NRNP 6552 – Advanced Nurse Practice in Reproductive
Health Care
Comprehensive 200-Question Practice Exam
SECTION I: FEMINIST PERSPECTIVE & HEALTH PROMOTION
1. A nurse practitioner is providing care using a feminist perspective. Which
statement best reflects the foundational assumption of this approach?
A) All women share identical health needs and experiences that can be addressed
uniformly
B) Women are biologic variants of men, and male-based models can be
appropriately applied
C) Heterogeneity, not homogeneity, should be the foundation of care for all
individuals
D) Medicalization of normal physiologic processes is always beneficial to women's
health
Answer: C
Rationale: The feminist perspective in health care emphasizes heterogeneity as a
core assumption—not homogeneity. This approach tailors health care and
services to each individual's unique needs rather than treating all females as a
group with assumed similarity across all health considerations. It challenges
androcentric models that extrapolate male-based models to women, which
pathologizes normal physiologic processes .
2. A 28-year-old woman presents for her annual well-woman exam. She reports
drinking 4-5 alcoholic beverages 3-4 times per week. Using the USPSTF 5 A's
framework, what is the correct sequence for addressing this concern?
A) Ask, Analyze, Advise, Act, Assess
B) Ask, Advise, Assess, Assist, Arrange follow-up
,C) Assess, Advise, Assist, Act, Arrange
D) Ask, Advise, Act, Arrange, Analyze
Answer: B
Rationale: The brief intervention for at-risk drinkers is based on the 5 A's
framework as recommended by the USPSTF for women aged 18 and older who
screen positive for alcohol misuse: Ask, Advise, Assess, Assist, and Arrange follow-
up. Steps should be taken to assess a woman's readiness to change and establish
plans for follow-up .
3. According to the American College of Nurse-Midwives (ACNM), the scope of
midwifery practice encompasses:
A) Only pregnancy and childbirth care in hospital settings
B) Care exclusively for cisgender women during the reproductive years
C) Independent provision of care during pregnancy, childbirth, postpartum, sexual
and reproductive health, gynecologic health, and family planning
D) Care limited to low-risk patients in outpatient settings only
Answer: C
Rationale: The ACNM affirms that midwives provide independent care during
pregnancy, childbirth, and the postpartum period; sexual and reproductive
health; gynecologic health; and family planning services, including preconception
care. Midwives also provide primary care for individuals from adolescence
throughout the lifespan and care for healthy newborns during the first 28 days of
life. Midwives provide care for all individuals who seek midwifery care, inclusive
of all gender identities and sexual orientations .
4. Which of the following is an example of primary prevention in women's
health?
A) Annual mammogram screening starting at age 40
B) Routine Pap smear for cervical cancer screening
,C) Health education and counseling on lifestyle modification
D) Cardiac rehabilitation following a myocardial infarction
Answer: C
Rationale: Primary prevention focuses on preventing disease in susceptible
populations through health education, counseling, lifestyle modification, and
targeted immunization. Secondary prevention (options A and B) focuses on early
detection and prompt treatment, exemplified by routine laboratory screenings,
mammograms, and Pap smears. Tertiary prevention (option D) limits disability
and promotes recovery from clinical disease states .
5. According to the USPSTF, at what age should women begin routine breast
cancer screening?
A) Age 35
B) Age 40
C) Age 45
D) Age 50
Answer: B
Rationale: The USPSTF recommends that all women get screened for breast
cancer every other year starting at age 40 and continuing through age 74 to
reduce their risk of dying from this disease. This represents a shift from
recommending screening start between ages 40-50 to recommending all women
start at age 40 .
6. A nurse practitioner is applying a feminist perspective to clinical practice.
Which action best exemplifies this approach?
A) Using standardized treatment protocols for all patients with the same diagnosis
B) Working "with" individuals rather than "for" individuals in shared decision-
making
C) Avoiding discussion of social and political factors that may affect health
D) Assuming that all women experience pregnancy in the same way
, Answer: B
Rationale: A feminist perspective in health care works "with" individuals as
opposed to "for" individuals, uses heterogeneity as an assumption, minimizes or
exposes power imbalances, rejects androcentric models as normative, challenges
medicalization of normal physiologic processes, and seeks social and political
change to address health issues .
7. A 45-year-old woman with a BMI of 32 asks about her weight classification.
The nurse practitioner correctly states:
A) "You are classified as overweight."
B) "You have Class 1 obesity."
C) "You have Class 2 obesity."
D) "You have Class 3 obesity."
Answer: B
Rationale: BMI classification: Underweight = less than 18.5; Healthy weight = 18.5
to less than 25; Overweight = 25 to less than 30; Class 1 Obesity = 30 to less than
35; Class 2 Obesity = 35 to less than 40; Class 3 Obesity (Severe Obesity) = 40 or
greater. A BMI of 32 falls into Class 1 obesity .
8. A 55-year-old postmenopausal woman presents with concerns about
osteoporosis. Which of the following is a modifiable risk factor?
A) Female gender
B) Advanced age
C) Smoking
D) Family history of osteoporosis
Answer: C
Rationale: Smoking is a modifiable risk factor for osteoporosis. Female gender,
advanced age, and family history are non-modifiable risk factors. Other
modifiable risk factors include excessive alcohol consumption, low calcium intake,
Health Care
Comprehensive 200-Question Practice Exam
SECTION I: FEMINIST PERSPECTIVE & HEALTH PROMOTION
1. A nurse practitioner is providing care using a feminist perspective. Which
statement best reflects the foundational assumption of this approach?
A) All women share identical health needs and experiences that can be addressed
uniformly
B) Women are biologic variants of men, and male-based models can be
appropriately applied
C) Heterogeneity, not homogeneity, should be the foundation of care for all
individuals
D) Medicalization of normal physiologic processes is always beneficial to women's
health
Answer: C
Rationale: The feminist perspective in health care emphasizes heterogeneity as a
core assumption—not homogeneity. This approach tailors health care and
services to each individual's unique needs rather than treating all females as a
group with assumed similarity across all health considerations. It challenges
androcentric models that extrapolate male-based models to women, which
pathologizes normal physiologic processes .
2. A 28-year-old woman presents for her annual well-woman exam. She reports
drinking 4-5 alcoholic beverages 3-4 times per week. Using the USPSTF 5 A's
framework, what is the correct sequence for addressing this concern?
A) Ask, Analyze, Advise, Act, Assess
B) Ask, Advise, Assess, Assist, Arrange follow-up
,C) Assess, Advise, Assist, Act, Arrange
D) Ask, Advise, Act, Arrange, Analyze
Answer: B
Rationale: The brief intervention for at-risk drinkers is based on the 5 A's
framework as recommended by the USPSTF for women aged 18 and older who
screen positive for alcohol misuse: Ask, Advise, Assess, Assist, and Arrange follow-
up. Steps should be taken to assess a woman's readiness to change and establish
plans for follow-up .
3. According to the American College of Nurse-Midwives (ACNM), the scope of
midwifery practice encompasses:
A) Only pregnancy and childbirth care in hospital settings
B) Care exclusively for cisgender women during the reproductive years
C) Independent provision of care during pregnancy, childbirth, postpartum, sexual
and reproductive health, gynecologic health, and family planning
D) Care limited to low-risk patients in outpatient settings only
Answer: C
Rationale: The ACNM affirms that midwives provide independent care during
pregnancy, childbirth, and the postpartum period; sexual and reproductive
health; gynecologic health; and family planning services, including preconception
care. Midwives also provide primary care for individuals from adolescence
throughout the lifespan and care for healthy newborns during the first 28 days of
life. Midwives provide care for all individuals who seek midwifery care, inclusive
of all gender identities and sexual orientations .
4. Which of the following is an example of primary prevention in women's
health?
A) Annual mammogram screening starting at age 40
B) Routine Pap smear for cervical cancer screening
,C) Health education and counseling on lifestyle modification
D) Cardiac rehabilitation following a myocardial infarction
Answer: C
Rationale: Primary prevention focuses on preventing disease in susceptible
populations through health education, counseling, lifestyle modification, and
targeted immunization. Secondary prevention (options A and B) focuses on early
detection and prompt treatment, exemplified by routine laboratory screenings,
mammograms, and Pap smears. Tertiary prevention (option D) limits disability
and promotes recovery from clinical disease states .
5. According to the USPSTF, at what age should women begin routine breast
cancer screening?
A) Age 35
B) Age 40
C) Age 45
D) Age 50
Answer: B
Rationale: The USPSTF recommends that all women get screened for breast
cancer every other year starting at age 40 and continuing through age 74 to
reduce their risk of dying from this disease. This represents a shift from
recommending screening start between ages 40-50 to recommending all women
start at age 40 .
6. A nurse practitioner is applying a feminist perspective to clinical practice.
Which action best exemplifies this approach?
A) Using standardized treatment protocols for all patients with the same diagnosis
B) Working "with" individuals rather than "for" individuals in shared decision-
making
C) Avoiding discussion of social and political factors that may affect health
D) Assuming that all women experience pregnancy in the same way
, Answer: B
Rationale: A feminist perspective in health care works "with" individuals as
opposed to "for" individuals, uses heterogeneity as an assumption, minimizes or
exposes power imbalances, rejects androcentric models as normative, challenges
medicalization of normal physiologic processes, and seeks social and political
change to address health issues .
7. A 45-year-old woman with a BMI of 32 asks about her weight classification.
The nurse practitioner correctly states:
A) "You are classified as overweight."
B) "You have Class 1 obesity."
C) "You have Class 2 obesity."
D) "You have Class 3 obesity."
Answer: B
Rationale: BMI classification: Underweight = less than 18.5; Healthy weight = 18.5
to less than 25; Overweight = 25 to less than 30; Class 1 Obesity = 30 to less than
35; Class 2 Obesity = 35 to less than 40; Class 3 Obesity (Severe Obesity) = 40 or
greater. A BMI of 32 falls into Class 1 obesity .
8. A 55-year-old postmenopausal woman presents with concerns about
osteoporosis. Which of the following is a modifiable risk factor?
A) Female gender
B) Advanced age
C) Smoking
D) Family history of osteoporosis
Answer: C
Rationale: Smoking is a modifiable risk factor for osteoporosis. Female gender,
advanced age, and family history are non-modifiable risk factors. Other
modifiable risk factors include excessive alcohol consumption, low calcium intake,
