APEA Reproductive Women's Health Questions & Answers
2026 | High-Yield Review | Graded A+
1. Describe the clinical significance of identifying a bulge in the anterior vaginal
wall during a gynecological examination.
A bulge in the anterior vaginal wall suggests a uterine prolapse, which
is unrelated to bladder function.
Identifying a bulge in the anterior vaginal wall may indicate a
cystocele, which can affect bladder function and may require further
evaluation or treatment.
A bulge in the anterior vaginal wall is a normal finding and does not
require further evaluation.
A bulge in the anterior vaginal wall indicates a need for immediate
surgical intervention.
2. If a pregnant patient expresses concern about the appearance of striae
gravidarum, what advice should a healthcare provider offer regarding their
management?
Reassure the patient that striae gravidarum are common and may
fade after delivery, and suggest moisturizing creams to improve skin
elasticity.
Advise the patient to avoid all forms of exercise during pregnancy to
prevent further marks.
Recommend surgical intervention to remove the striae after delivery.
Inform the patient that striae gravidarum are a sign of poor nutrition
during pregnancy.
3. What is the most common condition associated with a hot, tense, tender
lesion on the labia?
, Vulvar cancer
Candidiasis
Bartholin gland infection
Herpes simplex virus
4. What is the term used to describe a fetal position where the fetus is lying
horizontally across the uterus?
transverse lie presentation
oblique presentation
cephalic presentation
breech presentation
5. A 62-year-old woman presents with postmenopausal bleeding and a history
of hormone replacement therapy. What should be the initial step in her
evaluation?
Refer to a gynecologic oncologist
Start hormone therapy
Perform a transvaginal ultrasound
Conduct a Pap smear
6. Describe the relationship between primary dysmenorrhea and its common
symptoms.
Primary dysmenorrhea is characterized by pain during
menstruation, often accompanied by nausea, fatigue, and
headaches.
Primary dysmenorrhea is only associated with mood swings and
weight gain.
, Primary dysmenorrhea is primarily a psychological condition.
Primary dysmenorrhea does not involve any physical symptoms.
7. What is the primary reason for Group B streptococcus testing during
pregnancy?
To assess maternal hormone levels
To determine fetal growth
To prevent sepsis in the newborn
To monitor maternal blood pressure
8. Why is it important for a healthcare provider to inquire about hirsutism and
acne when assessing a patient for secondary amenorrhea?
Hirsutism and acne are common in all women regardless of menstrual
history.
Hirsutism and acne can indicate hormonal imbalances that may be
related to secondary amenorrhea.
Hirsutism and acne are only cosmetic concerns.
Hirsutism and acne are unrelated to menstrual cycles.
9. A patient in her first trimester reports experiencing breast tenderness and
backache. What should the NP recommend to help alleviate these
symptoms?
Suggest that the patient ignore the symptoms as they are normal.
Encourage the patient to wear a supportive bra and practice good
posture.
Advise the patient to avoid all physical activity.
, Recommend over-the-counter pain medications without consulting a
doctor.
10. The nurse is comparing today's fundal height measurement with the previous
recording taken 5 weeks ago. What is the significance of a stable or
decreased measurement?
Possible intrauterine growth restriction
Possible multifetal gestation
Possible excessive amniotic fluid
Expected normal finding
11. Drinking alcohol while pregnant can lead to what syndrome?
Fetal alcohol syndrome
Asperger syndrome
Cerebral palsy
Spina bifida
12. A pregnant patient presents with conjunctival pallor and fatigue. What would
be the most appropriate initial assessment to confirm the suspected
condition?
Complete blood count (CBC)
Blood glucose test
Urinalysis
Liver function tests
13. What specific abnormality is associated with exposure to diethylstilbestrol
(DES) during pregnancy?
2026 | High-Yield Review | Graded A+
1. Describe the clinical significance of identifying a bulge in the anterior vaginal
wall during a gynecological examination.
A bulge in the anterior vaginal wall suggests a uterine prolapse, which
is unrelated to bladder function.
Identifying a bulge in the anterior vaginal wall may indicate a
cystocele, which can affect bladder function and may require further
evaluation or treatment.
A bulge in the anterior vaginal wall is a normal finding and does not
require further evaluation.
A bulge in the anterior vaginal wall indicates a need for immediate
surgical intervention.
2. If a pregnant patient expresses concern about the appearance of striae
gravidarum, what advice should a healthcare provider offer regarding their
management?
Reassure the patient that striae gravidarum are common and may
fade after delivery, and suggest moisturizing creams to improve skin
elasticity.
Advise the patient to avoid all forms of exercise during pregnancy to
prevent further marks.
Recommend surgical intervention to remove the striae after delivery.
Inform the patient that striae gravidarum are a sign of poor nutrition
during pregnancy.
3. What is the most common condition associated with a hot, tense, tender
lesion on the labia?
, Vulvar cancer
Candidiasis
Bartholin gland infection
Herpes simplex virus
4. What is the term used to describe a fetal position where the fetus is lying
horizontally across the uterus?
transverse lie presentation
oblique presentation
cephalic presentation
breech presentation
5. A 62-year-old woman presents with postmenopausal bleeding and a history
of hormone replacement therapy. What should be the initial step in her
evaluation?
Refer to a gynecologic oncologist
Start hormone therapy
Perform a transvaginal ultrasound
Conduct a Pap smear
6. Describe the relationship between primary dysmenorrhea and its common
symptoms.
Primary dysmenorrhea is characterized by pain during
menstruation, often accompanied by nausea, fatigue, and
headaches.
Primary dysmenorrhea is only associated with mood swings and
weight gain.
, Primary dysmenorrhea is primarily a psychological condition.
Primary dysmenorrhea does not involve any physical symptoms.
7. What is the primary reason for Group B streptococcus testing during
pregnancy?
To assess maternal hormone levels
To determine fetal growth
To prevent sepsis in the newborn
To monitor maternal blood pressure
8. Why is it important for a healthcare provider to inquire about hirsutism and
acne when assessing a patient for secondary amenorrhea?
Hirsutism and acne are common in all women regardless of menstrual
history.
Hirsutism and acne can indicate hormonal imbalances that may be
related to secondary amenorrhea.
Hirsutism and acne are only cosmetic concerns.
Hirsutism and acne are unrelated to menstrual cycles.
9. A patient in her first trimester reports experiencing breast tenderness and
backache. What should the NP recommend to help alleviate these
symptoms?
Suggest that the patient ignore the symptoms as they are normal.
Encourage the patient to wear a supportive bra and practice good
posture.
Advise the patient to avoid all physical activity.
, Recommend over-the-counter pain medications without consulting a
doctor.
10. The nurse is comparing today's fundal height measurement with the previous
recording taken 5 weeks ago. What is the significance of a stable or
decreased measurement?
Possible intrauterine growth restriction
Possible multifetal gestation
Possible excessive amniotic fluid
Expected normal finding
11. Drinking alcohol while pregnant can lead to what syndrome?
Fetal alcohol syndrome
Asperger syndrome
Cerebral palsy
Spina bifida
12. A pregnant patient presents with conjunctival pallor and fatigue. What would
be the most appropriate initial assessment to confirm the suspected
condition?
Complete blood count (CBC)
Blood glucose test
Urinalysis
Liver function tests
13. What specific abnormality is associated with exposure to diethylstilbestrol
(DES) during pregnancy?
