MCH Study Guide Test 1/50 questions
1. Women’s health encompasses breast care, GYN exams, and assessments. Be comfortable with
the parameters of education for Self breast exams, and what is normal for a woman to note
when doing breast exam? Lumps bumps do your own breast exam 10 days after menstrual
2. What is the most common complaint with the menstrual cycle? Dysmenorrhea = painful
menstrual teach heat diet exercise pharmacology NSAIDS and complications; stress, diet, body
fat medication, drugs, alcohol STI’s- some are bacterial and we treat with antibiotics some are
viral we treat symptoms start retroviral to prevent issues with baby and risks you have decreased
immune system in pregnancy
3. If a patient finds a breast lump how will you advise her? Call health care provider make an
appointment
4. What is your role in the GYN exam
5. Contraception - Forms of birth control – IUD- must be monogamous, nuvaring, patch, depo- take
calcium, condoms, pills- take same time every day, nexplanon, diaphragm, OTC Remember birth
control choice should be based on a patient’s lifestyle – if she cannot swallow pills do not offer
oral contraception – right? Women who breast feed DO NOT need estrogen based birth control it
depletes prolactin
6. Emergency contraception – take within 72 hrs. take not birth control don’t cause abortion N/V
don’t protect against STI’s follow up
7. Preconceptual care is provided for a means to identify risks and discuss lifestyle provide
nutrition, genetic issues prenatal vitamins, community resources.
8. Pregnancy – understand the structure and function of the external and internal genitalia. The
uterus- is to hold the fetus and menstrual cycle Ovaries- house eggs and produce estrogen
(growth hormone) and progesterone (helps women maintain pregnancy) Fallopian tubes-
transports eggs they are fertilized in the ampulla (largest part opening) Know the purpose of
each in the process of pregnancy.
9. Please identify pregnancy history – G, TOTAL PREGNACIES F, FULL TERM P, PRE-TERM A,
ABORTIONS L, LIVING
10. What is fetal well- To assess fetal development use fundal height fetal heart rate and fetal
movement. When are fetal heart tones audible with a Doppler? Fetal heart rate can be
identified at 10-12 weeks. Fetal movement starts in prima- first time mom @ 18weeks more
than one child 16-20 weeks. The uterus becomes an abdominal organ and is palpated at 12-14
weeks and at 20 weeks it is at the umbilicus. Can you measure fundal height? To measure place
the 0 on tape measure at the pubis symphysis and measure up. Can you date a pregnancy using
Naegele’s Rule? Subtract the Last menstrual period month by 3 at 7 to the day EX LMP 02-01-18
= EDD of 11-08-18 Know the normal parameters of fetal growth. What are the parameters and
what does it mean if the fetus falls outside those parameters?
11. Fetal development from the conception through the embryonic (critical) period, to the placental
development and beyond. – It is all about the placenta. What risk factors will impede placental
perfusion to the baby.
1. Women’s health encompasses breast care, GYN exams, and assessments. Be comfortable with
the parameters of education for Self breast exams, and what is normal for a woman to note
when doing breast exam? Lumps bumps do your own breast exam 10 days after menstrual
2. What is the most common complaint with the menstrual cycle? Dysmenorrhea = painful
menstrual teach heat diet exercise pharmacology NSAIDS and complications; stress, diet, body
fat medication, drugs, alcohol STI’s- some are bacterial and we treat with antibiotics some are
viral we treat symptoms start retroviral to prevent issues with baby and risks you have decreased
immune system in pregnancy
3. If a patient finds a breast lump how will you advise her? Call health care provider make an
appointment
4. What is your role in the GYN exam
5. Contraception - Forms of birth control – IUD- must be monogamous, nuvaring, patch, depo- take
calcium, condoms, pills- take same time every day, nexplanon, diaphragm, OTC Remember birth
control choice should be based on a patient’s lifestyle – if she cannot swallow pills do not offer
oral contraception – right? Women who breast feed DO NOT need estrogen based birth control it
depletes prolactin
6. Emergency contraception – take within 72 hrs. take not birth control don’t cause abortion N/V
don’t protect against STI’s follow up
7. Preconceptual care is provided for a means to identify risks and discuss lifestyle provide
nutrition, genetic issues prenatal vitamins, community resources.
8. Pregnancy – understand the structure and function of the external and internal genitalia. The
uterus- is to hold the fetus and menstrual cycle Ovaries- house eggs and produce estrogen
(growth hormone) and progesterone (helps women maintain pregnancy) Fallopian tubes-
transports eggs they are fertilized in the ampulla (largest part opening) Know the purpose of
each in the process of pregnancy.
9. Please identify pregnancy history – G, TOTAL PREGNACIES F, FULL TERM P, PRE-TERM A,
ABORTIONS L, LIVING
10. What is fetal well- To assess fetal development use fundal height fetal heart rate and fetal
movement. When are fetal heart tones audible with a Doppler? Fetal heart rate can be
identified at 10-12 weeks. Fetal movement starts in prima- first time mom @ 18weeks more
than one child 16-20 weeks. The uterus becomes an abdominal organ and is palpated at 12-14
weeks and at 20 weeks it is at the umbilicus. Can you measure fundal height? To measure place
the 0 on tape measure at the pubis symphysis and measure up. Can you date a pregnancy using
Naegele’s Rule? Subtract the Last menstrual period month by 3 at 7 to the day EX LMP 02-01-18
= EDD of 11-08-18 Know the normal parameters of fetal growth. What are the parameters and
what does it mean if the fetus falls outside those parameters?
11. Fetal development from the conception through the embryonic (critical) period, to the placental
development and beyond. – It is all about the placenta. What risk factors will impede placental
perfusion to the baby.
