2026/2027- Walden University Latest Edition
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QUESTION 1
In a woman who is 20 weeks pregnant, the fundus is typically the same height as:
A. The symphysis pubis
B. The umbilicus
C. The xiphoid process
D. None of the above
Correct Answer: B
Feedback: At 20 weeks gestation, the fundal height is typically at the level of the
umbilicus (belly button). Fundal height in centimeters roughly corresponds to weeks of
gestation from 18-32 weeks.
QUESTION 2
The following are risk factors for breast cancer except:
A. Menarche after the age of 12
B. Nulliparity
C. Menopause at age 55 years or older
D. First full-term pregnancy after age 30
Correct Answer: A
Feedback: Early menarche (before age 12) is a risk factor for breast cancer, not late
menarche. Later menarche (after age 12) is actually protective. Nulliparity, late
menopause (after 55), and first pregnancy after 30 are all established risk factors.
QUESTION 3
Your patient is pregnant and has three cats. You educate her that she should have
someone else clean the litter box as there is an infection that can spread through cat feces
that can be harmful to the unborn baby. The infection is called:
A. E. Coli
B. Toxoplasmosis
C. Cat-scratch fever
D. Tetanus
,Correct Answer: B
Feedback: Toxoplasmosis is caused by the parasite Toxoplasma gondii, which can be
transmitted through cat feces. It can cause congenital infections leading to neurological
damage, blindness, and hearing loss in the fetus.
QUESTION 4
(Question text missing from PDF - only "A The need for daily pill taking" shown)
Correct Answer: Not determinable from provided content
Feedback: Refer to course materials for the complete question.
QUESTION 5
With irritable bowel syndrome (IBS), typically defecation:
A. Makes the pain more intense
B. Provides relief from the pain
C. Makes no difference in the pain
D. Causes intense cramping
Correct Answer: B
Feedback: In IBS, defecation typically provides relief from abdominal pain. This is one
of the Rome IV diagnostic criteria for IBS: pain that is relieved by defecation.
QUESTION 6
The Tanner scale divides sexual physical maturity into ___ stages.
A. Three
B. Five
C. Seven
D. Nine
Correct Answer: B
Feedback: The Tanner scale (also called Sexual Maturity Rating) divides sexual
development into five stages for both males and females, ranging from prepubertal to
adult.
QUESTION 7
Nonlatex condoms:
A. Fit tighter on the penis than latex condoms
B. Come in a variety of colors
,C. Have an increased risk of breakage or slippage during intercourse than latex condoms
D. Lead to a greater incidence of allergies than latex condoms
Correct Answer: C
Feedback: Nonlatex condoms (such as polyurethane or polyisoprene) have a higher risk
of breakage and slippage compared to latex condoms. Latex condoms are the most
effective at preventing STIs and pregnancy when used correctly.
QUESTION 8
A potentially toxic environmental substance is lead. In pregnancy, lead is a neurotoxin
and can cause learning deficits and developmental delays. Lead is found in all of the
following except:
A. Fish
B. Older homes with lead paint
C. Certain types of pottery
D. Some stained glass
Correct Answer: A
Feedback: Lead is found in older homes with lead paint, certain pottery glazes, stained
glass materials, and some imported toys or cosmetics. Fish is associated with mercury,
not lead.
QUESTION 9
Prior to giving semen for an analysis, a male should be abstinent for:
A. 24 hours prior to the test
B. 2-5 days prior to the test
C. 2 weeks prior to the test
D. None of the above
Correct Answer: B
Feedback: The recommended abstinence period for semen analysis is 2-5 days. Shorter
abstinence may result in lower volume, while longer abstinence may result in decreased
motility.
QUESTION 10
When medical therapy for heavy menstrual bleeding occurs, the following surgical
management option(s) are available:
A. Dilation and curettage
B. Endometrial ablation
C. Uterine artery embolization
, D. Hysterectomy
E. A, B, and D
F. A, B, C, and D
Correct Answer: F
Feedback: All options are surgical management options for heavy menstrual bleeding.
D&C, endometrial ablation, uterine artery embolization, and hysterectomy are all used
depending on the patient's condition, desire for future fertility, and severity.
QUESTION 11
All of the following are risk factors for fetal genetic or development abnormalities in
maternal, paternal, and family history except:
A. Maternal age equal or greater than 30 years
B. Mother and father related by blood
C. Maternal exposure to toxins
D. Congenital blindness or deafness
Correct Answer: A
Feedback: Maternal age greater than 35 (not 30) is a risk factor for genetic abnormalities
such as Down syndrome. Consanguinity (blood-related parents), toxin exposure, and
family history of congenital conditions are all risk factors.
QUESTION 12
During pregnancy, blood volume:
A. Remains the same as pre-pregnant amounts
B. Increases by 10%
C. Increases by 30-50%
D. Decreases by 20%
Correct Answer: C
Feedback: Blood volume increases by approximately 30-50% during pregnancy, with
the peak occurring around 30-34 weeks. This increase supports the growing fetus,
placenta, and maternal organs.
QUESTION 13
A complete male evaluation usually includes:
A. Two semen analyses, approximately one hour apart
B. Two semen analyses, approximately one month apart
C. One complete semen analysis
D. A fractionated semen analysis