NUR 209
Reproductive Health
Latest Final Exam
2026
Qns & Ans
1. A 28‑year‑old woman presents with amenorrhea and galactorrhea. Which endocrine disorder is most
likely?
- A. Polycystic ovarian syndrome
- B. Hyperprolactinemia
- C. Hypothyroidism
- D. Premature ovarian failure
Answer: B
Rationale: Elevated prolactin suppresses GnRH, causing amenorrhea and galactorrhea.
2. Which contraceptive method is contraindicated in a patient with history of thromboembolism?
- A. Copper IUD
- B. Combined oral contraceptives
- C. Condoms
- D. Progestin‑only pills
Answer: B
Rationale: Estrogen increases clotting risk; avoid in thromboembolic disease.
3. A patient at 32 weeks gestation presents with painless vaginal bleeding. Which condition is suspected?
- A. Placenta previa
- B. Placental abruption
- C. Uterine rupture
, - D. Cervical polyp
Answer: A
Rationale: Placenta previa classically presents with painless bleeding in late pregnancy.
4. Which hormone surge triggers ovulation?
- A. FSH
- B. LH
- C. Progesterone
- D. Estrogen
Answer: B
Rationale: LH surge induces follicular rupture and ovulation.
5. A 40‑year‑old woman with BRCA1 mutation seeks cancer prevention. Which intervention is most
effective?
- A. Annual mammogram
- B. Oral contraceptives
- C. Prophylactic mastectomy and oophorectomy
- D. Breast self‑examination
Answer: C
Rationale: Surgical removal significantly reduces breast and ovarian cancer risk.
6. Which finding indicates preeclampsia with severe features?
- A. BP 140/90 mmHg
- B. Proteinuria 1+
- C. Platelet count 90,000/mm³
- D. Mild edema
Answer: C
Rationale: Severe features include thrombocytopenia, renal impairment, or CNS symptoms.
7. Which STI is characterized by painless chancre?
- A. Gonorrhea
- B. Syphilis
- C. Chlamydia
- D. Herpes simplex virus
Answer: B
Rationale: Primary syphilis presents with painless ulcer.
,8. A patient with endometriosis reports infertility. Which mechanism explains this?
- A. Ovarian cyst rupture
- B. Tubal adhesions impairing ovum transport
- C. Excess estrogen production
- D. Cervical stenosis
Answer: B
Rationale: Endometriosis causes adhesions that block fallopian tubes.
9. Which contraceptive method provides protection against STIs?
- A. Oral contraceptives
- B. IUD
- C. Condoms
- D. Injectable progestins
Answer: C
Rationale: Barrier methods prevent STI transmission.
10. Which nursing intervention is priority in postpartum hemorrhage?
- A. Encourage ambulation
- B. Massage the uterus
- C. Provide oral fluids
- D. Apply cold compress
Answer: B
Rationale: Uterine massage stimulates contraction to reduce bleeding.
11. Which drug is contraindicated in pregnancy due to teratogenicity?
- A. Methotrexate
- B. Penicillin
- C. Insulin
- D. Heparin
Answer: A
Rationale: Methotrexate is abortifacient and teratogenic.
12. Which condition is most associated with HPV infection?
- A. Endometrial cancer
, - B. Cervical cancer
- C. Ovarian cysts
- D. Pelvic inflammatory disease
Answer: B
Rationale: HPV is the primary cause of cervical cancer.
13. Which fetal heart rate pattern indicates uteroplacental insufficiency?
- A. Early decelerations
- B. Variable decelerations
- C. Late decelerations
- D. Accelerations
Answer: C
Rationale: Late decelerations reflect impaired placental oxygen exchange.
14. Which nursing action prevents mastitis in breastfeeding mothers?
- A. Encourage complete emptying of breasts
- B. Restrict fluid intake
- C. Avoid frequent feeding
- D. Apply tight breast binders
Answer: A
Rationale: Incomplete emptying predisposes to infection.
15. Which infertility treatment directly bypasses fallopian tubes?
- A. Ovulation induction
- B. Intrauterine insemination
- C. In vitro fertilization
- D. Tuboplasty
Answer: C
Rationale: IVF fertilizes outside body and transfers embryo to uterus.
---
## True/False (10 Questions)
16. Polycystic ovarian syndrome is associated with insulin resistance.
Reproductive Health
Latest Final Exam
2026
Qns & Ans
1. A 28‑year‑old woman presents with amenorrhea and galactorrhea. Which endocrine disorder is most
likely?
- A. Polycystic ovarian syndrome
- B. Hyperprolactinemia
- C. Hypothyroidism
- D. Premature ovarian failure
Answer: B
Rationale: Elevated prolactin suppresses GnRH, causing amenorrhea and galactorrhea.
2. Which contraceptive method is contraindicated in a patient with history of thromboembolism?
- A. Copper IUD
- B. Combined oral contraceptives
- C. Condoms
- D. Progestin‑only pills
Answer: B
Rationale: Estrogen increases clotting risk; avoid in thromboembolic disease.
3. A patient at 32 weeks gestation presents with painless vaginal bleeding. Which condition is suspected?
- A. Placenta previa
- B. Placental abruption
- C. Uterine rupture
, - D. Cervical polyp
Answer: A
Rationale: Placenta previa classically presents with painless bleeding in late pregnancy.
4. Which hormone surge triggers ovulation?
- A. FSH
- B. LH
- C. Progesterone
- D. Estrogen
Answer: B
Rationale: LH surge induces follicular rupture and ovulation.
5. A 40‑year‑old woman with BRCA1 mutation seeks cancer prevention. Which intervention is most
effective?
- A. Annual mammogram
- B. Oral contraceptives
- C. Prophylactic mastectomy and oophorectomy
- D. Breast self‑examination
Answer: C
Rationale: Surgical removal significantly reduces breast and ovarian cancer risk.
6. Which finding indicates preeclampsia with severe features?
- A. BP 140/90 mmHg
- B. Proteinuria 1+
- C. Platelet count 90,000/mm³
- D. Mild edema
Answer: C
Rationale: Severe features include thrombocytopenia, renal impairment, or CNS symptoms.
7. Which STI is characterized by painless chancre?
- A. Gonorrhea
- B. Syphilis
- C. Chlamydia
- D. Herpes simplex virus
Answer: B
Rationale: Primary syphilis presents with painless ulcer.
,8. A patient with endometriosis reports infertility. Which mechanism explains this?
- A. Ovarian cyst rupture
- B. Tubal adhesions impairing ovum transport
- C. Excess estrogen production
- D. Cervical stenosis
Answer: B
Rationale: Endometriosis causes adhesions that block fallopian tubes.
9. Which contraceptive method provides protection against STIs?
- A. Oral contraceptives
- B. IUD
- C. Condoms
- D. Injectable progestins
Answer: C
Rationale: Barrier methods prevent STI transmission.
10. Which nursing intervention is priority in postpartum hemorrhage?
- A. Encourage ambulation
- B. Massage the uterus
- C. Provide oral fluids
- D. Apply cold compress
Answer: B
Rationale: Uterine massage stimulates contraction to reduce bleeding.
11. Which drug is contraindicated in pregnancy due to teratogenicity?
- A. Methotrexate
- B. Penicillin
- C. Insulin
- D. Heparin
Answer: A
Rationale: Methotrexate is abortifacient and teratogenic.
12. Which condition is most associated with HPV infection?
- A. Endometrial cancer
, - B. Cervical cancer
- C. Ovarian cysts
- D. Pelvic inflammatory disease
Answer: B
Rationale: HPV is the primary cause of cervical cancer.
13. Which fetal heart rate pattern indicates uteroplacental insufficiency?
- A. Early decelerations
- B. Variable decelerations
- C. Late decelerations
- D. Accelerations
Answer: C
Rationale: Late decelerations reflect impaired placental oxygen exchange.
14. Which nursing action prevents mastitis in breastfeeding mothers?
- A. Encourage complete emptying of breasts
- B. Restrict fluid intake
- C. Avoid frequent feeding
- D. Apply tight breast binders
Answer: A
Rationale: Incomplete emptying predisposes to infection.
15. Which infertility treatment directly bypasses fallopian tubes?
- A. Ovulation induction
- B. Intrauterine insemination
- C. In vitro fertilization
- D. Tuboplasty
Answer: C
Rationale: IVF fertilizes outside body and transfers embryo to uterus.
---
## True/False (10 Questions)
16. Polycystic ovarian syndrome is associated with insulin resistance.
