CHAMBERLAIN COLLEGE OF NURSING
NR 509 APEA EXAM – WOMEN’S
HEALTH QUESTION AND ANSWERS
WITH RATIONALES. LATEST UPDATE
2026\2027 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
Question 1
When palpating the cervix during the bimanual exam, cervical
motion tenderness (chandelier sign) is noted. This
tenderness could be suggestive of:
A. retroversion of the uterus.
B. pelvic inflammatory disease.
, C. vulvar lesions.
D. Bartholin gland infection.
RATIONALE:
Cervical motion tenderness, Also known As Chandelier's sign,
And/or Adnexal tenderness, suggest pelvic inflammatory
disease, ectopic pregnancy, or Appendicitis.
Question 2
In A female diagnosed with A first-degree uterine prolapse,
the cervix:
A. is located in its normal position.
B. has slipped but is well within the vagina.
C. is located in the introitus.
D. and vagina Are outside the introitus.
,RATIONALE:
Uterine prolapse occurs in progressive stages. The uterus
becomes retroverted And descends down the vaginal canal to
the exterior. In first-degree prolapse, the cervix is still well
within the vagina. In second-degree prolapse, it is At the
introitus. In third-degree prolapse (procidentia), the cervix
And vagina Are outside the introitus.
Question 3
Daughters of women who took Diethylstilbestrol (DES)
during pregnancy Are At A high risk for developing All of the
following Abnormalities except:
A. columnar epithelium covering most or All of the cervix.
B. a slit- like cervical os.
, C. vaginal Adenosis.
D. a circular collar or ridge of tissue between the cervix And
the vagina.
RATIONALE:
Daughters of women who took Diethylstilbestrol (DES)
during pregnancy Are At greatly increased risk for several
Abnormalities: columnar epithelium that covers most or All
of the cervix vaginal Adenosis, And A circular collar or ridge
of tissue, of varying shapes, between the cervix And vagina.
The slit-like cervical os is A normal variation.
Question 4
A female patient presents with A profuse, yellowish, green
vaginal discharge that is malodorous. This vaginal discharge
is most consistent with:
NR 509 APEA EXAM – WOMEN’S
HEALTH QUESTION AND ANSWERS
WITH RATIONALES. LATEST UPDATE
2026\2027 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
Question 1
When palpating the cervix during the bimanual exam, cervical
motion tenderness (chandelier sign) is noted. This
tenderness could be suggestive of:
A. retroversion of the uterus.
B. pelvic inflammatory disease.
, C. vulvar lesions.
D. Bartholin gland infection.
RATIONALE:
Cervical motion tenderness, Also known As Chandelier's sign,
And/or Adnexal tenderness, suggest pelvic inflammatory
disease, ectopic pregnancy, or Appendicitis.
Question 2
In A female diagnosed with A first-degree uterine prolapse,
the cervix:
A. is located in its normal position.
B. has slipped but is well within the vagina.
C. is located in the introitus.
D. and vagina Are outside the introitus.
,RATIONALE:
Uterine prolapse occurs in progressive stages. The uterus
becomes retroverted And descends down the vaginal canal to
the exterior. In first-degree prolapse, the cervix is still well
within the vagina. In second-degree prolapse, it is At the
introitus. In third-degree prolapse (procidentia), the cervix
And vagina Are outside the introitus.
Question 3
Daughters of women who took Diethylstilbestrol (DES)
during pregnancy Are At A high risk for developing All of the
following Abnormalities except:
A. columnar epithelium covering most or All of the cervix.
B. a slit- like cervical os.
, C. vaginal Adenosis.
D. a circular collar or ridge of tissue between the cervix And
the vagina.
RATIONALE:
Daughters of women who took Diethylstilbestrol (DES)
during pregnancy Are At greatly increased risk for several
Abnormalities: columnar epithelium that covers most or All
of the cervix vaginal Adenosis, And A circular collar or ridge
of tissue, of varying shapes, between the cervix And vagina.
The slit-like cervical os is A normal variation.
Question 4
A female patient presents with A profuse, yellowish, green
vaginal discharge that is malodorous. This vaginal discharge
is most consistent with:
