Final Exam: NU661/ NU 661 (Latest 2026/ 2027
Update) Primary Care of Childbearing Woman
Review| Qs & As | Grade A| 100% Correct (Verified
Answers)- Regis
What are presumptive signs of pregnancy?
-amenorrhea
-nausea vomiting
-breast engorgement and darkening of the Ariola's
-breast tenderness
-fatigue
-urinary frequency
What are probable signs of pregnancy?
-goodwill sign (cervical softening)
-Chadwick sign (Bluish coloration of cervix)
-Enlarged uterus
-Positive UPT
What is Goodells sign?
Cervical softening that happens around four weeks of pregnancy
What is Chadwick sign?
Bluish coloration of the vagina and cervix at 6 to 8 weeks during pregnancy
What are positive signs of pregnancy?
-palpation of fetus by healthcare provider
-ultrasound and visualization of fetus
-Fetal heart tones auscultated by healthcare provider
Where is the Fundus at 12 weeks gestation?
,At the level of the symphysis pubis
Where is a Fundus at 16 weeks gestation?
Between symphysis pubis and umbilicus
Where is a Fundus at 20 weeks gestation?
The same height as the umbilicus
What is Naegele's rule?
Begin on the first day of the last menstrual period, subtract three months, add seven days, then
add one year.
Breast-fed baby should receive what vitamin?
Vitamin D
Pregnant patient should avoid what vaccinations?
Live doses
MMR and Varicella
Patient presents to the clinic with the first day of her last menstrual period being July 5 of
2021, when is the patients due date?
April 12th 2022
Does the H&H in a pregnant patient rise or fall during pregnancy?
Fall, typical to be anemic.
Does the WBC count and a pregnant patient rise or fall?
Rise, will be at peak during third trimester
What are the indications for prescribing combined hormonal contraceptives (COC)?
-decreases pain and frequency of sickle cell crisis
-May treat or improve anemia
, -effective to treat acne hirsutism and other Androgen excessive states
-decreases menstrual cramps and pain with more predictable menses
- Effective treatment for dysmenorrhea endometriosis or pre-menstrual symptoms
What are contraindications for COC's
-patients with history of VTE
-patients with history of hypertension
-patients with history of breast cancer
-breast feeding
-Prego
-smokers (soft contra)
- >35 (soft contraindication)
A 23-year-old female presents to the clinic on a combined hormonal contraceptive, she
complains of nausea and breast tenderness. What would you tell this patient?
This is a normal side effect of COC's and should resolve in the first few cycles.
What are examples of progestin only contraceptives?
IUD, mini pills, depo Provera injection, implanon implant
Disadvantage of progestin only versus COC?
Progestin only do not provide the same cycle control as COC's.
-Patient may have unscheduled bleeding during the first six months.
-mini pills can have a high failure rate due to timing of administration.
Advantage of progestin only versus COC's?
-does not increase risk of VTE
-does not increase the risk of breast cancer
What is the black box warning for Depo-Provera?
Caution with use greater than two years, bone density loss may extend beyond the duration of
treatment
Update) Primary Care of Childbearing Woman
Review| Qs & As | Grade A| 100% Correct (Verified
Answers)- Regis
What are presumptive signs of pregnancy?
-amenorrhea
-nausea vomiting
-breast engorgement and darkening of the Ariola's
-breast tenderness
-fatigue
-urinary frequency
What are probable signs of pregnancy?
-goodwill sign (cervical softening)
-Chadwick sign (Bluish coloration of cervix)
-Enlarged uterus
-Positive UPT
What is Goodells sign?
Cervical softening that happens around four weeks of pregnancy
What is Chadwick sign?
Bluish coloration of the vagina and cervix at 6 to 8 weeks during pregnancy
What are positive signs of pregnancy?
-palpation of fetus by healthcare provider
-ultrasound and visualization of fetus
-Fetal heart tones auscultated by healthcare provider
Where is the Fundus at 12 weeks gestation?
,At the level of the symphysis pubis
Where is a Fundus at 16 weeks gestation?
Between symphysis pubis and umbilicus
Where is a Fundus at 20 weeks gestation?
The same height as the umbilicus
What is Naegele's rule?
Begin on the first day of the last menstrual period, subtract three months, add seven days, then
add one year.
Breast-fed baby should receive what vitamin?
Vitamin D
Pregnant patient should avoid what vaccinations?
Live doses
MMR and Varicella
Patient presents to the clinic with the first day of her last menstrual period being July 5 of
2021, when is the patients due date?
April 12th 2022
Does the H&H in a pregnant patient rise or fall during pregnancy?
Fall, typical to be anemic.
Does the WBC count and a pregnant patient rise or fall?
Rise, will be at peak during third trimester
What are the indications for prescribing combined hormonal contraceptives (COC)?
-decreases pain and frequency of sickle cell crisis
-May treat or improve anemia
, -effective to treat acne hirsutism and other Androgen excessive states
-decreases menstrual cramps and pain with more predictable menses
- Effective treatment for dysmenorrhea endometriosis or pre-menstrual symptoms
What are contraindications for COC's
-patients with history of VTE
-patients with history of hypertension
-patients with history of breast cancer
-breast feeding
-Prego
-smokers (soft contra)
- >35 (soft contraindication)
A 23-year-old female presents to the clinic on a combined hormonal contraceptive, she
complains of nausea and breast tenderness. What would you tell this patient?
This is a normal side effect of COC's and should resolve in the first few cycles.
What are examples of progestin only contraceptives?
IUD, mini pills, depo Provera injection, implanon implant
Disadvantage of progestin only versus COC?
Progestin only do not provide the same cycle control as COC's.
-Patient may have unscheduled bleeding during the first six months.
-mini pills can have a high failure rate due to timing of administration.
Advantage of progestin only versus COC's?
-does not increase risk of VTE
-does not increase the risk of breast cancer
What is the black box warning for Depo-Provera?
Caution with use greater than two years, bone density loss may extend beyond the duration of
treatment
