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NR 602 Midterm QUESTIONS & ANSWERS(RATED A)
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Presumptive signs of pregnancy - ANSWER Least objective or subjective signs. amenorrhea, nausea/vomiting, breast tenderness, deepening areolar pigmentation, urinary frequency, quickening, fatigue and Slight increase in body temperature: Rise in temperature coincides with luteal phase and is the re...

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  • October 17, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nr 602 midterm
  • nr 602
  • nr 602 midterm questions answersrated a
  • presumptive signs of pregnancy answer least obje
  • probable signs of pregnancy answer high likeliho

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NR 602 Midterm QUESTIONS &
ANSWERS(RATED A)

Presumptive signs of pregnancy - ANSWER Least objective or subjective signs.

amenorrhea, nausea/vomiting, breast tenderness, deepening areolar pigmentation, urinary frequency,
quickening, fatigue and Slight increase in body temperature: Rise in temperature coincides with luteal
phase and is the result of increased progesterone



Probable signs of pregnancy - ANSWER high likelihood of pregnancy but there are still other conditions
that may cause the findings.

Goodell's sign: Cervical softening (around 4 weeks)

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

Enlarged uterus• Positive urine or blood pregnancy test (β-hCG)



Positive signs of pregnancy - ANSWER Most reliable and most objective signs.

• Palpation of the fetus by the health care provider

• Ultrasound and visualization of the fetus

• Fetal Heart Tones (FHT) auscultated by the health care provider



Hegar's sign - ANSWER Probable sign of pregnancy.

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 - ANSWER below the xiphoid process once lightening occurs



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

Ex: LMP - 8/10/19 + 7 days = 8/17/19 - 3 months = 05/17/19 + 1 year = 05/17/20

, Fundal Height

- 24 to 36 weeks - 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.




Contraindications for combined vs. progesterone-only birth control - ANSWER cardiovascular risk factors,
migraine with aura, or a history of VTE

-Breastfeeding (progestin only!)



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

Estrogen suppresses the production of FSH, preventing the emergence of a dominant follicle

e.g. COCs, the patch, and the vaginal ring



Progestin-only Contraception - ANSWER -Less risks but irregular bleeding during first six months. -Many
become amenorrheic after 1 year

-Works by preventing the LH surge and inhibiting ovulation; thickens cervical mucus; causes
endometrium to become atrophic



e.g. progestin-only pills, the depot medroxyprogesterone acetate injection, the subdermal implant, and
three levonorgestrel-containing IUDs.



Tier 1 Contraception - ANSWER Most effective methods of contraception

-IUDs: (effective for 10 yrs) Works because the device is recognized as a foreign body and a sterile
inflammatory response is produced. The inflammatory response has spermicidal effects decreasing the
likelihood of pregnancy



-Depot Medroxyprogesterone Acetate (DMPA) (Injection Q3 months)

, -Progestin Implants (nexplenon) - Effective up to 3 years



Sterilization - Tube ligation or vasectomy



Tier 2 Contraception - ANSWER -Combined oral contraceptive (COC) pills- estrogen and progesterone



-Oral contraceptive pill- progestin only "Minipill"

-Emergency contraception



-Transdermal patch (1 patch a week x 3 weeks. 4th week is patch free)



-Ring (Replace monthly. In vagina x 3 weeks. Removed for 4th week)



Tier 3 Contraception - ANSWER -barrier methods

-natural family planning

-coitus interruptus



Emergency Contraception - ANSWER -Ulipristal acetate emergency contraceptive pill (ECP) (aka Ella) -
Most effective oral ECP



-The Yuzpe



-Levonorgestrel



-Copper IUD -The most effective of ALL ECP



May be used within 120 hours of UPI.

The Yuzpe and Lebonorgestrel must be used ASAP due to decreased efficacy with time

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