NR 546 final exam: week 7 reproductive questions with verified answers
A+ Grade 2026\2027
What are the five 5 P's
- correct answer partners, practices, past history of STI, protection, prevention of pregnancy (and
pleasure)
hypospadias
- correct answer abnormal congenital opening of the male urethra on the undersurface of the penis
epispadias
- correct answer congenital defect in which the urinary meatus is located on the upper surface of the
penis or on the side
nagele's rule
- correct answer identify LMP, subtract 3 months, add 7 days and one year
difference between presumptive and positive s/s
- correct answer presumptive (probable and noted on exam)
positive- directly linked to fetus
GTPAL
- correct answer Gravida, Term, Preterm, Abortions, Living
diffrence between gravida and para
- correct answer gravida- number of pregancies the woman has had
para- number of births the woman has had
,What does the T in GTPAL stand for?
- correct answer term births- 37-42 weeks gestation
what does the P stand for in GTPAL
- correct answer preterm- 20-37
what does the A in GTPAL stand for
- correct answer spontaneous and/or elective abortions
what does the L in GTPAL stand for?
- correct answer living children
what is quickening?
- correct answer maternal sensation of fetal movement
when can provider feel movements versus when mother can
- correct answer provider- after 24 weeks
mom- 18-24 weeks
When should fundal height be measured?
- correct answer is gestational age is > 20 weeks= at this point fundus reaches umbilicus
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?
- correct answer 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?
- correct answer 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 chorionic gonadotropin (HCG) level.
Furtherlaboratories are still pending. Which of the following is the most likely diagnosis?
- correct answer Prolactinoma
A 22-year-old G0P0 undergraduate student presents to clinic after finding a breast mass on breastself-
examination (BSE) at home. The mass is nontender without skin changes, erythema, or
overlyingswelling. She has heard that most breast cancers are found by patients themselves, and she is
veryconcerned that she may have breast cancer. Which of the following is true about BSE and self-
detectionof breast cancer
- correct answer This patient is more likely to find a fibroadenoma than a cancer on self-examination
A 48-year-old female psychologist presents to clinic with concerns about her breast cancer risk afteran
age-matched cousin was recently diagnosed with this disease. This cousin is the third family memberon
her father's side in as many years to be diagnosed with breast cancer, including the patient's ownfather,
who had surgery and subsequent treatment 3 years ago for breast cancer. The patient has littleother
knowledge of her family history, only that her grandparents independently arrived from EasternEurope
near the end of World War II and were among very few members of their family that survivedthe war.
The patient has read about testing for the breast cancer genes (BRCA1 and BRCA2) and desiresfurther
information about whether this would be appropriate for her. Which of the following is trueabout this
patient's indications for BRCA testing?
- correct answer This patient carries several risk factors that together justify BRCA testing
A 68-year-old former paleontologist presents to clinic with concerns about her breast cancer risk. Her
mother developed the disease in her 50s and died from it in her 60s. A younger cousin developed the
disease a few years ago before the age of 50 years, but this individual was not tested for the BRCA1
andBRCA2 genes. In addition, the patient suffered from lymphoma in her 20s and had radiation to the
chest.She did take hormone replacement therapy for a few years before data emerged that this may
A+ Grade 2026\2027
What are the five 5 P's
- correct answer partners, practices, past history of STI, protection, prevention of pregnancy (and
pleasure)
hypospadias
- correct answer abnormal congenital opening of the male urethra on the undersurface of the penis
epispadias
- correct answer congenital defect in which the urinary meatus is located on the upper surface of the
penis or on the side
nagele's rule
- correct answer identify LMP, subtract 3 months, add 7 days and one year
difference between presumptive and positive s/s
- correct answer presumptive (probable and noted on exam)
positive- directly linked to fetus
GTPAL
- correct answer Gravida, Term, Preterm, Abortions, Living
diffrence between gravida and para
- correct answer gravida- number of pregancies the woman has had
para- number of births the woman has had
,What does the T in GTPAL stand for?
- correct answer term births- 37-42 weeks gestation
what does the P stand for in GTPAL
- correct answer preterm- 20-37
what does the A in GTPAL stand for
- correct answer spontaneous and/or elective abortions
what does the L in GTPAL stand for?
- correct answer living children
what is quickening?
- correct answer maternal sensation of fetal movement
when can provider feel movements versus when mother can
- correct answer provider- after 24 weeks
mom- 18-24 weeks
When should fundal height be measured?
- correct answer is gestational age is > 20 weeks= at this point fundus reaches umbilicus
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?
- correct answer 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?
- correct answer 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 chorionic gonadotropin (HCG) level.
Furtherlaboratories are still pending. Which of the following is the most likely diagnosis?
- correct answer Prolactinoma
A 22-year-old G0P0 undergraduate student presents to clinic after finding a breast mass on breastself-
examination (BSE) at home. The mass is nontender without skin changes, erythema, or
overlyingswelling. She has heard that most breast cancers are found by patients themselves, and she is
veryconcerned that she may have breast cancer. Which of the following is true about BSE and self-
detectionof breast cancer
- correct answer This patient is more likely to find a fibroadenoma than a cancer on self-examination
A 48-year-old female psychologist presents to clinic with concerns about her breast cancer risk afteran
age-matched cousin was recently diagnosed with this disease. This cousin is the third family memberon
her father's side in as many years to be diagnosed with breast cancer, including the patient's ownfather,
who had surgery and subsequent treatment 3 years ago for breast cancer. The patient has littleother
knowledge of her family history, only that her grandparents independently arrived from EasternEurope
near the end of World War II and were among very few members of their family that survivedthe war.
The patient has read about testing for the breast cancer genes (BRCA1 and BRCA2) and desiresfurther
information about whether this would be appropriate for her. Which of the following is trueabout this
patient's indications for BRCA testing?
- correct answer This patient carries several risk factors that together justify BRCA testing
A 68-year-old former paleontologist presents to clinic with concerns about her breast cancer risk. Her
mother developed the disease in her 50s and died from it in her 60s. A younger cousin developed the
disease a few years ago before the age of 50 years, but this individual was not tested for the BRCA1
andBRCA2 genes. In addition, the patient suffered from lymphoma in her 20s and had radiation to the
chest.She did take hormone replacement therapy for a few years before data emerged that this may
