NRNP 6552 FINAL EXAM (WALDEN)
NEWEST 2026/ 2027 ACTUAL EXAM |
NRNP6552 ADVANCED NURSE PRACTICE
IN REPRODUCTIVE HEALTH FINAL EXAM
REVIEW WITH COMPLETE 150 REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!
SECTION 1: REPRODUCTIVE ANATOMY & PHYSIOLOGY
Question 1:
In a woman who is 20 weeks pregnant, the fundus is typically at the same height
as which anatomical landmark?
A) The symphysis pubis
B) The umbilicus
C) The xiphoid process
D) None of the above
Answer: B
Rationale: At 20 weeks gestation, the fundal height is typically at the umbilicus. Fundal
height measurement in centimeters correlates with weeks of gestation from 20-36
weeks, with the fundus rising approximately 1 cm per week. The symphysis pubis (A)
would be seen at approximately 12 weeks, and the xiphoid process (C) would be at
approximately 36 weeks.
,Question 2:
During pregnancy, blood volume:
A) Remains the same as pre-pregnant amounts
B) Increases by 10%
C) Increases by 30-50%
D) Decreases by 20%
Answer: C
Rationale: Blood volume increases by approximately 30-50% during pregnancy to meet
the demands of the growing fetus and placenta. This increase supports oxygen and
nutrient delivery, as well as fetal waste removal. The increase is primarily due to plasma
volume expansion.
Question 3:
The following are risk factors for breast cancer EXCEPT:
A) Menarche after the age of 12
B) Nulliparity
C) Family history of breast cancer
D) First full-term pregnancy after age 30
Answer: A
Rationale: Early menarche (before age 12) is a risk factor for breast cancer, not menarche
after age 12. Other risk factors include nulliparity, late first pregnancy, family history,
BRCA mutations, and dense breast tissue. Menarche after age 12 is considered
protective.
,Question 4:
All of the following are advantages of Combined Oral Contraceptives EXCEPT:
A) The need for daily pill taking
B) Regulation of menstrual cycles
C) Decreased risk of ovarian cancer
D) Decreased risk of endometrial cancer
Answer: A
Rationale: The need for daily pill taking is a disadvantage, not an advantage. Advantages
of combined oral contraceptives include cycle regulation, decreased risk of ovarian and
endometrial cancer, decreased menstrual bleeding, and treatment of acne.
Question 5:
All of the following are barrier methods of contraception EXCEPT:
A) Male condom
B) Female condom
C) Diaphragm
D) Combined Oral Contraceptives
Answer: D
Rationale: Combined Oral Contraceptives (COCs) are hormonal contraceptives, not
barrier methods. Barrier methods include male and female condoms, diaphragms,
cervical caps, and spermicides. These physically block sperm from reaching the egg.
SECTION 2: PRECONCEPTION COUNSELING & GENETICS
, Question 6:
Jack and Jill present for a preconception health counseling session. They had a
previous child, Jake, who was born with spina bifida. Jill asks what they can do to
reduce the risk in a future pregnancy. What is the most appropriate response?
A) "Jill should take 60 mg/day of an iron supplement to enhance stores to support fetal
development."
B) "It is a matter of genetics, and there is nothing you can do."
C) "Have a CVS performed at 12 to 14 weeks gestation to determine the health of the
fetus."
D) "Jill should take 4 mg/day of folic acid, beginning before conception."
Answer: D
Rationale: For women who have had a previous child with a neural tube defect, the CDC
recommends a high-dose folic acid supplement of 4 mg/day beginning at least one
month before conception and continuing through the first trimester. This is four times
the standard prenatal recommendation (0.4-0.8 mg). Folic acid significantly reduces the
risk of recurrent neural tube defects.
Question 7:
Risk factors for fetal genetic or developmental abnormalities in maternal, paternal,
and family history include all of the following EXCEPT:
A) Maternal age equal to or greater than 30 years
B) Mother and father related by blood (consanguinity)
C) Maternal exposure to toxins
D) Congenital blindness or deafness in family history
Answer: A
Rationale: Advanced maternal age is typically defined as age 35 or older, not 30. While
the risk of chromosomal abnormalities increases with maternal age, age 30 alone is not
NEWEST 2026/ 2027 ACTUAL EXAM |
NRNP6552 ADVANCED NURSE PRACTICE
IN REPRODUCTIVE HEALTH FINAL EXAM
REVIEW WITH COMPLETE 150 REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!
SECTION 1: REPRODUCTIVE ANATOMY & PHYSIOLOGY
Question 1:
In a woman who is 20 weeks pregnant, the fundus is typically at the same height
as which anatomical landmark?
A) The symphysis pubis
B) The umbilicus
C) The xiphoid process
D) None of the above
Answer: B
Rationale: At 20 weeks gestation, the fundal height is typically at the umbilicus. Fundal
height measurement in centimeters correlates with weeks of gestation from 20-36
weeks, with the fundus rising approximately 1 cm per week. The symphysis pubis (A)
would be seen at approximately 12 weeks, and the xiphoid process (C) would be at
approximately 36 weeks.
,Question 2:
During pregnancy, blood volume:
A) Remains the same as pre-pregnant amounts
B) Increases by 10%
C) Increases by 30-50%
D) Decreases by 20%
Answer: C
Rationale: Blood volume increases by approximately 30-50% during pregnancy to meet
the demands of the growing fetus and placenta. This increase supports oxygen and
nutrient delivery, as well as fetal waste removal. The increase is primarily due to plasma
volume expansion.
Question 3:
The following are risk factors for breast cancer EXCEPT:
A) Menarche after the age of 12
B) Nulliparity
C) Family history of breast cancer
D) First full-term pregnancy after age 30
Answer: A
Rationale: Early menarche (before age 12) is a risk factor for breast cancer, not menarche
after age 12. Other risk factors include nulliparity, late first pregnancy, family history,
BRCA mutations, and dense breast tissue. Menarche after age 12 is considered
protective.
,Question 4:
All of the following are advantages of Combined Oral Contraceptives EXCEPT:
A) The need for daily pill taking
B) Regulation of menstrual cycles
C) Decreased risk of ovarian cancer
D) Decreased risk of endometrial cancer
Answer: A
Rationale: The need for daily pill taking is a disadvantage, not an advantage. Advantages
of combined oral contraceptives include cycle regulation, decreased risk of ovarian and
endometrial cancer, decreased menstrual bleeding, and treatment of acne.
Question 5:
All of the following are barrier methods of contraception EXCEPT:
A) Male condom
B) Female condom
C) Diaphragm
D) Combined Oral Contraceptives
Answer: D
Rationale: Combined Oral Contraceptives (COCs) are hormonal contraceptives, not
barrier methods. Barrier methods include male and female condoms, diaphragms,
cervical caps, and spermicides. These physically block sperm from reaching the egg.
SECTION 2: PRECONCEPTION COUNSELING & GENETICS
, Question 6:
Jack and Jill present for a preconception health counseling session. They had a
previous child, Jake, who was born with spina bifida. Jill asks what they can do to
reduce the risk in a future pregnancy. What is the most appropriate response?
A) "Jill should take 60 mg/day of an iron supplement to enhance stores to support fetal
development."
B) "It is a matter of genetics, and there is nothing you can do."
C) "Have a CVS performed at 12 to 14 weeks gestation to determine the health of the
fetus."
D) "Jill should take 4 mg/day of folic acid, beginning before conception."
Answer: D
Rationale: For women who have had a previous child with a neural tube defect, the CDC
recommends a high-dose folic acid supplement of 4 mg/day beginning at least one
month before conception and continuing through the first trimester. This is four times
the standard prenatal recommendation (0.4-0.8 mg). Folic acid significantly reduces the
risk of recurrent neural tube defects.
Question 7:
Risk factors for fetal genetic or developmental abnormalities in maternal, paternal,
and family history include all of the following EXCEPT:
A) Maternal age equal to or greater than 30 years
B) Mother and father related by blood (consanguinity)
C) Maternal exposure to toxins
D) Congenital blindness or deafness in family history
Answer: A
Rationale: Advanced maternal age is typically defined as age 35 or older, not 30. While
the risk of chromosomal abnormalities increases with maternal age, age 30 alone is not
