MULTIPLE QUESTIONS AND ANSWERS WITH 100% RATED
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How is the fertile period calculated? - ANSWER: Record the number of days in each menstrual
cycle for at least 6 cycles (From beginning of first period to beginning of next period)
Subtract 18 days from the number of days in the woman's shortest cycle (start of the fertile
period)
Subtract 11 days from the number of days in the longest cycle (end of the fertile period)
Example:
Shortest cycle: 26-18 = 8th day
Longest cycle: 30-11=19th day
Fertile period: days 8-19; avoid intercourse
When does ovulation occur? - ANSWER:14 days before the onset of the menstrual cycle
How long is the sperm and ovum viable? - ANSWER: sperm: 48-72 hours; takes 24 hours to fertilize
an egg
ovum: 24 hours
(after ovulation)
Chadwick's sign - ANSWER: Bluish purple discoloration of the cervix, vagina, and labia during
pregnancy as a result of increased vascular congestion.
,What are positive signs of pregnancy? - ANSWER:
Fetal heart sounds
Fetal movement felt by examiner
Ultrasound visualization of fetus
During what week of pregnancy is the fetal heartbeat detectable? - ANSWER:10 weeks; using a
doppler device
What is the diaphragm and spermicide form of contraception? - ANSWER: Dome-shaped cup with
a flexible rim made of silicone that fits snugly over the cervix with spermicidal cream or gel
applied on dome and around the rim available in different sizes; client should be properly fitted
with a diaphragm by a provider (requires a prescription) Empty bladder prior to insertion Requires
proper insertion and removal to be effective Interferes with spontaneity; inconvenient
How often are diaphragms and cervical caps for contraception replaced? - ANSWER: Every 2 years;
and refitted for a 20% weight fluctuation, after abdominal or pelvic surgery and after every
pregnancy
When can a diaphragm or cervical cap for contraception be inserted into the vagina and how long
can it stay in for? - ANSWER: Can be inserted up to 6 hours before intercourse and must stay in
place 6 hours after intercourse
diaphragm: no more than 24 hours
cervical cap: no more than 48 hours
What are potential risks/complications associated with diaphragm contraceptive use? - ANSWER:
Risk for allergic reaction
Not recommended for clients who have a sex of toxic shock syndrome (TSS) or frequent/recurrent
UTIs; prevented by proper hand hygiene and removal of diaphragm promptly at 6 hours after sex
what is another name for sexual intercourse? - ANSWER: Coitus
, What forms of contraception protect against STIs? - ANSWER:
Abstinence
Male condoms
Female condoms
When is Rhogam given? – ANSWER: Given at 28 weeks and also within 72 hours of delivery
o Also given after abortion, ectopic pregnancy, amniocentesis
What is gravidity? Example. - ANSWER: Number of pregnancies
Nulligravida: never been pregnant
Primigravida: first pregnancy
What are presumptive signs of pregnancy? - ANSWER: Perceived by the woman
Signs: amenorrhea, fatigue, nausea, vomiting
Urinary frequency, uterine enlargement
Breast changes (darkened areolae, enlarged Montgomery glands Quickening
Define quickening. When does it occur? - ANSWER: Quickening is the term used to describe when
the mother first detects fetal movements, usually at 18 to 20 weeks of gestation in a primigravida
and 16 to 18 weeks of gestation in a multigravida.
What are probable signs of pregnancy? - ANSWER: Perceived by the examiner
Signs: Abdominal enlargement, positive pregnancy test, fetal outline felt by examiner
Braxton Hicks contractions, Ballottement
Hegar's sign, Goodell's sign, Chadwick's sign