NRNP 6552 MIDTERM EXAM /NRNP6552 MIDTERM ADVANCED NURSE PRACTICE IN REPRODUCTIVE HEALTH CARE. ACTUAL 2025/2026 SUMMER QTR EXAM ALREADY RATED A+.

NRNP 6552 MIDTERM EXAM /NRNP6552 MIDTERM ADVANCED NURSE PRACTICE IN REPRODUCTIVE HEALTH CARE. ACTUAL 2025/2026 SUMMER QTR EXAM ALREADY RATED A+. Question 1 The is a sensitive organ that is typically described as the female homologue of the penis. CORRECT ANS Clitoris Question 2 Normal vaginal discharge has a pH of: CORRECT ANS 3.8 and 4.5 Question 3 On physical examination, pale atrophic depigmented tissue that has a “cigarette paper” appearance is consistent with: CORRECT ANS Lichen Sclerosus Question 4 Criteria for clinical diagnosis of bacterial vaginosis include the presence of three out of four of the following Amsel criteria: CORRECT ANS C (white, thin adherent vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBC on microscopic examination) Question 5 The most common STI in the United States is: CORRECT ANS Chlamydia Question 6 Ovarian failure is diagnosed when estrogen production is identified while the serum FSH is . CORRECT ANS B (Low Estrogen, High) Question 7 Approximately of infertility cases are due to female factors and are due to male factors. CORRECT ANS D - 55%. 35% Question 8 In women with PCOS, polycystic ovaries are due to: CORRECT ANS B (Chronic Anovulation) Question 9 The most common symptoms of uterine cancer are: CORRECT ANS Abnormal uterine bleeding and postmenopausal bleeding. Question 10 Neisseria gonorrhea is a bacteria CORRECT ANS Gram-negative diplococci bacteria Question 11 When females go through puberty, the changes that occur are initiated by the production of: CORRECT ANS B (oestrogen) Question 12 The most common pathogen leading to urinary tract infection is: CORRECT ANS Escherichia coli (E. coli). Question 13 All organizations recommend beginning screening mammograms in average-risk women at age CORRECT ANS 40 – 44 years Question 14 When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? CORRECT ANS YES Question 15 The new guideline for systolic blood pressure cut-off for hypertension is: CORRECT ANS D (Systolic BP should not be lowered to below 120 mm Hg. Diastolic BP should not be lowered to below 70 mm Hg) Question 16 Menopause is defined as: CORRECT ANS D (none of the above) Question 17 First line pharmacologic treatment for women with PCOS is/are: CORRECT ANS COCs (Ethinyl estradiol + levonorgestrel, norgestimate – vienva, aviane, marzia, levein, amethyst) Question 18 Clinicians are required to report certain STIs to their state public health officials. These include: CORRECT ANS Nationally notifiable STIs include chancroid, chlamydia, gonorrhea, hepatitis, HIV, and syphilis Question 19 Symptoms of Polycystic Ovary Syndrome (PCOS) include all of the following except: CORRECT ANS D – Hypopigmentation of the extremities irregular periods or no periods at all. difficulty getting pregnant (because of irregular ovulation or failure to ovulate) excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks. weight gain. thinning hair and hair loss from the head. oily skin or acne. Question 20 Josefina is a 47-year-old patient with family history of diabetes. Her BMI is 30. She has been healthy except for medication- controlled hypertension. She has been very compliant with her appointments. Today, you tell her you need to check her blood sugar. She says “I just read an article that said I only need to have that checked every three years. You just checked it last year.” You tell her: CORRECT ANS A I will advise Josefina that, the test determines your typical blood sugar levels and their proximity to normal. When you're first diagnosed, you get these checkups every three months, then every six months until you're stable. This can be done by your primary care physician or a diabetic nurse. Every diabetic should see a doctor at least every three months. Routine visits enable your doctor to monitor your status and if required, modify your treatment strategy. weight, feet, heart, diet, Eyes, neuropathy, circulation, blood , thyroid, electrolytes, cholesterol, blood pressure and other tests should be performed on an annual basis. For patients with diabetes, one reason for hospitalization and unplanned hospital readmission is severe deglycation (uncontrolled hyperglycemia -- high blood sugar, or hypoglycemia -- low blood sugar), says new research published in the Journal of General Internal Medic Question 21 The test for the fishy odor that occurs in bacterial vaginosis is called the: CORRECT ANS Whiff Test Question 22 Evidence from randomized trials on intimate partner violence screening support the following intervention(s) for women of childbearing age: CORRECT ANS E (A, B, and C) Evidence from randomized trials support a variety of interventions for women of childbearing age which includes counseling, home visits, and mentoring support Question 23 The act that was established that mandated every American to carry health insurance is called: CORRECT ANS The Patient Protection and Affordable Care Act (ACA) Question 24 All of the following are risk factors for UTI, except: CORRECT ANS B (infrequent sexual activity) Question 25 Reproductive coercion includes behaviors: CORRECT ANS D. (Any of the above) Question 26 An appropriate medication for Herpes Simplex virus is: CORRECT ANS D (all of the above) The most effective treatments for persons infected with HSV are antiviral medications including acyclovir, famciclovir and valacyclovir. Question 27 Just prior to ovulation, rising levels of estradiol increases the amount of cervical mucus, making it: CORRECT ANS C (thin and watery) Just prior to ovulation, your estrogen levels are rising. You may see more clear, stretchy, watery, and slippery mucus. This mucus may remind you of the consistency of egg whites. During ovulation. Question 28 Strong evidence shows that first trimester abortions, whenever performed safely, increases a women’s risks of: CORRECT ANS D (none of the above) Question 29 The American Cancer Society (ACS) has recently updated its colorectal cancer screening guidelines. The new guidelines recommend screening average-risk patients for that disease at age CORRECT ANS 45 years Question 30 An endometrial biopsy can be done in the office setting. It has an overall accuracy in diagnosing endometrial cancer. CORRECT ANS C - HIGH Question 31 The following are the four basic Caldwell-Molloy pelvic types. CORRECT ANS Gynecoid Android Anthrop oid Platypel loid Question 32 The following is/are types of sexual violence. CORRECT ANS C (Threats of sexual violence) Question 33 Jenna comes in complaining of intense itching in the vaginal area. She also has some itching in the vulvar area. It is really bad after she has intercourse. In gathering her history, she tells you she had an ear infection a few weeks ago and took amoxicillin for it but otherwise, has been healthy. On exam, you note a thick, white, lumpy discharge with the consistency of cottage cheese. The vulva is red and swollen as are the labial folds. There is no strong odor. The most likely diagnosis is: CORRECT ANS Vulvovaginal candidiasis (Yeast Infection) Question 34 A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include D. All of the above CORRECT ANS Metformin, oral contraceptives, and spironolactone CORRECT ANS tetracycline 500 mg, doxycycline 100 mg, minocycline100 mg orally, or amoxicillin 500 mg Question 35 EBP stands for: CORRECT ANS Evidence Based Practice Question 36 Women in the following profession have a higher rate of UTI CORRECT ANS A (Nursing) Question 37 One of the reasons that substance use is a concern in LBQ and TGNC communities is: CORRECT ANS CULTURAL CONTEXT, bars and clubs’ scenes have long been safe spaces for gay, LBQ and TGNC people. Lack of support Internalized homophobia Discrimination and social stigma Question 38 Pelvic support structures include: CORRECT ANS D (all of the above) Question 39 The following is an appropriate sexual health assessment question: CORRECT ANS CORRECT ANS C – Are there any sexual problems. Question 40 The use of a pain rating scale may assist the clinician to comprehend the intensity of a woman’s pain. Example(s) of pain rating scale(s) include: CORRECT ANS D (All of the above) Numeric ranking scales, visual analog scales, verbal descriptive scales, allow the woman to identify the severity of her pain. If there is a language barrier related to culture or mental ability, the Wong- Baker FACES pain rating scale Question 41 Female orgasmic disorder is present when there is a marked delay in, marked infrequency of, or absence of orgasm or reduced intensity of orgasm sensations that last more than . CORRECT ANS 6 months (75-100% of situations of sexual intercourse) Question 42 Abnormal uterine bleeding can sometimes be caused by CORRECT ANS None of the above hormone changes, cancer, fibroids, polyps or early pregnancy People with menstrual-related problems are more likely to report anxiety, depression, insomnia, excessive sleepiness, and pain than people without menstrual-related problems Question 43 Margaret has several risk factors for osteoporosis. She is 72 years old, is a 30-pack year smoker, and has never had children. Which one of these risk factors was nonmodifiable? CORRECT ANS D – all of the above (age, smoking and nulliparity) Question 44 A person whose gender identity is the same as