OB Exam 5 Practice Questions and
answers 2025/2026
The nurse is assessing a 25-year-old female patient. This past year she has been training for the
Boston Marathon. She wears a sports bra to provide adequate support when running. The
patient is concerned that she might have breast cancer. The patient states that she has thin
milky discharge from her nipples and several painful lumps in both breasts that fluctuate in
sizes. She has lost over 20 pounds in the past year. She also reports that she experiences mood
swings. Besides a negative mammogram, what other symptoms that she is experiencing would
correlate with a diagnosis of fibrocystic breast? Select all that apply.
1. Milky discharge from nipples
2. Extensive weight loss
3. Painful lumps
4. Mood swings
5. Multiple lumps - ANS ✔✔1345:
Feedback
1 This is correct. Discharge from nipples that are milky may be due to the elicited response
from compression (resulting from the sports bra).
2 This is incorrect. The patient's weight loss is likely from intensive exercises.
,3 This is correct. Fewer than 10% of women with breast cancer will present with pain.
4 This is correct. The mood swing (tearfulness) may be due to the stress and fear of a possible
breast cancer diagnosis.
5 This is correct. Fibrocystic breasts have multiple tender-to-the-touch cysts that fluctuate in
size
The nurse is preparing to teach the community about risk factors for the second most common
cancer of the female reproductive system. Which of the following groups of women are at
higher risk for this cancer? Select all that apply.
1. Menopausal women with an intact uterus who receive hormonal therapy
2. Women who have undergone treatment for breast cancer
3. Women who have many pregnancies and nursed their infants
4. Women who smoke and have many sexual partners
5. Women with a long-standing history of polycystic ovarian syndrome (PCOS) - ANS ✔✔125:
Feedback
1 This is correct. Unopposed estrogen therapy in women with a uterus can cause endometrial
hyperplasia in the lining of the uterus. The second most common cancer of the female
reproductive system is endometrial cancer.
,2 This is correct. Tamoxifen is indicated for reducing risk for breast cancer in women or as a
treatment of breast cancer. The medication competes with estrogen for binding sites in the
breast but increases the risk for endometrial cancer.
3 This is incorrect. Women who have had no pregnancies are at higher risk for endometrial
cancer than those who have had several pregnancies and who have nursed their infants.
4 This is incorrect. Smoking and having multiple sexual partners put the patient at risk for other
disease processes, not endometrial cancer.
5 This is correct. PCOS increases the risk for endometrial cancer
The nurse is assessing a 42-year-old patient who presents to the gynecology office with
complaints of pelvic pressure, backaches, menorrhagia, and urinary frequency. The health-care
provider (HCP) has diagnosed the patient with leiomyoma of the uterus. What are the
treatment options for this condition? Select all that apply.
1. Routine pelvic examinations to assess rate of disease process
2. Oral contraceptives to control the bleeding and pain
3. Myomectomy for women who desire pregnancy
4. Hysterectomy for women who do not desire pregnancy
5. Antibiotic therapy with nonsteroidal anti-inflammatory drugs (NSAIDs) for symptom
management - ANS ✔✔134:
, Feedback
1 This is correct. Routine pelvic examinations may be performed to assess the rate of growth of
the leiomyomas (fibroids). A pelvic ultrasound to confirm the diagnosis of tumors and rule out
pregnancy is another option of diagnosis.
2 This is incorrect. This would be an option for another diagnosis such as premenstrual
syndrome (PMS), not fibroids, which could increase the growth due to increased levels of
estrogen and progesterone.
3 This is correct. A myomectomy may be a surgical intervention to remove the fibroids, while
leaving the uterus intact for those that desire pregnancy.
4 This is correct. Hysterectomy is recommended for women who do not desire pregnancy and
who are experiencing excessive bleeding. Leiomyomas are the main indicator for hysterectomy.
5 This is incorrect. This may be a treatment for an infection not of fibroids of the uterus.
The nurse is providing postoperative care to a patient who underwent a total abdominal
hysterectomy 12 hours ago. Which of the following are appropriate nursing interventions?
Select all that apply.
1. Assist the patient with ambulation.
2. Maintain the Foley catheter for 48 to 72 hours postoperatively.
3. Monitor intake and output and characteristics of urine.
4. Maintain bedrest while taking narcotic pain medications.
answers 2025/2026
The nurse is assessing a 25-year-old female patient. This past year she has been training for the
Boston Marathon. She wears a sports bra to provide adequate support when running. The
patient is concerned that she might have breast cancer. The patient states that she has thin
milky discharge from her nipples and several painful lumps in both breasts that fluctuate in
sizes. She has lost over 20 pounds in the past year. She also reports that she experiences mood
swings. Besides a negative mammogram, what other symptoms that she is experiencing would
correlate with a diagnosis of fibrocystic breast? Select all that apply.
1. Milky discharge from nipples
2. Extensive weight loss
3. Painful lumps
4. Mood swings
5. Multiple lumps - ANS ✔✔1345:
Feedback
1 This is correct. Discharge from nipples that are milky may be due to the elicited response
from compression (resulting from the sports bra).
2 This is incorrect. The patient's weight loss is likely from intensive exercises.
,3 This is correct. Fewer than 10% of women with breast cancer will present with pain.
4 This is correct. The mood swing (tearfulness) may be due to the stress and fear of a possible
breast cancer diagnosis.
5 This is correct. Fibrocystic breasts have multiple tender-to-the-touch cysts that fluctuate in
size
The nurse is preparing to teach the community about risk factors for the second most common
cancer of the female reproductive system. Which of the following groups of women are at
higher risk for this cancer? Select all that apply.
1. Menopausal women with an intact uterus who receive hormonal therapy
2. Women who have undergone treatment for breast cancer
3. Women who have many pregnancies and nursed their infants
4. Women who smoke and have many sexual partners
5. Women with a long-standing history of polycystic ovarian syndrome (PCOS) - ANS ✔✔125:
Feedback
1 This is correct. Unopposed estrogen therapy in women with a uterus can cause endometrial
hyperplasia in the lining of the uterus. The second most common cancer of the female
reproductive system is endometrial cancer.
,2 This is correct. Tamoxifen is indicated for reducing risk for breast cancer in women or as a
treatment of breast cancer. The medication competes with estrogen for binding sites in the
breast but increases the risk for endometrial cancer.
3 This is incorrect. Women who have had no pregnancies are at higher risk for endometrial
cancer than those who have had several pregnancies and who have nursed their infants.
4 This is incorrect. Smoking and having multiple sexual partners put the patient at risk for other
disease processes, not endometrial cancer.
5 This is correct. PCOS increases the risk for endometrial cancer
The nurse is assessing a 42-year-old patient who presents to the gynecology office with
complaints of pelvic pressure, backaches, menorrhagia, and urinary frequency. The health-care
provider (HCP) has diagnosed the patient with leiomyoma of the uterus. What are the
treatment options for this condition? Select all that apply.
1. Routine pelvic examinations to assess rate of disease process
2. Oral contraceptives to control the bleeding and pain
3. Myomectomy for women who desire pregnancy
4. Hysterectomy for women who do not desire pregnancy
5. Antibiotic therapy with nonsteroidal anti-inflammatory drugs (NSAIDs) for symptom
management - ANS ✔✔134:
, Feedback
1 This is correct. Routine pelvic examinations may be performed to assess the rate of growth of
the leiomyomas (fibroids). A pelvic ultrasound to confirm the diagnosis of tumors and rule out
pregnancy is another option of diagnosis.
2 This is incorrect. This would be an option for another diagnosis such as premenstrual
syndrome (PMS), not fibroids, which could increase the growth due to increased levels of
estrogen and progesterone.
3 This is correct. A myomectomy may be a surgical intervention to remove the fibroids, while
leaving the uterus intact for those that desire pregnancy.
4 This is correct. Hysterectomy is recommended for women who do not desire pregnancy and
who are experiencing excessive bleeding. Leiomyomas are the main indicator for hysterectomy.
5 This is incorrect. This may be a treatment for an infection not of fibroids of the uterus.
The nurse is providing postoperative care to a patient who underwent a total abdominal
hysterectomy 12 hours ago. Which of the following are appropriate nursing interventions?
Select all that apply.
1. Assist the patient with ambulation.
2. Maintain the Foley catheter for 48 to 72 hours postoperatively.
3. Monitor intake and output and characteristics of urine.
4. Maintain bedrest while taking narcotic pain medications.
