COMPREHENSIVE PRACTICE (2026/2027 EDITION)
Walden University • Advanced Practice Nursing • Women’s Health
ACOG/CDC/USPSTF Guidelines • 100 Questions with Answers & Rationale
Format: 100 multiple-choice questions (single best answer, A–D).
Structure: Ten sections spanning reproductive anatomy, contraception, STIs,
pregnancy, intrapartum/postpartum, menopause, gynecologic disorders,
breast health, well-woman care, and case studies.
Cognitive ~30% recall • ~50% application • ~20% analysis.
levels:
Grading: One point per question; correct answer and rationale provided after each
item.
Content basis: Walden NRNP 6552 curriculum, current ACOG/CDC/USPSTF guidelines,
evidence-based women’s health practice, and advanced practice nursing
standards.
Special Contraception counseling/method-selection items; screening & prevention
inclusions: items; comprehensive case studies.
Important This is an independent practice exam for educational study; it is not an official
note: Walden University exam.
, Section 1: Reproductive Anatomy, Physiology, & Menstrual Cycle (12 questions)
Q1: Which hormone is primarily responsible for ovulation?
A. Luteinizing hormone (LH) surge [CORRECT]
B. Estrogen
C. Progesterone
D. FSH only
Correct Answer: A
Rationale: A is correct: an LH surge triggers ovulation. B, C, and D are incorrect.
Q2: Which hormone dominates the follicular phase of the menstrual cycle?
A. Progesterone
B. Estrogen [CORRECT]
C. hCG
D. Prolactin
Correct Answer: B
Rationale: A is correct: estrogen dominates the follicular phase. B dominates the luteal phase; C and D are
incorrect.
Q3: Which hormone dominates the luteal phase of the menstrual cycle?
A. Estrogen
B. FSH
C. Progesterone [CORRECT]
D. LH surge
Correct Answer: C
Rationale: A is correct: progesterone dominates the luteal phase. B is follicular; C and D are incorrect.
Q4: Which is the normal length of a typical menstrual cycle?
A. About 14 days
B. About 7 days
C. About 40 days
D. About 28 days [CORRECT]
Correct Answer: D
Rationale: A is correct: a typical cycle is about 28 days. B, C, and D are incorrect.
Q5: Which hormone is produced by the corpus luteum?
A. Progesterone [CORRECT]
B. FSH
C. LH
D. Inhibin only
Correct Answer: A
Rationale: A is correct: the corpus luteum produces progesterone. B, C, and D are incorrect.
Q6: Where does fertilization typically occur?
A. The uterus
B. The fallopian tube [CORRECT]
C. The cervix
D. The ovary
Correct Answer: B
Rationale: A is correct: fertilization occurs in the fallopian tube. B, C, and D are incorrect.
NRNP 6552 Women’s Health Final Exam (2026/2027) Page 2
, Q7: Which structure is the site of implantation?
A. The fallopian tube
B. The cervix
C. The endometrium of the uterus [CORRECT]
D. The ovary
Correct Answer: C
Rationale: A is correct: implantation occurs in the endometrium. B, C, and D are incorrect.
Q8: Which is the primary estrogen produced by the ovaries?
A. Estrone
B. Estriol
C. Progesterone
D. Estradiol [CORRECT]
Correct Answer: D
Rationale: A is correct: estradiol is the primary ovarian estrogen. B, C, and D are incorrect.
Q9: Which best describes the menopause transition (perimenopause)?
A. The period of hormonal change before menopause [CORRECT]
B. The last menstrual period
C. The first menstrual period
D. No change
Correct Answer: A
Rationale: A is correct: perimenopause is the transition before menopause. B, C, and D are incorrect.
Q10: Which is a normal finding in the menstrual cycle?
A. No endometrial change
B. Shedding of the endometrium during menstruation [CORRECT]
C. Continuous ovulation
D. No hormonal regulation
Correct Answer: B
Rationale: A is correct: menstruation is the shedding of the endometrium. B, C, and D are incorrect.
Q11: Which hormone stimulates the growth of ovarian follicles?
A. Progesterone
B. hCG
C. Follicle-stimulating hormone (FSH) [CORRECT]
D. Prolactin
Correct Answer: C
Rationale: A is correct: FSH stimulates follicle growth. B, C, and D are incorrect.
Q12: Which best describes anovulation?
A. Excessive ovulation
B. Normal ovulation
C. Multiple ovulation
D. The absence of ovulation [CORRECT]
Correct Answer: D
Rationale: A is correct: anovulation is the absence of ovulation. B, C, and D are incorrect.
Section 2: Contraception & Family Planning (10 questions)
NRNP 6552 Women’s Health Final Exam (2026/2027) Page 3