NURS 682 Final Exam Questions With 100% Verified Answers.
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Course
NURS 682
Institution
NURS 682
NURS 682 Final Exam Questions With 100%
Verified Answers.
What are the two parts of the ovarian phase (in order)? - answerFollicular then luteal.
What are the two parts of the uterine phase(in order)? - answerProliferative and secretory.
What does the hypothalamus release in pulsatile fashion a...
NURS 682 Final Exam Questions With 100%
Verified Answers.
What are the two parts of the ovarian phase (in order)? - answer✔Follicular then luteal.
What are the two parts of the uterine phase(in order)? - answer✔Proliferative and secretory.
What does the hypothalamus release in pulsatile fashion and where is it sent to? -
answer✔GnRH. It is sent to the anterior pituitary.
What does GnRH stimulate the release of? What hormone is produced? - answer✔GnRH
stimulates the anterior pituitary to release FSH, stimulating a follicle to grow and produce
ESTROGEN.
What does an increase in estrogen cause the anterior pituitary to produce and store? What part of
the cycle is this associated with? What test do women do that measures this hormone? What
happens to the endometrium. - answer✔Increase in luteinizing hormone (LH). This is associated
with ovulation, and OPKs measure this. The endometrium thickens.
What does high LH cause the ruptured follicle to become? What is the hormone being produced?
- answer✔The follicle becomes the corpus luteum (yellow body). This produces progesterone.
What does progesterone do to the production of FSH and LH. - answer✔Inhibits it.
What happens to the corpus luteum if fertilization does not occur? In tern what happens to the
estrogen and progesterone? - answer✔It dies. Estrogen and progesterone begin a rapid decline
and menses occur.
What do low levels of estrogen signal the hypothalamus to do? - answer✔Increase production of
GnRH.
What hormone causes the s/s of PMS? - answer✔Progesterone (it is the dominant hormone in
last 14 days of cycle)
What does estrogen do to the cervix? - answer✔Facilitates sperm penetration. Thin, stretchy
mucus.
What does progesterone do to the cervix? - answer✔Thick mucus, hostile to sperm.
How many days is ovulation to menses? - answer✔14 days.
What is the dominant hormone of pregnancy/ the second half of the menstrual cycle? -
answer✔Progesterone.
What is the MOA for progestin (4 things)? - answer✔1. suppress FSH/LH (inhibits ovulation).
2. thickens cervical mucus
3. thins endometrium
slows peristalsis in fallopian tube
What is the MOA for estrogen (4 things)? - answer✔1. suppress FSH, no dominant follicle,
ovulation suppressed
2. endometrial instability
3. good cycle control
4. increases progesterone receptors (work well together)
What is E1? When is it dominant? - answer✔Estrone, dominant in menopause.
What is E2? When is it dominant? - answer✔Estradiol, dominant in reproductive years,
associated with ovarian follicle.
What is E3? When is it seen? - answer✔Estriol, weak, made in fetal adrenal in pregnancy (found
in baby girls)
How much estradiol does an ovarian follicle secrete daily? What is needed for ovulation to
occur? - answer✔100-300 mcg, >= 200 mcg
What is the common dose of ethinyl estradiol (EE) - answer✔20-35 mcg
Effects of estrogen? - answer✔increase bone formation, breast ductal growth, growth of estrogen
receptors (cancer), improves quality of sleep, antidepressant, increase in T3/T4, increase in
gallstones, increase in clotting factors/PT/ESR, influence hepatic enzymes, increase in HDL/TG,
increase prolactin, increase skin elasticity
Effects of progestins? - answer✔stimulates breast glandular growth, inhibits
proliferation/decreases fibrocystic disease, CNS sedation, increased HCT/fibrinogen, decrease in
HDL, increase in LDL, glucose intolerance, weight gain, increased appetite, depression, acne,
sebaceous cyst, hirsituism
Cardinal points when considering contraceptive options (4) - answer✔1. individualized
2. consider health hx, other meds, route
3. what is most likely to encourage adherence
4. what are the non-contraceptive benefits
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