MCH INUR I2633 I– IStudy IGuide ITest I1/50 Iquestions
1. Women’s Ihealth Iencompasses Ibreast Icare, IGYN Iexams, Iand Iassessments. I Be Icomfortable Iwith
Ithe Iparameters Iof Ieducation Ifor ISelf Ibreast Iexams, Iand Iwhat Iis Inormal Ifor Ia Iwoman Ito Iletter
Iwhen Idoing Ibreast Iexam. IKnow Inormal Imenstrual Icycle I- Iwhat Iis Ithe Imost Icommon
IcomplaintIwith Ithe Imenstrual Icycle, Iand Icomplications; I(dysmenorrhea) IKnow ISTI’s Iand Irisks.
a. The Imost Icommon Icompliant Iwomen Ihave Iwith Imenstrual Icycle Iis Iabnormal Ibleeding,
painful Imenses I(dysmenorrhea), Itreatment Iis Iheating Ipad Iand INSAIDs. IOther IOBGYN
Icomplaints Iare Ifibroids, Iovarian Icysts, Iand Iendometriosis. ISelf-breasts Iexams Imonthly I7-
I10 Idays Iafter Ithe Icycle. ITwo Ihormones Iwith Iwomen's Ihealth Iare IEstrogen(growth
Ihormone Imakes Ieverything Ibigger), IProgesterone(slows Ithings Idown, Imakes Ilining
Ithicker, Ithe Ipregnancy Iwill Inot Isurvive Iwithout Ienough Iof Ithis Ihormone)
2. If Ia Ipatient Ifinds Ia Ibreast Ilump Ihow Iwill Iyou Iadvise Iher?
a. It’s Inever Inormal Ito Ifeel Ia Ilump, Imake Isure Iyou Ifollow Iup Iand Ihave Iother Itesting,
Idischarge Iis Inot Inormal Iunless Iit's Ia Imilk Idischarge Iafter Ipregnancy
b. web-x Iall Iwomen Ishould Ibe Idoing Ibreast Iexams Ionce Ithey Istart Imenses I(10 Idays Iafter)
c. if Ia Ilump Iis Ifound Imake Ian Iappointment
d. ultrasound, Imammography
e. breast Icancer Iat Iall Iages
3. What Iis Iyour Irole Iin Ithe IGYN Itest
a. Our Irole Iin Ithe IGYN Iexam Iassisting Ithe Iphysician Iand Ithe Ipatient, Iexplain Ito Iher Iwhat Iis
Ihappening Iso Ishe Iis Inot Inervous, Ipap Ismears Iare Inever Idown Iin Ithe IE
4. Contraception I- IForms Iof Ibirth Icontrol I– Igood Isubject Ifor Iyour Ipostpartum Ipatients Ias Iwell I–
know Ithem, Iknow Ithe Irisks Iand Isome Iof Ithe Ieducational Ipoints Ito Ishare Iwith Ithem Iregarding
Ieach Itype. IRemember Ibirth Icontrol Ichoice Ishould Ibe Ibased Ion Ia Ipatient’s Ilifestyle I– Iif Ishe
Icannot Iswallow Ipills Ido Inot Ioffer Ioral Icontraception I– Iright? I Etc…
a. Types Iof Ibirth Icontrol- Idiaphragm, IIUD, Ithe Ipill, Icondoms, Idepo Ishot(12 Iweek Iinjection),
patches, Isponge, Icervical Icap, Inuva Iring, Irod Iin Iarm, Iabstinence, Iwithdrawal, Isterilization
b. web-x
c. patient Ieducation: I does Inot Iprevent Istd
d. same-time Ieveryday
e. for Idepo Itake Ica Ibecause Iit Idepletes Imineralization Iof Ibones
f. based Ion Ilifestyle
g. IF IBREAST IFEEDING IDO INOT ITAKE IANYTHING IESTROGEN IBASED IBC IIT IWILL IIMPEDED ITHE
IBREAST IMILK. IThe Iprolactin Iwill Ibe Iaffected Iby Ithe Iestrogen Ibecause Ithey Iwork Iagainst
Ieach Iother
h. When Ithe Iestrogen Ilevels Iare Ihigh. IThe Iprolactin Iis Idepleted Iand Ivice-vers
5. Emergency Icontraception I– Iknow Ieducation.
a. Plan IB Iused Ias Isoon Ias Ipossible Iup Ito I72 Ihours, Idoesn't Icause Iabortion, Iif Iyour IpregnantIit
Iwon't Ihurt Ithe Ibaby, Ihigh Idose Ibirth Icontrol, Ibad Iside Ieffects-N/V, Iheadache.
b. web-x Idoes Inot Icause Iabortions-spotting In/v
c. does Inot Iprotect Ifrom Isti
d. follow- Iup Ifor Icultures Ifor Isti
e. messes Iwith Imenstrual Icycle
f. OTC
, 6. Preconceptual Icare Iis Iprovided Ifor Ia Imeans Ito Iidentify Irisks Iand Iprovide Inutrition I– Inot Ito
Iestablish Iwho Ishould Ibecome Ipregnant.
a. Identify Irisk Ifactors, Iis Iit Isafe Ifor Ithem Ito Ibecome Ipregnant. IHealthy Inutrition Iand
lifestyle. IWeight Iand Ifolic Iacid. IImmunizations. IAre Ithey Ismoking Ior Idrinking?
b. web-x Igenetics/ Igenetic Icounseling
c. starting Iprenatal Ivitamins
d. community Ireferrals
7. Pregnancy I– Iunderstand Ithe Istructure Iand Ifunction Iof Ithe Iexternal Iand Iinternal Igenitalia.
IKnow Ithe Ipurpose Iof Ieach Iin Ithe Iprocess Iof Ipregnancy. I You Imust Iunderstand Ithe Ichanges Ithat
Ioccur Ito Ieach Isystem I–
a. Uterus Ihas Itwo Ifunctions Ithat Iare Ito Ihouse Ithe Ibaby Iand Iexpel Iit I(menses). IVagina Iis Ia
collapsible Itube Ithat Istretches Ito Ideliver Ibaby. ICervix Iis Iusually Iclosed Ibut Iwill Ithin Iand
Iopen Ito I10cm Ito Iallow Ibaby Ito Icome Iout.
b. Ovaries Iare Iegg Istorage, Iyou Istart Iwith Iall Ithe Ieggs Iyou Ihave, Iand Iyou Idon't Imake Inew
ones. IIf Ithe IBladder Iis Iinflamed, Ior IUTI Ican Icause Ipreterm Ilabor. IBowel, Iif Iyou Ihave
Idiarrhea, Iif Iyou Iuse Ienema Ior Ilaxative, Ican Istart Ipreterm Ilabor. IIllegal Idrugs Ican Ialso Ican
Iuse Ipreterm Ilabor. IThree Ithings Iuterus Ineeds Iare Ifood, Ifluids Iand Irest Iif Iit Idoesn't Ihave
Ithese Ithings Iif Ican Icause Imuscle Iirritation Iand Ipreterm Itoil.
c. web-x
d. ovaries Ihouse Ieggs I& Iproduce Ihormones: Iestrogen- Igrowth Ihormone Iand
Iprogesteroneacquiescent/quieting Ihormone
e. Progesterone Ibetter Ithan Iestrogen Ibecause Iit Iprogestation/ Ipro-life Ihormone. Iwithout, Iit
many Iwomen Ihave Imultiple Iloses
f. synthetic Iprogesterone Ito Imaintain Ipregnancy
g. Fallopian Itubes Itransport. IGets Ithe Iegg Ifrom Ione Iplace Ito Ithe Iother
h. Egg I& Isperm Ifertilized Iin Ithe Iampula Iof Ithe Itube. Ilargest, Imost Idistal Ipart Iof Ithe Itube-
Igoes Ithrough Itube Iand Iends Iup Iin Ithe Iendometrial Ilining
i. Bladder Iif Ithe Ibladder Iis Iinfected, Ispasming, Ior Iis Idistended Ican Icause Ia Ilot Iof Iproblems
with Ipregnancy. IIf Iwe Isee Iissues Iwith Ipreterm Ilabor, Ior Iwith Ibleeding, In/v, Iprone Ito Iuti.Iuti
Ican Icause Iproblems.
8. Please Iidentify Ipregnancy Ihistory I– IG, IF, IP, IA, IL I– Iknow Ihow Ito Icomplete Ithis Igiven Ieach
women’s Iobstetrical Ihistory.
a. Only Ifor Idelivery, Idoesn't Imatter Ihow Imany Itimes Iwent Iinto Ilabor Ieven Iif Iwent Iinto Ilabor.
Idoesn't Imatter Iif Ipre/post Iterm Iif Ibaby Isurvived, Ior Ididn't Isurvive
b. Gravida- INumber Iof Ipregnancies
c. Full Iterm Ipregnancies- ILive Ior Idead I37-40 Iweeks
d. Pre Iterm Ipregnancies-Live Ior Idead I20-37 Iweeks
e. Abortion/Miscarriages- IPrior Ito I20 Iweeks
f. Living- Ichildren Ithat Iare Iliving
g. Twins Iare Ione Ipregnancy
9. What Iis Ifetal Iwell- Ibeing Iand Ihow Ido Iwe Imeasure Iit. I Can Iyou Idate Ia Ipregnancy Iusing INaegele’s
IRule? ICan Iyou Imeasure Ifundal Iheight? IKnow Ithe Inormal Iparameters Iof Ifetal Igrowth. I When
Iare Ifetal Iheart Itones Iaudible Iwith Ia IDoppler? IWhat Iare Ithe Iparameters Iand Iwhat Idoes Iit
ImeanIif Ithe Ifetus Ifalls Ioutside Ithose Iparameters?
1. Women’s Ihealth Iencompasses Ibreast Icare, IGYN Iexams, Iand Iassessments. I Be Icomfortable Iwith
Ithe Iparameters Iof Ieducation Ifor ISelf Ibreast Iexams, Iand Iwhat Iis Inormal Ifor Ia Iwoman Ito Iletter
Iwhen Idoing Ibreast Iexam. IKnow Inormal Imenstrual Icycle I- Iwhat Iis Ithe Imost Icommon
IcomplaintIwith Ithe Imenstrual Icycle, Iand Icomplications; I(dysmenorrhea) IKnow ISTI’s Iand Irisks.
a. The Imost Icommon Icompliant Iwomen Ihave Iwith Imenstrual Icycle Iis Iabnormal Ibleeding,
painful Imenses I(dysmenorrhea), Itreatment Iis Iheating Ipad Iand INSAIDs. IOther IOBGYN
Icomplaints Iare Ifibroids, Iovarian Icysts, Iand Iendometriosis. ISelf-breasts Iexams Imonthly I7-
I10 Idays Iafter Ithe Icycle. ITwo Ihormones Iwith Iwomen's Ihealth Iare IEstrogen(growth
Ihormone Imakes Ieverything Ibigger), IProgesterone(slows Ithings Idown, Imakes Ilining
Ithicker, Ithe Ipregnancy Iwill Inot Isurvive Iwithout Ienough Iof Ithis Ihormone)
2. If Ia Ipatient Ifinds Ia Ibreast Ilump Ihow Iwill Iyou Iadvise Iher?
a. It’s Inever Inormal Ito Ifeel Ia Ilump, Imake Isure Iyou Ifollow Iup Iand Ihave Iother Itesting,
Idischarge Iis Inot Inormal Iunless Iit's Ia Imilk Idischarge Iafter Ipregnancy
b. web-x Iall Iwomen Ishould Ibe Idoing Ibreast Iexams Ionce Ithey Istart Imenses I(10 Idays Iafter)
c. if Ia Ilump Iis Ifound Imake Ian Iappointment
d. ultrasound, Imammography
e. breast Icancer Iat Iall Iages
3. What Iis Iyour Irole Iin Ithe IGYN Itest
a. Our Irole Iin Ithe IGYN Iexam Iassisting Ithe Iphysician Iand Ithe Ipatient, Iexplain Ito Iher Iwhat Iis
Ihappening Iso Ishe Iis Inot Inervous, Ipap Ismears Iare Inever Idown Iin Ithe IE
4. Contraception I- IForms Iof Ibirth Icontrol I– Igood Isubject Ifor Iyour Ipostpartum Ipatients Ias Iwell I–
know Ithem, Iknow Ithe Irisks Iand Isome Iof Ithe Ieducational Ipoints Ito Ishare Iwith Ithem Iregarding
Ieach Itype. IRemember Ibirth Icontrol Ichoice Ishould Ibe Ibased Ion Ia Ipatient’s Ilifestyle I– Iif Ishe
Icannot Iswallow Ipills Ido Inot Ioffer Ioral Icontraception I– Iright? I Etc…
a. Types Iof Ibirth Icontrol- Idiaphragm, IIUD, Ithe Ipill, Icondoms, Idepo Ishot(12 Iweek Iinjection),
patches, Isponge, Icervical Icap, Inuva Iring, Irod Iin Iarm, Iabstinence, Iwithdrawal, Isterilization
b. web-x
c. patient Ieducation: I does Inot Iprevent Istd
d. same-time Ieveryday
e. for Idepo Itake Ica Ibecause Iit Idepletes Imineralization Iof Ibones
f. based Ion Ilifestyle
g. IF IBREAST IFEEDING IDO INOT ITAKE IANYTHING IESTROGEN IBASED IBC IIT IWILL IIMPEDED ITHE
IBREAST IMILK. IThe Iprolactin Iwill Ibe Iaffected Iby Ithe Iestrogen Ibecause Ithey Iwork Iagainst
Ieach Iother
h. When Ithe Iestrogen Ilevels Iare Ihigh. IThe Iprolactin Iis Idepleted Iand Ivice-vers
5. Emergency Icontraception I– Iknow Ieducation.
a. Plan IB Iused Ias Isoon Ias Ipossible Iup Ito I72 Ihours, Idoesn't Icause Iabortion, Iif Iyour IpregnantIit
Iwon't Ihurt Ithe Ibaby, Ihigh Idose Ibirth Icontrol, Ibad Iside Ieffects-N/V, Iheadache.
b. web-x Idoes Inot Icause Iabortions-spotting In/v
c. does Inot Iprotect Ifrom Isti
d. follow- Iup Ifor Icultures Ifor Isti
e. messes Iwith Imenstrual Icycle
f. OTC
, 6. Preconceptual Icare Iis Iprovided Ifor Ia Imeans Ito Iidentify Irisks Iand Iprovide Inutrition I– Inot Ito
Iestablish Iwho Ishould Ibecome Ipregnant.
a. Identify Irisk Ifactors, Iis Iit Isafe Ifor Ithem Ito Ibecome Ipregnant. IHealthy Inutrition Iand
lifestyle. IWeight Iand Ifolic Iacid. IImmunizations. IAre Ithey Ismoking Ior Idrinking?
b. web-x Igenetics/ Igenetic Icounseling
c. starting Iprenatal Ivitamins
d. community Ireferrals
7. Pregnancy I– Iunderstand Ithe Istructure Iand Ifunction Iof Ithe Iexternal Iand Iinternal Igenitalia.
IKnow Ithe Ipurpose Iof Ieach Iin Ithe Iprocess Iof Ipregnancy. I You Imust Iunderstand Ithe Ichanges Ithat
Ioccur Ito Ieach Isystem I–
a. Uterus Ihas Itwo Ifunctions Ithat Iare Ito Ihouse Ithe Ibaby Iand Iexpel Iit I(menses). IVagina Iis Ia
collapsible Itube Ithat Istretches Ito Ideliver Ibaby. ICervix Iis Iusually Iclosed Ibut Iwill Ithin Iand
Iopen Ito I10cm Ito Iallow Ibaby Ito Icome Iout.
b. Ovaries Iare Iegg Istorage, Iyou Istart Iwith Iall Ithe Ieggs Iyou Ihave, Iand Iyou Idon't Imake Inew
ones. IIf Ithe IBladder Iis Iinflamed, Ior IUTI Ican Icause Ipreterm Ilabor. IBowel, Iif Iyou Ihave
Idiarrhea, Iif Iyou Iuse Ienema Ior Ilaxative, Ican Istart Ipreterm Ilabor. IIllegal Idrugs Ican Ialso Ican
Iuse Ipreterm Ilabor. IThree Ithings Iuterus Ineeds Iare Ifood, Ifluids Iand Irest Iif Iit Idoesn't Ihave
Ithese Ithings Iif Ican Icause Imuscle Iirritation Iand Ipreterm Itoil.
c. web-x
d. ovaries Ihouse Ieggs I& Iproduce Ihormones: Iestrogen- Igrowth Ihormone Iand
Iprogesteroneacquiescent/quieting Ihormone
e. Progesterone Ibetter Ithan Iestrogen Ibecause Iit Iprogestation/ Ipro-life Ihormone. Iwithout, Iit
many Iwomen Ihave Imultiple Iloses
f. synthetic Iprogesterone Ito Imaintain Ipregnancy
g. Fallopian Itubes Itransport. IGets Ithe Iegg Ifrom Ione Iplace Ito Ithe Iother
h. Egg I& Isperm Ifertilized Iin Ithe Iampula Iof Ithe Itube. Ilargest, Imost Idistal Ipart Iof Ithe Itube-
Igoes Ithrough Itube Iand Iends Iup Iin Ithe Iendometrial Ilining
i. Bladder Iif Ithe Ibladder Iis Iinfected, Ispasming, Ior Iis Idistended Ican Icause Ia Ilot Iof Iproblems
with Ipregnancy. IIf Iwe Isee Iissues Iwith Ipreterm Ilabor, Ior Iwith Ibleeding, In/v, Iprone Ito Iuti.Iuti
Ican Icause Iproblems.
8. Please Iidentify Ipregnancy Ihistory I– IG, IF, IP, IA, IL I– Iknow Ihow Ito Icomplete Ithis Igiven Ieach
women’s Iobstetrical Ihistory.
a. Only Ifor Idelivery, Idoesn't Imatter Ihow Imany Itimes Iwent Iinto Ilabor Ieven Iif Iwent Iinto Ilabor.
Idoesn't Imatter Iif Ipre/post Iterm Iif Ibaby Isurvived, Ior Ididn't Isurvive
b. Gravida- INumber Iof Ipregnancies
c. Full Iterm Ipregnancies- ILive Ior Idead I37-40 Iweeks
d. Pre Iterm Ipregnancies-Live Ior Idead I20-37 Iweeks
e. Abortion/Miscarriages- IPrior Ito I20 Iweeks
f. Living- Ichildren Ithat Iare Iliving
g. Twins Iare Ione Ipregnancy
9. What Iis Ifetal Iwell- Ibeing Iand Ihow Ido Iwe Imeasure Iit. I Can Iyou Idate Ia Ipregnancy Iusing INaegele’s
IRule? ICan Iyou Imeasure Ifundal Iheight? IKnow Ithe Inormal Iparameters Iof Ifetal Igrowth. I When
Iare Ifetal Iheart Itones Iaudible Iwith Ia IDoppler? IWhat Iare Ithe Iparameters Iand Iwhat Idoes Iit
ImeanIif Ithe Ifetus Ifalls Ioutside Ithose Iparameters?
