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NU 607 Final Study Guide with Complete Solutions

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NU 607 Final Study Guide with Complete Solutions Treatment for low Hct/Hgb - Answer-Mild to moderate anemia treated with prenatal vitamin or iron supplement Causes for a teenage female not starting menses - Answer-Causes: chromosomal abnormalities, hypothalamic hypogonadism, absence of uterus, cervix, vagina, transverse vaginal septum, pituitary disease Work Up for a teenage female not starting menses - Answer-Work up: hCG, FSH, TSH, PRL Imaging for a teenage female not starting menses - Answer-Imaging: pelvic ultrasound Best practice for determining the estimated date of delivery - Answer-EDD = LMP + 7 days - 3 months Best practice for determining the estimated date of delivery - Answer-EDC by LMP should match EDC by ultrasound within 7 days; if 7 days difference then ultrasound date typically assigned Threatened abortion - Answer-Threatened: uterine bleeding in the presence of a closed cervix, evidence of intrauterine pregnancy and cardiac motion EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 2/6 Ectopic pregnancy - Answer-symptoms typically begin 6-8 weeks after LMP, include abdominal/pelvic pain, amenorrhea, and vaginal bleeding Inevitable abortion - Answer-cervix is already dilated, uterine bleeding increased, and painful pregnancy normal pregnancy - Answer-woman who have bleeding toward the end of the first trimester are less likely to have a pregnancy loss than women who experience bleeding early in the first trimester. The risk of loss after cardiac activity is around 6% Treatment for ruptured membranes - Answer-Management based on proximity to delivery: intravenous ampicillin and erythromycin for 48 hours, followed by oral amoxicillin and erythromycin base Pyelonephritis during pregnancy - Answer-Acute pyelonephritis can progress to maternal sepsis, preterm labor, and premature delivery symptoms of ectopic pregnancy - Answer-Symptoms include abdominal/pelvic pain, amenorrhea, and vaginal bleeding Labs for ectopic pregnancy - Answer-Plateaued or slowly rising HCG levels may suggest ectopic Treatment for ectopic pregnancy - Answer-Methotrexate us

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EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024




NU 607 Final Study Guide with Complete
Solutions

Treatment for low Hct/Hgb - Answer✔✔-Mild to moderate anemia treated with prenatal

vitamin or iron supplement


Causes for a teenage female not starting menses - Answer✔✔-Causes: chromosomal

abnormalities, hypothalamic hypogonadism, absence of uterus, cervix, vagina, transverse

vaginal septum, pituitary disease


Work Up for a teenage female not starting menses - Answer✔✔-Work up: hCG, FSH, TSH, PRL


Imaging for a teenage female not starting menses - Answer✔✔-Imaging: pelvic ultrasound


Best practice for determining the estimated date of delivery - Answer✔✔-EDD = LMP + 7 days -

3 months


Best practice for determining the estimated date of delivery - Answer✔✔-EDC by LMP should

match EDC by ultrasound within 7 days; if > 7 days difference then ultrasound date typically

assigned


Threatened abortion - Answer✔✔-Threatened: uterine bleeding in the presence of a closed

cervix, evidence of intrauterine pregnancy and cardiac motion




Page 1/6

, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024


Ectopic pregnancy - Answer✔✔-symptoms typically begin 6-8 weeks after LMP, include

abdominal/pelvic pain, amenorrhea, and vaginal bleeding


Inevitable abortion - Answer✔✔-cervix is already dilated, uterine bleeding increased, and

painful pregnancy


normal pregnancy - Answer✔✔-woman who have bleeding toward the end of the first trimester

are less likely to have a pregnancy loss than women who experience bleeding early in the first

trimester. The risk of loss after cardiac activity is around 6%


Treatment for ruptured membranes - Answer✔✔-Management based on proximity to delivery:

intravenous ampicillin and erythromycin for 48 hours, followed by oral amoxicillin and

erythromycin base


Pyelonephritis during pregnancy - Answer✔✔-Acute pyelonephritis can progress to maternal

sepsis, preterm labor, and premature delivery


symptoms of ectopic pregnancy - Answer✔✔-Symptoms include abdominal/pelvic pain,

amenorrhea, and vaginal bleeding


Labs for ectopic pregnancy - Answer✔✔-Plateaued or slowly rising HCG levels may suggest

ectopic


Treatment for ectopic pregnancy - Answer✔✔-Methotrexate used if hemodynamically stable

and to allow pregnancy to pass on its own




Page 2/6

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