NR 509 APEA EXAM – WOMEN’S HEALTH 68 QUESTION AND ANSWERS WITH EXPLANATIONS 2026-2027 (36pages)

Question 1 When palpating the cervix during the bimanual exam, cervical motion tenderness (chandelier sign) is noted. This tenderness could be suggestive of: A. retroversion of the uterus. B. pelvic inflammatory disease. C. vulvar lesions. D. Bartholin gland infection. Explanation: Cervical motion tenderness, also known as Chandelier's sign, and/or adnexal tenderness, suggest pelvic inflammatory disease, ectopic pregnancy, or appendicitis. Question 2 In a female diagnosed with a first-degree uterine prolapse, the cervix: A. is located in its normal position. B. has slipped but is well within the vagina. C. is located in the introitus. D. and vagina are outside the introitus. Explanation: Uterine prolapse occurs in progressive stages. The uterus becomes retroverted and descends down the vaginal canal to the exterior. In first-degree prolapse, the cervix is still