Exam (elaborations) NUR 221

GnRH️️What does the hypothalamus release to stimulate the anterior pituitary to release FSH and LH? Day 14️️Around what day in the cycle does ovulation occur? Day 14️️What day in the cycle would be the most common for fertilization to occur? Menstruation Proliferative Secretory Ischemic Menstrual️️Uterine phases of the menstrual cycle 10-17 days️️Duration of follicular phase 14 days️️Duration of luteal phase Basal body temperature and cervical mucus condition️️Two things that fertility awareness utilizes to determine ovulatory status Decreases️️Temperature _________ during menstrual cycle Increases️️Temperature ___________ during ovulation Remains high️️Temperature during fertilization and pregnancy 0.2 degrees Celsius️️About how much does the temperature shift following ovulation? Biphasic chart️️Chart that indicates ovulation has taken place Monphasic chart️️Chart that indicates absence of ovulation Pre and post ovulatory phase️️Phase of mucus condition: Thick Cloudy Low volume Low elasticity Fertile phase️️Phase of mucus condition: High volume Thin Clear Ferning High elasticity Estrogen and progesterone️️Two ingredients in combined oral contraceptive pills (OCPs) Provide negative feedback to the pituitary to inhibit the secretion of LH and FSH️️MOA of estrogen/progestin contraceptives FSH and LH️️What does an ovarian follicle need to mature and for ovulation to then occur? Thickened️️Progesterone ___________ cervical mucous Distal part of fallopian tube️️Where does fertilization of an egg occur? Dysmenorrhea️️Painful periods Hypermenorrhea️️Prolonged periods SHBG (sex hormone binding globulin)️️What do OCs raise in the blood that reduce free testosterone and reduce libido? Ortho patch️️Which birth control method has a black box warning of exposing up to 60% more estrogen than oral contraceptives leading to a greater clotting risk Depression️️Major adverse effect of combined oral contraceptives from the level of progesterone Risk of cardiovascular disease particularly DVT R/T hyper coagulability️️Nursing diagnosis for patients on birth control (this is due to estrogen content) Abdominal pain Chest pain (severe), cough, SOA Headache (severe), dizziness, weakness, numbness Eye problems (Vision loss or blurring), speech problems Severe leg pain (Calf of thigh) (ACHES)️️Early pill danger signals Use of antibiotics (Amoxicillin, ampicillin, doxycycline, griseofulvin, minocycline, penicillin, tetracycline, etc.)️️Common cause of birth control failing Depo Provera injectable️️Form of progesterone only birth control Weight gain, decreased libido, acne️️Side effects of progesterone only birth control Bone density decline with use greater than 2 years️️Black box warning of Depo-provera Nexplanon (Larc)️️Flexible plastic rod the size of a matchstick that is put under the skin of your arm and can be used up to three years Nexplanon (Larc)️️Most cost effective and long-acting reversible contraception according to NICE Micronor️️Progestin-only "mini pill" Prevent fertilization️️Primary MOA of an IUD Coitus Interruptus️️Form of birth control with the withdrawal of the penis from the vagina before ejaculation Placenta️️Significant source of estrogen in pregnancy