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Section A1: Female Reproductive Anatomy & Physiology (12 questions)
Q1: A 24-year-old patient asks about the normal length of the menstrual cycle. Which
response is most accurate according to standard reproductive physiology?
A. 21–25 days
B. 21–35 days [CORRECT]
C. 28–32 days only
D. 35–42 days
Rationale: For the NRNP6552 Week 11 Final Exam Version A, remember that a normal
menstrual cycle ranges from 21 to 35 days, with the average being about 28 days.
Cycles outside this range may indicate underlying pathology like PCOS or luteal phase
defect, so this is a key concept for clinical practice.
Correct Answer: B
,Q2: During a pelvic exam, the NP palpates a firm, muscular structure anterior to the
rectum and posterior to the bladder. This structure measures approximately 7–8 cm in
length and 5 cm in width. Which anatomical structure is being described?
A. Ovary
B. Uterus [CORRECT]
C. Cervix
D. Fallopian tube
Rationale: The uterus is a pear-shaped, muscular organ located between the bladder
and rectum, typically measuring 7–8 cm long and 5 cm wide in nulliparous women. For
the NRNP6552 Week 11 Final Exam, understanding normal anatomy is foundational for
identifying abnormalities during pelvic examination.
Correct Answer: B
Q3: A patient asks about the function of the corpus luteum. Which explanation is most
accurate?
A. It produces estrogen only during the follicular phase
B. It produces progesterone and estrogen after ovulation to support the endometrium
[CORRECT]
C. It releases the mature oocyte during ovulation
D. It degenerates immediately after ovulation
,Rationale: That's right because according to reproductive physiology, the corpus luteum
forms from the ruptured follicle after ovulation and secretes progesterone (and some
estrogen) to prepare and maintain the endometrium for potential implantation. If
pregnancy doesn't occur, it degenerates into the corpus albicans after about 14 days.
Correct Answer: B
Q4: Which hormone is primarily responsible for triggering the LH surge that induces
ovulation?
A. Progesterone
B. Estrogen [CORRECT]
C. Prolactin
D. Inhibin
Rationale: For the NRNP6552 Week 11 Final Exam Version A, remember that rising
estrogen levels from the dominant follicle trigger the positive feedback that causes the
LH surge, which then triggers ovulation approximately 24–36 hours later. This is a
classic endocrine feedback loop that shows up on every comprehensive final.
Correct Answer: B
Q5: A patient is undergoing evaluation for infertility. The NP explains that sperm must
travel through which anatomical sequence to reach the oocyte?
, A. Vagina → cervix → uterus → fallopian tube [CORRECT]
B. Vagina → uterus → cervix → fallopian tube
C. Cervix → vagina → uterus → fallopian tube
D. Uterus → cervix → vagina → fallopian tube
Rationale: The correct pathway is vagina → cervix → uterus → fallopian tube, where
fertilization typically occurs in the ampulla. For the NRNP6552 Week 11 Final Exam, a
common trap is reversing the order—remember that sperm must pass through the
cervical canal first before entering the uterine cavity.
Correct Answer: A
Q6: Which layer of the uterus is responsible for menstrual shedding and implantation?
A. Myometrium
B. Perimetrium
C. Endometrium [CORRECT]
D. Parametrium
Rationale: The endometrium is the inner mucosal lining of the uterus that undergoes
cyclic changes and sheds during menstruation. For the Walden NRNP6552 Week 11
Final Exam, remember that the functionalis layer is shed while the basalis layer
regenerates the endometrium each cycle.
Correct Answer: C