Walden University NRNP 6551 Final Exam (pdf) | 2026/2027 |
Primary Care Women | Women's Health
**1. What is the leading cause of first-trimester maternal death?**
A) Spontaneous abortion
B) Ectopic pregnancy
C) Gestational trophoblastic disease
D) Hyperemesis gravidarum
**Correct Answer: B**
**Rationale:** Ectopic pregnancy is the leading cause of first-trimester
maternal death. It occurs when a fertilized ovum implants outside the uterine
cavity, most commonly in the fallopian tube. Rupture can lead to life-
threatening hemorrhage. Prompt diagnosis and treatment are essential.
---
**2. After 28 weeks' gestation, all women should perform fetal movement
counts (FMCs). Which of the following statements regarding FMCs is true?**
A) Ten movements should be obtained in 1 hour.
B) Ten movements should be obtained in 2 hours.
C) Five movements should be obtained in 1 hour.
D) Five movements should be obtained in 2 hours.
**Correct Answer: B**
,**Rationale:** Ten movements should be obtained in 2 hours. Women should
be instructed to perform fetal movement counts daily, typically after a meal.
A decrease in fetal movements may indicate fetal compromise and should be
evaluated promptly.
---
**3. What is the most common cause of medical complications in pregnancy?
**
A) Hypertension
B) Diabetes
C) Anemia
D) Thyroid disorders
**Correct Answer: A**
**Rationale:** Hypertension is the most common cause of medical
complications in pregnancy. Hypertensive disorders of pregnancy include
gestational hypertension, preeclampsia, and chronic hypertension. These
conditions can lead to significant maternal and fetal morbidity if not
managed appropriately.
---
**4. An example of an X-linked recessive condition or trait is:**
A) Cystic fibrosis
B) Sickle cell anemia
,C) Hemophilia
D) Huntington's disease
**Correct Answer: C**
**Rationale:** Hemophilia is an X-linked recessive condition. It primarily
affects males, who inherit the affected X chromosome from their mother.
Female carriers are typically asymptomatic. Cystic fibrosis and sickle cell
anemia are autosomal recessive conditions. Huntington's disease is
autosomal dominant.
---
**5. What should be addressed during late postpartum maternal evaluation
(weeks 2–6)?**
A) Only physical recovery
B) The need for birth control information or supplies
C) Only breastfeeding issues
D) Only mental health screening
**Correct Answer: B**
**Rationale:** During the late postpartum evaluation (weeks 2-6), the need
for birth control information or supplies should be addressed. Other
important topics include assessment of physical recovery, breastfeeding,
mental health (postpartum depression screening), and infant care.
Contraception is a key component of postpartum care.
---
, **6. Carrie is due to deliver her second baby. She hemorrhaged after
delivering her first baby 2 years ago, has always had menorrhagia, and
bruises easily. Her lab work reveals a normal blood work-up, including a
normal prothrombin time and activated partial thromboplastin time. What do
you suspect?**
A) Iron deficiency anemia
B) Thrombocytopenia
C) Factor VII deficiency
D) Von Willebrand's disease
**Correct Answer: D**
**Rationale:** Von Willebrand's disease is the most common inherited
bleeding disorder. It is characterized by mucocutaneous bleeding,
menorrhagia, and easy bruising. Normal PT and PTT do not rule out von
Willebrand's disease; specific testing for von Willebrand factor antigen,
activity, and ristocetin cofactor is required for diagnosis.
---
**7. The side effect of medroxyprogesterone (Depo-Provera) that often leads
women to discontinue use is:**
A) Nausea
B) Headache
C) Acne
D) Weight gain
Primary Care Women | Women's Health
**1. What is the leading cause of first-trimester maternal death?**
A) Spontaneous abortion
B) Ectopic pregnancy
C) Gestational trophoblastic disease
D) Hyperemesis gravidarum
**Correct Answer: B**
**Rationale:** Ectopic pregnancy is the leading cause of first-trimester
maternal death. It occurs when a fertilized ovum implants outside the uterine
cavity, most commonly in the fallopian tube. Rupture can lead to life-
threatening hemorrhage. Prompt diagnosis and treatment are essential.
---
**2. After 28 weeks' gestation, all women should perform fetal movement
counts (FMCs). Which of the following statements regarding FMCs is true?**
A) Ten movements should be obtained in 1 hour.
B) Ten movements should be obtained in 2 hours.
C) Five movements should be obtained in 1 hour.
D) Five movements should be obtained in 2 hours.
**Correct Answer: B**
,**Rationale:** Ten movements should be obtained in 2 hours. Women should
be instructed to perform fetal movement counts daily, typically after a meal.
A decrease in fetal movements may indicate fetal compromise and should be
evaluated promptly.
---
**3. What is the most common cause of medical complications in pregnancy?
**
A) Hypertension
B) Diabetes
C) Anemia
D) Thyroid disorders
**Correct Answer: A**
**Rationale:** Hypertension is the most common cause of medical
complications in pregnancy. Hypertensive disorders of pregnancy include
gestational hypertension, preeclampsia, and chronic hypertension. These
conditions can lead to significant maternal and fetal morbidity if not
managed appropriately.
---
**4. An example of an X-linked recessive condition or trait is:**
A) Cystic fibrosis
B) Sickle cell anemia
,C) Hemophilia
D) Huntington's disease
**Correct Answer: C**
**Rationale:** Hemophilia is an X-linked recessive condition. It primarily
affects males, who inherit the affected X chromosome from their mother.
Female carriers are typically asymptomatic. Cystic fibrosis and sickle cell
anemia are autosomal recessive conditions. Huntington's disease is
autosomal dominant.
---
**5. What should be addressed during late postpartum maternal evaluation
(weeks 2–6)?**
A) Only physical recovery
B) The need for birth control information or supplies
C) Only breastfeeding issues
D) Only mental health screening
**Correct Answer: B**
**Rationale:** During the late postpartum evaluation (weeks 2-6), the need
for birth control information or supplies should be addressed. Other
important topics include assessment of physical recovery, breastfeeding,
mental health (postpartum depression screening), and infant care.
Contraception is a key component of postpartum care.
---
, **6. Carrie is due to deliver her second baby. She hemorrhaged after
delivering her first baby 2 years ago, has always had menorrhagia, and
bruises easily. Her lab work reveals a normal blood work-up, including a
normal prothrombin time and activated partial thromboplastin time. What do
you suspect?**
A) Iron deficiency anemia
B) Thrombocytopenia
C) Factor VII deficiency
D) Von Willebrand's disease
**Correct Answer: D**
**Rationale:** Von Willebrand's disease is the most common inherited
bleeding disorder. It is characterized by mucocutaneous bleeding,
menorrhagia, and easy bruising. Normal PT and PTT do not rule out von
Willebrand's disease; specific testing for von Willebrand factor antigen,
activity, and ristocetin cofactor is required for diagnosis.
---
**7. The side effect of medroxyprogesterone (Depo-Provera) that often leads
women to discontinue use is:**
A) Nausea
B) Headache
C) Acne
D) Weight gain
