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NR602 FINAL EXAM: PRIMARY CARE OF
THE CHILDBEARING & CHILDREARING
FAMILY GUIDE| QUESTIONS &
ANSWERWERS| GRADE A| 100%
CORRECT (NEW 2026/ 2027UPDATE)
(VERIFIED SOLUTIONS)- CHAMBERLAIN
Which of the following are of a reproductive and pelvic origin?
a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
b. Gynecologic malignancy
c. Adhesions
d. Myomata uteri - ANSWER ✓a
25yo female c/o tender area near her introitus and to the L of her perineum. Very
painful sex was first sign. Initially bump was very small, but now is ping-pong ball size.
On exam, abscess is present on L medial side of labia minora and there's edema
extending into perineum. What is dx?
a. Lipoma
b. Dermoid cyst
c. Bartholin's cyst
d. Skene's duct cyst - ANSWER ✓c
49yo female c/o dark, watery brown vaginal discharge. Which best describes what
might be seen on physical exam in pt's with cervical cancer?
a. Ulcerated firm cervix
b. Vague lower abd pain
c. Enlarged tender femoral lymph nodes
d. Soft, still shaped cervix - ANSWER ✓a
22yo female c/o pelvic pain. Exam reveals cervical motion and uterine tenderness.
Which supports PID dx?
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a. Temp <100F
b. Absence of WBCs in vag fluid
c. Mucopurulent vag discharge
d. Lab documentation of cervical infection w/E. coli - ANSWER ✓c
When educating pt about rationale for getting mammo, which statement is false?
a. Mammo is cost-effective method to screen for breast cancer
b. Mammo detects all breast cancers
c. Mammo should be accompanied by breast exam
d. Negative mammo should not delay biopsy of clinically suspicious mass - ANSWER
✓b
When educating women about breast cancer risk factors, which statement is incorrect?
a. Pregnancy after 35yo
b. Late menopause after 57yo
c. Fibrocystic breast dz
d. H/o maternal breast cancer - ANSWER ✓c
Which of the following statements is accurate regarding the usefulness of mammo in
screening and detection of breast cancer?
a. Mammo shouldn't be done if there is any breast pain or nipple retraction
b. All women >40yo should have mammo on annual basis
c. Mammo should be done annually for all women of child-bearing age
d. Mammos should be performed annually after initial pregnancy, especially if women
doesn't breastfeed - ANSWER ✓b
Which would be considered normal surface characteristic of the cervix during a
speculum exam?
a. Small, yellow, raised around area on cervix
b. Friable, bleeding tissue opening of the cervical os
c. Red patch areas w/occasional white spots
d. Irregular, granular surface w/red patches - ANSWER ✓a
What is the most common cause of dysfunctional uterine bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ANSWER ✓c
PMS occurs with greatest frequency and severity in the:
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NR
a. Late luteal phase
b. Midfollicular phase
c. Proliferative phase
d. Early luteal phase - ANSWER ✓a
Which is not a common cause of irregular menstrual bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ANSWER ✓c
What is considered the primary etiology of primary dysmenorrhea?
a. Ovarian cysts
b. Prostaglandin production
c. Endometriosis
d. Adenomyosis - ANSWER ✓b
28yo female c/o breast tenderness, fatigue, abd bloating, fluid retention, irritability 1wk
before her menses onset. What is most important info to obtain from this pt to
determine if the pt has PMS?
a. Severity of symptoms
b. Occurrence of symptoms in menstrual cycle
c. Frequency and number of symptoms over past 4mo - ANSWER ✓b
35yo woman c/o 6mo h/o hypermenorrhea, backache, pelvic pressure. On exam, you
discover 12wk size uterus w/irregular contour. What does this represent?
a. Uterine cancer
b. Dysfunctional uterine bleeding
c. Uterine fibroid
d. Fecal impaction - ANSWER ✓c
Female c/o vaginal itching and white discharge. Denies sexual activity or douching. In
good health except for recurrent strep throat. Pelvic reveals tender vulvovag area
w/edema and white patches. No odor. What is the most likely cause?
a. Bacterial vaginosis
b. DM
c. Allergy to personal hygiene product
d. Candidiasis after abx treatment - ANSWER ✓d
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32yo woman c/o postcoital bleeding. Which would not be included in the initial
assessment?
a. Pap smear
b. Uterine biopsy
c. Pelvic ultrasound
d. CBC w/diff - ANSWER ✓b
What phase of menstrual cycle begins with menses cessation and ends w/ovulation?
a. Ovulatory phase
b. Follicular phase
c. Proliferative phase
d. Luteal phase - ANSWER ✓b
What phase of menstrual cycle begins with ovulation and ends w/menstruation?
a. Ovulatory phase
b. Follicular phase
c. Proliferative phase
d. Luteal phase - ANSWER ✓c
Name 4 structural abnormalities that are causes of dysfunctional uterine bleeding. -
ANSWER ✓PALM:
Polyps
Adenomyosis
Leiomyoma
Malignancy
Name 5 non-structural abnormalities that are causes of dysfunctional uterine bleeding. -
ANSWER ✓COEIN:
Coagulopathy
Ovulatory disorders
Endometrial
Iatrogenic
Not classified
What is abnormal/dysfunctional uterine bleeding? - ANSWER ✓Acute or chronic
bleeding from uterine corpus; abnormal in regularity, volume, frequency, or duration; occurs
in pregnancy absence.
What is acute DUB? - ANSWER ✓Episode of sufficient quantity to require immediate
intervention to prevent further blood loss
What is chronic DUB? - ANSWER ✓Present for the majority of the last 6mo
NR 602
NR
NR602 FINAL EXAM: PRIMARY CARE OF
THE CHILDBEARING & CHILDREARING
FAMILY GUIDE| QUESTIONS &
ANSWERWERS| GRADE A| 100%
CORRECT (NEW 2026/ 2027UPDATE)
(VERIFIED SOLUTIONS)- CHAMBERLAIN
Which of the following are of a reproductive and pelvic origin?
a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
b. Gynecologic malignancy
c. Adhesions
d. Myomata uteri - ANSWER ✓a
25yo female c/o tender area near her introitus and to the L of her perineum. Very
painful sex was first sign. Initially bump was very small, but now is ping-pong ball size.
On exam, abscess is present on L medial side of labia minora and there's edema
extending into perineum. What is dx?
a. Lipoma
b. Dermoid cyst
c. Bartholin's cyst
d. Skene's duct cyst - ANSWER ✓c
49yo female c/o dark, watery brown vaginal discharge. Which best describes what
might be seen on physical exam in pt's with cervical cancer?
a. Ulcerated firm cervix
b. Vague lower abd pain
c. Enlarged tender femoral lymph nodes
d. Soft, still shaped cervix - ANSWER ✓a
22yo female c/o pelvic pain. Exam reveals cervical motion and uterine tenderness.
Which supports PID dx?
NR 602
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NR
a. Temp <100F
b. Absence of WBCs in vag fluid
c. Mucopurulent vag discharge
d. Lab documentation of cervical infection w/E. coli - ANSWER ✓c
When educating pt about rationale for getting mammo, which statement is false?
a. Mammo is cost-effective method to screen for breast cancer
b. Mammo detects all breast cancers
c. Mammo should be accompanied by breast exam
d. Negative mammo should not delay biopsy of clinically suspicious mass - ANSWER
✓b
When educating women about breast cancer risk factors, which statement is incorrect?
a. Pregnancy after 35yo
b. Late menopause after 57yo
c. Fibrocystic breast dz
d. H/o maternal breast cancer - ANSWER ✓c
Which of the following statements is accurate regarding the usefulness of mammo in
screening and detection of breast cancer?
a. Mammo shouldn't be done if there is any breast pain or nipple retraction
b. All women >40yo should have mammo on annual basis
c. Mammo should be done annually for all women of child-bearing age
d. Mammos should be performed annually after initial pregnancy, especially if women
doesn't breastfeed - ANSWER ✓b
Which would be considered normal surface characteristic of the cervix during a
speculum exam?
a. Small, yellow, raised around area on cervix
b. Friable, bleeding tissue opening of the cervical os
c. Red patch areas w/occasional white spots
d. Irregular, granular surface w/red patches - ANSWER ✓a
What is the most common cause of dysfunctional uterine bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ANSWER ✓c
PMS occurs with greatest frequency and severity in the:
NR 602
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NR
a. Late luteal phase
b. Midfollicular phase
c. Proliferative phase
d. Early luteal phase - ANSWER ✓a
Which is not a common cause of irregular menstrual bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ANSWER ✓c
What is considered the primary etiology of primary dysmenorrhea?
a. Ovarian cysts
b. Prostaglandin production
c. Endometriosis
d. Adenomyosis - ANSWER ✓b
28yo female c/o breast tenderness, fatigue, abd bloating, fluid retention, irritability 1wk
before her menses onset. What is most important info to obtain from this pt to
determine if the pt has PMS?
a. Severity of symptoms
b. Occurrence of symptoms in menstrual cycle
c. Frequency and number of symptoms over past 4mo - ANSWER ✓b
35yo woman c/o 6mo h/o hypermenorrhea, backache, pelvic pressure. On exam, you
discover 12wk size uterus w/irregular contour. What does this represent?
a. Uterine cancer
b. Dysfunctional uterine bleeding
c. Uterine fibroid
d. Fecal impaction - ANSWER ✓c
Female c/o vaginal itching and white discharge. Denies sexual activity or douching. In
good health except for recurrent strep throat. Pelvic reveals tender vulvovag area
w/edema and white patches. No odor. What is the most likely cause?
a. Bacterial vaginosis
b. DM
c. Allergy to personal hygiene product
d. Candidiasis after abx treatment - ANSWER ✓d
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32yo woman c/o postcoital bleeding. Which would not be included in the initial
assessment?
a. Pap smear
b. Uterine biopsy
c. Pelvic ultrasound
d. CBC w/diff - ANSWER ✓b
What phase of menstrual cycle begins with menses cessation and ends w/ovulation?
a. Ovulatory phase
b. Follicular phase
c. Proliferative phase
d. Luteal phase - ANSWER ✓b
What phase of menstrual cycle begins with ovulation and ends w/menstruation?
a. Ovulatory phase
b. Follicular phase
c. Proliferative phase
d. Luteal phase - ANSWER ✓c
Name 4 structural abnormalities that are causes of dysfunctional uterine bleeding. -
ANSWER ✓PALM:
Polyps
Adenomyosis
Leiomyoma
Malignancy
Name 5 non-structural abnormalities that are causes of dysfunctional uterine bleeding. -
ANSWER ✓COEIN:
Coagulopathy
Ovulatory disorders
Endometrial
Iatrogenic
Not classified
What is abnormal/dysfunctional uterine bleeding? - ANSWER ✓Acute or chronic
bleeding from uterine corpus; abnormal in regularity, volume, frequency, or duration; occurs
in pregnancy absence.
What is acute DUB? - ANSWER ✓Episode of sufficient quantity to require immediate
intervention to prevent further blood loss
What is chronic DUB? - ANSWER ✓Present for the majority of the last 6mo
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