NR 602 Midterm Exam 2025 Questions and
Answers
What are presumptive signs of pregnancy? - ANS -amenorrhea
-nausea vomiting
-breast engorgement and darkening of the Ariola's
-breast tenderness
-fatigue
-urinary frequency
What are probable signs of pregnancy? - ANS -goodwill sign (cervical softening)
-Chadwick sign (Bluish coloration of cervix)
-Enlarged uterus
-Positive UPT
What is Goodells sign? - ANS Cervical softening that happens around four weeks of
pregnancy
What is Chadwick sign? - ANS Bluish coloration of the vagina and cervix at 6 to 8 weeks
during pregnancy
What are positive signs of pregnancy? - ANS -palpation of fetus by healthcare provider
-ultrasound and visualization of fetus
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,-Fetal heart tones auscultated by healthcare provider
Where is the Fundus at 12 weeks gestation? - ANS At the level of the symphysis pubis
Where is a Fundus at 16 weeks gestation? - ANS Between symphysis pubis and umbilicus
Where is a Fundus at 20 weeks gestation? - ANS The same height as the umbilicus
What is Naegele's rule? - ANS 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? - ANS Vitamin D
Pregnant patient should avoid what vaccinations? - ANS 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? - ANS April 12th 2022
Does the H&H in a pregnant patient rise or fall during pregnancy? - ANS Fall, typical to be
anemic.
Does the WBC count and a pregnant patient rise or fall? - ANS Rise, will be at peak during
third trimester
What are the indications for prescribing combined hormonal contraceptives (COC)? - ANS -
decreases pain and frequency of sickle cell crisis
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, -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 - ANS -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? - ANS This is a
normal side effect of COC's and should resolve in the first few cycles.
What are examples of progestin only contraceptives? - ANS IUD, mini pills, depo Provera
injection, implanon implant
Disadvantage of progestin only versus COC? - ANS 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? - ANS -does not increase risk of VTE
-does not increase the risk of breast cancer
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Answers
What are presumptive signs of pregnancy? - ANS -amenorrhea
-nausea vomiting
-breast engorgement and darkening of the Ariola's
-breast tenderness
-fatigue
-urinary frequency
What are probable signs of pregnancy? - ANS -goodwill sign (cervical softening)
-Chadwick sign (Bluish coloration of cervix)
-Enlarged uterus
-Positive UPT
What is Goodells sign? - ANS Cervical softening that happens around four weeks of
pregnancy
What is Chadwick sign? - ANS Bluish coloration of the vagina and cervix at 6 to 8 weeks
during pregnancy
What are positive signs of pregnancy? - ANS -palpation of fetus by healthcare provider
-ultrasound and visualization of fetus
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,-Fetal heart tones auscultated by healthcare provider
Where is the Fundus at 12 weeks gestation? - ANS At the level of the symphysis pubis
Where is a Fundus at 16 weeks gestation? - ANS Between symphysis pubis and umbilicus
Where is a Fundus at 20 weeks gestation? - ANS The same height as the umbilicus
What is Naegele's rule? - ANS 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? - ANS Vitamin D
Pregnant patient should avoid what vaccinations? - ANS 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? - ANS April 12th 2022
Does the H&H in a pregnant patient rise or fall during pregnancy? - ANS Fall, typical to be
anemic.
Does the WBC count and a pregnant patient rise or fall? - ANS Rise, will be at peak during
third trimester
What are the indications for prescribing combined hormonal contraceptives (COC)? - ANS -
decreases pain and frequency of sickle cell crisis
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, -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 - ANS -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? - ANS This is a
normal side effect of COC's and should resolve in the first few cycles.
What are examples of progestin only contraceptives? - ANS IUD, mini pills, depo Provera
injection, implanon implant
Disadvantage of progestin only versus COC? - ANS 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? - ANS -does not increase risk of VTE
-does not increase the risk of breast cancer
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
