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NUR 318 Study Guide Exam 1 (women's health) – UPDATED Questions with 100% Verified Answers

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NUR 318 Study Guide Exam 1 (women's health) – UPDATED Questions with 100% Verified Answers

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NUR 318 Study Guide Exam 1 (women's health) – UPDATED Questions with 100% Verified An…




NUR 318 Study Guide Exam 1 (women's health) –
UPDATED Questions with 100% Verified Answers
University of Miami
NUR 318



Section 1: Maternal, Mortality, Factors (Q1–Q13)
Question & Answer

Q1 • Main causes of maternal mortality

A -Developing countries -living in rural areas -poorer communities -young adolescents

Q2 Maternal

A Number of deaths of any cause related to or aggravated by pregnancy or its management during
pregnancy and childbirth or within 42 days of termination of pregnancy/100,00 live births

Q3 Fetal

A number of fetal deaths (over 20 weeks) in 1,000 live births

Q4 Neonatal

A number of infants deaths (in first 28 days) in 1,000 live births

Q5 Infant

A number of infant deaths (in first 12 months) in 1,000 live births

Q6 Factors strongly related to maternal mortality

A -Age (younger than 20 years and 35 years or older) -Lack of prenatal care -Low educational
attainment -Unmarried status -Non-caucasian race

Q7 50th in the world for maternal mortality:

A It's more dangerous to give birth in the United States than in 49 other countries.

Q8 Between two and three women die

A every day during pregnancy and childbirth in the USA

Q9 The USA spends

A more than any other country on health care (17.4% of the gross domestic production)

Q10 More cost on maternal health than any other type of hospital care in 2012

A Exceeded 60 billion US dollars; the highest hospitalization cost of any area of medicine

Q11 USA maternal death

A 28 out of 100000

Q12 About half of all

A maternal deaths in the USA are preventable



Page 1 of 32

,NUR 318 Study Guide Exam 1 (women's health) – UPDATED Questions with 100% Verified An…



Question & Answer

Q13 The 3 factors are probably contributing to the upward Trend in maternal/morbidity in
the USA

A -inconsistent obstetric practice -Chronic conditions/no insurance -Lack of good data


Section 2: Cycle, Ovarian, Health (Q14–Q26)
Question & Answer

Q14 Health Disparities and Social Determinants of health

A Impact in: Maternal/infant morbidity and mortality Access to care Maternal nutrition Developmental
origins of adult health

Q15 Leading causes of maternal mortality in the US

A -pre-existing condition -severe bleeding -pregnancy-induced high blood pressure -infections
-obstructed labour and other -abortion complications -blood clots/embolism

Q16 Other Factors Impacting Maternal and Women's Health

A -culture and language -environmental exposure -stress and coping -genetics -society -health status
and lifestyle -finances -transportation -Health insurance

Q17 Abortion:

A legal, social, and political issue; nurses struggling with personal beliefs and professional duty

Q18 Substance abuse:

A fetal injury if woman is pregnant; possible charges of negligence and child endangerment

Q19 Intrauterine therapy:

A medical technology vs. nature; better quality of life via surgical intervention

Q20 Benefits of vaginal delivery for a normal newborn

A -fluid is removed from babies lungs while passing through the birth canal -(intermittent
compressions of the thorax) -shorter hospital stay and recovery time compared with a C-section.
-avoid risks of surgery - severe bleeding, scarring, infections, reactions to anesthesia, longer-lasting
pain.
- may begin breastfeeding sooner after she delivers.

Q21 Prenatal care why is important

A - pregnancy outcomes -Id problems and treat -

Q22 Menstrual cycle: normal duration

A 21-35 days

Q23 Ovarian Cycle: Follicular Phase

A period of follicle growth (days 1-14)

Q24 Ovarian cycle ovulation and luteal phase

A menstrual cycle, phase 2 stimulated by surge in LH b/c estrogen stops having negative feedback
effects at certain threshold -- begins having positive feedback effects 14 day



Page 2 of 32

,NUR 318 Study Guide Exam 1 (women's health) – UPDATED Questions with 100% Verified An…



Question & Answer

Q25 Ovarian Cycle: Luteal Phase

A LH predominates during days 15-28, LH stimulates secretion of progesterone by the corpus luteum

Q26 description and hormones involved in ovarian cycle

A -estrogen -Follicle-stimulating hormone (FSH) -luteinizing hormone (LH) -progesteroneestrogen
-glycogen


Section 3: Ovulation, Estrogen, Hormone (Q27–Q39)
Question & Answer

Q27 ovulation takes place when

A 14 days before menstruation

Q28 Role of corpus luteum

A secrete-progesterone-interacts with endometrium to get ready for implantation -causes a slight rise
in body temp
Source of hormones until the end of the first trimester. After the first trimester, the corpus luteum
remains intact but it isn't really a source of hormones




Q29 follicular phase of ovarian cycle First -increase in estrogen -releases Follicle-stimulating
hormone (FSH) -surge of Luteinizing hormone (LH) -pulsates -gonadotropin-releasing
hormone

A period of follicle growth (days 1-10 or 14days ) -initiator hypothalamus -Estrogen produced by
maturing follicular cells

Q30 ovulation phase -Surge of LH -drop in estrogen

A The second stage of the general menstrual cycle, when the ovum is released. -surge of LH -Day 14
in a 28 day cycle -Ovulation takes place 14 days before menstruation whether the cycle is 28 or
120

Q31 Luteal phase FSH/LH lowest level

A begins at ovulation and last until the mestrual phase of the next cycle - occurs on days 15 through
28 days of a causes cycle

Q32 menstruation then begins approximately 14 days after ovulation in absence of

A pregnancy

Q33 when ovulation occurs there is a drop in

A estrogen




Page 3 of 32

, NUR 318 Study Guide Exam 1 (women's health) – UPDATED Questions with 100% Verified An…



Question & Answer

Q34 1-LH (luteinizing hormone)-rises and stimulates the

A follicle to produce estrogen

Q35 2-As estrogen is produced by the follicle, estrogen levels rise,

A inhibiting the output of LH-luteinizing Hormone

Q36 3-Ovulation occurs after an LH surge damages the estrogen-producing cells, resulting in

A a decline in estrogen

Q37 4-The LH surge results in establishment of the

A corpus lute, which produces estrogen and progesterone

Q38 5-Estrogen and progesterone levels rise,

A suppressing LH out put

Q39 6-Lack of LH promotes degeneration of the

A corpus luteum


Section 4: Amniotic, Decline, Hormones (Q40–Q52)
Question & Answer

Q40 7-Cesation of the corpus luteum means a decline in

A estrogen and progesterone output

Q41 8-the decline of the ovarian hormones ends their

A negative effect on the recreation of LH

Q42 9-LH is secreted, and the menstrual cycle

A begins again

Q43 Menstrual cycle hormones

A Gonadotropin-releasing hormone (GnRH) Follicle-stimulating hormone (FSH) Luteinizing hormone
(LH) Estrogen Progesterone Prostaglandins

Q44 Calculation of the fertile period in a female

A The fertile period of a woman is determined by analyzing her menstrual cycle with an ovulation
calculator or fertility chart. Normally, the cycle is a 28 day cycle.
During the 14th day after a period, the ovum is released. This process is called ovulation and the
days 12 to 16 days after a period are said to be a womans most fertile period.

Q45 Amniotic fluid -volume

A Increases are 10 mL/week, and it increases to 50 to 60 mL/week at 19 to 25 weeks, at max at 34
weeks, and has a gradual decrease by term = liter at term




Page 4 of 32

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