Walden University NRNP 6552 Final Exam (pdf) | 2026/2027 |
Women's Health Q&A | Advanced Practice Nursing
**1. Sheila is pregnant and fearful of getting cervical cancer as her sister
recently did. She asks about receiving the HPV vaccine. How do you
respond?**
A) "As long as you're in your first trimester, the HPV vaccine is safe and
effective."
B) "Research has not shown this vaccine to be effective against preventing
cervical cancer."
C) "After the age of 20, the HPV vaccine is not recommended."
D) "You should not receive the vaccination when you are pregnant."
**Correct Answer: D**
**Rationale:** The HPV vaccine is not recommended during pregnancy. If a
woman is found to be pregnant, she should delay vaccination until after
delivery. There is no evidence of harm to the fetus from inadvertent
administration, but it is contraindicated intentionally during pregnancy.
---
**2. Jack and Jill present for a preconception health counseling session. Jack
is 34, Jill is 33, and they have a 5-year-old son, Jake, who has spina bifida
with loss of function of his lower extremities. They want another child and
ask if there is anything they can do to prevent recurrence of a neural tube
defect. What is your best response?**
A) "Jill should take 60 mg/day of an iron supplement to enhance stores to
support fetal development."
B) "It is a matter of genetics, and there is nothing you can do."
,C) "Have a CVS performed at 12 to 14 weeks gestation to determine the
health of the fetus."
D) "Jill should take 4 mg/day of folic acid, beginning before conception."
**Correct Answer: D**
**Rationale:** Women with a previous pregnancy affected by a neural tube
defect should take a high-dose folic acid supplement (4 mg/day) beginning at
least one month before conception and continuing through the first trimester.
This dose is significantly higher than the standard 0.4 mg/day
recommendation for the general population.
---
**3. You are invited to speak to a group of public school administrators about
recent outbreaks of head lice. As an advocate for children and families, what
do you share?**
A) "No nit" policies that exclude children until all nits are removed are
essential to eradicate this problem.
B) The American Academy of Pediatrics and the National Association of
School Nurses discourage "no nit" policies that exclude children from school.
C) Occlusive agents, such as petroleum shampoo and herbal oils, applied to
suffocate the lice are showing promising results in randomized controlled
trials.
D) Lindane is recommended by the American Academy of Pediatrics as a
treatment choice.
**Correct Answer: B**
,**Rationale:** The American Academy of Pediatrics (AAP) and the National
Association of School Nurses (NASN) discourage "no nit" policies that exclude
children from school. These policies are not effective at controlling head lice
and can lead to unnecessary school absences.
---
**4. What is the simplest and safest method of suppressing lactation after it
has started?**
A) Administering oral and long-acting injections of hormonal preparations
B) Using breast binders
C) Gradually weaning the baby to a bottle or cup over a 3-week period
D) Stopping "cold-turkey"
**Correct Answer: C**
**Rationale:** Gradually weaning the baby to a bottle or cup over a 2–3 week
period is the simplest and safest method of suppressing lactation. This
approach allows milk production to decrease naturally, reducing the risk of
engorgement and mastitis.
---
**5. When can fetal heart tones be heard with a conventional fetoscope?**
A) 7 to 8 weeks
B) 10 to 12 weeks
C) 18 to 20 weeks
, D) More than 20 weeks
**Correct Answer: C**
**Rationale:** Fetal heart tones can typically be heard with a conventional
fetoscope at 18 to 20 weeks of gestation. A Doppler device can detect fetal
heart tones earlier, usually around 10 to 12 weeks.
---
**6. The reason most often cited to explain why women who have had a
usual length of stay and normal delivery discontinue breastfeeding before 8
weeks postpartum is:**
A) That the mother returned to work or school
B) The perception that the infant is not receiving enough milk
C) The ease of formula use
D) Maternal or infant illness
**Correct Answer: B**
**Rationale:** The perception that the infant is not receiving enough milk is
the most common reason cited for early discontinuation of breastfeeding.
This concern often leads to unnecessary formula supplementation.
---
**7. The HPV vaccine has been proven effective in protecting against the four
types of HPV that cause genital warts and cervical cancers for as long as:**
Women's Health Q&A | Advanced Practice Nursing
**1. Sheila is pregnant and fearful of getting cervical cancer as her sister
recently did. She asks about receiving the HPV vaccine. How do you
respond?**
A) "As long as you're in your first trimester, the HPV vaccine is safe and
effective."
B) "Research has not shown this vaccine to be effective against preventing
cervical cancer."
C) "After the age of 20, the HPV vaccine is not recommended."
D) "You should not receive the vaccination when you are pregnant."
**Correct Answer: D**
**Rationale:** The HPV vaccine is not recommended during pregnancy. If a
woman is found to be pregnant, she should delay vaccination until after
delivery. There is no evidence of harm to the fetus from inadvertent
administration, but it is contraindicated intentionally during pregnancy.
---
**2. Jack and Jill present for a preconception health counseling session. Jack
is 34, Jill is 33, and they have a 5-year-old son, Jake, who has spina bifida
with loss of function of his lower extremities. They want another child and
ask if there is anything they can do to prevent recurrence of a neural tube
defect. What is your best response?**
A) "Jill should take 60 mg/day of an iron supplement to enhance stores to
support fetal development."
B) "It is a matter of genetics, and there is nothing you can do."
,C) "Have a CVS performed at 12 to 14 weeks gestation to determine the
health of the fetus."
D) "Jill should take 4 mg/day of folic acid, beginning before conception."
**Correct Answer: D**
**Rationale:** Women with a previous pregnancy affected by a neural tube
defect should take a high-dose folic acid supplement (4 mg/day) beginning at
least one month before conception and continuing through the first trimester.
This dose is significantly higher than the standard 0.4 mg/day
recommendation for the general population.
---
**3. You are invited to speak to a group of public school administrators about
recent outbreaks of head lice. As an advocate for children and families, what
do you share?**
A) "No nit" policies that exclude children until all nits are removed are
essential to eradicate this problem.
B) The American Academy of Pediatrics and the National Association of
School Nurses discourage "no nit" policies that exclude children from school.
C) Occlusive agents, such as petroleum shampoo and herbal oils, applied to
suffocate the lice are showing promising results in randomized controlled
trials.
D) Lindane is recommended by the American Academy of Pediatrics as a
treatment choice.
**Correct Answer: B**
,**Rationale:** The American Academy of Pediatrics (AAP) and the National
Association of School Nurses (NASN) discourage "no nit" policies that exclude
children from school. These policies are not effective at controlling head lice
and can lead to unnecessary school absences.
---
**4. What is the simplest and safest method of suppressing lactation after it
has started?**
A) Administering oral and long-acting injections of hormonal preparations
B) Using breast binders
C) Gradually weaning the baby to a bottle or cup over a 3-week period
D) Stopping "cold-turkey"
**Correct Answer: C**
**Rationale:** Gradually weaning the baby to a bottle or cup over a 2–3 week
period is the simplest and safest method of suppressing lactation. This
approach allows milk production to decrease naturally, reducing the risk of
engorgement and mastitis.
---
**5. When can fetal heart tones be heard with a conventional fetoscope?**
A) 7 to 8 weeks
B) 10 to 12 weeks
C) 18 to 20 weeks
, D) More than 20 weeks
**Correct Answer: C**
**Rationale:** Fetal heart tones can typically be heard with a conventional
fetoscope at 18 to 20 weeks of gestation. A Doppler device can detect fetal
heart tones earlier, usually around 10 to 12 weeks.
---
**6. The reason most often cited to explain why women who have had a
usual length of stay and normal delivery discontinue breastfeeding before 8
weeks postpartum is:**
A) That the mother returned to work or school
B) The perception that the infant is not receiving enough milk
C) The ease of formula use
D) Maternal or infant illness
**Correct Answer: B**
**Rationale:** The perception that the infant is not receiving enough milk is
the most common reason cited for early discontinuation of breastfeeding.
This concern often leads to unnecessary formula supplementation.
---
**7. The HPV vaccine has been proven effective in protecting against the four
types of HPV that cause genital warts and cervical cancers for as long as:**
