NR - 602 Midterm Study questions with correct
answers
Presumptive Signs of Pregnancy Correct Answer-Amenorrhea, N&V,
breast tenderness or changes, deepening pigmentation, urinary
frequency, fatigue, increased basal body temperature, and quickening (at
16 weeks).
Probable Signs of Pregnancy Correct Answer-Goodell's sign (cervical
softening at 4wk), Chadwick's sign (blue color of vagina & cervix at 6-8
wk), enlarged uterus, (+) urine or blood pregnancy test.
Positive Signs of Pregnancy Correct Answer-Palpation of fetus,
ultrasound visualization of fetus, and fetal heart tones.
12 week Fundal Height Correct Answer-The fundus should be at the
level of the symphysis pubis
16 week Fundal Height Correct Answer-The fundus should be between
the symphysis pubis and umbilicus
20 week Fundal Height Correct Answer-The fundus should be at the
level of the umbillicus
25-35 week Fundal Height Correct Answer-The fundus should measure
from the symphysis pubis and correlate with with gestational week (+/- 2
cm)
,Naegele's Rule Correct Answer-Add 7 days to LMP, subtract 3 months,
add 1 year; Used to calculate due date
FSH Correct Answer-Gonadotrophin: targets the ovaries, where it
stimulates the growth and development of the primary follicles and
results in the production of estrogen and progesterone.
LH Correct Answer-Gonadotrophin: targets the developing follicle
within the ovary; it is responsible for ovulation, corpus luteum
formation, and hormone production in the ovaries.
Hypothalamus Correct Answer-Releases gonadotropin-releasing
hormone (GnRH) in a pulsatile manner to initiate negative feedback
, system. Stimulates gonadotrophins->FSH&LH release->
Estrogen/Progesterone release-> Pituitary gland notes
Estrogen/Progesterone levels and regulates the cycle by altering further
FSH/LH release.
Ovarian Cycle Correct Answer-The 28 days of the menstrual cycle as
they apply to events in the ovary. The ovarian cycle has three subphases:
the follicular phase, ovulation, and the luteal phase.
Follicular Phase Correct Answer-The first phase of the ovarian cycle,
during which a follicle (an oocyte and its surroudning cells) enlarges and
matures. This phase is under the control of FSH from the anterior
pituitary, and typically lasts from day 1 to day 14 of the menstrual cycle.
The follicle secretes estrogen during this time period.
Ovulatory Phase Correct Answer-The second stage of the general
menstrual cycle, when the mature ovum is released. Approximately 10
to 12 hours after the LH peak
Luteal Phase Correct Answer-The third phase of the ovarian cycle,
during which a corpus luteum is formed from the remnants of the follicle
that has ovulated its oocyte. The corpus luteum secretes progestrone and
estrogen during this time period, which typically lasts from day 15 to
day 28 of the menstrual cycle. Formation of the corpul luteum is
triggered by the same LH surge that triggers ovulation, however in the
absence of LH (levels quickly decline after the surge) the corpus luteum
begins to degenerate.
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