NR 546 Final Exam: Week 7
Reproductive Q&A 100% Solved
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
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,diffrence between gravida and para - ✔✔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
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, 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.
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
Reproductive Q&A 100% Solved
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
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,diffrence between gravida and para - ✔✔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
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, 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.
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
