AANP Women's Health 2

Question 1

Which contraceptive method has the highest typical-use failure rate?

Accepted Answer

Male condoms

Answer

Male condoms have a typical-use failure rate of approximately 13–18% due to inconsistent or incorrect use, compared to less than 1% for IUDs.

Question 2

A 35-year-old woman who smokes more than 15 cigarettes per day asks about oral contraceptives. What is the appropriate response?

Accepted Answer

Prescribe progestin-only pills as a safer alternative

Answer

Women over 35 who smoke have a significantly increased risk of thromboembolic events with estrogen-containing contraceptives; progestin-only methods are a safer alternative.

Question 3

A pregnant woman at 28 weeks with no blood type antibodies has Rh-negative blood. What intervention is indicated?

Accepted Answer

Rh immunoglobulin (RhoGAM) injection now and after delivery

Answer

Rh-negative women receive RhoGAM at 28 weeks and again within 72 hours of delivery to prevent sensitization that could cause hemolytic disease in future Rh-positive fetuses.

Question 4

Which diagnostic test is the gold standard for diagnosing endometriosis?

Accepted Answer

Laparoscopy with biopsy

Answer

Laparoscopy with direct visualization and biopsy of ectopic endometrial implants remains the gold standard for definitive diagnosis of endometriosis.

Question 5

A woman reports galactorrhea and amenorrhea. What is the most important initial laboratory test?

Accepted Answer

Serum prolactin level

Answer

Galactorrhea with amenorrhea strongly suggests hyperprolactinemia; serum prolactin is the initial test, and an elevated level warrants pituitary imaging to rule out prolactinoma.

AANP - American Association of Nurse Practitioners Practice Test

AANP - American Association of Nurse Practitioners Practice Test

AANP Women's Health 2