NURS 6670 MIDTERM EXAM NEWEST 2025
ACTUAL EXAM| COMPLETE 130 QUESTIONS
AND CORRECT DETAILED ANSWERS
hypomenorrhea - ✔✔ANSWER CORRECT✔✔-unusually light menstrual flow
contact bleeding - ✔✔ANSWER CORRECT✔✔-occurs frequently after intercourse, but must be
considered a sign of cervical cancer
menorrhagia - ✔✔ANSWER CORRECT✔✔-heavy or prolonged menstrual flow
metrorrhagia - ✔✔ANSWER CORRECT✔✔-bleeding that occurs any time between menstrual
periods
postmenopausal bleeding - ✔✔ANSWER CORRECT✔✔-bleeding that occurs after 12 months
of amenorrhea in a middle-aged woman
polymenorrhea - ✔✔ANSWER CORRECT✔✔-periods that occur too frequently
menorrhagia - ✔✔ANSWER CORRECT✔✔-50 y/o female who experiences regular uterine
bleeding for nine consecutive days each month
,metrorrhagia - ✔✔ANSWER CORRECT✔✔-20 y/o female who experiences uterine bleeding
unexpectedly throughout the month
polymenorrhea - ✔✔ANSWER CORRECT✔✔-41 y/o female who experiences regular uterine
bleeding every two and a half weeks
initial work up for uterine bleeding - ✔✔ANSWER CORRECT✔✔-CBC, pregnancy test and
endocrine studies
an adult client's last menstrual period was 2 months ago. She has had a Mirena IUD in place for
the past 4 months. She is c/o nausea, fatigue, breast tenderness, and abdominal bloating.
Physical exam reveals the following: abdomen: WNL, Pelvic: positive Chadwick's sign, string
protruding from cervical os; uterus enlarged and nontender. What is most likely the diagnosis? -
✔✔ANSWER CORRECT✔✔-pregnancy
On a speculum exam, describe the presentation of cervical polyps: - ✔✔ANSWER
CORRECT✔✔-moist, red, and glandular
menometrorrhagia - ✔✔ANSWER CORRECT✔✔-bleeding that occurs at irregular intervals
with irregular duration and amounts
oligomenorrhea - ✔✔ANSWER CORRECT✔✔-menstrual periods that occur more than 35 days
apart
Women who have HPV and smoke cigarettes have a higher risk of vulvar cancer, true or false? -
✔✔ANSWER CORRECT✔✔-true
The endometrial cycle is often described in 3 phases which are? - ✔✔ANSWER CORRECT✔✔-
proliferative, secretory and menstrual
, 65 y/o reports to office w intermittent vaginal bleeding over the last 2 months. LMP was more
than 10 years ago. Last pap was WNL. She is not taking HRT. What is the most appropriate
response of the nurse practitioner at this time? - ✔✔ANSWER CORRECT✔✔-schedule
endometrial biopsy
A middle-aged female presents with abnormal uterine bleeding, as well as elevated FSH adn LH
levels. What is the most likely cause for these findings? - ✔✔ANSWER CORRECT✔✔-Onset of
climacteric
A young client comes to the office complaining of vaginal bleeding. The client states that she
has used 5 tampons in the last hours. She admits to sexual activity and takes OCs. On further
questioning, she states that she was started her last pack of pills a few weeks late. The nurse
practitioner should: - ✔✔ANSWER CORRECT✔✔-Perform a stat urine pregnancy test
Evaluation of abnormal uterine bleeding initially involves a detailed history, PE, and labs. Which
of the following are examples of the most inclusive list of nongynecological problems that may
cause abnormal uterine bleeding? - ✔✔ANSWER CORRECT✔✔-hypothyroidism, liver disease,
bleeding disorders, and eating disorders
A 24 y/o woman presents for amenorrhea for 2 monthly cycles. She has been training for a
marathon at the gym daily. After ruling out pregnancy, the next most important test would be: -
✔✔ANSWER CORRECT✔✔-TSH
An endometrial biopsy should be seriously considered in the assessment of abnormal bleeding
in all of the following except: - ✔✔ANSWER CORRECT✔✔-adolescents with irregular
menstrual cycles
What is not a risk factor for breast cancer? - ✔✔ANSWER CORRECT✔✔-fibrocystic breast
disease
ACTUAL EXAM| COMPLETE 130 QUESTIONS
AND CORRECT DETAILED ANSWERS
hypomenorrhea - ✔✔ANSWER CORRECT✔✔-unusually light menstrual flow
contact bleeding - ✔✔ANSWER CORRECT✔✔-occurs frequently after intercourse, but must be
considered a sign of cervical cancer
menorrhagia - ✔✔ANSWER CORRECT✔✔-heavy or prolonged menstrual flow
metrorrhagia - ✔✔ANSWER CORRECT✔✔-bleeding that occurs any time between menstrual
periods
postmenopausal bleeding - ✔✔ANSWER CORRECT✔✔-bleeding that occurs after 12 months
of amenorrhea in a middle-aged woman
polymenorrhea - ✔✔ANSWER CORRECT✔✔-periods that occur too frequently
menorrhagia - ✔✔ANSWER CORRECT✔✔-50 y/o female who experiences regular uterine
bleeding for nine consecutive days each month
,metrorrhagia - ✔✔ANSWER CORRECT✔✔-20 y/o female who experiences uterine bleeding
unexpectedly throughout the month
polymenorrhea - ✔✔ANSWER CORRECT✔✔-41 y/o female who experiences regular uterine
bleeding every two and a half weeks
initial work up for uterine bleeding - ✔✔ANSWER CORRECT✔✔-CBC, pregnancy test and
endocrine studies
an adult client's last menstrual period was 2 months ago. She has had a Mirena IUD in place for
the past 4 months. She is c/o nausea, fatigue, breast tenderness, and abdominal bloating.
Physical exam reveals the following: abdomen: WNL, Pelvic: positive Chadwick's sign, string
protruding from cervical os; uterus enlarged and nontender. What is most likely the diagnosis? -
✔✔ANSWER CORRECT✔✔-pregnancy
On a speculum exam, describe the presentation of cervical polyps: - ✔✔ANSWER
CORRECT✔✔-moist, red, and glandular
menometrorrhagia - ✔✔ANSWER CORRECT✔✔-bleeding that occurs at irregular intervals
with irregular duration and amounts
oligomenorrhea - ✔✔ANSWER CORRECT✔✔-menstrual periods that occur more than 35 days
apart
Women who have HPV and smoke cigarettes have a higher risk of vulvar cancer, true or false? -
✔✔ANSWER CORRECT✔✔-true
The endometrial cycle is often described in 3 phases which are? - ✔✔ANSWER CORRECT✔✔-
proliferative, secretory and menstrual
, 65 y/o reports to office w intermittent vaginal bleeding over the last 2 months. LMP was more
than 10 years ago. Last pap was WNL. She is not taking HRT. What is the most appropriate
response of the nurse practitioner at this time? - ✔✔ANSWER CORRECT✔✔-schedule
endometrial biopsy
A middle-aged female presents with abnormal uterine bleeding, as well as elevated FSH adn LH
levels. What is the most likely cause for these findings? - ✔✔ANSWER CORRECT✔✔-Onset of
climacteric
A young client comes to the office complaining of vaginal bleeding. The client states that she
has used 5 tampons in the last hours. She admits to sexual activity and takes OCs. On further
questioning, she states that she was started her last pack of pills a few weeks late. The nurse
practitioner should: - ✔✔ANSWER CORRECT✔✔-Perform a stat urine pregnancy test
Evaluation of abnormal uterine bleeding initially involves a detailed history, PE, and labs. Which
of the following are examples of the most inclusive list of nongynecological problems that may
cause abnormal uterine bleeding? - ✔✔ANSWER CORRECT✔✔-hypothyroidism, liver disease,
bleeding disorders, and eating disorders
A 24 y/o woman presents for amenorrhea for 2 monthly cycles. She has been training for a
marathon at the gym daily. After ruling out pregnancy, the next most important test would be: -
✔✔ANSWER CORRECT✔✔-TSH
An endometrial biopsy should be seriously considered in the assessment of abnormal bleeding
in all of the following except: - ✔✔ANSWER CORRECT✔✔-adolescents with irregular
menstrual cycles
What is not a risk factor for breast cancer? - ✔✔ANSWER CORRECT✔✔-fibrocystic breast
disease
