,NU 647 Exam 3 Women's Health Nurse Practitioner I Questions And
Answers 2026/2027 Herzing University
Q1. A reproductive-aged patient who previously had regular
menstrual cycles has had no period for three months. Which initial
assessment is most appropriate?
A) Determine pregnancy status before pursuing other causes of secondary
amenorrhea
B) Diagnose premature ovarian insufficiency
C) Begin hormonal treatment immediately
D) Order pelvic surgery consultation
Correct Answer: A) Determine pregnancy status before pursuing other causes
of secondary amenorrhea
Rationale: Pregnancy is an important and common cause of secondary
amenorrhea and should generally be excluded early because it changes
subsequent evaluation and management.
Q2. A patient has predictable cramping that begins shortly before
menstruation, is greatest during the first days of bleeding, and has
no concerning secondary features. Which treatment is commonly
appropriate first?
A) A nonsteroidal anti-inflammatory drug started around the onset of
symptoms
B) Long-term antibiotic therapy
C) Immediate diagnostic laparoscopy
D) Opioid therapy throughout each menstrual cycle
Correct Answer: A) A nonsteroidal anti-inflammatory drug started around the
onset of symptoms
Rationale: Prostaglandins contribute significantly to primary dysmenorrhea,
making NSAIDs an effective initial treatment when no contraindication exists.
Q3. A patient has mucopurulent cervical discharge and easily
induced cervical bleeding. Which diagnostic approach is particularly
important?
A) Test only for vulvovaginal candidiasis
B) Perform a bone-density study
C) Test appropriately for chlamydia and gonorrhea and assess for evidence of
, upper reproductive tract infection
D) Diagnose bacterial vaginosis solely from cervical appearance
Correct Answer: C) Test appropriately for chlamydia and gonorrhea and
assess for evidence of upper reproductive tract infection
Rationale: Cervicitis can result from sexually transmitted pathogens and
may coexist with or signal infection extending into the upper reproductive
tract.
Q4. A patient develops a new cluster of painful genital vesicles and
ulcers. Which test is most useful when an active lesion is available?
A) Serum CA-125
B) Cervical cytology
C) Vaginal pH alone
D) A type-specific virologic test obtained from the lesion
Correct Answer: D) A type-specific virologic test obtained from the lesion
Rationale: Testing material from an active genital lesion can confirm herpes
infection and help determine viral type.
Q5. A pregnant patient has symptomatic bacterial vaginosis. What is
the most appropriate general approach?
A) Defer treatment until after delivery
B) Treat the symptomatic infection with an appropriate recommended
regimen
C) Treat only the sexual partner
D) Use an antifungal medication
Correct Answer: B) Treat the symptomatic infection with an appropriate
recommended regimen
Rationale: Symptomatic bacterial vaginosis during pregnancy should be
treated because symptoms require care and the infection has been
associated with adverse pregnancy outcomes.
Q6. A pregnant patient has vulvovaginal candidiasis. Which
treatment approach is preferred?
A) A recommended topical azole course
B) Routine oral fluconazole as a single dose
C) Oral doxycycline
D) No treatment during pregnancy
Answers 2026/2027 Herzing University
Q1. A reproductive-aged patient who previously had regular
menstrual cycles has had no period for three months. Which initial
assessment is most appropriate?
A) Determine pregnancy status before pursuing other causes of secondary
amenorrhea
B) Diagnose premature ovarian insufficiency
C) Begin hormonal treatment immediately
D) Order pelvic surgery consultation
Correct Answer: A) Determine pregnancy status before pursuing other causes
of secondary amenorrhea
Rationale: Pregnancy is an important and common cause of secondary
amenorrhea and should generally be excluded early because it changes
subsequent evaluation and management.
Q2. A patient has predictable cramping that begins shortly before
menstruation, is greatest during the first days of bleeding, and has
no concerning secondary features. Which treatment is commonly
appropriate first?
A) A nonsteroidal anti-inflammatory drug started around the onset of
symptoms
B) Long-term antibiotic therapy
C) Immediate diagnostic laparoscopy
D) Opioid therapy throughout each menstrual cycle
Correct Answer: A) A nonsteroidal anti-inflammatory drug started around the
onset of symptoms
Rationale: Prostaglandins contribute significantly to primary dysmenorrhea,
making NSAIDs an effective initial treatment when no contraindication exists.
Q3. A patient has mucopurulent cervical discharge and easily
induced cervical bleeding. Which diagnostic approach is particularly
important?
A) Test only for vulvovaginal candidiasis
B) Perform a bone-density study
C) Test appropriately for chlamydia and gonorrhea and assess for evidence of
, upper reproductive tract infection
D) Diagnose bacterial vaginosis solely from cervical appearance
Correct Answer: C) Test appropriately for chlamydia and gonorrhea and
assess for evidence of upper reproductive tract infection
Rationale: Cervicitis can result from sexually transmitted pathogens and
may coexist with or signal infection extending into the upper reproductive
tract.
Q4. A patient develops a new cluster of painful genital vesicles and
ulcers. Which test is most useful when an active lesion is available?
A) Serum CA-125
B) Cervical cytology
C) Vaginal pH alone
D) A type-specific virologic test obtained from the lesion
Correct Answer: D) A type-specific virologic test obtained from the lesion
Rationale: Testing material from an active genital lesion can confirm herpes
infection and help determine viral type.
Q5. A pregnant patient has symptomatic bacterial vaginosis. What is
the most appropriate general approach?
A) Defer treatment until after delivery
B) Treat the symptomatic infection with an appropriate recommended
regimen
C) Treat only the sexual partner
D) Use an antifungal medication
Correct Answer: B) Treat the symptomatic infection with an appropriate
recommended regimen
Rationale: Symptomatic bacterial vaginosis during pregnancy should be
treated because symptoms require care and the infection has been
associated with adverse pregnancy outcomes.
Q6. A pregnant patient has vulvovaginal candidiasis. Which
treatment approach is preferred?
A) A recommended topical azole course
B) Routine oral fluconazole as a single dose
C) Oral doxycycline
D) No treatment during pregnancy
