NU661/ NU 661 Primary Care of Childbearing Woman
Review Actual Exam 2026/2027 | Complete Exam-Style
Questions with Detailed Rationales | Pass Guaranteed –
A+ Graded
Q1: Which hormone surge triggers ovulation in the menstrual cycle?
A. Estrogen
B. Luteinizing hormone [CORRECT]
C. Progesterone
D. Follicle-stimulating hormone
Correct Answer: B
Rationale: Correct because the LH surge occurs approximately 24-36 hours before ovulation
and triggers follicular rupture and release of the oocyte.
---
Q2: During which phase of the menstrual cycle does the endometrium proliferate under
estrogen influence?
A. Follicular phase [CORRECT]
B. Luteal phase
C. Menstrual phase
D. Secretory phase
Correct Answer: A
Rationale: Correct because rising estrogen during the follicular phase stimulates endometrial
proliferation, thickening the lining for potential implantation.
---
Q3: Which hormone is dominant during the luteal phase?
A. Estrogen
B. Progesterone [CORRECT]
C. FSH
D. LH
Correct Answer: B
Rationale: Correct because the corpus luteum secretes progesterone, which maintains the
endometrium and prepares it for implantation during the luteal phase.
---
,Q4: A patient reports regular 28-day cycles. On which day would ovulation most likely occur?
A. Day 7
B. Day 14 [CORRECT]
C. Day 21
D. Day 28
Correct Answer: B
Rationale: Correct because ovulation typically occurs 14 days before the next menstrual period,
which is day 14 in a 28-day cycle.
---
Q5: Which contraceptive method provides the most effective protection against pregnancy?
A. Combined oral contraceptives
B. Etonogestrel implant [CORRECT]
C. Male condoms
D. Withdrawal
Correct Answer: B
Rationale: Correct because the etonogestrel implant has a failure rate below 0.1%, making it
one of the most effective reversible contraceptives available.
---
Q6: A patient on combined oral contraceptives reports missing two pills. Which instruction is
appropriate?
A. Take two pills daily for two days, then resume the pack. [CORRECT]
B. Stop the pack and wait for menses.
C. Double the dose for the rest of the pack.
D. No action needed.
Correct Answer: A
Rationale: Correct because missing two pills requires taking two pills daily for two days with
backup contraception for seven days.
---
Q7: Which contraceptive is contraindicated in a patient with a history of migraine with aura?
A. Progestin-only pill
B. Combined oral contraceptive [CORRECT]
C. Copper IUD
D. Condoms
, Correct Answer: B
Rationale: Correct because estrogen-containing contraceptives increase stroke risk in patients
with migraine with aura.
---
Q8: A patient requests emergency contraception after unprotected intercourse 48 hours ago.
Which option is most effective?
A. Levonorgestrel 1.5 mg [CORRECT]
B. Combined oral contraceptive
C. Progestin-only pill
D. Spermicide
Correct Answer: A
Rationale: Correct because levonorgestrel emergency contraception is most effective when
taken within 72 hours of unprotected intercourse.
---
Q9: Which contraceptive provides both contraception and protection against sexually
transmitted infections?
A. Etonogestrel implant
B. Male condom [CORRECT]
C. Combined oral contraceptive
D. Copper IUD
Correct Answer: B
Rationale: Correct because male condoms provide barrier protection against STIs, unlike
hormonal or intrauterine methods.
---
Q10: A patient with a copper IUD reports heavier menstrual bleeding. Which response is
appropriate?
A. "This is a common side effect that may decrease over time." [CORRECT]
B. "You need to have the IUD removed immediately."
C. "This means the IUD is not working."
D. "You should take estrogen to stop the bleeding."
Correct Answer: A
Rationale: Correct because copper IUDs commonly cause heavier menses and cramping, which
often improve after the first few cycles.
---
Review Actual Exam 2026/2027 | Complete Exam-Style
Questions with Detailed Rationales | Pass Guaranteed –
A+ Graded
Q1: Which hormone surge triggers ovulation in the menstrual cycle?
A. Estrogen
B. Luteinizing hormone [CORRECT]
C. Progesterone
D. Follicle-stimulating hormone
Correct Answer: B
Rationale: Correct because the LH surge occurs approximately 24-36 hours before ovulation
and triggers follicular rupture and release of the oocyte.
---
Q2: During which phase of the menstrual cycle does the endometrium proliferate under
estrogen influence?
A. Follicular phase [CORRECT]
B. Luteal phase
C. Menstrual phase
D. Secretory phase
Correct Answer: A
Rationale: Correct because rising estrogen during the follicular phase stimulates endometrial
proliferation, thickening the lining for potential implantation.
---
Q3: Which hormone is dominant during the luteal phase?
A. Estrogen
B. Progesterone [CORRECT]
C. FSH
D. LH
Correct Answer: B
Rationale: Correct because the corpus luteum secretes progesterone, which maintains the
endometrium and prepares it for implantation during the luteal phase.
---
,Q4: A patient reports regular 28-day cycles. On which day would ovulation most likely occur?
A. Day 7
B. Day 14 [CORRECT]
C. Day 21
D. Day 28
Correct Answer: B
Rationale: Correct because ovulation typically occurs 14 days before the next menstrual period,
which is day 14 in a 28-day cycle.
---
Q5: Which contraceptive method provides the most effective protection against pregnancy?
A. Combined oral contraceptives
B. Etonogestrel implant [CORRECT]
C. Male condoms
D. Withdrawal
Correct Answer: B
Rationale: Correct because the etonogestrel implant has a failure rate below 0.1%, making it
one of the most effective reversible contraceptives available.
---
Q6: A patient on combined oral contraceptives reports missing two pills. Which instruction is
appropriate?
A. Take two pills daily for two days, then resume the pack. [CORRECT]
B. Stop the pack and wait for menses.
C. Double the dose for the rest of the pack.
D. No action needed.
Correct Answer: A
Rationale: Correct because missing two pills requires taking two pills daily for two days with
backup contraception for seven days.
---
Q7: Which contraceptive is contraindicated in a patient with a history of migraine with aura?
A. Progestin-only pill
B. Combined oral contraceptive [CORRECT]
C. Copper IUD
D. Condoms
, Correct Answer: B
Rationale: Correct because estrogen-containing contraceptives increase stroke risk in patients
with migraine with aura.
---
Q8: A patient requests emergency contraception after unprotected intercourse 48 hours ago.
Which option is most effective?
A. Levonorgestrel 1.5 mg [CORRECT]
B. Combined oral contraceptive
C. Progestin-only pill
D. Spermicide
Correct Answer: A
Rationale: Correct because levonorgestrel emergency contraception is most effective when
taken within 72 hours of unprotected intercourse.
---
Q9: Which contraceptive provides both contraception and protection against sexually
transmitted infections?
A. Etonogestrel implant
B. Male condom [CORRECT]
C. Combined oral contraceptive
D. Copper IUD
Correct Answer: B
Rationale: Correct because male condoms provide barrier protection against STIs, unlike
hormonal or intrauterine methods.
---
Q10: A patient with a copper IUD reports heavier menstrual bleeding. Which response is
appropriate?
A. "This is a common side effect that may decrease over time." [CORRECT]
B. "You need to have the IUD removed immediately."
C. "This means the IUD is not working."
D. "You should take estrogen to stop the bleeding."
Correct Answer: A
Rationale: Correct because copper IUDs commonly cause heavier menses and cramping, which
often improve after the first few cycles.
---
