Answers 2026/2027 Walden University
Course: NURS 6551
University: Walden University
Assessment: Midterm Exam
Area: Primary Care of Women
1.
Which component is essential when obtaining a comprehensive gynecologic
history?
A) Menstrual, sexual, obstetric, and contraceptive history
B) Blood pressure only
C) Family history of hypertension only
D) Surgical history only
Answer: A) Menstrual, sexual, obstetric, and contraceptive history
Rationale: A comprehensive women's health history includes menstrual,
reproductive, sexual, obstetric, contraceptive, medical, surgical, medication,
and family-history information.
2.
Which question is most appropriate when beginning an assessment of a
woman's menstrual pattern?
A) "What is normal for you?"
B) "How many children do you have?"
C) "Do you exercise?"
D) "What medications do you prefer?"
Answer: A) "What is normal for you?"
Rationale: Establishing the patient's usual menstrual pattern provides a
baseline for identifying abnormal bleeding. Publicly indexed NURS 6551
materials specifically identify this as an important initial question for
abnormal bleeding. (Course Hero)
3.
A woman reports a new change in menstrual bleeding. Which condition
should be considered first in a reproductive-age woman?
,A) Pregnancy-related causes
B) Menopause in every case
C) Breast cancer in every case
D) Ovarian cancer in every case
Answer: A) Pregnancy-related causes
Rationale: Pregnancy and pregnancy-related complications should be
excluded early when evaluating abnormal uterine bleeding in reproductive-
age women.
4.
Which test is generally appropriate first when evaluating amenorrhea in a
reproductive-age woman?
A) Pregnancy test
B) Mammogram
C) Colonoscopy
D) Bone-density test
Answer: A) Pregnancy test
Rationale: Pregnancy is a common and important cause of amenorrhea and
should be excluded before pursuing other causes.
5.
Which term describes the absence of menstruation in a woman who
previously menstruated?
A) Secondary amenorrhea
B) Primary amenorrhea
C) Menorrhagia
D) Dysmenorrhea
Answer: A) Secondary amenorrhea
Rationale: Secondary amenorrhea refers to cessation of menstruation after
previously established menses, excluding expected physiologic states.
6.
Which finding is most concerning in a woman with abnormal uterine
bleeding?
A) Bleeding associated with dizziness and symptomatic anemia
B) Mild spotting for one day
, C) Predictable menstrual flow
D) Mild premenstrual breast tenderness
Answer: A) Bleeding associated with dizziness and symptomatic
anemia
Rationale: Heavy bleeding associated with hemodynamic symptoms or
anemia requires prompt evaluation.
7.
Which factor is important when calculating whether a woman is at increased
risk for osteoporosis?
A) Age, menopausal status, family history, and fracture risk factors
B) Hair color
C) Eye color
D) Number of siblings only
Answer: A) Age, menopausal status, family history, and fracture risk
factors
Rationale: Osteoporosis risk is multifactorial and includes age, menopause,
family history, low body weight, medications, smoking, and other factors.
8.
Which lifestyle factor increases osteoporosis risk?
A) Cigarette smoking
B) Regular weight-bearing activity
C) Adequate calcium intake
D) Adequate vitamin D
Answer: A) Cigarette smoking
Rationale: Smoking is a modifiable risk factor for low bone density and
fracture.
9.
Which activity is most appropriate for helping maintain bone health?
A) Weight-bearing exercise
B) Prolonged bed rest
C) Avoidance of physical activity
D) High-impact activity for every patient regardless of risk
Answer: A) Weight-bearing exercise