NR602 week 8 Women-s Health &
Pediatrics —WEEK 8 Final Exam Practice
1-75 Questions with the Correct Answers
& Rationales -ACTUAL EXAM-
Chamberlain School of nursing.pdf
Based on available study materials for Chamberlain University's NR602 Primary Care of
the Childbearing and Childrearing Family course, here are 75 practice questions
covering key topics for the Week 8 Final Exam. These questions include answers and
rationales to help with exam preparation.
Note: These questions are compiled from available study resources and are intended for
review purposes. They should be used alongside official course materials.
Women's Health & Gynecology (Questions 1-28)
1. Treatment options for condyloma acuminatum include:
• Answer: Imiquimod (Aldara)
• Rationale: Condyloma acuminatum (genital warts) is caused by HPV and can be
treated with topical immunomodulators like imiquimod. Azithromycin is an
antibiotic, acyclovir is for herpes, and metronidazole is for bacterial infections .
2. A 25-year-old postmenopausal female complains of pain in the upper outer
quadrant of the left breast for 1 month. The best course of action would be:
• Answer: Perform a breast exam and order a mammogram
, • Rationale: Any new breast pain in a postmenopausal woman requires evaluation
with both clinical breast exam and imaging. This is the most appropriate and
thorough initial approach .
3. Pelvic inflammatory disease (PID) typically presents with all of the following
EXCEPT:
• Answer: Leukopenia
• Rationale: PID typically presents with leukocytosis (elevated WBC count), not
leukopenia. Common findings include dysuria, cervical motion tenderness, and
abdominal pain .
4. Which condition is of reproductive and pelvic origin?
• Answer: Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
• Rationale: Salpingo-oophoritis is inflammation of the fallopian tubes and ovaries,
directly related to pelvic infection from PID .
5. A 25-year-old female complains of a tender area near her introitus and to the
left of her perineum. Painful sex was the first sign. Initially the bump was very
small, but now is ping-pong ball size. On exam, an abscess is present on the left
medial side of the labia minora with edema extending into the perineum. What is
the diagnosis?
• Answer: Bartholin's cyst
• Rationale: Bartholin's cysts/abscesses occur on the medial side of the labia
minora near the introitus. They can become large and painful, especially with
sexual activity .
6. A 49-year-old female complains of dark, watery brown vaginal discharge. Which
finding on physical exam might be seen in patients with cervical cancer?
• Answer: Ulcerated firm cervix
, • Rationale: An ulcerated, firm cervix on examination can be a sign of cervical
cancer. Early-stage cervical cancer may be asymptomatic, but advanced disease
can present with abnormal discharge and visible lesions .
7. A 22-year-old female complains of pelvic pain. Exam reveals cervical motion and
uterine tenderness. Which finding supports a diagnosis of PID?
• Answer: Mucopurulent vaginal discharge
• Rationale: PID diagnosis is supported by findings including mucopurulent
cervical discharge, cervical motion tenderness, and uterine/adnexal tenderness.
Fever, WBCs in vaginal fluid, and laboratory documentation of cervical infection
with organisms like N. gonorrhoeae or C. trachomatis also support the diagnosis .
8. When educating a patient about the rationale for getting a mammogram, which
statement is FALSE?
• Answer: Mammography detects all breast cancers
• Rationale: Mammography is a screening tool that detects many breast cancers
but does not detect all. Sensitivity varies based on breast density and tumor
characteristics. Clinically suspicious masses require biopsy regardless of
mammogram results .
9. When educating women about breast cancer risk factors, which statement is
INCORRECT?
• Answer: Fibrocystic breast disease
• Rationale: Fibrocystic breast changes are benign and not considered a significant
risk factor for breast cancer. Risk factors include pregnancy after age 35, late
menopause after age 57, and family history of maternal breast cancer .
10. Which statement is accurate regarding the usefulness of mammography in
screening and detection of breast cancer?
• Answer: All women over 40 should have a mammogram on an annual basis
Pediatrics —WEEK 8 Final Exam Practice
1-75 Questions with the Correct Answers
& Rationales -ACTUAL EXAM-
Chamberlain School of nursing.pdf
Based on available study materials for Chamberlain University's NR602 Primary Care of
the Childbearing and Childrearing Family course, here are 75 practice questions
covering key topics for the Week 8 Final Exam. These questions include answers and
rationales to help with exam preparation.
Note: These questions are compiled from available study resources and are intended for
review purposes. They should be used alongside official course materials.
Women's Health & Gynecology (Questions 1-28)
1. Treatment options for condyloma acuminatum include:
• Answer: Imiquimod (Aldara)
• Rationale: Condyloma acuminatum (genital warts) is caused by HPV and can be
treated with topical immunomodulators like imiquimod. Azithromycin is an
antibiotic, acyclovir is for herpes, and metronidazole is for bacterial infections .
2. A 25-year-old postmenopausal female complains of pain in the upper outer
quadrant of the left breast for 1 month. The best course of action would be:
• Answer: Perform a breast exam and order a mammogram
, • Rationale: Any new breast pain in a postmenopausal woman requires evaluation
with both clinical breast exam and imaging. This is the most appropriate and
thorough initial approach .
3. Pelvic inflammatory disease (PID) typically presents with all of the following
EXCEPT:
• Answer: Leukopenia
• Rationale: PID typically presents with leukocytosis (elevated WBC count), not
leukopenia. Common findings include dysuria, cervical motion tenderness, and
abdominal pain .
4. Which condition is of reproductive and pelvic origin?
• Answer: Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
• Rationale: Salpingo-oophoritis is inflammation of the fallopian tubes and ovaries,
directly related to pelvic infection from PID .
5. A 25-year-old female complains of a tender area near her introitus and to the
left of her perineum. Painful sex was the first sign. Initially the bump was very
small, but now is ping-pong ball size. On exam, an abscess is present on the left
medial side of the labia minora with edema extending into the perineum. What is
the diagnosis?
• Answer: Bartholin's cyst
• Rationale: Bartholin's cysts/abscesses occur on the medial side of the labia
minora near the introitus. They can become large and painful, especially with
sexual activity .
6. A 49-year-old female complains of dark, watery brown vaginal discharge. Which
finding on physical exam might be seen in patients with cervical cancer?
• Answer: Ulcerated firm cervix
, • Rationale: An ulcerated, firm cervix on examination can be a sign of cervical
cancer. Early-stage cervical cancer may be asymptomatic, but advanced disease
can present with abnormal discharge and visible lesions .
7. A 22-year-old female complains of pelvic pain. Exam reveals cervical motion and
uterine tenderness. Which finding supports a diagnosis of PID?
• Answer: Mucopurulent vaginal discharge
• Rationale: PID diagnosis is supported by findings including mucopurulent
cervical discharge, cervical motion tenderness, and uterine/adnexal tenderness.
Fever, WBCs in vaginal fluid, and laboratory documentation of cervical infection
with organisms like N. gonorrhoeae or C. trachomatis also support the diagnosis .
8. When educating a patient about the rationale for getting a mammogram, which
statement is FALSE?
• Answer: Mammography detects all breast cancers
• Rationale: Mammography is a screening tool that detects many breast cancers
but does not detect all. Sensitivity varies based on breast density and tumor
characteristics. Clinically suspicious masses require biopsy regardless of
mammogram results .
9. When educating women about breast cancer risk factors, which statement is
INCORRECT?
• Answer: Fibrocystic breast disease
• Rationale: Fibrocystic breast changes are benign and not considered a significant
risk factor for breast cancer. Risk factors include pregnancy after age 35, late
menopause after age 57, and family history of maternal breast cancer .
10. Which statement is accurate regarding the usefulness of mammography in
screening and detection of breast cancer?
• Answer: All women over 40 should have a mammogram on an annual basis
