typically be:

A Abiopsy.
fine-needle aspiration
.
B An MRI-guided needle
biopsy.
.
C An excisional breast
biopsy.
.
D None of the above.
.

Question 95 0/1
The greatest risk factor for ovarian cancer is:

A Smoking
.
B Family history of ovarian cancer in a first-
degree relative
.
C BRCA-1 mutation
.
D None of the above
.

Question 96 1/1
Carcinoma of the vulva is most often seen in women who are:

A Under the age of 30

 .
B Pre-menopausal
.
C Post-menopausal
.
D Actively going through
menopause
.

Question 97 1/1
The number one cause of mortality for both women and men in the United States is:

A Diabetes Mellitus
.
B Cardiovascular
disease
.
C Bone cancer
.
D Dementia
.

Question 98 1/1
Pelvic adhesions can be caused by:

A Previous
surgeries
.
B Infection
.
C Endometriosis
.
D All of the above
.

Question 99 1/1
To reduce the discomfort of hot flashes with menopause, recommendation include:

A Wearing breathable fabrics

.
B Wearing silk and polyester
.
C Avoiding a fan as it makes the hot
flashes worse
.
D None of the above
.
Question 100 1/1
The progestin implant is inserted into the upper arm.

A A single rod
.
B Two rods
.
C 6 rods
.
D None
above
of the
.
SCORE: 83