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NR - 602 Midterm Study Guide Solutions

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NR - 602 Midterm Study Guide Solutions Presumptive Signs of Pregnancy - ANSWER-Amenorrhea, N&V, breast tenderness or changes, deepening pigmentation, urinary frequency, fatigue, increased basal body temperature, and quickening (at 16 weeks). Probable Signs of Pregnancy - ANSWER-Goodell's sign (cervical softening at 4wk), Chadwick's sign (blue color of vagina & cervix at 6-8 wk), enlarged uterus, (+) urine or blood pregnancy test. Positive Signs of Pregnancy - ANSWER-Palpation of fetus, ultrasound visualization of fetus, and fetal heart tones. 12 week Fundal Height - ANSWER-The fundus should be at the level of the symphysis pubis 16 week Fundal Height - ANSWER-The fundus should be between the symphysis pubis and umbilicus Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 2/21 20 week Fundal Height - ANSWER-The fundus should be at the level of the umbillicus 25-35 week Fundal Height - ANSWER-The fundus should measure from the symphysis pubis and correlate with with gestational week (+/- 2 cm) Naegele's Rule - ANSWER-Add 7 days to LMP, subtract 3 months, add 1 year; Used to calculate due date Tier 1 Birth Control - ANSWER-Fail rate 1%; IUD, DMPA (Depo), Progestin implant, sterilization Tier 2 Birth Control - ANSWER-Fail rate 2-3%; OCP, COC's, transdermals, cervical ring. Tier 3 Birth Control - ANSWER-Fail rate roughl

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NR - 602 Midterm Study Guide
Solutions


Presumptive Signs of Pregnancy - ANSWER✔✔-Amenorrhea, N&V, breast

tenderness or changes, deepening pigmentation, urinary frequency,

fatigue, increased basal body temperature, and quickening (at 16 weeks).


Probable Signs of Pregnancy - ANSWER✔✔-Goodell's sign (cervical

softening at 4wk), Chadwick's sign (blue color of vagina & cervix at 6-8

wk), enlarged uterus, (+) urine or blood pregnancy test.


Positive Signs of Pregnancy - ANSWER✔✔-Palpation of fetus, ultrasound

visualization of fetus, and fetal heart tones.


12 week Fundal Height - ANSWER✔✔-The fundus should be at the level of

the symphysis pubis


16 week Fundal Height - ANSWER✔✔-The fundus should be between the

symphysis pubis and umbilicus




Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 1/21

,20 week Fundal Height - ANSWER✔✔-The fundus should be at the level of

the umbillicus


25-35 week Fundal Height - ANSWER✔✔-The fundus should measure

from the symphysis pubis and correlate with with gestational week (+/- 2

cm)


Naegele's Rule - ANSWER✔✔-Add 7 days to LMP, subtract 3 months, add

1 year; Used to calculate due date


Tier 1 Birth Control - ANSWER✔✔-Fail rate <1%; IUD, DMPA (Depo),

Progestin implant, sterilization


Tier 2 Birth Control - ANSWER✔✔-Fail rate 2-3%; OCP, COC's,

transdermals, cervical ring.


Tier 3 Birth Control - ANSWER✔✔-Fail rate roughly 20%; Barrier methods,

can protect against STIs


Caldwell-Moloy Classification - ANSWER✔✔-Four basic pelvic types:

gynecoid, android, anthropoid, and platypelloid




Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 2/21

, FSH - ANSWER✔✔-Gonadotrophin: targets the ovaries, where it

stimulates the growth and development of the primary follicles and results

in the production of estrogen and progesterone.


LH - ANSWER✔✔-Gonadotrophin: targets the developing follicle within

the ovary; it is responsible for ovulation, corpus luteum formation, and

hormone production in the ovaries.


Hypothalamus - ANSWER✔✔-Releases gonadotropin-releasing hormone

(GnRH) in a pulsatile manner to initiate negative feedback system.

Stimulates gonadotrophins->FSH&LH release-> Estrogen/Progesterone

release-> Pituitary gland notes Estrogen/Progesterone levels and regulates

the cycle by altering further FSH/LH release.


Ovarian Cycle - ANSWER✔✔-The 28 days of the menstrual cycle as they

apply to events in the ovary. The ovarian cycle has three subphases: the

follicular phase, ovulation, and the luteal phase.


Follicular Phase - ANSWER✔✔-The first phase of the ovarian cycle, during

which a follicle (an oocyte and its surroudning cells) enlarges and matures.

This phase is under the control of FSH from the anterior pituitary, and


Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 3/21

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