,NU 647 Exam 2 Women's Health Nurse Practitioner I Questions And
Answers 2026/2027 Herzing University
Q1. A reproductive-aged patient has heavy regular menstrual
bleeding associated with known uterine leiomyomas. She is
hemodynamically stable and wishes to preserve fertility. What
should most strongly guide treatment selection?
A) Uterine size alone
B) Bleeding severity, anemia, fibroid characteristics, reproductive goals, and
patient preferences
C) The patient's age alone
D) Immediate hysterectomy for all symptomatic fibroids
Correct Answer: B) Bleeding severity, anemia, fibroid characteristics,
reproductive goals, and patient preferences
Rationale: Management of symptomatic leiomyomas should be
individualized according to symptom burden, anatomy, reproductive plans,
medical risk, and treatment preferences.
Q2. Why is prolonged irregular anovulation in polycystic ovary
syndrome clinically important even when pregnancy is not currently
desired?
A) It causes immediate ovarian failure
B) Prolonged unopposed estrogen exposure can increase endometrial
hyperplasia risk
C) It invariably produces cervical malignancy
D) It permanently eliminates fertility
Correct Answer: B) Prolonged unopposed estrogen exposure can increase
endometrial hyperplasia risk
Rationale: Chronic anovulation may prevent regular progesterone exposure,
allowing prolonged estrogen stimulation of the endometrium.
Q3. A patient with PCOS is not trying to conceive, has no
contraindication to estrogen, and wants more predictable cycles as
well as contraception. Which treatment can address both goals?
A) Combined hormonal contraception
B) Immediate ovulation induction
C) Hysterectomy
D) Antibiotic therapy
, Correct Answer: A) Combined hormonal contraception
Rationale: Combined hormonal contraception can provide pregnancy
prevention, improve cycle regulation, and reduce androgen-related
symptoms in appropriate patients.
Q4. A patient has clinically suspected endometriosis with cyclic
pelvic pain but is not currently pursuing pregnancy. Which initial
management approach is reasonable when no contraindication
exists?
A) Immediate hysterectomy
B) Long-term antibiotic therapy
C) Analgesic therapy with hormonal suppression tailored to patient goals
D) No treatment until infertility develops
Correct Answer: C) Analgesic therapy with hormonal suppression tailored to
patient goals
Rationale: Medical therapy can reduce endometriosis-associated pain and is
commonly appropriate when immediate fertility is not the primary goal.
Q5. A small Bartholin gland cyst is discovered incidentally in a
younger patient who has no pain, infection, or other symptoms.
What is generally appropriate?
A) Immediate gland excision
B) Broad-spectrum antibiotics
C) Emergency drainage
D) Observation when no intervention is clinically indicated
Correct Answer: D) Observation when no intervention is clinically indicated
Rationale: An asymptomatic Bartholin cyst does not necessarily require
treatment unless symptoms, infection, recurrent disease, or other concerning
features develop.
Q6. A patient has received several empiric treatments for recurrent
vaginal itching, but symptoms keep returning. What is the best next
step?
A) Continue the same treatment indefinitely
B) Establish the diagnosis with appropriate evaluation rather than assuming
recurrent candidiasis
Answers 2026/2027 Herzing University
Q1. A reproductive-aged patient has heavy regular menstrual
bleeding associated with known uterine leiomyomas. She is
hemodynamically stable and wishes to preserve fertility. What
should most strongly guide treatment selection?
A) Uterine size alone
B) Bleeding severity, anemia, fibroid characteristics, reproductive goals, and
patient preferences
C) The patient's age alone
D) Immediate hysterectomy for all symptomatic fibroids
Correct Answer: B) Bleeding severity, anemia, fibroid characteristics,
reproductive goals, and patient preferences
Rationale: Management of symptomatic leiomyomas should be
individualized according to symptom burden, anatomy, reproductive plans,
medical risk, and treatment preferences.
Q2. Why is prolonged irregular anovulation in polycystic ovary
syndrome clinically important even when pregnancy is not currently
desired?
A) It causes immediate ovarian failure
B) Prolonged unopposed estrogen exposure can increase endometrial
hyperplasia risk
C) It invariably produces cervical malignancy
D) It permanently eliminates fertility
Correct Answer: B) Prolonged unopposed estrogen exposure can increase
endometrial hyperplasia risk
Rationale: Chronic anovulation may prevent regular progesterone exposure,
allowing prolonged estrogen stimulation of the endometrium.
Q3. A patient with PCOS is not trying to conceive, has no
contraindication to estrogen, and wants more predictable cycles as
well as contraception. Which treatment can address both goals?
A) Combined hormonal contraception
B) Immediate ovulation induction
C) Hysterectomy
D) Antibiotic therapy
, Correct Answer: A) Combined hormonal contraception
Rationale: Combined hormonal contraception can provide pregnancy
prevention, improve cycle regulation, and reduce androgen-related
symptoms in appropriate patients.
Q4. A patient has clinically suspected endometriosis with cyclic
pelvic pain but is not currently pursuing pregnancy. Which initial
management approach is reasonable when no contraindication
exists?
A) Immediate hysterectomy
B) Long-term antibiotic therapy
C) Analgesic therapy with hormonal suppression tailored to patient goals
D) No treatment until infertility develops
Correct Answer: C) Analgesic therapy with hormonal suppression tailored to
patient goals
Rationale: Medical therapy can reduce endometriosis-associated pain and is
commonly appropriate when immediate fertility is not the primary goal.
Q5. A small Bartholin gland cyst is discovered incidentally in a
younger patient who has no pain, infection, or other symptoms.
What is generally appropriate?
A) Immediate gland excision
B) Broad-spectrum antibiotics
C) Emergency drainage
D) Observation when no intervention is clinically indicated
Correct Answer: D) Observation when no intervention is clinically indicated
Rationale: An asymptomatic Bartholin cyst does not necessarily require
treatment unless symptoms, infection, recurrent disease, or other concerning
features develop.
Q6. A patient has received several empiric treatments for recurrent
vaginal itching, but symptoms keep returning. What is the best next
step?
A) Continue the same treatment indefinitely
B) Establish the diagnosis with appropriate evaluation rather than assuming
recurrent candidiasis
