2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!
NR 546 final exam: week 7 reproductive
Questions and Correct Answers the Latest
Update and Recommended Version
What are the five 5 P's
→ partners, practices, past history of STI, protection, prevention of pregnancy (and
pleasure)
hypospadias
→ abnormal congenital opening of the male urethra on the undersurface of the penis
epispadias
→ congenital defect in which the urinary meatus is located on the upper surface of the
penis or on the side
nagele's rule
→ identify LMP, subtract 3 months, add 7 days and one year
difference between presumptive and positive s/s
→ presumptive (probable and noted on exam)
→ positive- directly linked to fetus
GTPAL
→ Gravida, Term, Preterm, Abortions, Living
diffrence between gravida and para
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→ gravida- number of pregancies the woman has had
→ para- number of births the woman has had
What does the T in GTPAL stand for?
→ term births- 37-42 weeks gestation
what does the P stand for in GTPAL
→ preterm- 20-37
what does the A in GTPAL stand for
→ spontaneous and/or elective abortions
what does the L in GTPAL stand for?
→ living children
what is quickening?
→ maternal sensation of fetal movement
when can provider feel movements versus when mother can
→ provider- after 24 weeks
→ mom- 18-24 weeks
When should fundal height be measured?
→ is gestational age is > 20 weeks= at this point fundus reaches umbilicus
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, 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!
1. A 44-year-old female mathematician presents to clinic with a complaint of a mass in the
right breast.Her partner noticed this mass 2 days ago, and the patient feels guilty because
she has only had onemammogram and does not engage in breast self-examination (BSE) on
any regular basis. She has nofamily history of breast cancer, and her prior mammogram was
ordered as a routine screening test atage 43 years after a brief discussion with her primary
care provider. After a thorough investigationreveals a benign cyst, what advice should be
given to this patient about screening for breast cancer inher age group?
→ This patient was in compliance with the U.S. Preventive Services Task Force
(USPSTF)recommendations for her age group and risk factors prior to her current
complaint
A 42-year-old female website developer presents for an annual preventive examination
withquestions about breast cancer screening. She is concerned about the radiation exposure
associated withmammography and is interested in magnetic resonance imaging (MRI) as a
possible alternative forroutine screening. She is otherwise healthy with no family history of
breast, ovarian, or colon cancer.Which of the following is true about MRI as a screening
modality for breast cancer in the generalpopulation?
→ Sensitivity of screening for breast cancer increases with breast MRI at the expense of
specificity.
A 35-year-old G0P0 woman presents to clinic with a complaint of bilateral nipple discharge.
Thisdischarge started several weeks ago and has occurred at irregular intervals since that
time. She does notcomplain of local tenderness, redness, fever, or any other systemic symptoms
aside from slightlyirregular periods over the last few months. On examination, she is able to
express a small amount ofdischarge, which is sent to the laboratory and found to be consistent
with breast milk but without anysigns of blood or pus. Screening laboratories are also sent,
which reveal a normal blood count, metabolicpanel, thyroid-stimulating hormone, and human
1|Page| GradeA+ | 2 0 0 2 5
NR 546 final exam: week 7 reproductive
Questions and Correct Answers the Latest
Update and Recommended Version
What are the five 5 P's
→ partners, practices, past history of STI, protection, prevention of pregnancy (and
pleasure)
hypospadias
→ abnormal congenital opening of the male urethra on the undersurface of the penis
epispadias
→ congenital defect in which the urinary meatus is located on the upper surface of the
penis or on the side
nagele's rule
→ identify LMP, subtract 3 months, add 7 days and one year
difference between presumptive and positive s/s
→ presumptive (probable and noted on exam)
→ positive- directly linked to fetus
GTPAL
→ Gravida, Term, Preterm, Abortions, Living
diffrence between gravida and para
1|Page| GradeA+ | 2 0 0 2 5
,2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!
→ gravida- number of pregancies the woman has had
→ para- number of births the woman has had
What does the T in GTPAL stand for?
→ term births- 37-42 weeks gestation
what does the P stand for in GTPAL
→ preterm- 20-37
what does the A in GTPAL stand for
→ spontaneous and/or elective abortions
what does the L in GTPAL stand for?
→ living children
what is quickening?
→ maternal sensation of fetal movement
when can provider feel movements versus when mother can
→ provider- after 24 weeks
→ mom- 18-24 weeks
When should fundal height be measured?
→ is gestational age is > 20 weeks= at this point fundus reaches umbilicus
1|Page| GradeA+ | 2 0 0 2 5
, 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!
1. A 44-year-old female mathematician presents to clinic with a complaint of a mass in the
right breast.Her partner noticed this mass 2 days ago, and the patient feels guilty because
she has only had onemammogram and does not engage in breast self-examination (BSE) on
any regular basis. She has nofamily history of breast cancer, and her prior mammogram was
ordered as a routine screening test atage 43 years after a brief discussion with her primary
care provider. After a thorough investigationreveals a benign cyst, what advice should be
given to this patient about screening for breast cancer inher age group?
→ This patient was in compliance with the U.S. Preventive Services Task Force
(USPSTF)recommendations for her age group and risk factors prior to her current
complaint
A 42-year-old female website developer presents for an annual preventive examination
withquestions about breast cancer screening. She is concerned about the radiation exposure
associated withmammography and is interested in magnetic resonance imaging (MRI) as a
possible alternative forroutine screening. She is otherwise healthy with no family history of
breast, ovarian, or colon cancer.Which of the following is true about MRI as a screening
modality for breast cancer in the generalpopulation?
→ Sensitivity of screening for breast cancer increases with breast MRI at the expense of
specificity.
A 35-year-old G0P0 woman presents to clinic with a complaint of bilateral nipple discharge.
Thisdischarge started several weeks ago and has occurred at irregular intervals since that
time. She does notcomplain of local tenderness, redness, fever, or any other systemic symptoms
aside from slightlyirregular periods over the last few months. On examination, she is able to
express a small amount ofdischarge, which is sent to the laboratory and found to be consistent
with breast milk but without anysigns of blood or pus. Screening laboratories are also sent,
which reveal a normal blood count, metabolicpanel, thyroid-stimulating hormone, and human
1|Page| GradeA+ | 2 0 0 2 5
