FAMILY NURSE PRACTITIONER ANCC AANP
OBGYN CARDIAC EXAM BANK QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
• Women’s Health
• Obstetrics and Prenatal Care
• Gynecology and Reproductive Health
• Cardiovascular Assessment
• Cardiac Pharmacology
• Primary Care Management
• Legal and Ethical Practice
• Patient Education and Counseling
Introduction
This examination assesses the advanced practice competencies required of
family nurse practitioners in obstetric, gynecologic, and cardiac primary care.
It evaluates clinical reasoning, diagnostic accuracy, pharmacologic safety, and
evidence-informed decision-making across diverse patient populations. Items
emphasize real-world scenarios involving pregnancy, reproductive health,
cardiovascular risk reduction, and chronic disease management. Candidates
must demonstrate proficiency in assessment, differential diagnosis, legal and
ethical standards, and patient-centered care. The multiple-choice format
reflects professional certification expectations and promotes safe, effective
advanced nursing practice.
,Section One: Questions 1–100
Question 1
A 28-year-old female is planning pregnancy. She has no chronic conditions
and takes no medications. What is the recommended daily folic acid
supplementation?
A. 0.1 mg
B. 0.4 mg
C. 1 mg
D. 4 mg
B. 0.4 mg
RATIONALE: All women of childbearing age should consume at least 0.4
mg of folic acid daily to prevent neural tube defects. Higher doses are reserved
for women with a history of neural tube defects or specific medications.
Question 2
A 32-year-old pregnant female at 26 weeks gestation presents for routine care.
Which screening test is indicated at this visit?
A. 1-hour glucose challenge test
B. Group B streptococcus culture
C. First-trimester screen
D. Amniocentesis
A. 1-hour glucose challenge test
RATIONALE: Gestational diabetes screening is typically performed at 24
to 28 weeks gestation using a 1-hour glucose challenge test. Group B
streptococcus screening occurs at 36 to 37 weeks.
Question 3
A 30-year-old female at 34 weeks gestation presents with blood pressure
162/110 mm Hg, severe headache, and visual changes. What is the most
appropriate initial medication for seizure prophylaxis?
,A. Labetalol
B. Hydralazine
C. Magnesium sulfate
D. Nifedipine
C. Magnesium sulfate
RATIONALE: Magnesium sulfate is the standard for seizure prophylaxis
in preeclampsia with severe features. Labetalol and hydralazine treat
hypertension but do not prevent eclampsia.
Question 4
A 26-year-old female is Rh-negative and unsensitized at 28 weeks gestation.
What is the appropriate management?
A. No intervention
B. RhoGAM at delivery only
C. RhoGAM at 28 weeks and within 72 hours postpartum
D. RhoGAM at 20 weeks only
C. RhoGAM at 28 weeks and within 72 hours postpartum
RATIONALE: RhoGAM is given at 28 weeks and within 72 hours after
delivery to prevent Rh sensitization. It is also given after procedures that may
cause fetal-maternal hemorrhage.
Question 5
A 24-year-old female at 37 weeks gestation has a positive group B
streptococcus culture. What is the most appropriate intrapartum
management?
A. No treatment
B. Oral penicillin now
C. Intravenous penicillin during labor
D. Cesarean delivery
C. Intravenous penicillin during labor
, RATIONALE: Intrapartum intravenous penicillin is indicated for GBS
prophylaxis to reduce neonatal transmission. Oral antibiotics are not effective
for intrapartum prophylaxis.
Question 6
A 29-year-old female has heavy postpartum bleeding after vaginal delivery.
What is the first-line uterotonic?
A. Oxytocin
B. Misoprostol
C. Methylergonovine
D. Carboprost
A. Oxytocin
RATIONALE: Oxytocin is the first-line uterotonic for postpartum
hemorrhage. Other agents are used if oxytocin is ineffective or
contraindicated.
Question 7
A 34-year-old female reports severe dysmenorrhea and dyspareunia. Pelvic
ultrasound is normal. What is the most definitive diagnostic test for
endometriosis?
A. CA-125
B. MRI
C. Transvaginal ultrasound
D. Laparoscopy
D. Laparoscopy
RATIONALE: Laparoscopy with visualization and biopsy is the definitive
diagnosis for endometriosis. Imaging may be normal in early disease.
Question 8
A 27-year-old female with PCOS desires contraception and treatment for
hirsutism. What is the most appropriate first-line therapy?
OBGYN CARDIAC EXAM BANK QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
• Women’s Health
• Obstetrics and Prenatal Care
• Gynecology and Reproductive Health
• Cardiovascular Assessment
• Cardiac Pharmacology
• Primary Care Management
• Legal and Ethical Practice
• Patient Education and Counseling
Introduction
This examination assesses the advanced practice competencies required of
family nurse practitioners in obstetric, gynecologic, and cardiac primary care.
It evaluates clinical reasoning, diagnostic accuracy, pharmacologic safety, and
evidence-informed decision-making across diverse patient populations. Items
emphasize real-world scenarios involving pregnancy, reproductive health,
cardiovascular risk reduction, and chronic disease management. Candidates
must demonstrate proficiency in assessment, differential diagnosis, legal and
ethical standards, and patient-centered care. The multiple-choice format
reflects professional certification expectations and promotes safe, effective
advanced nursing practice.
,Section One: Questions 1–100
Question 1
A 28-year-old female is planning pregnancy. She has no chronic conditions
and takes no medications. What is the recommended daily folic acid
supplementation?
A. 0.1 mg
B. 0.4 mg
C. 1 mg
D. 4 mg
B. 0.4 mg
RATIONALE: All women of childbearing age should consume at least 0.4
mg of folic acid daily to prevent neural tube defects. Higher doses are reserved
for women with a history of neural tube defects or specific medications.
Question 2
A 32-year-old pregnant female at 26 weeks gestation presents for routine care.
Which screening test is indicated at this visit?
A. 1-hour glucose challenge test
B. Group B streptococcus culture
C. First-trimester screen
D. Amniocentesis
A. 1-hour glucose challenge test
RATIONALE: Gestational diabetes screening is typically performed at 24
to 28 weeks gestation using a 1-hour glucose challenge test. Group B
streptococcus screening occurs at 36 to 37 weeks.
Question 3
A 30-year-old female at 34 weeks gestation presents with blood pressure
162/110 mm Hg, severe headache, and visual changes. What is the most
appropriate initial medication for seizure prophylaxis?
,A. Labetalol
B. Hydralazine
C. Magnesium sulfate
D. Nifedipine
C. Magnesium sulfate
RATIONALE: Magnesium sulfate is the standard for seizure prophylaxis
in preeclampsia with severe features. Labetalol and hydralazine treat
hypertension but do not prevent eclampsia.
Question 4
A 26-year-old female is Rh-negative and unsensitized at 28 weeks gestation.
What is the appropriate management?
A. No intervention
B. RhoGAM at delivery only
C. RhoGAM at 28 weeks and within 72 hours postpartum
D. RhoGAM at 20 weeks only
C. RhoGAM at 28 weeks and within 72 hours postpartum
RATIONALE: RhoGAM is given at 28 weeks and within 72 hours after
delivery to prevent Rh sensitization. It is also given after procedures that may
cause fetal-maternal hemorrhage.
Question 5
A 24-year-old female at 37 weeks gestation has a positive group B
streptococcus culture. What is the most appropriate intrapartum
management?
A. No treatment
B. Oral penicillin now
C. Intravenous penicillin during labor
D. Cesarean delivery
C. Intravenous penicillin during labor
, RATIONALE: Intrapartum intravenous penicillin is indicated for GBS
prophylaxis to reduce neonatal transmission. Oral antibiotics are not effective
for intrapartum prophylaxis.
Question 6
A 29-year-old female has heavy postpartum bleeding after vaginal delivery.
What is the first-line uterotonic?
A. Oxytocin
B. Misoprostol
C. Methylergonovine
D. Carboprost
A. Oxytocin
RATIONALE: Oxytocin is the first-line uterotonic for postpartum
hemorrhage. Other agents are used if oxytocin is ineffective or
contraindicated.
Question 7
A 34-year-old female reports severe dysmenorrhea and dyspareunia. Pelvic
ultrasound is normal. What is the most definitive diagnostic test for
endometriosis?
A. CA-125
B. MRI
C. Transvaginal ultrasound
D. Laparoscopy
D. Laparoscopy
RATIONALE: Laparoscopy with visualization and biopsy is the definitive
diagnosis for endometriosis. Imaging may be normal in early disease.
Question 8
A 27-year-old female with PCOS desires contraception and treatment for
hirsutism. What is the most appropriate first-line therapy?
