FNP Board Certification Practice Questions:
Obstetrics and Gynecology | 100% Correct
Answers | Verified | Latest 2024 Version
Which of the following findings is most likely in young primigravidas with pregnancy induced
hypertension?
A) Abdominal cramping and constipation
B) Edema of the face and the upper extremities
C) Shortness of breath
D) Dysuria and frequency - ✔✔B) Edema of the face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension include edema of the face and the
upper extremities, weight gain, blurred vision, elevated blood pressure, proteinuria, and headaches.
A second triple screen on a 35-year-old primigravida reveals abnormally low levels of alpha fetoprotein
and estriol and high levels of human chorionic gonadotropin. Which of the following interventions is the
best choice for this patient?
A) Order an ultrasound
B) Order a computed tomography (CT) scan of the abdomen
C) Order a 24-hour urine for protein clearance
D) Assess for a history of illicit drug or alcohol use - ✔✔A) Order an ultrasound
Abnormally low levels of alpha fetoprotein and estriol and high levels of human chorionic gonadotropin
are abnormal during pregnancy. An ultrasound should be ordered to further evaluate the fetus for
characteristics of Down syndrome and/or fetal demise.
Patients who are diagnosed with gonorrhea should also be treated for which of the following infections?
A) Chancroid
B) Chlamydia trachomatis
C) Herpes genitalis
, D) Pelvic inflammatory disease (PID) - ✔✔B) Chlamydia trachomatis
When diagnosed with gonorrhea, the patient should also be treated for Chlamydia trachomatis.
A 35-year-old primigravida who is at 18 weeks gestation is expecting twins. What would you would
expect her alpha fetoprotein (AFP) values to be?
A) Normal
B) Higher than normal
C) Lower than normal
D) None of the above - ✔✔B) Higher than normal
Alpha fetoprotein (AFP) is produced in the fetal and maternal liver. Higher levels of AFP are commonly
seen in multiple gestations due to the growing liver in each fetus, which cumulatively lead to higher AFP
levels.
All of the following are infections that affect mostly the labia and vagina except:
A) Bacterial vaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - ✔✔D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial vaginosis, candidiasis, and
trichomoniasis. Chlamydia trachomatis commonly affects the cervix, endometrial lining, fallopian tubes,
and pelvic cavity.
Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control blood pressure - ✔✔D) A prescription of
methyldopa (Aldomet) to control blood pressure
Obstetrics and Gynecology | 100% Correct
Answers | Verified | Latest 2024 Version
Which of the following findings is most likely in young primigravidas with pregnancy induced
hypertension?
A) Abdominal cramping and constipation
B) Edema of the face and the upper extremities
C) Shortness of breath
D) Dysuria and frequency - ✔✔B) Edema of the face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension include edema of the face and the
upper extremities, weight gain, blurred vision, elevated blood pressure, proteinuria, and headaches.
A second triple screen on a 35-year-old primigravida reveals abnormally low levels of alpha fetoprotein
and estriol and high levels of human chorionic gonadotropin. Which of the following interventions is the
best choice for this patient?
A) Order an ultrasound
B) Order a computed tomography (CT) scan of the abdomen
C) Order a 24-hour urine for protein clearance
D) Assess for a history of illicit drug or alcohol use - ✔✔A) Order an ultrasound
Abnormally low levels of alpha fetoprotein and estriol and high levels of human chorionic gonadotropin
are abnormal during pregnancy. An ultrasound should be ordered to further evaluate the fetus for
characteristics of Down syndrome and/or fetal demise.
Patients who are diagnosed with gonorrhea should also be treated for which of the following infections?
A) Chancroid
B) Chlamydia trachomatis
C) Herpes genitalis
, D) Pelvic inflammatory disease (PID) - ✔✔B) Chlamydia trachomatis
When diagnosed with gonorrhea, the patient should also be treated for Chlamydia trachomatis.
A 35-year-old primigravida who is at 18 weeks gestation is expecting twins. What would you would
expect her alpha fetoprotein (AFP) values to be?
A) Normal
B) Higher than normal
C) Lower than normal
D) None of the above - ✔✔B) Higher than normal
Alpha fetoprotein (AFP) is produced in the fetal and maternal liver. Higher levels of AFP are commonly
seen in multiple gestations due to the growing liver in each fetus, which cumulatively lead to higher AFP
levels.
All of the following are infections that affect mostly the labia and vagina except:
A) Bacterial vaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - ✔✔D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial vaginosis, candidiasis, and
trichomoniasis. Chlamydia trachomatis commonly affects the cervix, endometrial lining, fallopian tubes,
and pelvic cavity.
Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control blood pressure - ✔✔D) A prescription of
methyldopa (Aldomet) to control blood pressure
