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CMN 572 Unit 1 Exam 2025 Study Guide Questions and Answers 100% Pass
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CMN 572 Unit 1 Exam 2025 Study Guide Questions and Answers 100% Pass Gravida/Para - Gravida/gravidity=total number of confirmed pregnancies that a woman has had, regardless of the outcome Para/parity=number of births after 20 weeks gestation TPAL - term, preterm, abortion, living What to incl...

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  • 3 de diciembre de 2024
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CMN 572 Unit 1 Exam 2025 Study Guide Questions
and Answers 100% Pass


Gravida/Para - ✔✔Gravida/gravidity=total number of confirmed pregnancies that a woman has had,

regardless of the outcome


Para/parity=number of births after 20 weeks gestation


TPAL - ✔✔term, preterm, abortion, living


What to include/ask for in an complete OB/GYN history? - ✔✔Age, LMP, GP, CC, present illness, past

medical history, contraception, medications, surgical history, allergies, OB/GYN history, sexual, social,

family history


information to know for a patients OB history? - ✔✔pregnancies, sex & weight of children, DOB,

pregnancy duration, length/type of labor, anesthesia, complications


information to know for a patients GYN history? - ✔✔menstrual history: age at menarche, duration,

period intervalss, amount/character of flow, discomfort & age of menopause, STD history


preferred time for self breast exam? - ✔✔1 week after menses


postmenopausal: same day each month


firm cervix may indicate: - ✔✔cancer or tumor


axdenal structures - ✔✔fallopian tubes & ovaries


acidic vs alkaline ph of vaginal discharge indicates: - ✔✔acidic (4-5)= fungal infection


alkaline(5.5-7)= BV or trichomonas




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,schiller test for neoplasia: - ✔✔use of suspected pre/cancerous growths of cervix or vaginal mucosa




suspect area painted with Lugols solution (strong iodine), areas NOT accepting dye= abnormal


premenstrual syndrome (PMS) - ✔✔cyclic occurrence of symptoms that interfere with aspects of life

consistent around menses


premenstrual syndrome (PMS) symptoms - ✔✔occur 2nd half of menstrual cycle (luteal phase) for at least

2 consecutive cycles




mood symptoms [irritability, mood swings, depression, anxiety]


physical symptoms [breast tenderness, bloating, pelvic pain, appetite changes]


cognitive changes [confusion & poor concentration]




MUST be symptom free period of 7 days in 1st half of cycle


causes & diagnosis of PMS - ✔✔potential cause r/t hormonal imbalance


diagnosis: pt reports at least 1 mood & somatic symptom during 5 days prior to menses in 3 prior cycles


symptoms dissipate 4 days post menses & stay dormant until day 13


Treatment of PMS - ✔✔minimal symptoms: limit alcohol, salt, caffeine, tobacco


Ca Carbonate, Magnesium, b6, Vitamin E, NSAIDs to reduce bloating ad pai




SSRI's, contraceptives



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,Pap smear screening guidelines - ✔✔21 to 29yo: q3 years


30 to 65yo: q3 or pap+hpv screen q5


>65yo: not rec with previous normal paps


hysterectomy (with removal of cervix): not rec in addition to no history of cancer


high risk groups for cervical cancer - ✔✔prior cervical cancer history, DES intrauterine exposure,

immunocompromised conditions


ACHES - signs of OC complications - ✔✔A = abdominal pain (liver/gallbladder)


C - chest pain, sob (PE/MI)


H - headaches (STROKE)


E - eye problems - (CVA, HTN)


S - severe leg pain (thromboembolus)


Patient education on initial RX OC - ✔✔Use of a backup method of birth control (such as condoms) is

recommended for first 7 days, depending on when in cycle pills are started




Expect breakthrough bleeding for the first several cycles.




Most common side effects are nausea and fatigue


OC start methods - ✔✔Sunday start: start pills on the first Sunday after menses starts




Menses start: start pills on the first day of menses



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, Both of these methods are common, but if the next menses is 2-3 weeks away, the client may forget to fill

Rx or forget to start. Unintended pregnancy can occur while waiting to start




Quick Start: start the pills the day of the office visit regardless of point in cycle. Do urine pregnancy test if

> 5 days since last menses and unprotected sex. Studies show lower rates of unintended pregnancy &

higher continuation rates at 3 months. Use backup contraception for 7 days.


First 3 to 6 mos OC use - ✔✔Expect breakthrough bleeding (BTB)




Adjustment to daily regimen: pills should be taken at the same time every day




Evening dosing can prevent some side effects from occurring during the day (nausea and fatigue)


categories of OC - ✔✔Combination oral contraceptives (COCs) have an estrogen and a progestin




Progestin-only pills (POPs) have only progestin




Tri-phasic pills are COCs that have different doses for each of 3 weeks plus a placebo week




Extended cycle pills are COCs that provide menses once every 3-12 months: Seasonique or Seasonique Lo

or you can use COCs (not tri-phasics) or POPs and drop placebo pills to mimic this regimen.




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