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NR 602 MIDTERM EXAM WEEK 4 ACTUAL EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+$17.99
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NR 602 MIDTERM EXAM WEEK 4 ACTUAL EXAM
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
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? - ANSWERCervical softening that happens around four weeks
of pregnancy
What is Chadwick sign? - ANSWERBluish 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? - ANSWERAt the level of the symphysis
pubis
Where is a Fundus at 16 weeks gestation? - ANSWERBetween symphysis pubis and
umbilicus
Where is a Fundus at 20 weeks gestation? - ANSWERThe same height as the
umbilicus
What is Naegele's rule? - ANSWERBegin 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? - ANSWERVitamin D
,Pregnant patient should avoid what vaccinations? - ANSWERLive 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? - ANSWERApril 12th 2022
Does the H&H in a pregnant patient rise or fall during pregnancy? - ANSWERFall,
typical to be anemic.
Does the WBC count and a pregnant patient rise or fall? - ANSWERRise, 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 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? -
ANSWERThis is a normal side effect of COC's and should resolve in the first few
cycles.
What are examples of progestin only contraceptives? - ANSWERIUD, mini pills, depo
Provera injection, implanon implant
Disadvantage of progestin only versus COC? - ANSWERProgestin 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? - ANSWERCaution 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? -
ANSWERAmenorrhea is normal in patients with >6 months of use.
When is the highest risk of pregnancy? - ANSWER48 hours after ovulation
How long do patients have before having to use emergency contraceptive after
unprotected sex? - ANSWER120 hours
Which emergency contraceptive would not be beneficial for a female weighing 200
pounds? - ANSWERLevonorgestrel
Only effective up to 150lbs or BMI <30.
What is amenorrhea? - ANSWERAbsence of menses
Common causes of amenorrhea? - ANSWER-pregnancy
-hypothalamic
-PCOS
When is amenorrhea a problem? - ANSWER-no. By age 14
-A female who had menstrual periods previous but has had no period for six months.
A 30-year-old female presents to the office complaining of amenorrhea for six months,
she is not on birth control pills. What lab test would be indicated? - ANSWER-pregnancy
test
-CBC
-TSH
Is a female patient presents with amenorrhea and also complains of headaches and
galactorrhea, what lab test would be indicated aside from standard? -
ANSWERProlactin level- can directly indicate a tumor on the pituitary gland.
What is dysmenorrhea? - ANSWERpainful menstruation
What are risk factors for dysmenorrhea? - ANSWERAge <30 years,
BMI < 20
smoking
menarche prior to age 12
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