WALDEN UNIVERSITY | NURS 6552 Women’s Health Final
NURS 6552 WOMEN’S
HEALTH FINAL EXAM
LATEST (ALREADY
GRADED A+)
Exam Elaborations QUIZs and Answers
QUIZ 1
1/1
In a woman who is 20 weeks pregnant, the fundus is typically the same height as:
symphysis
A The
pubis
.
B The umbilicus
.
xiphoid
C The
process
.
of the
D None
above
.
QUIZ 2
0/1
The following are risk factors for breast cancer except:
A Menarche after the age of 12
.
B Nulliparity
.
at age 55 years or
C Menopause
older
.
full-term pregnancy after
D First
age 30
.
QUIZ 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
.
QUIZ 4
1/1
All of the following are disadvantages of Combined Oral Contraceptives except:
A The need for daily pill taking
.
ongoing cost of the method for some
B The
individuals
.
C Side effects for some women
.
in the risk of some types of
D Reduction
cancer
.
QUIZ 5
0/1
With irritable bowel syndrome (IBS), typically defecation:
the pain more
A Makes
intense
.
Provides relief from the
B Pain
.
Makes no difference in the
C pain
.
D Causes intense cramping
.
QUIZ 6
1/1
The Tanner scale divides sexual physical maturity into
stages
A eThre
.
B Five
.
CnSeve
.
D Nine
.
QUIZ 7
1/1
Nonlatex condoms:
A Fit tighter on the penis than latex condoms
.
B Come in a variety of colors
.
an increased risk of breakage or slippage during intercourse than
C Have
latex condom
.
D Lead to a greater incidence of allergies than latex condoms
.
QUIZ 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
.
homes with lead
B Older
paint
.
C Certain types of pottery
.
D Some stained glass
.
QUIZ 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
.
QUIZ 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
.
artery
C Uterine
embolization
.
D Hysterectomy
.
E A , B, and D
.
F.
A, B, C, and D
QUIZ 11
1/1
All of the following are risk factors for fetal genetic or development abnormalities in
maternal, paternal, and family history except:
age equal or greater than
A Maternal
30 years
.
B Mother and father related by blood
.
C Maternal exposure to toxins
.
D Congenital blindness or deafness
.
QUIZ 12
1/1
During pregnancy, blood volume:
the same as pre-pregnant
A Remains
amounts
.
B Increases by 10%
.
C Increases by 30-50%
.
D Decreases by 20%
.
QUIZ 13
0/1
A complete male evaluation usually includes:
semen analyses, approximately one
A Two
hour apart
.
semen analyses, approximately one
B Two
month apart
.
C One complete semen analysis
.
D A fractionated semen analysis
.
QUIZ 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:
is very important that she receive this vaccine today because you do not want her
A It
to get chicken pox while she is pregnant.
.
B She should not get the vaccine today as it is contraindicated in pregnancy.
.
health care providers leave it up to the patient and you are willing to do
C Most
whatever she requests.
.
D Adults never need this vaccine.
.
QUIZ 15
1/1
The following gonadotropins are responsible for regulating gynecologic organ activities.
and
A Testosterone
androgen
.
B FSH and progesterone
.
C FSH and LH
.
D LH and prolactin
.
QUIZ 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.
tell her you are pleased she remembered this important test and proceed with
A You
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.
.
explain to her that the USPTF and ASCCP recommend that in a woman with a
D You
history of negative pap smears, the test can be discontinued at age 65
.
QUIZ 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:
are a few products on the market which have proven to be very helpful in
A There
making stretch marks disappear
.
advertiser’s claims, there is no magic cream to prevent them or make them
B Despite
go away.
.
weight gain and eating nutritiously can help decrease their number and
C Watching
severity
.
D B and C
.
QUIZ 18
1/1
All of the following are barrier methods of contraception except
A Male condom
.
B Female
condom
.
C Diaphragm
.
D Coitus
interruptus
.
QUIZ 19
1/1
The following are risk factors associated with acquiring HPV except:
A Nulliparity
.
age at first
B Early
intercourse
.
multiple sexual
C Having
partners
.
D Smoking
.
QUIZ 20
1/1
When the cervix softens in pregnancy, this is called:
A Goodell’s
sign
.
lip
B Cervical
sign
.
plug
C Mucus
sign
.
D Vulvar sign
.
QUIZ 21
1/1
The following vaccine(s) is/are contraindicated in pregnancy:
A MMR
.
B Varicella
.
C Tdap
.
D A and B
.
B,
E A,
and C
.
QUIZ 22
1/1
When presenting the laboratory tests that should be performed during the pregnancy it is
important to let the woman know:
must have all the recommended tests done or it can be
A She
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
.
should make sure that her partner signs the consent for all the
D She
tests done.
.
QUIZ 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
.
the fetal neural tube has
C Whether
properly fused
.
D If the fetus is living
.
QUIZ 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:
in the pregnancy is ideal because the ultrasound dating is more accurate than
A Early
later in the pregnancy
.
should wait a couple of months as ultrasound dating is most accurate in the
B She
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
.
QUIZ 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
.
QUIZ 26
1/1
It is believed that women acquire most of their bone mass
A As infants
.
early
B Inadolescence
.
C In their 20’s
.
D In their 50’s
.
QUIZ 27
1/1
Emergency contraception
be used as an ongoing method of
A Can
contraception
.
B Provides STI protection
.
the only method that can be used after
C Isintercourse
.
D Is available by prescription only
.
QUIZ 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
.
QUIZ 29
1/1
Ibandronate (Boniva, a medication for osteoporosis, can be administered:
A Orally
.
an IM
B Through
injection
.
C Intravenously
.
D A and C
.
E A, B, and C
.
QUIZ 30
1/1
Progestin-only contraceptives are generally considered safer for women who:
a diagnosis of
A Have
Diabetes
.
Migraines with
B Experience
aura
.
C Are 15 or younger
.
D Are healthy and fit
.
QUIZ 31
1/1
The following are foods to avoid during pregnancy except:
A Soy products
.
B Unpasteurized
milk
.
C Raw eggs
.
alfalfa
D Raw
sprouts
.
QUIZ 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
.
only with no other
C Vitamins
supplements
.
and Vitamins with no other
D Iron
supplements
.
QUIZ 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)
.
tumor involves one or both ovaries or fallopian tubes with pelvic extension or
B The
primary peritoneal cancer
.
C
.
The tumor involves one or both ovaries or fallopian tubes, or primary peritoneal
cancer, with cytologically and histologically confirmed spread to the peritoneum
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
.
QUIZ 34
1/1
When discussing contraception, LARC stands for:
aggressive reversible
A Less
contraception
.
awaited reversible
B Long
contraception
.
acting reversible
C Long
contraception
.
D None of the above
.
QUIZ 35
1/1
Women who have a history of immediate hypersensitivity to
the 4-valent or 9-valent HPV series.
should not receive
A Milk
products
.
B Eggs
.
C Cats
.
D Yeast
.
QUIZ 36
0/1
Transvaginal ultrasound can provide information about pregnancy viability
after the LMP.
A 12
.
B4
.
C6
.
D 12
.
QUIZ 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
.
QUIZ 38
1/1
Blood serum pregnancy tests can detect the presence of HCG
fertilization.
A 24
hours
.
days after
weeks
B 1-3
days
.
C 3-5
days
.
D 8-10
days
.
QUIZ 39
1/1
The following is/are absolute contraindication(s) to estrogen use:
or suspected cancer of the
A Known
breast
.
B History of biliary tract disorder
.
of uterine or ovarian
C History
cancer
.
D A and C
.
E A, B, and C
.
QUIZ 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
.
QUIZ 41
0/1
In a male, the urethra carries
A Urine
.
B Semen
.
C Testostero
.
through the penis.
ne
D A and B
.
E A, B, and C
.
QUIZ 42
1/1
When using the TNM system for staging cancers, the letters stand for:
nodes,
A Tumor,
melanoma
.
nodes,
B Tumor,
metastasis
.
number,
C Tension,
metastasis
.
number,
D Tumor,
metastasis
.
QUIZ 43
1/1
The bluish hue that the cervix takes on during pregnancy is called:
A Goodell’s sign
.
B Baby Blues sign
.
ripening
C Cervical
sign
.
D Chadwick’s sign
.
QUIZ 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
.
QUIZ 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
.
QUIZ 46
1/1
Ectopic pregnancy involves a pregnancy that implants:
A Outside of the uterus
.
B In the uterus
.
in vitro
C Through
fertilization
.
D None of the above
.
QUIZ 47
1/1
The following are warning signs of pregnancy except:
more than light
A Bleeding
spotting
.
B Severe abdominal pain
.
nausea and
C Extreme
vomiting
.
D Braxton-Hicks contractions
.
QUIZ 48
1/1
Menarche usually occurs between the ages of:
A 9-11
.
B 11-
.
12
C 1215
.
D 1317
.
QUIZ 49
1/1
The current FDA approval limit for the copper IUD is:
A 3years
.
B 5years
.
C 7years
.
D 10
years
.
QUIZ 50
1/1
When a woman is pregnant and calculating the last menstrual period (LMP), it should be
counted from:
first day of the last
A The
period
.
last day of the last
B The
period
.
middle of the last
C The
period
.
D None of the above
.
QUIZ 51
0/1
The most frequent causal finding(s) on laparoscopy for chronic pelvic pain is/are:
A Endometriosis
.
B Adhesions
.
of pathologic
C Absence
condition
.
D A and B
.
E A, B, and C
.
QUIZ 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
.
QUIZ 53
0/1
The following is a type of permanent contraception:
A Hysteroscopy
.
B Vasectomy
.
C DMPA injections
.
D Emergency
contraception
.
QUIZ 54
1/1
Fetal heart tones can typically be initially heard with a handheld doppler by:
weeks of
A 6-8
pregnancy
.
weeks of
B 10-12
pregnancy
.
weeks of
C 14-16
pregnancy
.
weeks of
D 20-24
pregnancy
.
QUIZ 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
.
QUIZ 56
1/1
A woman with a normal BMI of 18.5-24.9 should ideally gain
pregnancy.
A 1120
.
B 1525
.
C 2535
.
D 2840
.
QUIZ 57
1/1
The following are LARC methods of contraception except:
A Mirena
.
B Nexplanon
.
C Liletta
.
D Oral
contraceptives
.
QUIZ 58
0/1
Men have little or no measurable decline in fertility before age:
A 35 to
pounds during
.
40
to
B 45
50
.
to
C 55
60
.
to
D 65
70
.
QUIZ 59
0/1
The gold standard for assessing uterine bleeding and diagnosing endometrial cancer is:
A Endometrial biopsy
.
B Transvaginal
ultrasound
.
and
C Dilation
curettage
.
D CA-125 levels
.
QUIZ 60
1/1
The following are presumptive signs of pregnancy except:
A Urinary
frequency
.
and
B Nausea
vomiting
.
C Fatigue
.
D Nipple lightening
.
QUIZ 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
.
in the vagina at least 2 hours prior to intercourse and removed at least 6
D Placed
hours after intercourse
.
QUIZ 62
1/1
DMPA should be administered:
4
A Every
weeks
.
9
B Every
weeks
.
13
C Every
weeks
.
24
D Every
weeks
.
QUIZ 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
.
QUIZ 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
.
QUIZ 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
.
magda, gamma, and
D Beta,
sigma
.
QUIZ 66
1/1
When a woman is lying down, it is best to lie
potential syncope.
to avoid hypotension and
a supine
A In
position
.
B On her left side
.
her right
C On
side
.
D Face down
.
QUIZ 67
0/1
In a patient with irritable bowel syndrome, a diet that eliminates
recommended.
A Fat
.
Carbohydrat
B es
.
C Protein
.
D Purine
.
QUIZ 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
.
is
as often as
D Encouraged
possible
.
QUIZ 69
1/1
The following is/are types of assisted reproductive technology:
A IVF
.
B GIFT
.
C ZIFT
.
D A and B
.
B,
E A,
and C
.
QUIZ 70
1/1
Urine pregnancy tests are considered to be:
A Reliable
.
B eUnreliabl
.
Expensi
C ve
.
D Invasive
.
QUIZ 71
0/1
The following routines can help with sleep patterns:
A Taking a warm bath
.
B Exercising
.
into
C Changing
sleepwear
.
D A and C
.
E A, B, and C
.
QUIZ 72
1/1
Depot medroxyprogesterone acetate (DMPA) is widely known as:
A Mirena
.
B DepoProvera
.
C Mini-pill
.
D Nexplanon
.
QUIZ 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
.
QUIZ 74
1/1
The following are preventive factors for the development of ovarian cancer:
resulting in at least one fullA Pregnancy
term birth
.
B Factors that inhibit ovulation
.
C Breastfeeding
.
D A and C
.
E A, B, and C
.
QUIZ 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 ASCUS
.
C HSIL
.
D LSIL
.
QUIZ 76
1/1
As women age, adipose tissue is redistributed and begins to accumulate in the:
and
A Hips
thighs
.
B Breasts
.
C Waist
.
D Triceps area
.
QUIZ 77
1/1
The three trisomies for which testing is offered during the second trimester are:
18,
A 13.
21
.
19,
B 16,
21
.
C 3, 9, 19
.
21,
D 16,
22
.
QUIZ 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
.
Infants, and
C Women,
Children
.
Infants and
D Wonderful
Children
.
QUIZ 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
.
QUIZ 80
0/1
When taking alendronate (Fosamax) for postmenopausal osteoporosis,
A It should always be taken with food
.
should be taken first think in the morning on an
B Itempty
stomach
.
C It should be taken with an 8 oz glass of water
.
D B and C
.
QUIZ 81
1/1
Progestin-only methods are:
to improve menstrual
A Likely
symptoms
.
to ever cause breakthrough
B Unlikely
bleeding
.
C A and B
.
D None of the above
.
QUIZ 82
1/1
HPV can be spread through:
genital
A Skin-to-skin
contact
.
through actual
B Only
intercourse
.
air as it is an airborne
C The
virus
.
D Dirty needles
.
QUIZ 83
1/1
The copper IUD is a T shaped device and
A Is made entirely of copper
.
made of polyethylene with copper wire around the
B Isstem
and arms
.
hormones from the copper to help prevent
C Releases
pregnancy
.
not really have copper; it is just called the copper
D Does
IUD
.
QUIZ 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
.
QUIZ 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
.
every pregnancy, including those that do not result in
C With
a live birth
.
D Every five years
.
QUIZ 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
.
aware that the baby may be born with an aortic
D Be
valve disorder
.
QUIZ 87
1/1
Physiologic methods of contraception include:
A Abstinence
.
B Coitus interruptus
.
amenorrhea
C Lactational
method
.
D B and C
.
E A, B, and C
.
QUIZ 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
.
QUIZ 90
1/1
Advantages of f the Lactational Amenorrhea method include all of the following except:
A It is readily available
.
can be used immediately
B Itpostpartum
.
C It is free
.
is the most effective method of birth
D Itcontrol
.
QUIZ 91
1/1
The majority of vulvar malignancies are:
cell
A Squamous
carcinomas
.
B Basal cell carcinomas
.
C Adenocarcinomas
.
D Malignant melanomas
.
QUIZ 92
1/1
Osteoporosis is characterized by:
A Low bone mass
.
of bone
B Deterioration
tissue
.
of bone
C Disruption
architecture
.
D All of the above
.
QUIZ 93
1/1
Ovarian reserve testing assesses a woman’s reproductive potential by:
A Measuring the quality of her remaining oocytes
.
the quantity of her remaining
B Measuring
oocytes
.
the color and motility of her
C Assessing
remaining oocytes
.
D A and B
.
E A, B, and C
.
QUIZ 94
1/1
In the case that a biopsy has been recommended for a palpable breast mass, the procedure
would most typically be:
fine-needle aspiration
A Abiopsy.
.
MRI-guided needle
B An
biopsy.
.
excisional breast
C An
biopsy.
.
D None of the above.
.
QUIZ 95
0/1
The greatest risk factor for ovarian cancer is:
A Smoking
.
history of ovarian cancer in a firstB Family
degree relative
.
C BRCA-1 mutation
.
D None of the above
.
QUIZ 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
.
going through
D Actively
menopause
.
QUIZ 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
.
QUIZ 98
1/1
Pelvic adhesions can be caused by:
A Previous
surgeries
.
B Infection
.
C Endometriosis
.
D All of the above
.
QUIZ 99
1/1
To reduce the discomfort of hot flashes with menopause, recommendation include:
A Wearing breathable fabrics
.
B Wearing silk and polyester
.
a fan as it makes the hot
C Avoiding
flashes worse
.
D None of the above
.
QUIZ 100
1/1
The progestin implant is
A A single rod
.
B Two rods
.
C 6 rods
.
of the
D None
above
.
SCORE: 83
inserted into the upper arm.