NUR 684- Test #1 with Verified Solutions
Luteal phase (define) Correct Ans--Begins after ovulation occurs
-Approximately 14 days (+/- 2 days)
-Corpus luteum formed from ruptured follicle; secretes progesterone- peaks 7-8 days post
ovulation
-Thickened cervical mucus
-Maintained increase in BBT
-If no pregnancy, corpus luteum regresses and progesterone decreases
-Ends with onset of menses
Corpus luteum (Formed from? Under the influence of?) Correct Ans-Formed from the
granulosa cells of the ruptured follicle under the influence of LH!!
Corpus luteum (Begins to degenerate?) Correct Ans-9-11 days after ovulation --> decrease in
estradiol and progesterone levels
The most constant phase in the ovarian cycle in terms of number of days it lasts? Correct
Ans-Luteal phase
Uterine cycle (define) Correct Ans-Defined by endometrial changes:
-Proliferative phase
,-Secretory phase
Proliferative phase (define) Correct Ans-**Estrogen influence**
-Endometrium grows/thickens
-Lasts approx. 10 days from end of menses to ovulation
Secretory phase (define) Correct Ans-**Progesterone influence**
-Average 12-16 days
-From ovulation to menses
-Endometrial hypertrophy
-Increased vascularity
-Favorable for implantation of fertilized ovum
Menstruation (define) Correct Ans-Declining progesterone & estradiol from corpus luteum
-Endometrium undergoes involution, necrosis, sloughing
-Low levels of estradiol and progesterone
-Average 3-6 days
,Female puberty (Duration? Begins at what age?) Correct Ans--Lasts 2-3 years; complete
when individual is capable of reproduction
-Begins between 8-13 years old
Female puberty (bodily changes) Correct Ans--Hypothalamus begins to produce greater
amounts of GnRH
-Increased GnRH causes increased FSH and LH
-Ovaries produce more estrogen & progesterone
-Development of secondary sexual characteristics occur
-Ovaries begin to release mature ova
Most common first sign of female puberty? Correct Ans-Thelarche, AKA breast budding
Female puberty- sequence of events Correct Ans-1. Beginning of growth spurt
2. Thelarche
3. Pubarche/Adrenarche (growth of axillary & pubic hair)
-peak height velocity occurs 1 year prior to menarche-
4. Menarche (onset of menstruation)
Average age in the USA that menarche begins? Correct Ans-12.5 years old (range of 10-16.5
years)
^usually in Tanner breast stage 3 or 4
, first 12-18 months may be anovulatory, irregular
Common discomforts- 1st trimester Correct Ans--N/V
-Urinary frequency
-Fatigue
-Breast tenderness
-Leukorrhea
-Nasal stuffiness & epistaxis
-Ptyalism (excessive salivation)
Common discomforts- 2nd & 3rd trimesters Correct Ans--Dyspnea
-Heartburn
-Hemorrhoids
-Constipation
-Backache
-Leg cramps
-Round ligament pain
-Ankle edema
-Varicose veins
Management of hemorrhoids in pregnancy Correct Ans--Increase fiber
Luteal phase (define) Correct Ans--Begins after ovulation occurs
-Approximately 14 days (+/- 2 days)
-Corpus luteum formed from ruptured follicle; secretes progesterone- peaks 7-8 days post
ovulation
-Thickened cervical mucus
-Maintained increase in BBT
-If no pregnancy, corpus luteum regresses and progesterone decreases
-Ends with onset of menses
Corpus luteum (Formed from? Under the influence of?) Correct Ans-Formed from the
granulosa cells of the ruptured follicle under the influence of LH!!
Corpus luteum (Begins to degenerate?) Correct Ans-9-11 days after ovulation --> decrease in
estradiol and progesterone levels
The most constant phase in the ovarian cycle in terms of number of days it lasts? Correct
Ans-Luteal phase
Uterine cycle (define) Correct Ans-Defined by endometrial changes:
-Proliferative phase
,-Secretory phase
Proliferative phase (define) Correct Ans-**Estrogen influence**
-Endometrium grows/thickens
-Lasts approx. 10 days from end of menses to ovulation
Secretory phase (define) Correct Ans-**Progesterone influence**
-Average 12-16 days
-From ovulation to menses
-Endometrial hypertrophy
-Increased vascularity
-Favorable for implantation of fertilized ovum
Menstruation (define) Correct Ans-Declining progesterone & estradiol from corpus luteum
-Endometrium undergoes involution, necrosis, sloughing
-Low levels of estradiol and progesterone
-Average 3-6 days
,Female puberty (Duration? Begins at what age?) Correct Ans--Lasts 2-3 years; complete
when individual is capable of reproduction
-Begins between 8-13 years old
Female puberty (bodily changes) Correct Ans--Hypothalamus begins to produce greater
amounts of GnRH
-Increased GnRH causes increased FSH and LH
-Ovaries produce more estrogen & progesterone
-Development of secondary sexual characteristics occur
-Ovaries begin to release mature ova
Most common first sign of female puberty? Correct Ans-Thelarche, AKA breast budding
Female puberty- sequence of events Correct Ans-1. Beginning of growth spurt
2. Thelarche
3. Pubarche/Adrenarche (growth of axillary & pubic hair)
-peak height velocity occurs 1 year prior to menarche-
4. Menarche (onset of menstruation)
Average age in the USA that menarche begins? Correct Ans-12.5 years old (range of 10-16.5
years)
^usually in Tanner breast stage 3 or 4
, first 12-18 months may be anovulatory, irregular
Common discomforts- 1st trimester Correct Ans--N/V
-Urinary frequency
-Fatigue
-Breast tenderness
-Leukorrhea
-Nasal stuffiness & epistaxis
-Ptyalism (excessive salivation)
Common discomforts- 2nd & 3rd trimesters Correct Ans--Dyspnea
-Heartburn
-Hemorrhoids
-Constipation
-Backache
-Leg cramps
-Round ligament pain
-Ankle edema
-Varicose veins
Management of hemorrhoids in pregnancy Correct Ans--Increase fiber