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NSG233 Final Exam (Yavapai College) – Questions & Answers
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NSG233 Final Exam (Yavapai College) – Questions & Answers
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NSG233 Final Exam (Yavapai College) – Questions & Answers Dysmenorrhea Correct Ans - Pain during or just before menstruation P76Dysmenorrhea Tx Correct Ans - TENS, hatha yoga, acupuncture, NSAIDS P76
Oligomenorrhea Correct Ans - infrequent menstruation P82
Hypomenorrhea Correct Ans - scanty menstruation P82
Menorrhagia Correct Ans - excessive menstruation P82
Metrorrhagia Correct Ans - between period bleeding P82
Leiomyomas (fibroids, myomas) Correct Ans - causes of menorrhagia P82
Abnormal uterine bleeding (AUB) Correct Ans - organic causes such as systemic diseases, reproductive tract disease P82
dysfunctional uterine bleeding (DUB) Correct Ans - DUB is usually hormonally related. P82
combined oral contraceptive pills (COCs) Correct Ans - suppresses the action of the hypothalamus and anterior pituitary, leading to insufficient secretion of FSH and LH; therefore follicles do not mature, and ovulation is inhibited. P130
When are tests for single-gene disorders ordered? Correct Ans - when patients
have clinical symptoms or who have a family history of a genetic disease P142
When are carrier screening tests ordered? Correct Ans - For autosomal recessive conditions (e.g., CF, sickle cell disease, Tay-Sachs disease). P142
GTPAL Correct Ans - (gravidity, term, preterm, abortions, living children) P169
What is the earliest biologic marker for pregnancy? Correct Ans - Human chorionic gonadotropin (hCG) P169
linea nigra Correct Ans - a pigmented line extending from the symphysis pubis to the top of the fundus in the midline. P180 Striae gravidarum Correct Ans - Striae gravidarum, or "stretch marks," appear in 50% to 90% of pregnant women P180
When is renal function the most efficient and when is it least efficient? Correct Ans - most efficient when the woman lies in the lateral recumbent position and least efficient when the woman assumes a supine position.
Chapter 7 Anatomy and Physiology of Pregnancy Key Points #1 Correct Ans - •
The biochemical, physiologic, and anatomic adaptations that occur during pregnancy are profound and revert to the nonpregnant state after birth and lactation.
• Maternal adaptations are attributed to the hormones of pregnancy and to mechanical pressures arising from the enlarging uterus and other tissues.
• Adaptations to pregnancy protect the woman's normal physiologic functioning, meet the metabolic demands that pregnancy imposes, and provide for fetal developmental and growth needs. P184
Chapter 7 Anatomy and Physiology of Pregnancy Key Points #2 Correct Ans - •
ELISA testing, with monoclonal antibody technology, is the most popular method of pregnancy testing and is the basis for most over-the-counter home pregnancy tests.
• Presumptive, probable, and positive signs of pregnancy aid in the diagnosis of pregnancy; only positive signs (identification of a fetal heart tone, verification of fetal movements, and visualization of the fetus) can establish the diagnosis of pregnancy.
• Although the pH of the pregnant woman's vaginal secretions is more acidic than in the nonpregnant state, she is more vulnerable to some vaginal infections, especially yeast infections. P184
Chapter 7 Anatomy and Physiology of Pregnancy Key Points #3 Correct Ans - •
Increased vascularity and sensitivity of the vagina and other pelvic viscera may lead to a high degree of sexual interest and arousal.
• Some adaptations to pregnancy result in discomforts such as fatigue, urinary frequency, nausea, constipation, and breast sensitivity.
• Balance and coordination are affected by changes in joints and in the woman's center of gravity as pregnancy progresses. P184
initial physical examination Correct Ans - Heart and lung sounds are evaluated, and extremities are examined. The skin is assessed for changes in pigmentation, rashes, and edema. Distribution, amount, and quality of body hair are of particular importance because the findings reflect nutritional status, endocrine function, and attention to hygiene. The thyroid gland is assessed carefully, as are the
breasts and abdomen. P195
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