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NU664 Exam 2 Study Guide/123 Questions and Answers

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NU664 Exam 2 Study Guide/123 Questions and Answers

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  • August 12, 2024
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  • 2024/2025
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NU664 Exam 2 Study Guide/123
Questions and Answers
When is the follicular phase ovarian cycle begin - -begins at the onset of
menses and ends on the day before the LH surge (Days 1-14)

-What happens during the follicular phase - -Increase in FSH stimulates the
ovary to develop follicles that contain and egg

-The follicles produce - -estrogen

-estrogen causes the uterine lining to - -thicken

-LH is released from - -the pituitary gland

-LH surge - -pituitary releases a large amount of LH

-Luteal phase of the ovarian cycles begins - -on the day of the LH surge - 24
hours before ovulation - days 15-28 of cycle

-Luteal phases causes - -rupture of the mature follicle and release of egg

-ruptured follicles in the luteal phase lead to - -formation of corpus luteum
which grows and secretes estradiol and progesterone to prepare the uterus
for pregnancy

-Uterine cycle - -menstrual phase

-uterine cycle typical duration - -3-5 days

-uterine cycle typical flow - -10-80ml

-Uterine cycle: proliferative phase - -depends on estrogen - corresponds
with follicular phase - causes endometrial lining to grow

-uterine cycle: secretory phase - -corresponds to luteal phase of ovarian
cycle - corpus luteum produces progesterone - endometrium is receptive to
implantation of blastocyst

-Excessive estrogen - -menorrhagia, dysmenorrhea, fibrocystic breast
changes, mucorrhea, edema/leg cramps, bloating, cyclic weight gain,
increased fibroid growth, withdrawal headache

, -Insufficient estrogen - -amenorrhea, hypomenorrhea, break through
bleeding before day 10, irritability, atrophy of vagina, hot flases, night
sweats, decreased pelvic tone

-excessive progesterone - -loss of libido, increased yeast infections,
oligomenorrhea, increased appetite, depressed mood/anxiety, skin changes,
non-cyclic weight gain, HTN

-insufficient progesterone - -dysmenorrhea, menorrhagia, break through
bleeding after day 10 of cycle

-primary amenorrhea definition - -- absence of menarche by age 15 w/
secondary sex charact.
- OR age 13 if no menses and no secondary sex characteristics

-primary amenorrhea: causes - -imperforate hymen, gonadal dysgenesis,
mullerian agenesis (MRKH syndrome)

physiologic delay

endocrine disorders (PCOS, hyperprolactinemia, thyroid disorders)

weight loss/anorexia or excessive exercise

-primary amenorrhea: imperforate hymen sxs - -amenorrhea, abdominal
pain, back pain, urinary sxs, painful bowel movements, difficult sex, never
used a tampon

-primary amenorrhea: gonadal dysgenesis what is it? - -abnormal sexual
development where there is part of complete regression of the gonads,
fibrous gonads do not produce hormones

lacking all or part of one of the X chromosomes

-primary amenorrhea: gonadal dysgenesis dx - -probable - FSH is high
confirmed - karyotype

-primary amenorrhea: gonadal dysgenesis (turner syndrome) SXS - -short
stature, normal external female characteristics OR ambiguous genitalia,
intra-abdominal tests, blind vaginal pouch, lack of secondary sex
characteristics

widely space nipples (shield chest), short webbed neck, absent pubic/axillary
hair, lack of breast development, vagina and uterus present

ovaries usually absent - replaced by scar tissue

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