* Women's Health Nurse Practitioner
Certification Exam 2024
**Target Question Count:** 75
**The Female Focus: NGN WHNP Mastery**
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1. 25-year-old, annual exam. Contraceptive counseling: wants long-acting, no estrogen. Best option?
💫RATIONALE✔️✔️: LNG-IUS (Mirena, Liletta) or copper IUD. No estrogen, highly effective.
💫ANSWER✔️✔️: C. Levonorgestrel intrauterine device
---
2. 30-year-old, heavy menstrual bleeding, fibroids. Hemoglobin 9.5. First-line medical therapy?
💫RATIONALE✔️✔️: Tranexamic acid or NSAIDs for bleeding. LNG-IUS reduces bleeding by 90%.
💫ANSWER✔️✔️: B. Levonorgestrel IUD
---
3. 35-year-old, dysmenorrhea, no contraception needed. Best initial treatment?
💫RATIONALE✔️✔️: NSAIDs (ibuprofen, naproxen) inhibit prostaglandins. Start at onset of bleeding.
💫ANSWER✔️✔️: A. Ibuprofen 600 mg q6h
---
4. 40-year-old, perimenopause, hot flashes, no contraindications. First-line treatment?
💫RATIONALE✔️✔️: Low-dose estrogen (oral or patch) plus progesterone if uterus intact.
💫ANSWER✔️✔️: D. Estradiol patch 0.0375 mg + micronized progesterone
, ---
5. 50-year-old, postmenopausal, vaginal dryness, dyspareunia, no systemic symptoms. Best local
treatment?
💫RATIONALE✔️✔️: Low-dose vaginal estrogen (cream, ring, tablet). Minimal systemic absorption.
💫ANSWER✔️✔️: C. Estradiol vaginal cream 0.5g twice weekly
---
6. 28-year-old, pregnant (9 weeks), nausea and vomiting, mild. First-line treatment?
💫RATIONALE✔️✔️: Pyridoxine (vitamin B6) 25 mg q6-8h + doxylamine 12.5 mg at bedtime.
💫ANSWER✔️✔️: A. Pyridoxine and doxylamine
---
7. 32-year-old, G1P0 at 12 weeks, urine culture positive for Group B Streptococcus. Next?
💫RATIONALE✔️✔️: Treat GBS bacteriuria in pregnancy (penicillin or ampicillin). Repeat urine culture.
💫ANSWER✔️✔️: B. Ampicillin 500 mg q6h x 7 days
---
8. 35-year-old, G2P1 at 28 weeks, gestational diabetes, fasting glucose 95, 1h postprandial 145. Next?
💫RATIONALE✔️✔️: Fasting >95 or 1h >140 requires pharmacotherapy. Insulin first-line.
💫ANSWER✔️✔️: D. Insulin NPH at bedtime
---
9. 40-year-old, G3P2 at 36 weeks, blood pressure 150/95, urine protein 300 mg/24h. Next?
💫RATIONALE✔️✔️: Preeclampsia without severe features. Deliver at 37 weeks, BP control (labetalol).
💫ANSWER✔️✔️: C. Labetalol and plan delivery at 37 weeks
---
Certification Exam 2024
**Target Question Count:** 75
**The Female Focus: NGN WHNP Mastery**
---
1. 25-year-old, annual exam. Contraceptive counseling: wants long-acting, no estrogen. Best option?
💫RATIONALE✔️✔️: LNG-IUS (Mirena, Liletta) or copper IUD. No estrogen, highly effective.
💫ANSWER✔️✔️: C. Levonorgestrel intrauterine device
---
2. 30-year-old, heavy menstrual bleeding, fibroids. Hemoglobin 9.5. First-line medical therapy?
💫RATIONALE✔️✔️: Tranexamic acid or NSAIDs for bleeding. LNG-IUS reduces bleeding by 90%.
💫ANSWER✔️✔️: B. Levonorgestrel IUD
---
3. 35-year-old, dysmenorrhea, no contraception needed. Best initial treatment?
💫RATIONALE✔️✔️: NSAIDs (ibuprofen, naproxen) inhibit prostaglandins. Start at onset of bleeding.
💫ANSWER✔️✔️: A. Ibuprofen 600 mg q6h
---
4. 40-year-old, perimenopause, hot flashes, no contraindications. First-line treatment?
💫RATIONALE✔️✔️: Low-dose estrogen (oral or patch) plus progesterone if uterus intact.
💫ANSWER✔️✔️: D. Estradiol patch 0.0375 mg + micronized progesterone
, ---
5. 50-year-old, postmenopausal, vaginal dryness, dyspareunia, no systemic symptoms. Best local
treatment?
💫RATIONALE✔️✔️: Low-dose vaginal estrogen (cream, ring, tablet). Minimal systemic absorption.
💫ANSWER✔️✔️: C. Estradiol vaginal cream 0.5g twice weekly
---
6. 28-year-old, pregnant (9 weeks), nausea and vomiting, mild. First-line treatment?
💫RATIONALE✔️✔️: Pyridoxine (vitamin B6) 25 mg q6-8h + doxylamine 12.5 mg at bedtime.
💫ANSWER✔️✔️: A. Pyridoxine and doxylamine
---
7. 32-year-old, G1P0 at 12 weeks, urine culture positive for Group B Streptococcus. Next?
💫RATIONALE✔️✔️: Treat GBS bacteriuria in pregnancy (penicillin or ampicillin). Repeat urine culture.
💫ANSWER✔️✔️: B. Ampicillin 500 mg q6h x 7 days
---
8. 35-year-old, G2P1 at 28 weeks, gestational diabetes, fasting glucose 95, 1h postprandial 145. Next?
💫RATIONALE✔️✔️: Fasting >95 or 1h >140 requires pharmacotherapy. Insulin first-line.
💫ANSWER✔️✔️: D. Insulin NPH at bedtime
---
9. 40-year-old, G3P2 at 36 weeks, blood pressure 150/95, urine protein 300 mg/24h. Next?
💫RATIONALE✔️✔️: Preeclampsia without severe features. Deliver at 37 weeks, BP control (labetalol).
💫ANSWER✔️✔️: C. Labetalol and plan delivery at 37 weeks
---
