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FNP AANP prep – pregnancy Latest Exam 2025 2026 With Correct Verified Answers, Exams of Nursing

Trinity School of NursingNursing

Pap smears - correct answer>>-specimens are satisfactory if collected from the "transformation zone" -will include both squamous epithelial and endocervical cells...otherwise considered "incomplete" -start screenings at 21, can stop at 65 -21-29 yo: Pap smear every 3 years (if NORMAL) -30+ yo: Pap smear every 5 years w/ HPV co-test (if NORMAL) Abnormal Pap smears - correct answer>>-"inflammation" (non-specific finding) cervicitis concern; screen for gonorrhea & chlamydia -"ASC-US": atypical squamous cells of undetermined significance —repeat pap in 12 mo & HPV testing —if HPV neg: repeat co-test (pap & HPV) in 3 yrs —if HPV pos (strains 16 &18): colposcopy (diagnostic test for cervical cancer -"LSIL": low-grade squamous intraepithelial lesions (HPV usual cause) —collect with cervical biopsy: colposcopy -"HSIL": high-grade squamous intraepithelial lesions (pre/cancerous concern!)

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FNP AANP prep – pregnancy Latest Exam 2025-
2026 With Correct Verified Answers
Pap smears - correct answer>>-specimens are satisfactory if collected from the
"transformation zone"
-will include both squamous epithelial and endocervical cells...otherwise considered
"incomplete"
-start screenings at 21, can stop at 65
-21-29 yo: Pap smear every 3 years (if NORMAL)
-30+ yo: Pap smear every 5 years w/ HPV co-test (if NORMAL)
Abnormal Pap smears - correct answer>>-"inflammation" (non-specific finding) cervicitis
concern; screen for gonorrhea & chlamydia
-"ASC-US": atypical squamous cells of undetermined significance
—repeat pap in 12 mo & HPV testing
—if HPV neg: repeat co-test (pap & HPV) in 3 yrs
—if HPV pos (strains 16 &18): colposcopy (diagnostic test for cervical cancer
-"LSIL": low-grade squamous intraepithelial lesions (HPV usual cause)
—collect with cervical biopsy: colposcopy
-"HSIL": high-grade squamous intraepithelial lesions (pre/cancerous concern!)
—<25 yo: collect w/ cervical biopsy: colposcopy
—25+yo: excisional tx: leep or cervical colonization surgery
ASC-US: atypical squamous cells of undetermined significance - correct answer>>-repeat
pap in 12 mo
-HPV testing
—if HPV neg: repeat co-test (pap and HPV in 3 years)
—if HPV pos (strains 16/18): colposcopy
LSIL: low-grade squamous intraepithelial lesions - correct answer>>-HPV usual cause
-collect w/ cervical biopsy: colposcopy
HSIL: high-grade squamous intraepithelial lesions - correct answer>>-((pre)/cancerous
concern)
-<25 yo: collect w/ cervical biopsy: colposcopy
-25+ yo: excisional tx: leep or cervical colonization surgery
Human papilloma virus (HPV) - correct answer>>-can be prevented by administering
gardasil-9 vaccine (starting at ages 9-11)
-protects against genital warts and most cases of cervical cancer (strains 16/18)
pf3
pf4
pf5
pf8

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Download FNP AANP prep – pregnancy Latest Exam 2025 2026 With Correct Verified Answers and more Exams Nursing in PDF only on Docsity!

FNP AANP prep – pregnancy Latest Exam 2025-

2026 With Correct Verified Answers

Pap smears - correct answer>>-specimens are satisfactory if collected from the "transformation zone"

  • will include both squamous epithelial and endocervical cells...otherwise considered "incomplete"
  • start screenings at 21, can stop at 65
  • 21 - 29 yo: Pap smear every 3 years (if NORMAL)
  • 30+ yo: Pap smear every 5 years w/ HPV co-test (if NORMAL) Abnormal Pap smears - correct answer>>-"inflammation" (non-specific finding) cervicitis concern; screen for gonorrhea & chlamydia
  • "ASC-US": atypical squamous cells of undetermined significance —repeat pap in 12 mo & HPV testing —if HPV neg: repeat co-test (pap & HPV) in 3 yrs —if HPV pos (strains 16 &18): colposcopy (diagnostic test for cervical cancer
  • "LSIL": low-grade squamous intraepithelial lesions (HPV usual cause) —collect with cervical biopsy: colposcopy
  • "HSIL": high-grade squamous intraepithelial lesions (pre/cancerous concern!) —<25 yo: collect w/ cervical biopsy: colposcopy —25+yo: excisional tx: leep or cervical colonization surgery ASC-US: atypical squamous cells of undetermined significance - correct answer>>-repeat pap in 12 mo
  • HPV testing —if HPV neg: repeat co-test (pap and HPV in 3 years) —if HPV pos (strains 16/18): colposcopy LSIL: low-grade squamous intraepithelial lesions - correct answer>>-HPV usual cause
  • collect w/ cervical biopsy: colposcopy HSIL: high-grade squamous intraepithelial lesions - correct answer>>-((pre)/cancerous concern)
  • <25 yo: collect w/ cervical biopsy: colposcopy
  • 25+ yo: excisional tx: leep or cervical colonization surgery Human papilloma virus (HPV) - correct answer>>-can be prevented by administering gardasil-9 vaccine (starting at ages 9-11)
  • protects against genital warts and most cases of cervical cancer (strains 16/18)

Trichomoniasis - correct answer>>-signs/symptoms: "strawberry cervix" with flagella, green/yellow d/c, vulva red/inflamed, lower abd pain

  • diagnostics: nucleic acid amplification test (NAAT)
  • tx: flagyl; tx partner too! Caution with alcohol use Bacterial vaginosis - correct answer>>-signs/symptoms: clue cells w/ "blurred edges", milky-like d/c, vulva not red
  • diagnostics: positive whiff test (fishy odor when KOH mixed with vaginal d/c)
  • tx: flagyl; do not need to tx partner; caution with alcohol use Candidal vaginitis - correct answer>>-thick, cheesy-like d/c, vulva red & irritated
  • diagnostics: wet mount: +pseudohyphae findings
  • tx: antifungals ("azoles"); do not need to tx partner Gonorrhea - correct answer>>-signs/symptoms: "Friable cervix" on clinical exam with complaints of...vaginal d/c, dysuria, dyspareunia, abnormal uterine bleeding, lower abd pain, rectal pain *screen all sexually active 25 yo!
  • diagnostics: nucleic acid amplification test (NAAT) & leukocytosis (elevated WBCs)
  • tx: rocephin; tx partner too!
  • if positive w/ both G&C tx w/ doxycycline & rocephin Chlamydia - correct answer>>-signs/symptoms: "Friable cervix" on clinical exam with complaints of...vaginal d/c, dysuria, dyspareunia, abnormal uterine bleeding, lower abd pain, rectal pain *screen all sexually active 25 yo!
  • diagnostics: nucleic acid amplification test (NAAT) & leukocytosis (elevated WBCs)
  • doxycycline; tx partner too! *azithromycin remains an acceptable alternative too!
  • if positive w/ both G&C tx w/ doxycycline & rocephin Herpes - correct answer>>*key finding: painful, burning vesicles
  • easily spread through skin shedding to partners
  • diagnostics: PCR test (viral culture of vesicular fluid)
  • tx: antivirals ("clovirs"); start w/in first 48-72 hrs of symptom onset Syphilis - correct answer>>-symptom stages:
  1. Painless sores (3-6 wks)
  2. Rash on palms & soles of feet
  • supplement with calcium & vitamin D
  • take most recent pill ASAP & discard of other missed pills
  • missed 4 pills? Throw away pack and start new one!
  • utilize backup method! - correct answer>>-what do you do if you missed a dose of OCP? HCG testing - correct answer>>-HCG doubles every 48 hours during first 12 weeks gestation
  • ectopic pregnancy: HCG lower than normal
  • inevitable abortion: HCG rapidly declining
  • consider ordering an HCG urine test for women (of childbearing age) with: abdominal pain or amenorrhea
  • not needed: STD tx, contraception initiation, dysmenorrhea tx
  • required: pregnancy care - correct answer>>-When is parental consent required? When tx patients <18 yo Pregnancy signs - presumptive - correct answer>>-entirely subjective
  • symptoms the patient reports to you
  • breast tenderness, amenorrhea, nausea, quickening (at 16 wks)
  • naegele's rule (estimates due dates): LMP + 9 mo + 1 wk Naegele's rule - correct answer>>-LMP + 9 mo + 1 wk Pregnancy signs - probable - correct answer>>-remember HCG!
  • Hegar: uterine softening
  • Chadwick: blue discoloration of cervix/vagina
  • Goodell: cervical softening
  • also positive HCG pregnancy tests! Hegar - correct answer>>-uterine softening Chadwick - correct answer>>-blue discoloration of cervix/vagina Goodell - correct answer>>-cervical softening Pregnancy signs - positive - correct answer>>-objective findings!
  • what you find on your clinical exam
  • remember PUF!
  • P: palpation of fetus (Leopold's maneuver)
  • U: ultrasound of fetus
  • F: fetal heart tones on ultrasound Fundal heights - correct answer>>-measuring +/- 2 cm of gestational week is normal!
  • 20 weeks measured at umbilicus
  • 12 weeks measured at symphysis pubis Alpha-fetoprotein testing (AFP) - correct answer>>-done at 16-20 weeks
  • low levels: Down syndrome
  • high levels: neural tube defects
  • prevention: 400mcg folic acid daily Gestational diabetes - correct answer>>-oral glucose tolerance test (OGTT) completed at 24 - 28 weeks gestation
  • 1 - step test: 75g OGTT
  • 2 - step test: (1) 50g OGTT, if glucose >140, (2) 100g OGTT
  • A1C goal: 6-6.5%
  • gestational diabetes risks: macrosomia, preeclampsia, polyhydramnios Rhogam - correct answer>>-28 weeks
  • if mom is is RH(-)
  • if baby is RH+ repeat at 72 hours post-birth
    • Coombs test: baby RH+, mom RH-; birth: high risk of fetal/maternal blood mixing Group B strep - correct answer>>- 35 - 37 weeks
  • if vaginal or rectal swab positive, tx mom with pencillin Placenta previa - correct answer>>-painless, light vaginal bleeding
  • placenta is covering cervical os
  • tx: vaginal rest Placenta abruption - correct answer>>-painful bleeding with hard, "board-like" abdomen
  • placental detachment from uterine wall
  • immediate referral to ED
  • most common in 3rd trimester Preeclampsia - correct answer>>-3 main symptoms: hypertension, swelling, proteinuria
  • Rubella
  • Cytomegalovirus
  • Herpes - correct answer>>-what are the "TORCH" infections?
  • fetal torch infections can cause: microcephaly, mental retardation, hepatosplenomegaly, intrauterine growth retardation Mastitis - correct answer>>-skin fissures allow bacterial entry to the breast tissue causing a local infection of the milk duct
  • signs/symptoms: breast pain, tenderness, warmth, fever & malaise (flu-like)
  • tx: dicloxacillin (alt if penicillin allergy: cephalexin)
  • remember to "just keep feeding" (frequent emptying of breasts can help)
  • test tip: sore nipples? Common in first 2 weeks of breastfeeding; improves over time Breast cancer - correct answer>>-unilateral breast changes
  • signs/symptoms: fixed, nontender, irregularly shaped, singular hard mass, commonly in outer breast (tail of Spence)
  • skin changes: "peau d'orange" skin resembles orange peel, dimpling and retraction
  • risk factors: age 50+, early menarche, late menopause, nulliparous
  • diagnostics: mammogram
  • referral: breast surgeon Fibroadenoma - correct answer>>-bilateral breast changes
  • monthly hormonal cycle (menses) induces breast tissue to become engorged and painful
  • signs/symptoms: breast tenderness and pain two weeks before onset of menses with bilateral rubbery, mobile and well-circumcised lumps
  • tx: self-limiting, resolves at start of menses Polycystic ovarian syndrome (PCOS) - correct answer>>-hormonal abnormality marked by excessive androgens (testosterone), insulin resistance and infertility
  • signs/symptoms: hirsutism, hormonal acne & amenorrhea
  • treatment options...
  1. Weight loss/metformin (reduces androgen & insulin levels)
  2. Spironolactone (blocks androgens)
  3. Low-dose contraceptives (suppresses ovaries)
  • enlarged ovaries seen on ultrasound Menopause - correct answer>>-premenopause symptoms...
  1. Hot flashes
  2. Irregular menses
  1. Cyclic mood swings
  • postmenopausal symptoms... —atrophic vaginitis (dryness, itching and pain due to lack of estrogen) —caution if vaginal bleeding refer for endometrial screening (cancer risk)