Question 1: Jackie is a fifteen-year-old African American female who resides in a housing plan. You realize that barriers exist in providing preventive services to adolescents that include all of the following except:

 Student Answer:       Reluctance of adolescents to seek care

           Concept that adolescents are “healthy” and don’t need services

           Concerns about lack of confidentiality

           Availability of guidelines for preventive care

Question 11. Seventeen-year-old Stella presents with the chief complaint of unilateral breast tenderness and swelling. Which of the following would be the least likely etiology for this problem?

 Student Answer:       Breast cancer


           Fibrocystic breast


Question 19. You are working in a women’s health practice and decide to incorporate brief preconception counseling into every visit. Which of the following would not be included in brief preconception counseling?

 Student Answer:       Maternal assessment

           Risk screening


           Medication management

Question 20. The nurse practitioner is completing a follow-up visit on a woman who was previously prescribed hormonal therapy (HT), which she has not taken for the last month. The primary reason the patient discontinued HT is _.

 Student Answer:       weight gain

           vaginal bleeding

           breast tenderness

           mood changes

Question 26. A Pap smear result of atypical squamous cells of undetermined significance—rule out high-grade squamous intraepithelial lesion (ASCUS r/o HGSIL) will require which procedure next?

 Student Answer:       Cold knife cone (CKC)

           Follow-up Pap smear


           Loop electro-excision procedure (LEEP)

Question 27. In caring for a menopausal client who has had a total hysterectomy, the nurse practitioner would include which of the following options?

 Student Answer:       Estrogen alone

           Estrogen and progestin

           Progestin and testosterone

           Testosterone alone

Question 28. The most effective interventions available to women’s healthcare providers for reducing the incidence and severity of the leading causes of death and disability in this group are __.

 Student Answer:       screening tests



           lifestyle changes

Question 30. A woman has just stopped birth control pills in efforts to become pregnant. You recall that estrogen withdrawal reflects activity primarily from the _.

 Student Answer:       hypothalamus




Question 36. There are several phases to the menstrual cycle. What phase begins with ovulation and ends with menstruation?

 Student Answer:       Ovulatory phase

           Follicular phase

           Proliferative phase

           Luteal phase

Question 37. A woman has been diagnosed with polycystic ovary syndrome (PCOS). Management of PCOS includes all of the following except _.

 Student Answer:       oral contraceptives to establish a regular menstrual cycle

           a planned program of regular exercise

           consult with dietician for weight management

           daily basal insulin to reduce blood sugar

Question 48. Elizabeth, twenty-four years old, is pregnant, and you are educating her on common problems during the first trimester. Which of the following is abnormal and requires immediate attention?

 Student Answer:       Nausea and vomiting (aka “morning sickness”)

           Fatigue and tiredness

           Back ache in the lumbar area

           Vaginal bleeding

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