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NURS 6552 Midterm Review – Questions And Answers (By Experts)
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NURS 6552 Midterm Review – Questions And Answers (By Experts)
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NURS 6552 Midterm Review – Questions And Answers(By Experts)
How is the menstrual period dated? Right Ans - From the first day of the
last normal period to the first day of the next.
LMP-- measured on the first day of period-- ( full flow)
During Monica s pelvic exam you note that her anterior vaginal wall bulges
when you ask her to bear down. What is the most likely cause? Right Ans -
A cystocele
An anterior vaginal wall bulge when coughing or bearing down is due to a
cystocele
Healthy_______ are not palpable or tender on exam unless inflamed. Right
Ans - Bartholin's glands
Bartholin's glands are not palpable or tender unless inflamed. "Milking"
Skene's glands can be painful.
While conducting a pelvic exam on Rena, you note that her uterus is
anteverted. What does this mean? Right Ans - Her uterus is tipped toward
her abdominal wall
In most women, the uterus is anteverted, or tipped toward her abdomen.
what does lutenizing hormone do Right Ans - Triggers ovaries to produce
estrogen and progesterin Triggers ovulation
What hormonal activity is most responsible for the maturation of the ovum
prior to ovulation? Right Ans - LH surge
The LH surge occurs 10 to 12 hours prior to ovulation. Ovulation is dependent
upon this peak in LH as well as increased levels of estrogen.
Katarina, age 23, presents with concerns regarding her menstrual cycle. She
has noticed that her cycles are shorter than her friends and her periods tend
to be lighter. She is concerned since she wants to have children in the future.
How will you advise her? Right Ans - This could be normal; each woman's
menstrual cycle is unique.Each woman's menses are unique; this could be
normal for Katarina
, If Suzanne and her husband are trying to have a baby and she has a 33 day
menstrual cycle, on what days of her cycle is she MOST likely to get pregnant
(if they have sexual intercourse)? Right Ans - 18-20
To determine when Suzanne is ovulating, count 14 days from the end of her
cycle (day 33). She is most fertile the day of ovulation and the day after.
Therefore her most fertile days are days 18-20 of her cycle. Discussed in class
6/13; on PP slide.
Women are often concerned about changes in their menstrual cycles. Which of
the following is most accurate? Right Ans - Following the onset of
menstruation, menses are often irregular for the 1st year or more.
Menstrual cycles during the first 1 to 1.5 years following menarche are often
irregular.
What is the objective of the ovarian cycle? Right Ans - To produce an ovum
The objective of the ovarian cycle is to produce an ovum for possible
fertilization.
Symptoms of hyperandrogenism decrease when_____ and _____ are increased
Right Ans - -thyroid hormone and estrogen
-Increased estrogen and thyroid hormone decrease symptoms of
hyperandrogenism by decreasing testosterone which makes more SHBG
available.
What is the most common type of menstrual dysfunction related to
hyperandrogenism? Right Ans - -Irregular bleeding
Women with PCOS are more likely to have irregular menses than none.
Women with PCOS are at risk for metabolic syndrome. Why is this a concern?
Right Ans - Metabolic syndrome increases the risk of cardiovascular disease.
How can weight loss specifically control symptoms of PCOS? Right Ans - -It
decreases androgen levels.
The benefit of weight loss is a decrease in androgen levels
Why are women with PCOS at a threefold increased risk of developing
endometrial cancer? Right Ans - -Estrogen regularly stimulates the
endometrium.
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