NR 602 MIDTERM EXAM 150 QUESTIONS
AND VERIFIED ANSWERS GRADED A+
DIFFERENT FORMS WITH COMPLETE
SOLUTIONS
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
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 the 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 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
AND VERIFIED ANSWERS GRADED A+
DIFFERENT FORMS WITH COMPLETE
SOLUTIONS
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
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 the 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 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
