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NR 546 Final Exam Week 7 Reproductive (2026) – 250 Questions on OB, GYN, Breast & GU Disorders

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This document contains approximately 250 comprehensive exam-style questions with 100% correct verified answers for NR 546 Final Exam Week 7 Reproductive (2026). It provides in-depth coverage of reproductive health across the lifespan, including obstetrics, gynecology, breast disorders, male genitourinary conditions, infertility, prenatal care, STI prevention, and pelvic pathology. Early pages review foundational reproductive concepts such as the five P’s of sexual history (partners, practices, past history of STI, protection, prevention of pregnancy), hypospadias and epispadias, Naegele’s rule for estimating due dates, GTPAL classification, quickening, and fundal height assessment (page 1–2). The document also includes detailed case-based breast cancer screening scenarios aligned with USPSTF recommendations, MRI sensitivity versus specificity, BRCA testing indications, and lymphatic drainage patterns relevant to metastatic spread (pages 3–7). Advanced gynecologic content includes Pap smear technique (transformation zone identification), pelvic inflammatory disease with purulent discharge at the cervical os, uterine fibroids presenting as midline pelvic masses, prolactinoma-related galactorrhea, and HPV-related genital warts. Male reproductive topics include erectile physiology (nitric oxide and cGMP mechanisms), spermatocele with transillumination, acute epididymitis, testicular torsion, Peyronie disease, gynecomastia causes, hydrocele, varicocele, inguinal hernias (direct vs indirect), phimosis, paraphimosis, balanitis, and cryptorchidism (pages 8–31). Obstetric care topics cover gestational age determination via insemination date plus 2 weeks, Chadwick sign, transverse lie management, diastolic murmurs in pregnancy (pathologic), renal agenesis causing intrauterine growth restriction, domestic violence counseling during pregnancy, hepatitis C screening in IV drug use, vaccination counseling (MMR postpartum), and nutrition/exercise recommendations (300+ additional calories daily) (pages 20–24). The structured question-and-answer format mirrors graduate-level Nurse Practitioner examination standards and emphasizes clinical reasoning, screening guidelines, anatomy, pathophysiology, risk assessment, and evidence-based management. This resource is particularly relevant for: NR 546 Reproductive Health students Family Nurse Practitioner (FNP) programs Women’s Health NP (WHNP) programs Adult-Gerontology NP programs Advanced Practice Registered Nurse (APRN) students Graduate-level OB/GYN and primary care courses Board exam preparation (AANP, ANCC reproductive content areas) Keywords: NR 546 reproductive 2026, GTPAL gravida para term preterm abortion living, Naegele rule due date calculation, quickening fundal height assessment, USPSTF breast cancer screening, BRCA testing indications, lymphatic drainage breast metastasis, prolactinoma galactorrhea, uterine fibroids pelvic mass, transformation zone Pap smear, pelvic inflammatory disease cervical os discharge, HPV genital warts description, erectile physiology nitric oxide cGMP, spermatocele transillumination, acute epididymitis vs torsion, Peyronie disease plaques, gynecomastia causes medications, hydrocele varicocele differences, inguinal hernia direct indirect, phimosis paraphimosis management, Chadwick sign pregnancy, gestational age insemination plus 2 weeks, diastolic murmur pregnancy pathology, renal agenesis IUGR, domestic violence pregnancy counseling, hepatitis C prenatal screening

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NR 546 Final Exam Week 7
Reproductive 2026 Exam
Questions with 100% Correct
Answers | Latest Update



What are the five 5 P's - 🧠 ANSWER ✔✔partners, practices, past history of

STI, protection, prevention of pregnancy (and pleasure)


hypospadias - 🧠 ANSWER ✔✔abnormal congenital opening of the male

urethra on the undersurface of the penis

,epispadias - 🧠 ANSWER ✔✔congenital defect in which the urinary meatus

is located on the upper surface of the penis or on the side


nagele's rule - 🧠 ANSWER ✔✔identify LMP, subtract 3 months, add 7 days

and one year

difference between presumptive and positive s/s - 🧠 ANSWER

✔✔presumptive (probable and noted on exam)


positive- directly linked to fetus


GTPAL - 🧠 ANSWER ✔✔Gravida, Term, Preterm, Abortions, Living


diffrence between gravida and para - 🧠 ANSWER ✔✔gravida- number of

pregancies the woman has had

para- number of births the woman has had


What does the T in GTPAL stand for? - 🧠 ANSWER ✔✔term births- 37-42

weeks gestation


what does the P stand for in GTPAL - 🧠 ANSWER ✔✔preterm- 20-37


what does the A in GTPAL stand for - 🧠 ANSWER ✔✔spontaneous and/or

elective abortions

,what does the L in GTPAL stand for? - 🧠 ANSWER ✔✔living children


what is quickening? - 🧠 ANSWER ✔✔maternal sensation of fetal movement


when can provider feel movements versus when mother can - 🧠 ANSWER

✔✔provider- after 24 weeks


mom- 18-24 weeks


When should fundal height be measured? - 🧠 ANSWER ✔✔is gestational

age is > 20 weeks= at this point fundus reaches umbilicus

1. A 44-year-old female mathematician presents to clinic with a complaint

of a mass in the right breast.Her partner noticed this mass 2 days ago, and

the patient feels guilty because she has only had onemammogram and

does not engage in breast self-examination (BSE) on any regular basis.

She has nofamily history of breast cancer, and her prior mammogram was

ordered as a routine screening test atage 43 years after a brief discussion

with her primary care provider. After a thorough investigationreveals a

benign cyst, what advice should be given to this patient about screening for

breast cancer inher age group? - 🧠 ANSWER ✔✔This patient was in

compliance with the U.S. Preventive Services Task Force




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, (USPSTF)recommendations for her age group and risk factors prior to her

current complaint

A 42-year-old female website developer presents for an annual preventive

examination withquestions about breast cancer screening. She is

concerned about the radiation exposure associated withmammography and

is interested in magnetic resonance imaging (MRI) as a possible alternative

forroutine screening. She is otherwise healthy with no family history of

breast, ovarian, or colon cancer.Which of the following is true about MRI as

a screening modality for breast cancer in the generalpopulation? - 🧠

ANSWER ✔✔Sensitivity of screening for breast cancer increases with

breast MRI at the expense of specificity.

A 35-year-old G0P0 woman presents to clinic with a complaint of bilateral

nipple discharge. Thisdischarge started several weeks ago and has

occurred at irregular intervals since that time. She does notcomplain of

local tenderness, redness, fever, or any other systemic symptoms aside

from slightlyirregular periods over the last few months. On examination, she

is able to express a small amount ofdischarge, which is sent to the

laboratory and found to be consistent with breast milk but without anysigns

of blood or pus. Screening laboratories are also sent, which reveal a

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