,NURS 6403 Final Exam Reproductive Health Primary Care Questions
And Answers | 2026/2027 Capella University
Q1. Which component is essential when obtaining a comprehensive
reproductive health history?
A) Menstrual, sexual, contraceptive, obstetric, gynecologic, and relevant
medical history
B) Only the patient's current medication list
C) Only the patient's last menstrual period
D) Only the patient's family history
Correct Answer: A) Menstrual, sexual, contraceptive, obstetric, gynecologic,
and relevant medical history
Rationale: Reproductive health assessment requires information about
menstruation, sexual practices, contraception, pregnancy history,
gynecologic conditions, medications, and relevant medical risks. These
details establish the context needed for accurate diagnosis and
individualized care.
Q2. Which question best assesses a patient's sexual health while
minimizing assumptions?
A) "Are you married?"
B) "Are you sexually active with men?"
C) "Tell me about your sexual partners and the types of sexual activity you
engage in."
D) "You use condoms, correct?"
Correct Answer: C) "Tell me about your sexual partners and the types of
sexual activity you engage in."
Rationale: Open-ended, behavior-based questions provide clinically relevant
information without assuming a patient's gender identity, partner gender,
relationship structure, or sexual practices.
Q3. Which finding should prompt additional evaluation during a
routine gynecologic history?
A) Regular menstrual cycles without symptoms
B) Bleeding after sexual intercourse
C) Mild premenstrual breast tenderness
D) Stable menstrual flow
,Correct Answer: B) Bleeding after sexual intercourse
Rationale: Postcoital bleeding can result from cervical ectropion, infection,
trauma, polyps, cervical dysplasia, or malignancy. It warrants appropriate
evaluation rather than being assumed to be a normal variation.
**Q4. Which screening strategy is recommended for cervical cancer
prevention in an average-risk adult?
A) Screening only when symptoms occur
B) Age-appropriate cervical cytology, HPV testing, or co-testing according to
the recommended schedule
C) Annual pelvic examination as the only cancer screening test
D) HPV testing only after age 65
Correct Answer: B) Age-appropriate cervical cytology, HPV testing, or co-
testing according to the recommended schedule
Rationale: Cervical cancer screening uses cervical cytology, HPV testing, or
both depending on age and screening strategy. Screening detects
precancerous changes before invasive cancer develops.
Q5. A patient asks whether a normal pelvic examination eliminates
the need for cervical cancer screening. Which response is best?
A) "Yes, a normal pelvic examination means screening is unnecessary."
B) "No. The pelvic examination and cervical cancer screening serve different
purposes."
C) "Only patients with symptoms need screening."
D) "Screening is needed only after menopause."
Correct Answer: B) "No. The pelvic examination and cervical cancer
screening serve different purposes."
Rationale: Cervical screening evaluates cervical cells or HPV infection for
precancerous changes. A routine pelvic examination does not replace
recommended cervical cancer screening.
Q6. Which preventive counseling topic should be addressed
routinely with sexually active patients?
A) STI risk and appropriate prevention strategies
B) Avoiding all sexual activity
C) Antibiotic prophylaxis for every sexual encounter
D) Screening based solely on marital status
, Correct Answer: A) STI risk and appropriate prevention strategies
Rationale: STI prevention includes risk assessment, testing when indicated,
condom counseling, vaccination, partner considerations, and HIV prevention.
Sexual activity should be discussed without judgment or assumptions.
Q7. Which factor is most important when assessing pregnancy
intention?
A) Whether the patient has children
B) Whether the patient wants pregnancy now, later, or not at all
C) The patient's marital status
D) The patient's age alone
Correct Answer: B) Whether the patient wants pregnancy now, later, or not at
all
Rationale: Reproductive-life planning centers on the patient's pregnancy
intentions. This information helps guide contraception, preconception
counseling, medication review, and preventive care.
Q8. Which finding should increase suspicion for intimate partner
violence?
A) Unexplained injuries accompanied by fear or controlling partner behavior
B) Stable supportive relationships
C) A patient who requests contraception
D) Regular preventive visits
Correct Answer: A) Unexplained injuries accompanied by fear or controlling
partner behavior
Rationale: Unexplained injuries, fear, coercive control, and inconsistent
histories can indicate intimate partner violence. Screening and safety
assessment should be conducted sensitively and privately.
Q9. Which approach is most appropriate when screening for
intimate partner violence?
A) Ask only when the partner is present
B) Ask privately using direct but nonjudgmental questions
C) Ask the partner whether violence occurs
D) Avoid screening unless physical injuries are visible
Correct Answer: B) Ask privately using direct but nonjudgmental questions
And Answers | 2026/2027 Capella University
Q1. Which component is essential when obtaining a comprehensive
reproductive health history?
A) Menstrual, sexual, contraceptive, obstetric, gynecologic, and relevant
medical history
B) Only the patient's current medication list
C) Only the patient's last menstrual period
D) Only the patient's family history
Correct Answer: A) Menstrual, sexual, contraceptive, obstetric, gynecologic,
and relevant medical history
Rationale: Reproductive health assessment requires information about
menstruation, sexual practices, contraception, pregnancy history,
gynecologic conditions, medications, and relevant medical risks. These
details establish the context needed for accurate diagnosis and
individualized care.
Q2. Which question best assesses a patient's sexual health while
minimizing assumptions?
A) "Are you married?"
B) "Are you sexually active with men?"
C) "Tell me about your sexual partners and the types of sexual activity you
engage in."
D) "You use condoms, correct?"
Correct Answer: C) "Tell me about your sexual partners and the types of
sexual activity you engage in."
Rationale: Open-ended, behavior-based questions provide clinically relevant
information without assuming a patient's gender identity, partner gender,
relationship structure, or sexual practices.
Q3. Which finding should prompt additional evaluation during a
routine gynecologic history?
A) Regular menstrual cycles without symptoms
B) Bleeding after sexual intercourse
C) Mild premenstrual breast tenderness
D) Stable menstrual flow
,Correct Answer: B) Bleeding after sexual intercourse
Rationale: Postcoital bleeding can result from cervical ectropion, infection,
trauma, polyps, cervical dysplasia, or malignancy. It warrants appropriate
evaluation rather than being assumed to be a normal variation.
**Q4. Which screening strategy is recommended for cervical cancer
prevention in an average-risk adult?
A) Screening only when symptoms occur
B) Age-appropriate cervical cytology, HPV testing, or co-testing according to
the recommended schedule
C) Annual pelvic examination as the only cancer screening test
D) HPV testing only after age 65
Correct Answer: B) Age-appropriate cervical cytology, HPV testing, or co-
testing according to the recommended schedule
Rationale: Cervical cancer screening uses cervical cytology, HPV testing, or
both depending on age and screening strategy. Screening detects
precancerous changes before invasive cancer develops.
Q5. A patient asks whether a normal pelvic examination eliminates
the need for cervical cancer screening. Which response is best?
A) "Yes, a normal pelvic examination means screening is unnecessary."
B) "No. The pelvic examination and cervical cancer screening serve different
purposes."
C) "Only patients with symptoms need screening."
D) "Screening is needed only after menopause."
Correct Answer: B) "No. The pelvic examination and cervical cancer
screening serve different purposes."
Rationale: Cervical screening evaluates cervical cells or HPV infection for
precancerous changes. A routine pelvic examination does not replace
recommended cervical cancer screening.
Q6. Which preventive counseling topic should be addressed
routinely with sexually active patients?
A) STI risk and appropriate prevention strategies
B) Avoiding all sexual activity
C) Antibiotic prophylaxis for every sexual encounter
D) Screening based solely on marital status
, Correct Answer: A) STI risk and appropriate prevention strategies
Rationale: STI prevention includes risk assessment, testing when indicated,
condom counseling, vaccination, partner considerations, and HIV prevention.
Sexual activity should be discussed without judgment or assumptions.
Q7. Which factor is most important when assessing pregnancy
intention?
A) Whether the patient has children
B) Whether the patient wants pregnancy now, later, or not at all
C) The patient's marital status
D) The patient's age alone
Correct Answer: B) Whether the patient wants pregnancy now, later, or not at
all
Rationale: Reproductive-life planning centers on the patient's pregnancy
intentions. This information helps guide contraception, preconception
counseling, medication review, and preventive care.
Q8. Which finding should increase suspicion for intimate partner
violence?
A) Unexplained injuries accompanied by fear or controlling partner behavior
B) Stable supportive relationships
C) A patient who requests contraception
D) Regular preventive visits
Correct Answer: A) Unexplained injuries accompanied by fear or controlling
partner behavior
Rationale: Unexplained injuries, fear, coercive control, and inconsistent
histories can indicate intimate partner violence. Screening and safety
assessment should be conducted sensitively and privately.
Q9. Which approach is most appropriate when screening for
intimate partner violence?
A) Ask only when the partner is present
B) Ask privately using direct but nonjudgmental questions
C) Ask the partner whether violence occurs
D) Avoid screening unless physical injuries are visible
Correct Answer: B) Ask privately using direct but nonjudgmental questions
