Test Bank for Women’s Healthcare in
Advanced Practice Nursing 3rd Edition
by Ivy M. Alexander Practice Exam Fall
2026| 250 Most Tested Questions &
Verified Answers With Rationales|
State Board Practice Exam Graded A+
1. A 22-year-old woman presents for an annual preventive visit.
Which screening is recommended routinely for average-risk women
beginning at age 21?
A. Mammography
B. HPV testing alone
C. Cervical cancer screening
D. Endometrial biopsy
Rationale: Cervical cancer screening begins in young adulthood
according to age-appropriate guidelines, even when the patient is
asymptomatic.
2. Which component of the health history is particularly important
when evaluating a reproductive-age woman?
A. Childhood immunization history only
B. Menstrual and obstetric history
C. Dental history only
D. Family history of arthritis
Rationale: Menstrual, obstetric, sexual, and contraceptive histories
provide essential information for assessing reproductive health.
,3. A patient reports that her menstrual cycles occur every 28 days.
Ovulation most commonly occurs approximately when?
A. Day 1
B. Day 7
C. Day 14
D. Day 28
Rationale: In a typical 28-day cycle, ovulation occurs approximately
14 days before the next menstrual period.
4. Which hormone is primarily responsible for the midcycle LH surge?
A. Progesterone
B. Prolactin
C. Estradiol
D. Testosterone
Rationale: Sustained high estradiol concentrations near midcycle
produce positive feedback that triggers the LH surge and ovulation.
5. Which ovarian hormone predominates during the luteal phase?
A. FSH
B. LH
C. Estrogen
D. Progesterone
Rationale: The corpus luteum produces progesterone after ovulation,
making it the predominant hormone during the luteal phase.
6. A patient asks how long an ovum remains viable after ovulation.
The best response is approximately:
,A. 6 hours
B. 12–24 hours
C. 3 days
D. 7 days
Rationale: The ovum generally remains capable of fertilization for
approximately 12–24 hours after ovulation.
7. Sperm may remain capable of fertilization in the female
reproductive tract for approximately:
A. 6 hours
B. 12 hours
C. Up to 5 days
D. 14 days
Rationale: Under favorable cervical mucus conditions, sperm can
survive for several days, allowing conception from intercourse
occurring before ovulation.
8. Which structure is the usual site of fertilization?
A. Cervix
B. Uterus
C. Ovary
D. Ampulla of the fallopian tube
Rationale: Fertilization most commonly occurs in the ampullary
portion of the fallopian tube.
9. Which hormone is primarily responsible for maintaining the
endometrial lining during early pregnancy?
, A. FSH
B. Progesterone
C. Oxytocin
D. Prolactin
Rationale: Progesterone maintains the decidualized endometrium
and supports early pregnancy.
10. Which structure produces hCG shortly after implantation?
A. Corpus albicans
B. Endometrium
C. Trophoblastic tissue
D. Pituitary gland
Rationale: Trophoblastic cells produce human chorionic
gonadotropin, which supports the corpus luteum early in pregnancy.
Contraception
11. Which contraceptive method provides protection against both
pregnancy and many sexually transmitted infections?
A. Combined oral contraceptive
B. Intrauterine device
C. Implant
D. External condom
Rationale: Condoms provide a barrier that reduces transmission of
many STIs while also preventing pregnancy.
12. A patient taking a combined hormonal contraceptive develops
migraine with aura. What is the most appropriate action?
Advanced Practice Nursing 3rd Edition
by Ivy M. Alexander Practice Exam Fall
2026| 250 Most Tested Questions &
Verified Answers With Rationales|
State Board Practice Exam Graded A+
1. A 22-year-old woman presents for an annual preventive visit.
Which screening is recommended routinely for average-risk women
beginning at age 21?
A. Mammography
B. HPV testing alone
C. Cervical cancer screening
D. Endometrial biopsy
Rationale: Cervical cancer screening begins in young adulthood
according to age-appropriate guidelines, even when the patient is
asymptomatic.
2. Which component of the health history is particularly important
when evaluating a reproductive-age woman?
A. Childhood immunization history only
B. Menstrual and obstetric history
C. Dental history only
D. Family history of arthritis
Rationale: Menstrual, obstetric, sexual, and contraceptive histories
provide essential information for assessing reproductive health.
,3. A patient reports that her menstrual cycles occur every 28 days.
Ovulation most commonly occurs approximately when?
A. Day 1
B. Day 7
C. Day 14
D. Day 28
Rationale: In a typical 28-day cycle, ovulation occurs approximately
14 days before the next menstrual period.
4. Which hormone is primarily responsible for the midcycle LH surge?
A. Progesterone
B. Prolactin
C. Estradiol
D. Testosterone
Rationale: Sustained high estradiol concentrations near midcycle
produce positive feedback that triggers the LH surge and ovulation.
5. Which ovarian hormone predominates during the luteal phase?
A. FSH
B. LH
C. Estrogen
D. Progesterone
Rationale: The corpus luteum produces progesterone after ovulation,
making it the predominant hormone during the luteal phase.
6. A patient asks how long an ovum remains viable after ovulation.
The best response is approximately:
,A. 6 hours
B. 12–24 hours
C. 3 days
D. 7 days
Rationale: The ovum generally remains capable of fertilization for
approximately 12–24 hours after ovulation.
7. Sperm may remain capable of fertilization in the female
reproductive tract for approximately:
A. 6 hours
B. 12 hours
C. Up to 5 days
D. 14 days
Rationale: Under favorable cervical mucus conditions, sperm can
survive for several days, allowing conception from intercourse
occurring before ovulation.
8. Which structure is the usual site of fertilization?
A. Cervix
B. Uterus
C. Ovary
D. Ampulla of the fallopian tube
Rationale: Fertilization most commonly occurs in the ampullary
portion of the fallopian tube.
9. Which hormone is primarily responsible for maintaining the
endometrial lining during early pregnancy?
, A. FSH
B. Progesterone
C. Oxytocin
D. Prolactin
Rationale: Progesterone maintains the decidualized endometrium
and supports early pregnancy.
10. Which structure produces hCG shortly after implantation?
A. Corpus albicans
B. Endometrium
C. Trophoblastic tissue
D. Pituitary gland
Rationale: Trophoblastic cells produce human chorionic
gonadotropin, which supports the corpus luteum early in pregnancy.
Contraception
11. Which contraceptive method provides protection against both
pregnancy and many sexually transmitted infections?
A. Combined oral contraceptive
B. Intrauterine device
C. Implant
D. External condom
Rationale: Condoms provide a barrier that reduces transmission of
many STIs while also preventing pregnancy.
12. A patient taking a combined hormonal contraceptive develops
migraine with aura. What is the most appropriate action?
