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NR 602 Midterm Women's Gynecologic Health questions with correct answers

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Maryville University Of St. Louis

Presumptive signs of pregnancy Correct Answer-Least objective or subjective signs. amenorrhea, nausea/vomiting, breast tenderness, deepening areolar pigmentation, urinary frequency, quickening, fatigue and Slight increase in body temperature Probable signs of pregnancy Correct Answer-high likel...

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NR 602 Midterm Women's Gynecologic Health
questions with correct answers
Presumptive signs of pregnancy Correct Answer-Least objective or
subjective signs.
amenorrhea, nausea/vomiting, breast tenderness, deepening areolar
pigmentation, urinary frequency, quickening, fatigue and Slight increase
in body temperature

Probable signs of pregnancy Correct Answer-high likelihood of
pregnancy
Goodell's sign
Chadwick's sign
Hegar's sign
Enlarged uterus
Positive urine or blood pregnancy test (β-hCG)

Goodell's sign Correct Answer-Cervical softening around 4 weeks

Chadwick's sign Correct Answer-Blueish coloration of the vagina &
cervix (6-8 weeks)

Positive signs of pregnancy Correct Answer-• Palpation of the fetus by
the provider
• Ultrasound and visualization of the fetus
• Fetal Heart Tones (FHT) auscultated by provider

,Hegar's sign Correct Answer-Occurs at four months.
Occurs when the uterus bends in an anterior direction on the softened
lower uterine segment or isthmus.

Fundal Height at 38-40 weeks Correct Answer-below the xiphoid
process once lightening occurs

Naegele's Rule Correct Answer-add 7 days to first day of LMP, subtract
3 months, and add 1 year

Last menstrual period was 8/17/19. when is the due date? Correct
Answer-05/17/20

Fundal Height
- 24 to 36 weeks Correct Answer-Measured in cm. Measure the distance
between the upper edge of pubic symphysis and the top of the uterine
fundus with a tape measure. Fundal height equals the number of
gestational weeks (+/- 2cm). For example, a 28 week gestation fetus
should have a fundal height that measures between 26 and 30cm.

Fundal Height at 12 weeks Correct Answer-Uterine fundus first rises
above the symphysis pubis

Fundal Height at 16 weeks Correct Answer-Uterine fundus is between
the symphysis pubis and umbilicus

,Fundal Height at 20 weeks Correct Answer-Uterine fundus is at the level
of the umbilicus

Hematologic changes during pregnancy in the first trimester Correct
Answer--CO increased 30%-50% and SV increases 20% to 30%
-HR increases by 15-20 beats/min by 32 weeks' gestation.
- increase RBC volume leading to hemodilution, so decrease in RBC,
WBC, H/H. Iron deficiency anemia is common.

-Inc in sed rate, fibrinogen

- dec PT, PTT - at risk for clots

-Second trimester: systolic BP decreases by 2-8 mm Hg and diastolic BP
decreases by 5-15 mm Hg due to peripheral vascular resistance

Third trimester: BP gradually returns to pre-pregnancy values

Hematologic changes during pregnancy in the second trimester Correct
Answer-systolic blood pressure decreases by 2-8 mm Hg and diastolic
blood pressure decreases by 5-15 mm Hg due to peripheral vascular
resistance

, Hematologic changes during pregnancy in the third trimester Correct
Answer-blood pressure gradually returns to pre-pregnancy values

Indications for combined vs progesterone-only birth control Correct
Answer-Regulation of menstrual bleeds
acne and hirsutism
PCOS
Women with pelvic pain such as endometriosis-related or chronic pelvic
pain or dysmenorrhea, painful ovarian cysts to suppress ovulation (with
higher dose estrogen) and subsequent formation of new cysts
-Endometriosis: Monophasic COC and skip placebo week

Contraindications for combined vs. progesterone-only birth control
Correct Answer-cardiovascular risk factors, migraine with aura, or a
history of VTE
-Breastfeeding (progestin only!)

benefits of combined vs progesterone-only birth control Correct
Answer--Rapid reversibility
-Decreased menstrual blood loss
-Decreased risk of ovarian and endometrial cancers as well as ectopic
pregnancies.

Combined Oral Contraception (COC) Correct Answer-More predictable
bleeding patterns due to stabilization of the endometrium

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