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NUR 220 ( LATEST 2024 / 2025 ) EXAM 5 | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)
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NUR 220 ( LATEST 2024 / 2025 ) EXAM 5 | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)
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NUR 220 Exam 51. What is preconception care?
Answer
Time of care leading up to pregnancy
-yearly exam to look for physical and psycological things that may effect becoming pregnant
2. What is menstruation?
Answer
The shedding of the uterine lining
3. What is the menstrual cycle?
Answer
Time period when blood, tissue and unfertilized egg leaves the body
4. What are the phases of the menstrual cycle?
Answer
follicular phase, ovulation, luteal phase, menstruation
5. How long is the follicular phase?
Answer
14 days
6. How long is the ovulation phase?
Answer
day 14
7. How long is the luteal phase?
Answer
15-28 days
,8. How long is menstration?
Answer
28 days
*know
9. What are the female hormones?
Answer
-Hypothalamus - secretes GnRH
-Anterior lobe of the pituitary - secretes FSH & LH
-Ovarian Follicles - secretes estrogen (increase GnRH) and progesterone (decrease GnRH)
**know that these three things in to be in check to conceive. If one is out of wack they all will
be**
Also known as the HPO axis
10. What is primary amenorrhea?
Answer
Absence of menstruation
-No menses by age 15 AND no secondary sex characteristics
-No menses by age 16 AND presence of secondary sex characteristics
11. What are secondary sex characteristics?
Answer
-chest growth, facial hair, deep voice (other characteristics that are associated with puberty but
that don't have anything to do with reproduction)
-breasts, pubic hair
12. What would cause primary amenorrhea?
Answer
-Lack of GnRH from hypothalamus
,-> no pituitary stimulation
-Pituitary dysfunction
-No stimulation to ovaries -> follicle does not mature
-Congenital anomalies
-90% unidentified cause
13. What are congenital anomalies?
Answer
birth defects
14. Who is at risk for primary amenorrhea?
Answer
Athletes, chronic illness, eating disorders (anorexia)
-90% are unidentified cause
15. What happens to the female hormones when primary amenorrhea is pre- sent?
Answer
-malfunctioning hypothalamus - No GnRH production
-pituitary - No LH or FSH production
-overall - No follicle maturation, No Ovulation, No Menses, No stimulation of sec- ondary sex
characteristics
16. What is secondary amenorrhea?
Answer
Absence of menstruation for 3 or more cycles or 6 months
-Occurring in those who have previously menstruated.
17. What are the causes of secondary amenorrhea?
Answer
-Pregnancy or Lactation
, -Damage to hypothalamus, pituitary or ovary
-Birth control
-Hysterectomy
-Disruption in H-P-O axis
-Heavy athletic training
-Rapid weight loss or gain
18. What is abnormal uterine bleeding?
Answer
Any deviation from normal menstruation (change in the HPO axis)
-Painless bleeding, prolonged, excessive and irregular
-Absence of underlying structural or systemic disease
Can occur at any age
-Most commonly occurs at beginning and end of reproductive years
19. What is the treatment for abnormal uterine bleeding?
Answer
-Treat underlying cause
-Estrogen, progestin, combined oral contraceptives, Depo, long active reversible contraceptives
-Iron replacement
-Surgical intervention (D&C, ablation, hysterectomy)
20. What is D & C?
Answer
dilation and curettage to treat uterine bleeding
21. How might someone present with abnormal uterine bleeding?
Answer
-pale
-tired
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