NUR 200 exam 1 UPDATED ACTUAL Questions and CORRECT Answers
Hormones for sperm production and secondary make
Test, FSH, Interstial Cell Stimulating Hormone (ICSH)
characteristics
What environment is good for sperm Alkaline
Perineum in females, the area between the anus and the vagina
Corpus main body of the uterus
fundus rounded upper portion of the uterus
Transition point between the body of the uterus and the
Uterine isthmus
cervix
Fimbriae guide egg into tube, cilia propel egg farther into
How does the egg get into the fallopian tubes and uterus
tube and uterus
How long after ovulation is an egg available ? About 24hrs
: days 1-14 of ovarian cycle . Follicle Stimulating Hor-
follicular phase mone(FSH) chooses egg to mature. Egg starts to produce
estrogen as it matures
follicular phase 1-14, ovulation 14, luteal phase14-28 (28
ovarian cycle
days)
day 14 of ovarian cycle . Estrogen in blood is high enough
and a burst of Luteinizing hormone (LH) which causes
Ovulation egg to burst from the follicle. This also creates the corpus
luteum which produces progesterone. LH stays slightly
elevated from days 14-28
The third phase of the ovarian cycle,
Estrogen and progesterone are produced. If not fertilized,
luteal phase the egg and subsequently the corpus luteum degenerate
and die. By the end of this phase, estrogen, progesterone,
and LH are low for the beginning of the next phase.
Menstrual phase 1-5
Proliferative phase: ends 14
, Secretory phase
Uterine cycle
Ischemic phase 27,28
Menstrual phase Endometrium sheds from days 1-5
Follicle matures and produces estrogen
Endometrium begins to regenerate
proliferate phase
Ends with ovulation
6-14
LH surge cause corpus luteum to produce progesterone.
Secretory phase Endometrium gathers nutrients. If pregnancy doesn't oc-
cur, corpus and egg degenerate
Days 27-28 of the menstrual cycle. The corpus luteum
Ischemic phase and egg degenerative and stop producing. Endometrium
becomes ischemic
Where does LH and FSH come from? anterior pituitary
an erection but is not accompanied by sexual excitement.
priapism
If more than 6 hrs tissue damage can occur
ED treatment Sildenafil, penile implants, transplants
For ED, careful with nitrates and retinopathy
Causes vasodilation
Sildenafil Can cause hypotension, flushing, dyspnea, and
headache
Seek er care for erection longer than 4 hours.
Primary- absence of menarch by 15
Amennorhea
Secondary- 3 missed cycles in 6 months
Rule out pregnancy first
What to do for Amenorrhea Then treat underlying cause if present
Cyclic progesterone treatment, estrogen replacement
menorrhagia excessive menstrual bleeding
, metorrhagia irregular uterine bleeding between menses
painful menstruation
dysmenorrhea Primary: unrelated to underlying cause
Secondary : to endometriosis or fibroids
Self exams
Breast Cance screening
mammogram every year after 45, every other year at 55
checks for HPV and more. starts pap smear at 21 ten every
Pelvic exam and pap smear 3 years until 29, then every 5 years. Should still have yearly
pelvic exams even without Pap smear
start at 18 or younger if sexually active. Look for something
Vulvar self exam
different including sensation, color and discharge.
endometrial tissue located outside the uterus that still
Endometriosis responds to hormonal changes. Symptoms can be minor
or severe
*Cyclic pelvic pain with menses*
endometriosis symptoms
Menorrhagia, dysmenorrhea, dyspareunia
dyspareunia painful intercourse
How is endometriosis diagnosed Laparoscopy with biopsy
hormone therapy to suppress menstrual cycle or induce
Endometriosis treatment artificial menopause, surgery for lesions or hysterectomy
in severe cases.
restore hormone balance, replete iron stores
Abnormal Uterine Bleeding (AUB) treatment Hormonal birth controls can be used
ablation or hysterectomy
a group of symptoms experienced by some women within
Premenstrual syndrome (PMS)
the 2-week period before menstruation
Inability to conceive after one year of trying.
Primary- never pregnant
Hormones for sperm production and secondary make
Test, FSH, Interstial Cell Stimulating Hormone (ICSH)
characteristics
What environment is good for sperm Alkaline
Perineum in females, the area between the anus and the vagina
Corpus main body of the uterus
fundus rounded upper portion of the uterus
Transition point between the body of the uterus and the
Uterine isthmus
cervix
Fimbriae guide egg into tube, cilia propel egg farther into
How does the egg get into the fallopian tubes and uterus
tube and uterus
How long after ovulation is an egg available ? About 24hrs
: days 1-14 of ovarian cycle . Follicle Stimulating Hor-
follicular phase mone(FSH) chooses egg to mature. Egg starts to produce
estrogen as it matures
follicular phase 1-14, ovulation 14, luteal phase14-28 (28
ovarian cycle
days)
day 14 of ovarian cycle . Estrogen in blood is high enough
and a burst of Luteinizing hormone (LH) which causes
Ovulation egg to burst from the follicle. This also creates the corpus
luteum which produces progesterone. LH stays slightly
elevated from days 14-28
The third phase of the ovarian cycle,
Estrogen and progesterone are produced. If not fertilized,
luteal phase the egg and subsequently the corpus luteum degenerate
and die. By the end of this phase, estrogen, progesterone,
and LH are low for the beginning of the next phase.
Menstrual phase 1-5
Proliferative phase: ends 14
, Secretory phase
Uterine cycle
Ischemic phase 27,28
Menstrual phase Endometrium sheds from days 1-5
Follicle matures and produces estrogen
Endometrium begins to regenerate
proliferate phase
Ends with ovulation
6-14
LH surge cause corpus luteum to produce progesterone.
Secretory phase Endometrium gathers nutrients. If pregnancy doesn't oc-
cur, corpus and egg degenerate
Days 27-28 of the menstrual cycle. The corpus luteum
Ischemic phase and egg degenerative and stop producing. Endometrium
becomes ischemic
Where does LH and FSH come from? anterior pituitary
an erection but is not accompanied by sexual excitement.
priapism
If more than 6 hrs tissue damage can occur
ED treatment Sildenafil, penile implants, transplants
For ED, careful with nitrates and retinopathy
Causes vasodilation
Sildenafil Can cause hypotension, flushing, dyspnea, and
headache
Seek er care for erection longer than 4 hours.
Primary- absence of menarch by 15
Amennorhea
Secondary- 3 missed cycles in 6 months
Rule out pregnancy first
What to do for Amenorrhea Then treat underlying cause if present
Cyclic progesterone treatment, estrogen replacement
menorrhagia excessive menstrual bleeding
, metorrhagia irregular uterine bleeding between menses
painful menstruation
dysmenorrhea Primary: unrelated to underlying cause
Secondary : to endometriosis or fibroids
Self exams
Breast Cance screening
mammogram every year after 45, every other year at 55
checks for HPV and more. starts pap smear at 21 ten every
Pelvic exam and pap smear 3 years until 29, then every 5 years. Should still have yearly
pelvic exams even without Pap smear
start at 18 or younger if sexually active. Look for something
Vulvar self exam
different including sensation, color and discharge.
endometrial tissue located outside the uterus that still
Endometriosis responds to hormonal changes. Symptoms can be minor
or severe
*Cyclic pelvic pain with menses*
endometriosis symptoms
Menorrhagia, dysmenorrhea, dyspareunia
dyspareunia painful intercourse
How is endometriosis diagnosed Laparoscopy with biopsy
hormone therapy to suppress menstrual cycle or induce
Endometriosis treatment artificial menopause, surgery for lesions or hysterectomy
in severe cases.
restore hormone balance, replete iron stores
Abnormal Uterine Bleeding (AUB) treatment Hormonal birth controls can be used
ablation or hysterectomy
a group of symptoms experienced by some women within
Premenstrual syndrome (PMS)
the 2-week period before menstruation
Inability to conceive after one year of trying.
Primary- never pregnant
