NR 602 MIDTERM EXAM STUDY GUIDE PURELY NEW ASSURED ALREADY GRADED A+ REAL EXAM
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NR 602
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NR 602
What are presumptive signs of pregnancy? - answer--amenorrhea
-nausea vomiting
-breast engorgement and darkening of the Ariola's
-breast tenderness
-fatigue
-urinary frequency
What are probable signs of pregnancy? - answer--goodwill sign (cervical softening)
-Chadwick sign (Bluish colorati...
NR 602 MIDTERM EXAM STUDY GUIDE
PURELY NEW ASSURED ALREADY
GRADED A+ 2024-2025 REAL EXAM
What are presumptive signs of pregnancy? - answer--amenorrhea
-nausea vomiting
-breast engorgement and darkening of the Ariola's
-breast tenderness
-fatigue
-urinary frequency
What are probable signs of pregnancy? - answer--goodwill sign (cervical
softening)
-Chadwick sign (Bluish coloration of cervix)
-Enlarged uterus
-Positive UPT
What is Goodells sign? - answer-Cervical softening that happens around
four weeks of pregnancy
e level of the symphysis pubis
Where is a Fundus at 16 weeks gestation? - answer-Between symphysis
pubis and umbilicus
Where is a Fundus at 20 weeks gestation? - answer-The same height as
the umbilicus
What is Naegele's rule? - answer-Begin on the first day of the last
menstrual period, subtract three months, add seven days, then add one
year.
Breast-fed baby should receive what vitamin? - answer-Vitamin D
Pregnant patient should avoid what vaccinations? - answer-Live doses
,MMR and Varicella
Patient presents to the clinic with the first day of her last menstrual period
being July 5 of 2021, when is the patients due date? - answer-April 12th
2022
Does the H&H in a pregnant patient rise or fall during pregnancy? - answer-
Fall, typical to be anemic.
Does the WBC count and a pregnant patient rise or fall? - answer-Rise, will
be at peak during third trimester
What are the indications for prescribing combined hormonal contraceptives
(COC)? - answer--decreases pain and frequency of sickle cell crisis
-May treat or improve anemia
-effective to treat acne hirsutism and other Androgen excessive states
-decreases menstrual cramps and pain with more predictable menses
- Effective treatment for dysmenorrhea endometriosis or pre-menstrual
symptoms
What is Chadwick sign? - answer-Bluish coloration of the vagina and cervix
at 6 to 8 weeks during pregnancy
What are positive signs of pregnancy? - answer--palpation of fetus by
healthcare provider
-ultrasound and visualization of fetus
-Fetal heart tones auscultated by healthcare provider
Where is the Fundus at 12 weeks gestation? - answer-At th
What are contraindications for COC's - answer--patients with history of VTE
-patients with history of hypertension
-patients with history of breast cancer
-breast feeding
-Prego
-smokers (soft contra)
- >35 (soft contraindication)
, A 23-year-old female presents to the clinic on a combined hormonal
contraceptive, she complains of nausea and breast tenderness. What
would you tell this patient? - answer-This is a normal side effect of COC's
and should resolve in the first few cycles.
What are examples of progestin only contraceptives? - answer-IUD, mini
pills, depo Provera injection, implanon implant
Disadvantage of progestin only versus COC? - answer-Progestin only do
not provide the same cycle control as COC's.
-Patient may have unscheduled bleeding during the first six months.
-mini pills can have a high failure rate due to timing of administration.
Advantage of progestin only versus COC's? - answer--does not increase
risk of VTE
-does not increase the risk of breast cancer
What is the black box warning for Depo-Provera? - answer-Caution with
use greater than two years, bone density loss may extend beyond the
duration of treatment
A 25-year-old female presents with a progestin only implant, she is
concerned that she has not had her Menstrual cycle and over seven
months. She has taken many pregnancy test and they are all negative.
What would you tell this patient? - answer-Amenorrhea is normal in
patients with >6 months of use.
When is the highest risk of pregnancy? - answer-48 hours after ovulation
How long do patients have before having to use emergency contraceptive
after unprotected sex? - answer-120 hours
Which emergency contraceptive would not be beneficial for a female
weighing 200 pounds? - answer-Levonorgestrel
Only effective up to 150lbs or BMI <30.
What is amenorrhea? - answer-Absence of menses
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