NSG 6430 WOMEN'S HEALTH FINAL
EXAM(REVISED AND GRADED (A+ Rates
):HARVAD UNIVERSITY
NSG 6430 Women’s Health – Original Final
Exam Practice Questions (1 - 200)
1. A 28-year-old pregnant woman at 32 weeks gestation
reports sudden swelling of her face and hands and
blurred vision. Which condition should the nurse
suspect?
A. Gestational diabetes
B. Preeclampsia
C. Hyperemesis gravidarum
D. Placenta previa
Answer: B
Rationale: Sudden swelling, facial edema, and blurred vision are classic signs of preeclampsia.
2. During a prenatal visit, the nurse notes a fundal height
of 20 cm at 20 weeks gestation. Which is the most
appropriate action?
A. Document as normal
B. Assess for fetal growth restriction
,C. Refer for emergency delivery
D. Recommend bed rest
Answer: A
Rationale: Fundal height in cm roughly corresponds to gestational age in weeks (20 cm ≈ 20
weeks).
3. A woman is 38 weeks pregnant and in active labor. She
reports sudden gush of fluid from her vagina. What is the
nurse’s priority action?
A. Assess fetal heart rate
B. Encourage ambulation
C. Administer oxytocin
D. Prepare for immediate delivery
Answer: A
Rationale: Rupture of membranes can risk cord prolapse; assessing fetal heart rate is priority.
4. Which of the following is the most reliable method for
confirming ovulation?
A. Basal body temperature
B. Ovulation predictor kits (LH surge)
C. Cervical mucus observation
D. Ultrasound follicular tracking
Answer: D
Rationale: Ultrasound provides direct evidence of follicle rupture; other methods are indirect.
5. A patient with a history of polycystic ovary syndrome
(PCOS) asks about fertility. Which statement is accurate?
A. “PCOS does not affect ovulation.”
B. “Lifestyle changes and medication can improve ovulation.”
, C. “Pregnancy is impossible with PCOS.”
D. “Ovulation induction is unsafe in PCOS.”
Answer: B
Rationale: Weight loss, exercise, and medications (like clomiphene) can restore ovulation in
many women with PCOS.
6. Which contraceptive method provides both STI
protection and pregnancy prevention?
A. Oral contraceptive pill
B. Male condom
C. Intrauterine device (IUD)
D. Hormonal implant
Answer: B
Rationale: Male condoms reduce the risk of STIs and pregnancy; hormonal methods do not
protect against STIs.
7. A 25-year-old presents with primary dysmenorrhea.
Which non-pharmacologic intervention can the nurse
recommend?
A. Daily aspirin
B. Heat application to the abdomen
C. Cold compresses to the lower back
D. Bed rest for one week
Answer: B
Rationale: Heat can reduce uterine cramping and pain associated with dysmenorrhea.
8. A patient asks about signs of menopause. Which
symptom is most characteristic?
EXAM(REVISED AND GRADED (A+ Rates
):HARVAD UNIVERSITY
NSG 6430 Women’s Health – Original Final
Exam Practice Questions (1 - 200)
1. A 28-year-old pregnant woman at 32 weeks gestation
reports sudden swelling of her face and hands and
blurred vision. Which condition should the nurse
suspect?
A. Gestational diabetes
B. Preeclampsia
C. Hyperemesis gravidarum
D. Placenta previa
Answer: B
Rationale: Sudden swelling, facial edema, and blurred vision are classic signs of preeclampsia.
2. During a prenatal visit, the nurse notes a fundal height
of 20 cm at 20 weeks gestation. Which is the most
appropriate action?
A. Document as normal
B. Assess for fetal growth restriction
,C. Refer for emergency delivery
D. Recommend bed rest
Answer: A
Rationale: Fundal height in cm roughly corresponds to gestational age in weeks (20 cm ≈ 20
weeks).
3. A woman is 38 weeks pregnant and in active labor. She
reports sudden gush of fluid from her vagina. What is the
nurse’s priority action?
A. Assess fetal heart rate
B. Encourage ambulation
C. Administer oxytocin
D. Prepare for immediate delivery
Answer: A
Rationale: Rupture of membranes can risk cord prolapse; assessing fetal heart rate is priority.
4. Which of the following is the most reliable method for
confirming ovulation?
A. Basal body temperature
B. Ovulation predictor kits (LH surge)
C. Cervical mucus observation
D. Ultrasound follicular tracking
Answer: D
Rationale: Ultrasound provides direct evidence of follicle rupture; other methods are indirect.
5. A patient with a history of polycystic ovary syndrome
(PCOS) asks about fertility. Which statement is accurate?
A. “PCOS does not affect ovulation.”
B. “Lifestyle changes and medication can improve ovulation.”
, C. “Pregnancy is impossible with PCOS.”
D. “Ovulation induction is unsafe in PCOS.”
Answer: B
Rationale: Weight loss, exercise, and medications (like clomiphene) can restore ovulation in
many women with PCOS.
6. Which contraceptive method provides both STI
protection and pregnancy prevention?
A. Oral contraceptive pill
B. Male condom
C. Intrauterine device (IUD)
D. Hormonal implant
Answer: B
Rationale: Male condoms reduce the risk of STIs and pregnancy; hormonal methods do not
protect against STIs.
7. A 25-year-old presents with primary dysmenorrhea.
Which non-pharmacologic intervention can the nurse
recommend?
A. Daily aspirin
B. Heat application to the abdomen
C. Cold compresses to the lower back
D. Bed rest for one week
Answer: B
Rationale: Heat can reduce uterine cramping and pain associated with dysmenorrhea.
8. A patient asks about signs of menopause. Which
symptom is most characteristic?