Final Exam Prep for NRNP 6552 week 11
Latest / NRNP 6552 Latest Final Practice
Exam with 350 Questions and Correct
Answers/ NRNP 6552 Advanced Nurse
Practice in Reproductive Health
A 45-year-old woman asks about breast cancer screening
recommendations. According to the USPSTF, which is the current
recommendation?
Correct Answer: Screening every other year starting at age 40 through
age 74
The USPSTF recommends that all women get screened for breast cancer
every other year, starting at age 40 and continuing through age 74, to
reduce their risk of dying from this disease. This represents a shift from
recommending screening start between ages 40-50 to recommending all
women start at age 40.
A woman with a BMI of 32 is classified as:
Correct Answer: Class 1 obesity
BMI classification: Underweight = less than 18.5; Healthy weight = 18.5
to less than 25; Overweight = 25 to less than 30; Class 1 Obesity = 30 to
less than 35; Class 2 Obesity = 35 to less than 40; Class 3 Obesity (Severe
Obesity) = 40 or greater. A BMI of 32 falls into Class 1 obesity.
Which of the following is an example of secondary prevention in
women's health?
Correct Answer: Routine mammography screening
Secondary prevention focuses on the early detection of disease and
prompt treatment aimed at reducing the severity of the disease and
limiting its short- and long-term consequences. Routine laboratory
,screenings and mammograms are examples of secondary prevention.
Primary prevention prevents disease in susceptible populations through
health education, counseling, and immunization. Tertiary prevention
limits disability and promotes recovery from clinical disease states.
The nurse practitioner uses the 5 A's framework when addressing alcohol
misuse in women. This framework includes:
Correct Answer: Ask, Advise, Assess, Assist, Arrange follow-up
The brief intervention for at-risk drinkers is based on the 5 A's
framework: Ask, Advise, Assess, Assist, and Arrange follow-up. This
framework is recommended by the USPSTF for women aged 18 and older
who screen positive for alcohol misuse. Steps should be taken to assess
for a woman's readiness to change and establish plans for follow-up.
The GTPAL system is used to document a woman's obstetric history. In
this system, "T" stands for:
Correct Answer: Term births (greater than 38 weeks)
GTPAL stands for: G = Gravida (total number of pregnancies), T = Term
births (pregnancies delivered at 38 weeks or greater), P = Preterm births
(pregnancies delivered between 20-38 weeks), A = Abortions
(pregnancies ending before 20 weeks), L = Living children.
Applying a feminist perspective to reproductive health care is
fundamental to providing equitable, patient-centered care. The feminist
perspective:
Correct Answer: Works with individuals as opposed to for individuals,
uses heterogeneity as an assumption, minimizes or exposes power
imbalances, rejects androcentric models as normative, and challenges
medicalization of normal physiologic processes
,A feminist perspective in health care works with individuals as opposed
to for individuals, uses heterogeneity as an assumption, minimizes or
exposes power imbalances, rejects androcentric models as normative,
challenges medicalization of normal physiologic processes, and seeks
social and political change to address health issues.
Sheila is pregnant and fearful of developing cervical cancer because her
sister was recently diagnosed. She asks about receiving the Human
Papillomavirus (HPV) vaccine series during her routine prenatal visit.
How should the nurse respond?
Correct Answer: The HPV vaccine is not recommended during pregnancy;
she should be counseled to complete the series postpartum
The HPV vaccine is not recommended for use during pregnancy. Women
who are pregnant should delay vaccination until after pregnancy. If a
woman is found to be pregnant after starting the vaccination series, the
remainder of the series should be delayed until after completion of
pregnancy.
A 35-year-old woman presents for her annual well-woman exam. She
reports irregular menstrual cycles, hirsutism, and acne. Her BMI is 31.
What is the most likely diagnosis?
Correct Answer: Polycystic Ovary Syndrome (PCOS)
PCOS is characterized by hyperandrogenism (hirsutism, acne), ovulatory
dysfunction (irregular cycles), and polycystic ovaries on ultrasound.
Obesity is a common finding. The diagnosis requires meeting two of
three Rotterdam criteria: oligo-ovulation or anovulation, clinical or
biochemical signs of hyperandrogenism, and polycystic ovaries on
ultrasound.
A 28-year-old woman requests emergency contraception. She had
unprotected intercourse 72 hours ago. Which option is most appropriate?
, Correct Answer: Ulipristal acetate (Ella) 30 mg orally
Ulipristal acetate is effective up to 120 hours after unprotected
intercourse and is more effective than levonorgestrel, especially in
overweight women. The efficacy of levonorgestrel decreases with time
and is less effective in women with a BMI over 26.
A 22-year-old woman presents with vaginal discharge, dysuria, and pelvic
pain. She has a temperature of 101.2°F. On examination, there is cervical
motion tenderness and adnexal tenderness. What is the most appropriate
diagnosis and management?
Correct Answer: Pelvic Inflammatory Disease (PID); treat empirically with
antibiotics and screen for STIs
PID is a clinical diagnosis based on pelvic tenderness, cervical motion
tenderness, and adnexal tenderness. Empiric antibiotic therapy should be
initiated in sexually active young women with pelvic pain and no other
identifiable cause. Treatment should cover N. gonorrhoeae, C.
trachomatis, and anaerobes.
A 32-year-old G2P1 at 28 weeks gestation presents with new-onset
hypertension (BP 148/92), proteinuria (300 mg/24 hours), and headache.
What is the most likely diagnosis?
Correct Answer: Preeclampsia with severe features
Preeclampsia is diagnosed when a woman with a previously normal
blood pressure develops hypertension and proteinuria after 20 weeks
gestation. Severe features include blood pressure ≥160/110, proteinuria
≥5 grams/24 hours, cerebral or visual disturbances, epigastric pain, liver
enzyme elevation, thrombocytopenia, and renal insufficiency.
A 25-year-old woman presents with heavy menstrual bleeding (soaking
through pads every 1-2 hours), fatigue, and dysmenorrhea. Her
Latest / NRNP 6552 Latest Final Practice
Exam with 350 Questions and Correct
Answers/ NRNP 6552 Advanced Nurse
Practice in Reproductive Health
A 45-year-old woman asks about breast cancer screening
recommendations. According to the USPSTF, which is the current
recommendation?
Correct Answer: Screening every other year starting at age 40 through
age 74
The USPSTF recommends that all women get screened for breast cancer
every other year, starting at age 40 and continuing through age 74, to
reduce their risk of dying from this disease. This represents a shift from
recommending screening start between ages 40-50 to recommending all
women start at age 40.
A woman with a BMI of 32 is classified as:
Correct Answer: Class 1 obesity
BMI classification: Underweight = less than 18.5; Healthy weight = 18.5
to less than 25; Overweight = 25 to less than 30; Class 1 Obesity = 30 to
less than 35; Class 2 Obesity = 35 to less than 40; Class 3 Obesity (Severe
Obesity) = 40 or greater. A BMI of 32 falls into Class 1 obesity.
Which of the following is an example of secondary prevention in
women's health?
Correct Answer: Routine mammography screening
Secondary prevention focuses on the early detection of disease and
prompt treatment aimed at reducing the severity of the disease and
limiting its short- and long-term consequences. Routine laboratory
,screenings and mammograms are examples of secondary prevention.
Primary prevention prevents disease in susceptible populations through
health education, counseling, and immunization. Tertiary prevention
limits disability and promotes recovery from clinical disease states.
The nurse practitioner uses the 5 A's framework when addressing alcohol
misuse in women. This framework includes:
Correct Answer: Ask, Advise, Assess, Assist, Arrange follow-up
The brief intervention for at-risk drinkers is based on the 5 A's
framework: Ask, Advise, Assess, Assist, and Arrange follow-up. This
framework is recommended by the USPSTF for women aged 18 and older
who screen positive for alcohol misuse. Steps should be taken to assess
for a woman's readiness to change and establish plans for follow-up.
The GTPAL system is used to document a woman's obstetric history. In
this system, "T" stands for:
Correct Answer: Term births (greater than 38 weeks)
GTPAL stands for: G = Gravida (total number of pregnancies), T = Term
births (pregnancies delivered at 38 weeks or greater), P = Preterm births
(pregnancies delivered between 20-38 weeks), A = Abortions
(pregnancies ending before 20 weeks), L = Living children.
Applying a feminist perspective to reproductive health care is
fundamental to providing equitable, patient-centered care. The feminist
perspective:
Correct Answer: Works with individuals as opposed to for individuals,
uses heterogeneity as an assumption, minimizes or exposes power
imbalances, rejects androcentric models as normative, and challenges
medicalization of normal physiologic processes
,A feminist perspective in health care works with individuals as opposed
to for individuals, uses heterogeneity as an assumption, minimizes or
exposes power imbalances, rejects androcentric models as normative,
challenges medicalization of normal physiologic processes, and seeks
social and political change to address health issues.
Sheila is pregnant and fearful of developing cervical cancer because her
sister was recently diagnosed. She asks about receiving the Human
Papillomavirus (HPV) vaccine series during her routine prenatal visit.
How should the nurse respond?
Correct Answer: The HPV vaccine is not recommended during pregnancy;
she should be counseled to complete the series postpartum
The HPV vaccine is not recommended for use during pregnancy. Women
who are pregnant should delay vaccination until after pregnancy. If a
woman is found to be pregnant after starting the vaccination series, the
remainder of the series should be delayed until after completion of
pregnancy.
A 35-year-old woman presents for her annual well-woman exam. She
reports irregular menstrual cycles, hirsutism, and acne. Her BMI is 31.
What is the most likely diagnosis?
Correct Answer: Polycystic Ovary Syndrome (PCOS)
PCOS is characterized by hyperandrogenism (hirsutism, acne), ovulatory
dysfunction (irregular cycles), and polycystic ovaries on ultrasound.
Obesity is a common finding. The diagnosis requires meeting two of
three Rotterdam criteria: oligo-ovulation or anovulation, clinical or
biochemical signs of hyperandrogenism, and polycystic ovaries on
ultrasound.
A 28-year-old woman requests emergency contraception. She had
unprotected intercourse 72 hours ago. Which option is most appropriate?
, Correct Answer: Ulipristal acetate (Ella) 30 mg orally
Ulipristal acetate is effective up to 120 hours after unprotected
intercourse and is more effective than levonorgestrel, especially in
overweight women. The efficacy of levonorgestrel decreases with time
and is less effective in women with a BMI over 26.
A 22-year-old woman presents with vaginal discharge, dysuria, and pelvic
pain. She has a temperature of 101.2°F. On examination, there is cervical
motion tenderness and adnexal tenderness. What is the most appropriate
diagnosis and management?
Correct Answer: Pelvic Inflammatory Disease (PID); treat empirically with
antibiotics and screen for STIs
PID is a clinical diagnosis based on pelvic tenderness, cervical motion
tenderness, and adnexal tenderness. Empiric antibiotic therapy should be
initiated in sexually active young women with pelvic pain and no other
identifiable cause. Treatment should cover N. gonorrhoeae, C.
trachomatis, and anaerobes.
A 32-year-old G2P1 at 28 weeks gestation presents with new-onset
hypertension (BP 148/92), proteinuria (300 mg/24 hours), and headache.
What is the most likely diagnosis?
Correct Answer: Preeclampsia with severe features
Preeclampsia is diagnosed when a woman with a previously normal
blood pressure develops hypertension and proteinuria after 20 weeks
gestation. Severe features include blood pressure ≥160/110, proteinuria
≥5 grams/24 hours, cerebral or visual disturbances, epigastric pain, liver
enzyme elevation, thrombocytopenia, and renal insufficiency.
A 25-year-old woman presents with heavy menstrual bleeding (soaking
through pads every 1-2 hours), fatigue, and dysmenorrhea. Her
