NSG6430 Midterm Exam Study Guide / NSG 6430 Week 5 Midterm Exam Study Guide (New, 2020): South University (SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients)

NSG6430 Midterm Exam Study Guide

Midterm Womens gynecological health

 Menstrual Cycle Physiology (from Chapter 5)
 Menstrual phase - endometrium becomes very thin d/t low estrogen levels
- Hypophysis secretes more FSH
- FSH stimulates secretion of estrogen and estrogen serves as proliferation signal to
the endometrial basal layer
- Follicular phase
- Follicles secrete as they mature, increasing amts of estrogen which thickens the
new functional layer of endometrium in uterus
-simulates crypts in cervix to produce fertile cervical mucus
-end of phase= ovulation
 Menstrual Cycle Pain and Premenstrual Conditions
- Dysmenorrhea- originates from uterine cx during menstrual phase, triggers
prostaglandin production and release. This increases contraction of uterus,
reduces uterine blood flow, and causes ischemia/pain
 Risk factors- age <30, smoking, bmi<20, early menarche, hx pelvic
surgery, depression
 Primary- 6-12 months after menarche, continues 8-72 hours into cycle
 Secondary- caused by pelvic pathology, pain increases over time, occurs
before, during, and after menses
 Adenomysis, IBS, endometriosis, leiomyoma, interstitial cystitis
- #1 cause of secondary dysmenorrhea is endometriosis- it causes tissue to attach to
surrounding organs and breaks off and bleeds. Patients can also have constipation,
diarrhea, and bloating.
1. Which uterine positions is most associated with dysparenunia and dysmenorrhea
- Retroverted and retroflexed
2. Post coital bleeding
- Atrophic vaginitis
3. PMS occurs with greatest frequency and severity in
- Late luteal phase
4. Which layer of the ovaries contains lymphatics and blood vessels
- Central medulla


 Normal and Abnormal Uterine Bleeding
- Structural
 P- Polyps- deep bright red growths, bleed easily
 A- Adenomyosis- occurs in multiparous, over age 40, occurs with
tamoxifen use
 L- Leiomyoma- fibroids- leading indication for hysterectomy
 M- Malignancy- hyperplasia
- Non-structural

,  C- Coagulopathy- von willebrands disease (easy bruising, bleeds heavy)
 O- Ovulatory dysfunction- anovulation (occurs with pregnancy, bmi<18,
lactation, excessive exercise, perimenopause, pcos, thyroid/pituitary
issues)
 E- Endometrial- predictive, cyclic manner, can also be caused by
chlamydia/gonorrhea
 I- Iatrogenic- example- mirena, skyla, SSRIs
 N- Not yet classified

 Women’s Health from a Feminist Perspective

- Characteristics of a feminist perspective include the use of critical analysis to
question assumptions about societal expectations and the value of various roles on
both sociopolitical and individual levels

 Women’s Growth and Development Across the Lifespan
1. Lobar growth and alveolar budding of the breast is directly stimulated by

- Progesterone

 Using Evidence to Support Clinical Practice
 Health Promotion

- Primary
 Prevention of disease
- Secondary
 Early detection
- Tertiary
 Limit disability and promote rehab
- Recommended topics for health promotion according to USPSTF
 Alcohol use
 Breastfeeding
 Diet/exercise
 STIs
 Skin cancer
 Tobacco use

 Gynecologic Anatomy and Physiology
1. Procidentia describes uterine descent beyond the
- Vulva
2. In characterizing the degree of prolapse, a situation where the leading part of the
prolapse is more than 1cm beyond the hymen but less than or equal to the toal
vaginal length is defined as
- Stage 3
3. First sign of virilization is
- Enlargement of the clitoris