NRNP 6552 MIDTERM EXAM
COMPREHENSIVE PRACTICE (2026/2027 EDITION)
Walden University • Advanced Practice Nursing • Women’s Health
ACOG/CDC/USPSTF Guidelines • 100 Questions with Answers & Rationale
Format: 100 multiple-choice questions (single best answer, A–D).
Structure: Nine sections spanning reproductive anatomy, contraception, STIs,
pregnancy, intrapartum/postpartum, menopause, gynecologic disorders,
well-woman care, and case studies.
Cognitive ~30% recall • ~50% application • ~20% analysis.
levels:
Grading: One point per question; correct answer and rationale provided after each
item.
Content basis: Walden NRNP 6552 curriculum, current ACOG/CDC/USPSTF guidelines,
evidence-based women’s health practice, and advanced practice nursing
standards.
Special Contraception counseling/method-selection items; screening & prevention
inclusions: items; comprehensive case studies.
Important This is an independent practice exam for educational study; it is not an official
note: Walden University exam.
, Section 1: Reproductive Anatomy, Physiology, & Menstrual Cycle (15 questions)
Q1: Which phase of the menstrual cycle is characterized by the LH surge and ovulation?
A. The ovulatory phase [CORRECT]
B. The follicular phase
C. The luteal phase
D. Menses
Correct Answer: A
Rationale: A is correct: the ovulatory phase includes the LH surge and ovulation. B, C, and D are other
phases.
Q2: Which is the target tissue for estrogen in the menstrual cycle?
A. Only the ovary
B. The endometrium and other estrogen-responsive tissues [CORRECT]
C. Only the cervix
D. No target
Correct Answer: B
Rationale: A is correct: estrogen targets the endometrium and other tissues. B, C, and D are incorrect.
Q3: Which describes the corpus luteum's function?
A. It produces FSH
B. It produces LH
C. It produces progesterone to support the luteal phase [CORRECT]
D. It produces hCG
Correct Answer: C
Rationale: A is correct: the corpus luteum produces progesterone. B, C, and D are incorrect.
Q4: Which is the normal duration of menstruation?
A. About 1 day
B. About 14 days
C. About 21 days
D. About 3-7 days [CORRECT]
Correct Answer: D
Rationale: A is correct: menses typically lasts 3-7 days. B, C, and D are incorrect.
Q5: Which best describes the role of the hypothalamus in the menstrual cycle?
A. It releases GnRH to regulate FSH and LH [CORRECT]
B. It produces estrogen
C. It produces progesterone
D. No role
Correct Answer: A
Rationale: A is correct: the hypothalamus releases GnRH. B, C, and D are incorrect.
Q6: Which is a normal variation in the menstrual cycle?
A. All cycles are identical
B. Cycle length can vary between women [CORRECT]
C. No variation
D. Cycles never vary
Correct Answer: B
Rationale: A is correct: cycle length varies between women. B, C, and D are incorrect.
NRNP 6552 Midterm Exam (2026/2027) Page 2
, Q7: Which describes ovulation timing in a 28-day cycle?
A. Day 1
B. Day 28
C. Approximately day 14 [CORRECT]
D. Day 21
Correct Answer: C
Rationale: A is correct: ovulation occurs around day 14 in a 28-day cycle. B, C, and D are incorrect.
Q8: Which hormone is measured to confirm ovulation?
A. FSH
B. LH only
C. hCG
D. Progesterone (in the luteal phase) [CORRECT]
Correct Answer: D
Rationale: A is correct: luteal-phase progesterone confirms ovulation. B, C, and D are incorrect.
Q9: Which is the primary progesterone produced by the ovary?
A. Progesterone [CORRECT]
B. Estradiol
C. Estrone
D. Testosterone
Correct Answer: A
Rationale: A is correct: the ovary produces progesterone. B and C are estrogens; D is androgen.
Q10: Which best describes the menarche?
A. The last menstrual period
B. The first menstrual period [CORRECT]
C. Ovulation
D. Menopause
Correct Answer: B
Rationale: A is correct: menarche is the first menstrual period. B, C, and D are incorrect.
Q11: Which is a normal component of the menstrual cycle?
A. No follicular activity
B. Continuous menstruation
C. Follicular development and ovulation [CORRECT]
D. No hormonal change
Correct Answer: C
Rationale: A is correct: the cycle includes follicular development and ovulation. B, C, and D are incorrect.
Q12: Which best describes the luteal phase?
A. The phase before ovulation
B. Menses
C. The follicular phase
D. The phase after ovulation dominated by progesterone [CORRECT]
Correct Answer: D
Rationale: A is correct: the luteal phase follows ovulation and is progesterone-dominant. B, C, and D are
incorrect.
NRNP 6552 Midterm Exam (2026/2027) Page 3
COMPREHENSIVE PRACTICE (2026/2027 EDITION)
Walden University • Advanced Practice Nursing • Women’s Health
ACOG/CDC/USPSTF Guidelines • 100 Questions with Answers & Rationale
Format: 100 multiple-choice questions (single best answer, A–D).
Structure: Nine sections spanning reproductive anatomy, contraception, STIs,
pregnancy, intrapartum/postpartum, menopause, gynecologic disorders,
well-woman care, and case studies.
Cognitive ~30% recall • ~50% application • ~20% analysis.
levels:
Grading: One point per question; correct answer and rationale provided after each
item.
Content basis: Walden NRNP 6552 curriculum, current ACOG/CDC/USPSTF guidelines,
evidence-based women’s health practice, and advanced practice nursing
standards.
Special Contraception counseling/method-selection items; screening & prevention
inclusions: items; comprehensive case studies.
Important This is an independent practice exam for educational study; it is not an official
note: Walden University exam.
, Section 1: Reproductive Anatomy, Physiology, & Menstrual Cycle (15 questions)
Q1: Which phase of the menstrual cycle is characterized by the LH surge and ovulation?
A. The ovulatory phase [CORRECT]
B. The follicular phase
C. The luteal phase
D. Menses
Correct Answer: A
Rationale: A is correct: the ovulatory phase includes the LH surge and ovulation. B, C, and D are other
phases.
Q2: Which is the target tissue for estrogen in the menstrual cycle?
A. Only the ovary
B. The endometrium and other estrogen-responsive tissues [CORRECT]
C. Only the cervix
D. No target
Correct Answer: B
Rationale: A is correct: estrogen targets the endometrium and other tissues. B, C, and D are incorrect.
Q3: Which describes the corpus luteum's function?
A. It produces FSH
B. It produces LH
C. It produces progesterone to support the luteal phase [CORRECT]
D. It produces hCG
Correct Answer: C
Rationale: A is correct: the corpus luteum produces progesterone. B, C, and D are incorrect.
Q4: Which is the normal duration of menstruation?
A. About 1 day
B. About 14 days
C. About 21 days
D. About 3-7 days [CORRECT]
Correct Answer: D
Rationale: A is correct: menses typically lasts 3-7 days. B, C, and D are incorrect.
Q5: Which best describes the role of the hypothalamus in the menstrual cycle?
A. It releases GnRH to regulate FSH and LH [CORRECT]
B. It produces estrogen
C. It produces progesterone
D. No role
Correct Answer: A
Rationale: A is correct: the hypothalamus releases GnRH. B, C, and D are incorrect.
Q6: Which is a normal variation in the menstrual cycle?
A. All cycles are identical
B. Cycle length can vary between women [CORRECT]
C. No variation
D. Cycles never vary
Correct Answer: B
Rationale: A is correct: cycle length varies between women. B, C, and D are incorrect.
NRNP 6552 Midterm Exam (2026/2027) Page 2
, Q7: Which describes ovulation timing in a 28-day cycle?
A. Day 1
B. Day 28
C. Approximately day 14 [CORRECT]
D. Day 21
Correct Answer: C
Rationale: A is correct: ovulation occurs around day 14 in a 28-day cycle. B, C, and D are incorrect.
Q8: Which hormone is measured to confirm ovulation?
A. FSH
B. LH only
C. hCG
D. Progesterone (in the luteal phase) [CORRECT]
Correct Answer: D
Rationale: A is correct: luteal-phase progesterone confirms ovulation. B, C, and D are incorrect.
Q9: Which is the primary progesterone produced by the ovary?
A. Progesterone [CORRECT]
B. Estradiol
C. Estrone
D. Testosterone
Correct Answer: A
Rationale: A is correct: the ovary produces progesterone. B and C are estrogens; D is androgen.
Q10: Which best describes the menarche?
A. The last menstrual period
B. The first menstrual period [CORRECT]
C. Ovulation
D. Menopause
Correct Answer: B
Rationale: A is correct: menarche is the first menstrual period. B, C, and D are incorrect.
Q11: Which is a normal component of the menstrual cycle?
A. No follicular activity
B. Continuous menstruation
C. Follicular development and ovulation [CORRECT]
D. No hormonal change
Correct Answer: C
Rationale: A is correct: the cycle includes follicular development and ovulation. B, C, and D are incorrect.
Q12: Which best describes the luteal phase?
A. The phase before ovulation
B. Menses
C. The follicular phase
D. The phase after ovulation dominated by progesterone [CORRECT]
Correct Answer: D
Rationale: A is correct: the luteal phase follows ovulation and is progesterone-dominant. B, C, and D are
incorrect.
NRNP 6552 Midterm Exam (2026/2027) Page 3
