lOMoARcPSD|26582732
Lomoarcpsd|26582732
Reproductive - General And Women’s - APEA Test Bank
2026
APEA - 3P - Test Bank (Herzing University)
Reproductive - General And Women’s - APEA Testbank:
Question:
An NP Is Assessing An Adult Patient Who Reports A Recent Change In The Appearance Of The Areola And Nipple On
One Side. The Nipple Appears Pulled Inward, As If Tethered Internally, Flat, And Broad. The Patient Denies Any Pain,
Tenderness, Or Discharge. This Finding May Suggest Which Of The Following?
Nipple Retraction Related To An Underlying Tumor Correct
Subareolar Cords Related To Mammary Duct Ectasia
Peau D'orange Related To Breast Cancer Incorrect Nipple
Inversion Related To Fibrocystic Breast Disease Explanation:
Retraction Of The Nipple And Areola May Be Suggestive Of An Underlying Tumor. Subareolar Cords May Be Firm,
Palpable, And Tender Masses Found During Breast Tissue Palpation. This Can Be
Differentiated From Breast Cancer, Which Is Typically Nontender. Peau D'orange Is A Thickening Of The Skin With
Increased Prominence Of Pores. Nipple Inversion Is A Normal Variant In Which The Nipple Points Inward. Fibrocystic
Breast Disease Findings Include Well-Delineated Mobile Round Cysts.
Question:
An NP Is Assessing A Patient Who Is At 38 Weeks Of Gestation. On Physical Examination, Blood Pressure Is 170/120,
And Laboratory Studies Show New Renal Insufficiency. Which Of The Following Conditions Is Most Often Associated
With These Objective Findings?
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Gestational Hypertension
Preeclampsia Correct
Chronic Hypertension Incorrect
Eclampsia Explanation:
Preeclampsia Is Hypertension After 20 Weeks Of Gestation With Proteinuria Or Other End-Organ Dysfunction
(Thrombocytopenia, Impaired Liver Function, New Renal Insufficiency, Pulmonary Edema, Cerebral Or Visual
Symptoms). Hypertension After 20 Weeks Of Gestation Without Other Evidence Of Preeclampsia, Including
Proteinuria, Is Gestational Hypertension. Hypertension Prior To 20 Weeks Of Gestation Or Not Resolved By 12
Weeks Postpartum Is Chronic Hypertension. Eclampsia Occurs When A Patient With Preeclampsia Has A Seizure Not
Explained By Another Condition.
Question:
To Palpate The Uterus During A Bimanual Pelvic Exam, The Examiner Lubricates The Index And Middle Fingers Of
One Hand And Inserts Them Into The Vagina. Where Is The Other Hand Placed On The Abdomen?
In The Mid-Abdominal Region, While Pressing Downward And Elevating The Cervix And Uterus With The Other
Hand.
Just Above The Symphysis Pubis While Pressing Downward And Elevating The Cervix And Uterus With The Other
Hand. Correct
Just Above The Umbilicus While Pressing Downward And Elevating The Cervix And Uterus With The Other Hand.
Incorrect
At The Umbilicus While Pressing Downward And Elevating The Cervix And Uterus With The Other Hand.
Explanation:
To Palpate The Uterus During A Bimanual Exam, The Examiner Would Lubricate The Index And Middle Fingers Of
One Hand And Insert Them Into The Vagina. The Other Hand Would Be Placed On The Abdomen Just Above The
Symphysis Pubis. While Elevating The Cervix And Uterus With The Pelvic Hand, Pressing The Abdominal Hand In And
Down, Trying To Grasp The Uterus Between The Two Hands.
Question:
An NP Is Performing An Internal Female Genitalia Examination. During The Exam, The NP Observes A Bulge In The
Upper Two-Thirds Of The Ventral Vaginal Wall. Which Of The Following Diagnoses Does This Finding Confirm?
Anterior Vaginal Wall Prolapse Correct
Apical Compartment Prolapse
Enterocele Incorrect
Posterior Vaginal Wall Prolapse Explanation:
Retention Cysts Present As Translucent Nodules On The Cervical Surface And Have No Pathological Significance.
Epidermoid Cysts Present As Small, Yellowish, Round, Firm Cystic Nodules In The Labia. A Syphilitic Chancre Appears
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As A Painless, Firm Ulcer. A Cervical Polyp, Often Visible When It Protrudes Through The Cervical Os, Is
Characteristically Bright Red, Soft, And Fragile
Question:
Which Condition Should Be Considered As A Differential Diagnosis When Uterine Enlargement Is Noted During A
Bimanual Pelvic Exam?
Malignancy Correct
Endometriosis
Ectopic Pregnancy Incorrect Pelvic
Inflammatory Disease Explanation:
Uterine Enlargement May Suggest Malignancy, Pregnancy, Or Myomas (Fibroids). The Uterus May Be Immobile And
Fixed With Endometriosis Or Pelvic Inflammatory Disease. Ectopic Pregnancy Occurs When There Is Implantation
Outside The Endometrial Cavity (Most Commonly In The Fallopian Tube).
The Exam May Reveal A Palpable Adnexal Mass That Is Ill-Defined, Large, And Fixed.
Question:
An NP Is Assessing A Patient Who Is Pregnant And Has Irregular Brown Patches On Their Nose, Cheeks, And
Forehead. These Lesions Are Most Likely Associated With Which Of The Following Conditions?
Linea Nigra
Hori's Nevus
Melasma Correct
Discoid Lupus Erythematosus Explanation:
Melasma, Also Known As Chloasma And "The Mask Of Pregnancy," Is Characterized By Irregular Brown Patches
Commonly On Sun-Exposed Areas Such As The Face. Pregnancy Is A Risk And Trigger Factor For Melasma And A
Normal Finding During Pregnancy. Linea Nigra Is The Dark-Pigmented Vertical Strip On The Abdomen During
Pregnancy. Hori's Nevus Present As Multiple Speckled Macules That Are Blue-Brown Or Gray. Discoid Lupus
Erythematous Facial Lesions May Have Hyperpigmentation, But These Are Often Scattered With Hypopigmented
Lesions.
Question:
An NP Is Reviewing Health Promotion Topics And Screenings With A Patient Who Is Pregnant. Which Of The
Following Aspects Of This Patient's History Or Observation Made By The NP Is The Most Suspicious For Intimate
Partner Violence?
The Patient Requests To Reschedule An Appointment.
The Patient Makes Eye Contact And Has A Broad Affect.
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The Patient Initiated Prenatal Care At 8 Weeks Of Gestation. Incorrect The
Patient's Partner Refuses To Leave The Room During Visits. Correct Explanation:
Patients Who Are Pregnant Are At Increased Risk Of Intimate Partner Violence. Pre-Existing Abuse May Also Get
Worse. Universal Screening Is Recommended At The Initial Prenatal Visit And Each Trimester. Nonverbal Clues Of
Intimate Partner Violence Include Frequent Last-Minute Appointment Change Requests, Partners Who Refuse To
Leave The Patient Alone, Unexplained Injuries, Flat Affect With Eye Contact Avoidance, And Late Initiation Of
Prenatal Care.
Question:
A Bright, Red, Soft, And Fragile Lesion Near The Cervical Os Is Most Likely A Characteristic Of Which Of The
Following Conditions? A Retention Cyst
An Epidermoid Cyst
A Syphilitic Chancre Incorrect A
Cervical Polyp Correct Explanation:
This Lesion Is A Characteristic Of A Cervical Polyp, Which Is Often Visible When It Protrudes Through The Cervical
Os. Retention Cysts Present As Translucent Nodules On The Cervical Surface. Epidermoid Cysts Present As Small,
Yellowish, Round, Firm Cystic Nodules In The Labia. A Syphilitic Chancre Appears As A Painless, Firm Ulcer.
Question:
An NP Is Assessing A Patient Assigned Female At Birth With A Red Small Lesion At The Posterior Urethral Meatus.
This Lesion Is Most Consistent With Which Of The Following Condition?
Urethral Mucosa Prolapse Urethral
Caruncle Correct
Cystocele
Epidermoid Cyst Incorrect Explanation:
A Urethral Caruncle Is Present At The Posterior Urethral Meatus And Is A Red, Small, Benign Tumor. Prolapse Of The
Urethral Mucosa Presents As A Red Swollen Ring Around The Urethral Meatus. A Cystocele Is A Bulge Of The Upper
Two-Thirds Of The Anterior Vaginal Wall. Epidermoid Cysts Present As Small, Yellowish, Round, Firm Cystic Nodules
In The Labia.
Question:
Which Of The Following Screening Tests Is Routinely Recommended During Pregnancy? Tuberculosis
Herpes Simplex Virus (HSV)
Toxoplasmosis Incorrect
Syphilis Correct Explanation:
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Lomoarcpsd|26582732
Reproductive - General And Women’s - APEA Test Bank
2026
APEA - 3P - Test Bank (Herzing University)
Reproductive - General And Women’s - APEA Testbank:
Question:
An NP Is Assessing An Adult Patient Who Reports A Recent Change In The Appearance Of The Areola And Nipple On
One Side. The Nipple Appears Pulled Inward, As If Tethered Internally, Flat, And Broad. The Patient Denies Any Pain,
Tenderness, Or Discharge. This Finding May Suggest Which Of The Following?
Nipple Retraction Related To An Underlying Tumor Correct
Subareolar Cords Related To Mammary Duct Ectasia
Peau D'orange Related To Breast Cancer Incorrect Nipple
Inversion Related To Fibrocystic Breast Disease Explanation:
Retraction Of The Nipple And Areola May Be Suggestive Of An Underlying Tumor. Subareolar Cords May Be Firm,
Palpable, And Tender Masses Found During Breast Tissue Palpation. This Can Be
Differentiated From Breast Cancer, Which Is Typically Nontender. Peau D'orange Is A Thickening Of The Skin With
Increased Prominence Of Pores. Nipple Inversion Is A Normal Variant In Which The Nipple Points Inward. Fibrocystic
Breast Disease Findings Include Well-Delineated Mobile Round Cysts.
Question:
An NP Is Assessing A Patient Who Is At 38 Weeks Of Gestation. On Physical Examination, Blood Pressure Is 170/120,
And Laboratory Studies Show New Renal Insufficiency. Which Of The Following Conditions Is Most Often Associated
With These Objective Findings?
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Gestational Hypertension
Preeclampsia Correct
Chronic Hypertension Incorrect
Eclampsia Explanation:
Preeclampsia Is Hypertension After 20 Weeks Of Gestation With Proteinuria Or Other End-Organ Dysfunction
(Thrombocytopenia, Impaired Liver Function, New Renal Insufficiency, Pulmonary Edema, Cerebral Or Visual
Symptoms). Hypertension After 20 Weeks Of Gestation Without Other Evidence Of Preeclampsia, Including
Proteinuria, Is Gestational Hypertension. Hypertension Prior To 20 Weeks Of Gestation Or Not Resolved By 12
Weeks Postpartum Is Chronic Hypertension. Eclampsia Occurs When A Patient With Preeclampsia Has A Seizure Not
Explained By Another Condition.
Question:
To Palpate The Uterus During A Bimanual Pelvic Exam, The Examiner Lubricates The Index And Middle Fingers Of
One Hand And Inserts Them Into The Vagina. Where Is The Other Hand Placed On The Abdomen?
In The Mid-Abdominal Region, While Pressing Downward And Elevating The Cervix And Uterus With The Other
Hand.
Just Above The Symphysis Pubis While Pressing Downward And Elevating The Cervix And Uterus With The Other
Hand. Correct
Just Above The Umbilicus While Pressing Downward And Elevating The Cervix And Uterus With The Other Hand.
Incorrect
At The Umbilicus While Pressing Downward And Elevating The Cervix And Uterus With The Other Hand.
Explanation:
To Palpate The Uterus During A Bimanual Exam, The Examiner Would Lubricate The Index And Middle Fingers Of
One Hand And Insert Them Into The Vagina. The Other Hand Would Be Placed On The Abdomen Just Above The
Symphysis Pubis. While Elevating The Cervix And Uterus With The Pelvic Hand, Pressing The Abdominal Hand In And
Down, Trying To Grasp The Uterus Between The Two Hands.
Question:
An NP Is Performing An Internal Female Genitalia Examination. During The Exam, The NP Observes A Bulge In The
Upper Two-Thirds Of The Ventral Vaginal Wall. Which Of The Following Diagnoses Does This Finding Confirm?
Anterior Vaginal Wall Prolapse Correct
Apical Compartment Prolapse
Enterocele Incorrect
Posterior Vaginal Wall Prolapse Explanation:
Retention Cysts Present As Translucent Nodules On The Cervical Surface And Have No Pathological Significance.
Epidermoid Cysts Present As Small, Yellowish, Round, Firm Cystic Nodules In The Labia. A Syphilitic Chancre Appears
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
As A Painless, Firm Ulcer. A Cervical Polyp, Often Visible When It Protrudes Through The Cervical Os, Is
Characteristically Bright Red, Soft, And Fragile
Question:
Which Condition Should Be Considered As A Differential Diagnosis When Uterine Enlargement Is Noted During A
Bimanual Pelvic Exam?
Malignancy Correct
Endometriosis
Ectopic Pregnancy Incorrect Pelvic
Inflammatory Disease Explanation:
Uterine Enlargement May Suggest Malignancy, Pregnancy, Or Myomas (Fibroids). The Uterus May Be Immobile And
Fixed With Endometriosis Or Pelvic Inflammatory Disease. Ectopic Pregnancy Occurs When There Is Implantation
Outside The Endometrial Cavity (Most Commonly In The Fallopian Tube).
The Exam May Reveal A Palpable Adnexal Mass That Is Ill-Defined, Large, And Fixed.
Question:
An NP Is Assessing A Patient Who Is Pregnant And Has Irregular Brown Patches On Their Nose, Cheeks, And
Forehead. These Lesions Are Most Likely Associated With Which Of The Following Conditions?
Linea Nigra
Hori's Nevus
Melasma Correct
Discoid Lupus Erythematosus Explanation:
Melasma, Also Known As Chloasma And "The Mask Of Pregnancy," Is Characterized By Irregular Brown Patches
Commonly On Sun-Exposed Areas Such As The Face. Pregnancy Is A Risk And Trigger Factor For Melasma And A
Normal Finding During Pregnancy. Linea Nigra Is The Dark-Pigmented Vertical Strip On The Abdomen During
Pregnancy. Hori's Nevus Present As Multiple Speckled Macules That Are Blue-Brown Or Gray. Discoid Lupus
Erythematous Facial Lesions May Have Hyperpigmentation, But These Are Often Scattered With Hypopigmented
Lesions.
Question:
An NP Is Reviewing Health Promotion Topics And Screenings With A Patient Who Is Pregnant. Which Of The
Following Aspects Of This Patient's History Or Observation Made By The NP Is The Most Suspicious For Intimate
Partner Violence?
The Patient Requests To Reschedule An Appointment.
The Patient Makes Eye Contact And Has A Broad Affect.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
The Patient Initiated Prenatal Care At 8 Weeks Of Gestation. Incorrect The
Patient's Partner Refuses To Leave The Room During Visits. Correct Explanation:
Patients Who Are Pregnant Are At Increased Risk Of Intimate Partner Violence. Pre-Existing Abuse May Also Get
Worse. Universal Screening Is Recommended At The Initial Prenatal Visit And Each Trimester. Nonverbal Clues Of
Intimate Partner Violence Include Frequent Last-Minute Appointment Change Requests, Partners Who Refuse To
Leave The Patient Alone, Unexplained Injuries, Flat Affect With Eye Contact Avoidance, And Late Initiation Of
Prenatal Care.
Question:
A Bright, Red, Soft, And Fragile Lesion Near The Cervical Os Is Most Likely A Characteristic Of Which Of The
Following Conditions? A Retention Cyst
An Epidermoid Cyst
A Syphilitic Chancre Incorrect A
Cervical Polyp Correct Explanation:
This Lesion Is A Characteristic Of A Cervical Polyp, Which Is Often Visible When It Protrudes Through The Cervical
Os. Retention Cysts Present As Translucent Nodules On The Cervical Surface. Epidermoid Cysts Present As Small,
Yellowish, Round, Firm Cystic Nodules In The Labia. A Syphilitic Chancre Appears As A Painless, Firm Ulcer.
Question:
An NP Is Assessing A Patient Assigned Female At Birth With A Red Small Lesion At The Posterior Urethral Meatus.
This Lesion Is Most Consistent With Which Of The Following Condition?
Urethral Mucosa Prolapse Urethral
Caruncle Correct
Cystocele
Epidermoid Cyst Incorrect Explanation:
A Urethral Caruncle Is Present At The Posterior Urethral Meatus And Is A Red, Small, Benign Tumor. Prolapse Of The
Urethral Mucosa Presents As A Red Swollen Ring Around The Urethral Meatus. A Cystocele Is A Bulge Of The Upper
Two-Thirds Of The Anterior Vaginal Wall. Epidermoid Cysts Present As Small, Yellowish, Round, Firm Cystic Nodules
In The Labia.
Question:
Which Of The Following Screening Tests Is Routinely Recommended During Pregnancy? Tuberculosis
Herpes Simplex Virus (HSV)
Toxoplasmosis Incorrect
Syphilis Correct Explanation:
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