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University of California, San Francisco
(UCSF)
NCC National Certification Corporation
NCC Women’s Health Care Nurse
Practitioner WHNP-BC Exam
Course Title and Number: NCC Women’s Health Care Nurse Practitioner WHNP-BC Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
**1. Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you** **have completed the Exam.
- This test has a time limit, The test will save and submit** **automatically when the time expires
- This is Exam which will assess your knowledge on the course** Learning Resources.
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📧 Hybridgrades101@gmail.com NCC National Certification Corporation 2024- Women’s Health Care Nurse Practitioner WHNP Board Exam Practice Test Questions and Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - When would you do a pap on someone >65? - Answer>> When they have a hx of CIN 2 or greater within last 20 years, continue screening for 20+ years after treatment, even if it extends past age 65. Do not screen women <21 with pap, regardless of sexual activity, unless... - Answer>> Hx of DES exposure, immune compromised, hx of cervical cancer Age 20-29 ASCUS pap result - Answer>> screen HPV acceptable for 21-24, preferred for 25- ASCUS 21-24 - Answer>> Either: reflex HPV testing (if negative, normal screening, if positive ->) or Repeat testing (preferred) at 12 months, if HSIl colpo, if ASCUS or LSIL repeat in 12 months. If negative x2, normal screening. If second screening is ASC or more, colpo. ASCUS >25 - Answer>> HPV co-testing (preferred). IF negative, repeat co-test in 3 years. If positive, colpo. OR Repeat cytology in 1 year. If ASCUS or more, colpo, if negative, routine screening. HPV +, cytology neg - Answer>> Either: Repeat co- testing in 12 months (if either is positive, colpo, if negative routine screen) OR genotype for 16/ Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com and minor muscle and level 1- lymph nodes. A nipple-areolar sparing mastectomy (NSM) - Answer>> Leaves areola/nipple but removes ducts HELLP - Answer>> Pre-Eclampsia to the extreme! Hemolysis Elevated Liver Low Platelets. Hemolytic anemia, AST (liver) 2x upper limit of normal, platelets < 100,000. Bilirubin elevated due to increased hemolysis. Order of puberty for females - Answer>> BOOBS (thelarche) PUBES (pubarche) BONES (growth spurt peak height velocity) BLOOD (menarche). Growth spurt starts with thelarche, however. Menses predicted to occur approximately 24 months after thelarche and soon after PHV. Event/factor most likely associated with onset of puberty - Answer>> body weight/BMI Clomid - Answer>> SERM. Binds to estrogen receptors. Blocks negative feedback in hypothalamus. Must confirm issue with ovulation prior to starting. Usually started on day 5 of cycle following spontaneous or induced bleeding. Start with 50mg daily for 5 days. If this doesn't work, increase to 100mg. Chorionic villi sampling - Answer>> 11-14 weeks, takes tissue from behind placenta. Enters through cervix or abdomen. Risk of miscarriage. 100% accurate, for diagnosing Amniocentesis - Answer>> 16-22 weeks, takes sample of amniotic fluid Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Kleihauer-Betke test - Answer>> quantitative (diagnostic) measurement of fetal red blood cells in maternal blood. it can be valuable for determining if additional amounts of Rh IgG should be administered Indirect coombs test - Answer>> Measure the presence (not the amount) of antibodies in maternal blood in response to Rh+ fetus. (screening, doesn't say how much antibodies are present) Most common cause of benign breast lump in women <40 - Answer>> fibroadenoma- firm, solid, but mobile, often in young women. Usually non-tender. GBS culture good for _____ weeks - Answer>> 5 T/F If admitted for PTL and no recent GBS culture, treat with abx - Answer>> True: Swab and then treat prophylactically during labor unless pt is discharged GBS treated with - Answer>> Pcn or ampicillin. C&S if allergic. Lochia Day 1-3 PP - Answer>> Rubra: bright red. If present after 3 days, may be indicative of retained placenta or subinvolution Lochia Day 3-10 pp - Answer>> Serosa: Pink/brown (tinged, healing, dried blood) Lochia Day 10-28 pp - Answer>> Alba: Yellow-white. Going back to normal. Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com 4th degree perineal laceration - Answer>> an injury involving the entire anal sphincter complex as well as the anal epithelium Mastitis usually due to milk ________ and _________ nipples - Answer>> milk stasis and cracked nipples Most common organism causing mastitis - Answer>> staph aureus 1st line mastitis tx - Answer>> Dicloxacillin 500mg BID x10 days In pregnancy, blood volume increases by - Answer>> 1.5 L (30-50%) ____________ murmur considered normal in pregnancy - Answer>> SYSTOLIC Pre-eclampsia diagnostic criteria (mild) - Answer>> After 20wk GA; Bp of 140/90 x2 (two separate readings), at least 6 hrs apart, plus at least one of the following: proteinuria, low platelet count, abnormal LFTs, abnormal kidney function, neuro symptoms Severe pre-eclampsia diagnostic criteria - Answer>> After 20 wk GA; Bp >160/110, at least 2 readings at least 6 hrs apart, plus one of the following: platelet <100,000, LFTs 2x normal, Cr > 1.1, Treat BP greater than ____/____ with iv meds - Answer>> 170/ Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Treat severe PreE with these IV meds (5): - Answer>> Labetalol, hydralazine, procardia, sodium nitroprusside, nifedipine PreEclampsia/htn antepartum monitoring - Answer>> Growth scans Q4 at 28 wks, NST/BPP weekly at 32 weeks Hegars sign - Answer>> Softening and compressibility of lower uterine segment Goodell's sign - Answer>> Softening of the cervix Chadwick sign - Answer>> Increased vascularity of the vagina leads to a violet color characteristic of the vagina Methotrexate - Answer>> Anti-progesterone. Blocks progesterone Molar pregnancy - Answer>> Neoplasms that derive from abnormal trophoblastic proliferation Prevention of recurring molar pregnancy - Answer>> Prevention of pregnancy for at least 6 months (preferably a year) after evacuation and resolution of previous molar Risk factors for molar pregnancy - Answer>> AMA, hx of molar pregnancy, hx of miscarriage, vitamin A deficiency, nulliparity, history of infertility Molar pregnancy treatment - Answer>> Suction curettage, or hysterectomy if no desired pregnancies in future. Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Abnormal nipple discharge - Answer>> SPONTANEOUS unilateral nipple discharge (not related to lactation) Primary risk factor for ovarian torsion - Answer>> Ovarian mass, usually 5cm or greater Most common bacteria causing UTI in pregnancy - Answer>> E. Coli AUB- PALM-COEIN - Answer>> Structural: Polyp, adenomyosis, leiomyoma (fibroid), malignancy/heperplasia. Non-structural: coagulopathy, ovarian dysfunction, endometrial, iatrogenic (caused by medical exam or treatment), not yet identified. Abx that are absolutely SAFE in pregnancy - Answer>> Cephalosporins (keflex, etc.), beta-lactams (pcns) and erythromycin (macrolide) Bactrim (Trimethoprim-sulfamethoxazole ) in pregnancy - Answer>> Avoid in first trimester and at term Nitrofurantoin (macrobid) in pregnancy - Answer>> Avoid at term (hemolytic nemia of newborn), otherwise safe Birads 0 - Answer>> Incomplete/inconclusive- repeat Birads 1 - Answer>> negative, there is nothing there Birads 2 - Answer>> Benign- there may be something there but it is benign, no additional screening needed. Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Birads 3 - Answer>> probably benign- short interval (6 month) follow-up Birads 4 - Answer>> Suspicious- 4a: low suspicion of malignancy; 4b: moderate suspicion of malignancy; 4c: high suspicion of malignancy. Need tissue diagnosis Birads 5 - Answer>> Highly suggestive of malignancy, need tissue diagnosis Birads 6 - Answer>> Known to be malignant (tissue biopsy positive) need to excise tissue. Tanner breast stages - Answer>> 1: preadolescent 2: Breast bud stage: elevation of breast and papilla as small mound enlargement of areolar diameter (beginning of puberty) 3: Further enlargement and elevation of breasts and areola, with no separation of their contours (hills) 4: Projection of areola and papilla to form a secondary mound above the level of the breast (mountain top) 5: Mature stage: projection of papilla only, owing to recession of the areola to the general contour of the breast Tanner pubic hair stages - Answer>> 1: preadolescent, no hair growth 2: fine dark downy straight hairs start to appear on labia 3: Hair becomes darker and coarser and starts to spread. Easily identifiable. 4: Hair darker and curlier, similar to adult but has not extended to thighs 5: Inverse triangle pattern with hair exending onto medial thighs Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Cranial nerve V - Answer>> Trigeminal- sensation of objects touching face, movement in chewing Cranial nerve VI - Answer>> Abducens- lateral movement of the eye Cranial nerve VII - Answer>> Facial- smile, frown, make funny faces, taste Cranial nerve VIII - Answer>> Vestibulocochlear- hearing and balance Cranial nerve IX - Answer>> Glossopharyngeal- taste, gag reflex Cranial nerve X - Answer>> Vagus- gag reflex, parasympathetic innervation Cranial nerve XI - Answer>> Accessory- shoulder shrug Cranial nerve XII - Answer>> Hypoglossal- stick tongue out, move side to side xerosis - Answer>> dry skin, winter itch. Seen with harsh soap, frequent baths, cold temps, low humidity, ETOH use Acne tx - Answer>> 1st line- education- wash face, avoid oily products, use benzoyl peroxide or salicylic acid. 2nd- erythromycin or clindamycin; if no response, doxycycline. OCPs: Ortho tricyclen, yaz, Estrostep. 3rd line- referral to derm Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Acne rosacea - Answer>> Autoinflammatory disease. May be confused with acne. Appears across nose and cheeks but may have bumps that look like pimples. Can be triggered by things such as stress, ETOH, temperature changes, spicy foods. Tx: metrogel, Eczema - Answer>> AKA atopic dermatitis. Intense itching along patterns of distribution with remission and exacerbation. Increased in low humidity, dry conditions. Often found along face, neck, trunk, wrist, hands, elbows, knees. Can be caused by allergies, stress, or other environmental triggers. Basal cell carcinoma - Answer>> Translucent/fleshy color. Can have ulceration in the skin also. Typically never metastisizes. Most common type of skin cancer. Squamous cell carcinoma - Answer>> Presents as red, crusted or scaly patch. Often very rapidly growing tumor/ulceration with persistent bleeding. Pain common characteristic. Second most common type of skin cancer. Malignant melanoma - Answer>> Irregular looking mole/freckle- asymmetrical area with an irregular border, color variation, and ofter greater than 6mm. Actinic keratosis - Answer>> Pre-cancerous lesion. Scaly, red, itchy, can turn into squamous cell carcinoma. Seen frequently on faces/scalps of older people. Normal amniotic fluid level - Answer>> 5-25 cm. Oligo: <5; Poly :>25. Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Lichen sclerosus - Answer>> Thin shiny white skin caused by immune system. Tx with high potency steroids. 5% chance of leading to carcinoma Lichen planus - Answer>> red itchy bumps caused by immune system Anti Mullerian Hormone - Answer>> Produced in small primary follicles. As the follicles grow, AMH is no longer produced. Follicles >8mm will not produce AMH. AMH can be done at any point in woman's cycle. If too high (>4), indicative of PCOS. Normal 1.5-4. low normal 1- 1.5. Low is <1. IF less than 1, ovarian reserve diminished. Want greater than 1.0 for successful pregnancy. PCOS labs - Answer>> Total testosterone >50, Free is more indicative, >2. DHEA > Prolactin normal LH:FSH 2-3: Impaired fasting glucose Metformin MOA, benefits, side effects - Answer>> Inhibits hepatic glucose production. Increases peripheral glucose uptake, decreases testosterone indirectly by decreasing hyperinsulinemia, associated with weight loss, improved lipid profile, improved acne, hirsutism, ovulation and pregnancy Can cause GI upset, caution in renal patients Kallman - Answer>> Hypogonadotropin, hypogonadism. Absence/reduced sense of smell, delayed puberty or absence of secondary sex characteristics. Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Sheehans syndrome - Answer>> Hypovolemia during delivery as a result of shock leads to under perfusion of pituitary gland and hypopituitarism- unable to lactate, thyroid issues, etc. "Estrogen of pregnancy" - Answer>> Estriol A 66-year-old woman with a history of pruritus presents with an ulceration of the vulva. The most likely diagnosis is: - Answer>> Vulvar carcinoma Vulvar carcinoma symptoms - Answer>> pruritus (most common); pain; burning; bleeding lesions that may be darkly or irregularly pigmented, white or red, multifocal or singular, and flat, wartlike, or scaly; erythematous irritated ulceration; and odorous discharge that may be blood-tinged Misoprostol MOA - Answer>> Causes uterine contractions Which androgen can be converted to estradiol? - Answer>> Testosterone Boggy, tender uterus most likely associated with: - Answer>> Adenomyosis Calendar method for contraception: Subtract ____ days from shortest cycle and _____ days from longest cycle to get range of days in which to abstain. - Answer>> Subtract 18 days from her shortest recorded cycle and 11 days from her longest cycle Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Females exposed to DES in utero are at increased risk for: - Answer>> Vaginal cancer The second and third doses of the human papillomavirus (HPV) vaccination should be given: - Answer>> Two months and six months after the initial dose. The polypeptide hormone produced by the ovaries that stimulates FSH production is - Answer>> Activin systematic, interactive, subjective approach used to describe life experiences and give them meaning is defined as ___________ research - Answer>> Qualitative In polyhydramnios, the fluid comes from: - Answer>> amniotic epithelium and fetal functions. What range of weeks is considered embryonic stage during pregnancy? - Answer>> 2- Ninety percent of ectopics have an hcg level that does not rise above: - Answer>> 6500 The most effective medication class for tocolysis is: - Answer>> CCBs like nifedipine The triple screen tests for: - Answer>> AFP, estriol, hCG. Symmetric fetal growth restriction appears around ____- ____ wks - Answer>> 18- Positive hx for alcoholism can be assessed using the _______ questionaire. - Answer>> cage Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Gastric Bypass is a Cat 3 on the MEC chart for COCs because... - Answer>> The surgery can cause malabsorption issues and make the birth control less effective A woman on ACE inhibitors should not be prescribed (or should be prescribed with caution) which progestin? - Answer>> Drosperinone For contraception, the diaphragm should not be inserted prior to __ hours before intercourse or left in for more than __ hours after intercourse - Answer>> 6 hours before; 6 hours after Spermicidal foam instructions - Answer>> 1)Insert the spermicide deep into the vagina just before intercourse. 2)Wait about 10-15 minutes after you insert spermicide into your vagina before having sex. 3)Insert spermicide no more than 30-60 minutes before having intercourse. After ovulation, BBT will rise about______ degrees. The hormone _____________ is responsible for the rise in temp. - Answer>> 0.5; progesterone Following a medical abortion, a pregnancy test at home can be used to confirm completion by testing after ___ weeks - Answer>> 3 An Rh negative woman should be given Rho(D) immune globulin (RhoGAM) after delivery if she has a ______________ indirect coombs and the baby is Rh ______ - Answer>> Negative; Positive Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
