NRNP – 6552 Advanced Nurse Practice in Reproductive Health Care Midterm Exam


Olivia presents with a complaint of “bumps” around her vagina. They are nonpainful and nonpruritic. Upon inspection, you note several flesh colored and pearly white papules with depressed centers. This appearance is characteristic of:

A. Condyloma lata
B. Genital warts
C. Malignant melanoma
D. Molluscum contagiosum

Pelvic support structures include:

A. Muscles and connective tissue of the pelvic floor
B. Fibromuscular tissue of the vaginal wall
C. Endopelvic connective tissue
D. All of the above

Serum FSH indirectly measures ovarian function, with _ levels of FSH indicating normally functioning ovaries.

A. Lower
B. Median
C. Higher
D. Absent

The term used to describe painful cramps that occur with menstruation is:

A. Amenorrhea
B. Menorrhagia
C. Uterine atony
D. Dysmenorrhea
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One of the reasons that substance use is a concern in LBQ and TGNC communities is:

A. It has been shown to be a confirmed genetic risk
B. Bars and club scenes have long been safe spaces for gay, LBQ, ad TGNC people
C. A and B
D. None of the above
One of the reasons that substance use is a concern in LBQ and TGNC communities is:

A. It has been shown to be a confirmed genetic risk
B. Bars and club scenes have long been safe spaces for gay, LBQ, ad TGNC people
C. A and B
D. None of the above

n physical examination, pale atrophic depigmented tissue that has a “cigarette paper” appearance is consistent with:

A. Vaginal candidiasis
B. Contact dermatitis
C. Lichen sclerosis
D. Gonorrhea

A type of contraceptive that does not contain hormones is:

A. Paragard IUD
B. Mirena IUD
C. Nuvaring
D. Evra patch

The following are the four basic Caldwell-Moloy pelvic types.

A. Gynecoid, android, anthropoid, platypelloid
B. Gynecoid, antecoid, retrocoid, flexed
C. Anterverted, anteflexed, retroverted, retroflexed
D. None of the above

The least invasive way to assess bladder capacity is through:

A. Filling cystometrogram
B. 3-day voiding diary
C. Quantified standing stress test
D. Urethral pressure profile

Strong evidence shows that first trimester abortions, whenever performed safely, increases a women’s risks of:

A. Subsequent infertility
B. Ectopic pregnancy
C. Birth defects
D. None of the above

Hirsutism is defined as:

A. Excessive terminal hair loss in women
B. Excessive nail growth in women
C. Brittle nail growth in women
D. Excessive terminal hair growth in women

EBP stands for:

A. Experimental based practice
B. Evidence based practice
C. Excellent bedside practice
D. None of the above

The ___ are easily sensitized and become engorged with blood during sexual arousal.

A. Labia Minora
B. Labia Majora
C. Bartholin’s glands
D. Mons pubis

Menopause is defined as:

A. Cessation of periods for six months
B. Cessation of periods for one year
C. Cessation of periods for two years
D. None of the above

Josefina is a 47-year-old patient with family history of diabetes. Her BMI is 30. She has been healthy except for medication-controlled hypertension. She has been very compliant with her appointments. Today, you tell her you need to check her blood sugar. She says “I just read an article that said I only need to have that checked every three years. You just checked it last year.” You tell her:

A. You are correct that in many people, testing should only be every year. However, due to your family history of diabetes and your current weight and BMI, this places you in the high-risk category and you should have this done yearly.
B. You are absolutely correct. I did not see in the chart that we had done that last year. I apologize. You are not due for that for two more years.
C. I’m not sure the article that you read but the recommendation is that every patient have this test done on a yearly basis.
D. Actually, we are supposed to be checking it every three months in high risk individuals, so we are behind on our testing!

All organizations recommend beginning screening mammograms in average-risk women at age____

A. <40 years
B. 40 to 44 years
C. 45 to 49 years
D. 55 years and older

The _ is a sensitive organ that is typically described as the female homologue of the penis.

A. Vulva
B. Clitoris
C. Skene’s gland
D. Bartholin’s gland

A person whose gender identity is the same as their sex when he or she was born is:

A. Bisexual
B. Pansexual
C. Intersexual
D. Cisgender

When females go through puberty, the changes that occur are initiated by the production of:

A. Low amounts of estrogen
B. High amounts of estrogen
C. High amounts of progesterone
D. Low amounts of testosterone

Gale is 36 weeks pregnant. She calls the office to report that she has noticed a sticky fluid coming from her breasts. You let her know that this is most likely:

A. A serious concern and she needs to be evaluated immediately.
B. Colostrum, but she should be evaluated as it should not be noted during pregnancy.
C. Colostrum, which is commonly noted toward the end of the pregnancy.
D. A hormonal response that is indicative that she will most likely go into labor int the next 48 hours.

Endometrial polyps are most commonly identified by:

A. A speculum exam
B. A bimanual exam
C. A pap smear
D. A transvaginal ultrasound

When using the FIGO staging classification 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
C. The tumor involves one or both ovaries or fallopian tubes, or primary periotenal cancer, with cytologically and histologically confirmed spread to the peritoneum outside the pelvis
D. There is distant metastasis excluding peritoneal metastasis

First line pharmacologic treatment for women with PCOS is/are:

A. Progestin-only birth control pills
B. Combined oral contraceptives
C. Lasix
D. Multivitamins with folic acid

Metabolic syndrome typically includes the following except:

A. Sudden weight loss
B. Obesity
C. Insulin resistance
D. Dyslipidemia
E. All of the above
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On vaginal exam you find that Polly’s cervix is in the most common position, which is:

A. Antiflexion
B. Midline
C. Posterior
D. Backward

Clinicians can participate in primary sexual violence prevention by applying individual prevention skills, such as:

A. Challenging behaviors in others that promote violence
B. Engaging in healthy professional and personal relationships
C. Learning to identify risk factors for sexually abusive behaviors
D. B and C
E. A, B, and C

The following is/are types of sexual violence.

A. Intentional touching of the breast
B. Pornography
C. Threats of sexual violence
D. All of the above

The only antimicrobial medications that are effective against Trichomoniasis vaginalis are:

A. tinidazole or metronidazole
B. Amoxicillin or Augmentin
C. doxycycline or minocycline
D. cephalexin or ceftriaxone

The use of a pain rating scale may assist the clinician to comprehend the intensity of a woman’s pain. Example(s) of pain rating scale(s) include:

A. Numeric ranking scale
B. Visual analog scale
C. Verbal descriptive scale
D. All of the above
The use of a pain rating scale may assist the clinician to comprehend the intensity of a woman’s pain. Example(s) of pain rating scale(s) include:

A. Numeric ranking scale
B. Visual analog scale
C. Verbal descriptive scale
D. All of the above

A cluster of mild to moderate physical and psychological symptoms that occur during the late luteal phase of menses and resolve with menstruation is the definition of

A. Premenstrual dysphoric disorder
B. Premenstrual syndrome
C. Menstrual mood swings
D. Psychosocial syndrome

The timing of an adolescent growth spurt typically occurs __ in puberty than it does for boys.

A. One year later
B. Two years earlier
C. At a similar time
D. None of the above

The following symptoms are consistent with PMS except:

A. Depression
B. Confusion
C. Breast tenderness
D. Uncontrollable fits of laughter

Reproductive coercion includes behaviors:

A. Related to pressuring or coercing a person to have sex without using physical force
B. Related to pressuring or coercing a person to have sex using physical force
C. That interfere with contraception use and/or pregnancy
D. Any of the above

Women in the following profession have a higher rate of UTI

A. Nursing
B. Housecleaning
C. Secretarial
D. Those who do not work outside the home

Women in the following profession have a higher rate of UTI

A. Nursing
B. Housecleaning
C. Secretarial
D. Those who do not work outside the home

Clinicians are required to report certain STIs to their state public health officials. These include:

A. Chlamydia
B. Gonorrhea
C. Syphilis
D. A and B
E. A, B, and C

Bone density testing for osteoporosis should start at age for women and age for men.

A. 60; 60
B. 65; 70
C. 50; 60
D. 65; men do not need this test

A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include

A. Clindamycin
B. Minocycline
C. Metformin
D. All of the above

The following is/are risk factor(s) for bacterial vaginosis.

A. Menstrual bleeding
B. Douching
C. Lack of condom use
D. B and C
E. A, B, and C

All of the following are risk factors for UTI, except:

A. Previous UTI
B. Infrequent sexual activity
C. Incomplete bladder emptying
D. Obesity

n women with PCOS, polycystic ovaries are due to:

A. Excessive ovulation
B. Chronic anovulation
C. Using birth control for an extended period of time
D. None of the above

The following symptoms are associated with peri-menopause and menopause.

A. Excessive eye tearing
B. Headache
C. Fatigue
D. B and C
E. All of the above

Just prior to ovulation, rising levels of estradiol increases the amount of cervical mucus, making it:

A. Thick and sticky
B. Absent
C. Thin and watery
D. Yellowish and thicker

The most common type of UTI affecting women is:

A. Pyelonephritis
B. Asymptomatic bacteriuria
C. Acute bacterial cystitis
D. None of the above

Criteria for clinical diagnosis of bacterial vaginosis include the presence of three out of four of the following Amsel criteria:

A. Yellowish thick vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBCs on microscopic examination
B. Yellowish thick vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of clue cells on microscopic examination
C. White, thin adherent vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBCs on microscopic examination
D. Yellowish thick vaginal discharge, pH equal or less than 4.5; positive whiff/KOH test; presence of WBCs on microscopic examination

The contraceptive implant that is currently available in the U.S. is:

A. Norplant
B. Implanon
C. Nexplant
D. Nexplanon

Approximately 50% to 70% of women with PCOS are insulin resistant. Insulin resistance often results in:

A. Compensatory hyperinsulinemia
B. Compensatory hypoinsulinemia
C. Excessively low blood sugars
D. Weight loss

evidence from randomized trials on intimate partner violence screening support the following intervention(s) for women of childbearing age:

A. Counseling
B. Home visits
C. Mentoring support
D. A and C
E. A, B, and C

Nearly _ pregnant women have been abused by the partner.

A. 1 in 20
B. 1 in 15
C. 1 in 6
D. 1 in 2

When looking from a feminist perspective at research studies, one of the great concerns is that:

A. There are too many studies involving women
B. Most of the research is qualitative, which limits the applicability
C. For many years, studies were done primarily on men with the findings being generalized to women
D. None of the above

Marianne presents for a well woman exam. In gathering her history, she tells you she has been pregnant 3 times. She has two children, both born at 39 weeks, and had one miscarriage. Using the GTPAL system, you note that in her chart as the followingA

A. G3 T2 P0 A1 L2
B. G3 T0 P2 A1 L2
C. G2 T2 P0 A1 L2
D. G2 T2 P2 A1 L3

The frontline analgesics for painful menstrual cramps are:

A. Opioids
B. Corticosteroids
C. NSAIDs
D. Hormone therapy

The endometrial cycle has three phases, which are:

A. Proliferative, luteal, menstrual
B. Luteal, menstrual, post-menstrual
C. Proliferative, secretory, menstrual * (pg. 91)
D. Secretory, luteal, menstrual

A progesterone challenge test that produces withdrawal bleeding is indicative of:

A. No ovarian function
B. Infertility
C. Functioning ovaries
D. Uterine cancer

Neisseria gonorrhea is a _ bacteria

A. Gram positive
B. Gram neutral
C. Gram negative
D. None of the above

Ovarian failure is diagnosed when estrogen production is identified while the serum FSH is ___.

A. Low; Low
B. Low; High
C. High; Low
D. High; High

A waiting period of __ between bariatric surgery and pregnancy is recommended.

A. 6-12 months
B. 6-18 months
C. 12-24 months
D. 3-5 years

Trichomonas vaginalis can be asymptomatic, but when symptomatic, the vaginal discharge tends to be:

A. Thick and green non odorous
B. Yellow to green frothy
C. Bloody
D. Thin and watery

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