,NURS 6551 Final Exam Primary Care of Women I Questions And
Answers 2026/2027 Walden University
Course: NURS 6551
University: Walden University
Assessment: Final Exam
Area: Primary Care of Women
1.
A woman presents after a positive home pregnancy test. Which information
is most important to establish when determining her estimated due date?
A) Date of her last normal menstrual period
B) Date of her last Pap test
C) Date of her last mammogram
D) Date of her last pelvic examination
Answer: A) Date of her last normal menstrual period
Rationale: The first day of the last menstrual period is traditionally used to
estimate gestational age and the expected date of delivery when the
menstrual history is reliable.
2.
Which finding is considered a presumptive sign of pregnancy?
A) Amenorrhea
B) Positive fetal cardiac activity
C) Visualization of a fetus on ultrasound
D) Palpation of fetal movement by the examiner
Answer: A) Amenorrhea
Rationale: Amenorrhea is a presumptive sign because it can occur for
reasons other than pregnancy.
3.
Which finding is a positive sign of pregnancy?
A) Fetal cardiac activity identified by an appropriate method
B) Nausea and vomiting
C) Breast tenderness
D) Amenorrhea
,Answer: A) Fetal cardiac activity identified by an appropriate
method
Rationale: Positive signs are findings directly attributable to the developing
fetus, such as fetal cardiac activity or visualization of the fetus.
4.
A pregnant patient asks about the usual schedule for prenatal visits during
the first part of an uncomplicated pregnancy. Which schedule is generally
appropriate?
A) Approximately every 4 weeks during the early portion of pregnancy
B) Every day
C) Every 2 months
D) Only when symptoms occur
Answer: A) Approximately every 4 weeks during the early portion of
pregnancy
Rationale: In uncomplicated pregnancies, prenatal visits are typically more
widely spaced early in pregnancy and become more frequent as gestation
advances.
5.
Which laboratory test is routinely performed during early prenatal care?
A) ABO blood type and Rh status
B) Bone-density testing
C) Colonoscopy
D) Pulmonary function testing in every pregnancy
Answer: A) ABO blood type and Rh status
Rationale: Blood type and Rh status are important because Rh
incompatibility can affect pregnancy management.
6.
A pregnant woman is Rh-negative and her fetus may be Rh-positive. Which
medication may be used to prevent maternal Rh sensitization?
A) Rho(D) immune globulin
B) Methotrexate
C) Misoprostol
D) Oxytocin
Answer: A) Rho(D) immune globulin
, Rationale: Rho(D) immune globulin prevents formation of maternal
antibodies against Rh-positive fetal red blood cells.
7.
Which nutritional supplement is particularly important before conception and
during early pregnancy?
A) Folic acid
B) Vitamin K only
C) Vitamin A in high doses
D) Iron only after delivery
Answer: A) Folic acid
Rationale: Adequate folic acid reduces the risk of neural tube defects.
8.
Which prenatal counseling recommendation is most appropriate?
A) Avoid alcohol during pregnancy
B) Alcohol is safe if limited to weekends
C) Smoking is safe after the first trimester
D) Recreational drugs are safe at low doses
Answer: A) Avoid alcohol during pregnancy
Rationale: There is no established safe amount of alcohol during pregnancy,
and prenatal counseling should emphasize avoidance.
9.
A pregnant patient reports mild dependent ankle edema late in pregnancy.
Which intervention may be appropriate?
A) Elevate the legs when resting
B) Begin a diuretic immediately
C) Restrict all fluid intake
D) Remain standing for prolonged periods
Answer: A) Elevate the legs when resting
Rationale: Mild dependent edema can occur during pregnancy. Elevation,
avoiding prolonged standing, and appropriate physical activity may help.
10.
A pregnant patient reports leg cramps. Which conservative intervention may
be helpful?
Answers 2026/2027 Walden University
Course: NURS 6551
University: Walden University
Assessment: Final Exam
Area: Primary Care of Women
1.
A woman presents after a positive home pregnancy test. Which information
is most important to establish when determining her estimated due date?
A) Date of her last normal menstrual period
B) Date of her last Pap test
C) Date of her last mammogram
D) Date of her last pelvic examination
Answer: A) Date of her last normal menstrual period
Rationale: The first day of the last menstrual period is traditionally used to
estimate gestational age and the expected date of delivery when the
menstrual history is reliable.
2.
Which finding is considered a presumptive sign of pregnancy?
A) Amenorrhea
B) Positive fetal cardiac activity
C) Visualization of a fetus on ultrasound
D) Palpation of fetal movement by the examiner
Answer: A) Amenorrhea
Rationale: Amenorrhea is a presumptive sign because it can occur for
reasons other than pregnancy.
3.
Which finding is a positive sign of pregnancy?
A) Fetal cardiac activity identified by an appropriate method
B) Nausea and vomiting
C) Breast tenderness
D) Amenorrhea
,Answer: A) Fetal cardiac activity identified by an appropriate
method
Rationale: Positive signs are findings directly attributable to the developing
fetus, such as fetal cardiac activity or visualization of the fetus.
4.
A pregnant patient asks about the usual schedule for prenatal visits during
the first part of an uncomplicated pregnancy. Which schedule is generally
appropriate?
A) Approximately every 4 weeks during the early portion of pregnancy
B) Every day
C) Every 2 months
D) Only when symptoms occur
Answer: A) Approximately every 4 weeks during the early portion of
pregnancy
Rationale: In uncomplicated pregnancies, prenatal visits are typically more
widely spaced early in pregnancy and become more frequent as gestation
advances.
5.
Which laboratory test is routinely performed during early prenatal care?
A) ABO blood type and Rh status
B) Bone-density testing
C) Colonoscopy
D) Pulmonary function testing in every pregnancy
Answer: A) ABO blood type and Rh status
Rationale: Blood type and Rh status are important because Rh
incompatibility can affect pregnancy management.
6.
A pregnant woman is Rh-negative and her fetus may be Rh-positive. Which
medication may be used to prevent maternal Rh sensitization?
A) Rho(D) immune globulin
B) Methotrexate
C) Misoprostol
D) Oxytocin
Answer: A) Rho(D) immune globulin
, Rationale: Rho(D) immune globulin prevents formation of maternal
antibodies against Rh-positive fetal red blood cells.
7.
Which nutritional supplement is particularly important before conception and
during early pregnancy?
A) Folic acid
B) Vitamin K only
C) Vitamin A in high doses
D) Iron only after delivery
Answer: A) Folic acid
Rationale: Adequate folic acid reduces the risk of neural tube defects.
8.
Which prenatal counseling recommendation is most appropriate?
A) Avoid alcohol during pregnancy
B) Alcohol is safe if limited to weekends
C) Smoking is safe after the first trimester
D) Recreational drugs are safe at low doses
Answer: A) Avoid alcohol during pregnancy
Rationale: There is no established safe amount of alcohol during pregnancy,
and prenatal counseling should emphasize avoidance.
9.
A pregnant patient reports mild dependent ankle edema late in pregnancy.
Which intervention may be appropriate?
A) Elevate the legs when resting
B) Begin a diuretic immediately
C) Restrict all fluid intake
D) Remain standing for prolonged periods
Answer: A) Elevate the legs when resting
Rationale: Mild dependent edema can occur during pregnancy. Elevation,
avoiding prolonged standing, and appropriate physical activity may help.
10.
A pregnant patient reports leg cramps. Which conservative intervention may
be helpful?
