NSG 6999 WOMEN’S HEALTH MIDTERM REVIEW:
62 Q&A
1. The NP understands that in women of reproductive age, the most common cause of
a bleeding pattern that is suddenly different from the woman’s established
menstrual pattern is: a complication of pregnancy
2. The NP is teaching a class on contraception. The class includes a discussion on the
non-contraceptive use which includes a decreased risk for which of the following:
Select all that apply: Endometrial cancer, ovarian cancer
3. The NP understands that prostaglandins produced in the uterine lining and
released into the bloodstream as the lining is shed causes the smooth muscles to
contract and is known as: Primary dysmenorrhea
4. A 27 year-old presents to her nurse practitioner with a CC of a breast mass for 2
months. The NP performs a clinical breast exam and no discrete mass is identified
which of the following is an appropriate follow up plan for this patient? Recheck
the patient after her next menses
5. The nurse practitioner understands that the American cancer Society recommends
which of the following screening guidelines for mammography in women? Annual
screening beginning at age 40
6. The NP is developing a treatment plan for a postpartum patient with lactation
mastitis. Which of the following should be included in the plan of care? Select all
that apply. Increase fluids, Continuation of breastfeeding, Antibiotics
7. Gestation is 20-22 weeks and usually located at the same height as the
umbilicus.
8. A 21 year-old female returns to the clinic for her 28 week prenatal visit. Her labs
reveal that her blood type A is negative, antibody screen negative, and hemoglobin
12.1 g/dl. Based on these lab results, the nurse practitioner should: Administer
Rhogam to the patient.
9. The NP is teaching a patient about the maternal and fetal risks associated with pre-
eclampsia. Which of the following are identified as risks to the fetus? Select all
that apply. Intrauterine Growth Restriction, Oligohydramnios
10. Which medication is the best treatment for primary dysmenorrhea?
Prostaglandin Inhibitors
, 11. A 38 year-old female complains of heavy menstrual bleeding for the past few years.
The bleeding has become heavier and heavier over the past six months, lasting at
least ten days each months. The client’s hemoglobin is 10g/dl and pelvic ultrasound
is normal. What treatment should the ANP provide? Progestin IUD
12. A 25 year-old client is 8 weeks’ gestation presents to the clinic for her first prenatal
visit. On exam, her cervix is closed and there is no vaginal bleeding. An ultrasound
reveals an intra-uterine pregnancy with a crown-rump length consistent with 7
weeks and 2 days gestation and no cardiac activity. What is the best diagnosis for
this client? Missed abortion
13. A 20 year-old female presents to the clinic for contraceptive counseling. She is
interested in starting depot medroxyprogesterone acetate (DMPA). Which of the
following statements indicate her understanding of the potential side effects?
“Irregular bleeding is common in the first six months.”
14. Types of Abortions and complications:
Incomplete Abortion- Partial products of conception are retained in the uterus;
the cervical os remains open.
Complete Abortion- All products of contraception are expelled; the cervical os is
closed.
Threatened Abortion- Products of conception remain in the uterus; the cervical
os is closed.
Missed Abortion- Embryonic death, or lack of embryonic development, has
occurred (i.e., an embryonic gestation)
15. Nagele's rule Add 7 days to LMP and subtract 3 months
16. Contraceptive Methods: Depo, Mirena,No Copper IUD with smokers, migraines,
BCPS, types, instructions for use, benefits, side effects, contraindications, ideal
candidates, managing method problems, predicting ovulation with natural family
planning
17. Infertility: etiology, tests, management
18. Breast Disorders/Problems: types, clinical manifestations, management
19. Reproductive Organs: anatomy and physiology, functions
20. Menstrual Cycle Disorders: Menarche usually occurs b/t ages 12 and 15 and
continues to age 45-55. Menstrual cycles that occur during the first 1 to 1.5 years after
menarche are frequently irregular due to the immaturity of the hypothalamic–pituitary–
ovarian axis etiology, PMS vs. PMDD, dysmenorrhea, amenorrhea, management
21.Abnormal Uterine Bleeding: Women who have missed at least three
menstrual periods in a row have amenorrhea, as do girls who haven't
begun menstruation by age 15. The most common cause
of amenorrhea is pregnancy or menopause. Treatment depends on the
62 Q&A
1. The NP understands that in women of reproductive age, the most common cause of
a bleeding pattern that is suddenly different from the woman’s established
menstrual pattern is: a complication of pregnancy
2. The NP is teaching a class on contraception. The class includes a discussion on the
non-contraceptive use which includes a decreased risk for which of the following:
Select all that apply: Endometrial cancer, ovarian cancer
3. The NP understands that prostaglandins produced in the uterine lining and
released into the bloodstream as the lining is shed causes the smooth muscles to
contract and is known as: Primary dysmenorrhea
4. A 27 year-old presents to her nurse practitioner with a CC of a breast mass for 2
months. The NP performs a clinical breast exam and no discrete mass is identified
which of the following is an appropriate follow up plan for this patient? Recheck
the patient after her next menses
5. The nurse practitioner understands that the American cancer Society recommends
which of the following screening guidelines for mammography in women? Annual
screening beginning at age 40
6. The NP is developing a treatment plan for a postpartum patient with lactation
mastitis. Which of the following should be included in the plan of care? Select all
that apply. Increase fluids, Continuation of breastfeeding, Antibiotics
7. Gestation is 20-22 weeks and usually located at the same height as the
umbilicus.
8. A 21 year-old female returns to the clinic for her 28 week prenatal visit. Her labs
reveal that her blood type A is negative, antibody screen negative, and hemoglobin
12.1 g/dl. Based on these lab results, the nurse practitioner should: Administer
Rhogam to the patient.
9. The NP is teaching a patient about the maternal and fetal risks associated with pre-
eclampsia. Which of the following are identified as risks to the fetus? Select all
that apply. Intrauterine Growth Restriction, Oligohydramnios
10. Which medication is the best treatment for primary dysmenorrhea?
Prostaglandin Inhibitors
, 11. A 38 year-old female complains of heavy menstrual bleeding for the past few years.
The bleeding has become heavier and heavier over the past six months, lasting at
least ten days each months. The client’s hemoglobin is 10g/dl and pelvic ultrasound
is normal. What treatment should the ANP provide? Progestin IUD
12. A 25 year-old client is 8 weeks’ gestation presents to the clinic for her first prenatal
visit. On exam, her cervix is closed and there is no vaginal bleeding. An ultrasound
reveals an intra-uterine pregnancy with a crown-rump length consistent with 7
weeks and 2 days gestation and no cardiac activity. What is the best diagnosis for
this client? Missed abortion
13. A 20 year-old female presents to the clinic for contraceptive counseling. She is
interested in starting depot medroxyprogesterone acetate (DMPA). Which of the
following statements indicate her understanding of the potential side effects?
“Irregular bleeding is common in the first six months.”
14. Types of Abortions and complications:
Incomplete Abortion- Partial products of conception are retained in the uterus;
the cervical os remains open.
Complete Abortion- All products of contraception are expelled; the cervical os is
closed.
Threatened Abortion- Products of conception remain in the uterus; the cervical
os is closed.
Missed Abortion- Embryonic death, or lack of embryonic development, has
occurred (i.e., an embryonic gestation)
15. Nagele's rule Add 7 days to LMP and subtract 3 months
16. Contraceptive Methods: Depo, Mirena,No Copper IUD with smokers, migraines,
BCPS, types, instructions for use, benefits, side effects, contraindications, ideal
candidates, managing method problems, predicting ovulation with natural family
planning
17. Infertility: etiology, tests, management
18. Breast Disorders/Problems: types, clinical manifestations, management
19. Reproductive Organs: anatomy and physiology, functions
20. Menstrual Cycle Disorders: Menarche usually occurs b/t ages 12 and 15 and
continues to age 45-55. Menstrual cycles that occur during the first 1 to 1.5 years after
menarche are frequently irregular due to the immaturity of the hypothalamic–pituitary–
ovarian axis etiology, PMS vs. PMDD, dysmenorrhea, amenorrhea, management
21.Abnormal Uterine Bleeding: Women who have missed at least three
menstrual periods in a row have amenorrhea, as do girls who haven't
begun menstruation by age 15. The most common cause
of amenorrhea is pregnancy or menopause. Treatment depends on the
