NR 602 Primary Care of the Childbearing and
Childrearing Family MIDTERM MASTERY
250-Question &Answer Study Guide
Contents
Unit 1A: Menstrual Cycle & Disorders (Questions 1–15)
Unit 1B: Contraception (Questions 16–30)
Unit 1C: STIs & Vaginal Infections (Questions 31–40)
Unit 2A: Preconception Counseling & Genetics (Questions 41–50)
Unit 2B: Normal Pregnancy Physiology & Prenatal Care (Questions 51–70)
Unit 2C: Prenatal Screening & Diagnostic Testing (Questions 71–85)
Unit 2D: Common Discomforts of Pregnancy (Questions 86–100)
Unit 2E: Nutrition in Pregnancy (Questions 101–110)
Unit 3A: Hypertensive Disorders of Pregnancy (Questions 111–125)
Unit 3B: Gestational Diabetes (Questions 126–135)
Unit 3C: Bleeding Disorders in Pregnancy (Questions 136–145)
Unit 3D: Preterm Labor & Other Complications (Questions 146–160)
Unit 4A: Postpartum Physiology & Care (Questions 161–180)
Unit 4B: Breastfeeding & Lactation (Questions 181–195)
Unit 4C: Newborn Assessment & Care (Questions 196–210)
Unit 4D: Newborn Complications & Common Issues (Questions 211–220)
Unit 5A: Growth & Development Milestones (Questions 221–235)
Unit 5B: Immunizations & Well-Child Visits (Questions 236–250)
,Unit 1A: Menstrual Cycle & Disorders
1. What is the average length of the menstrual cycle?
Answer: Approximately 28 days, with a normal range of 21–35 days.
2. What hormone triggers ovulation?
Answer: A surge in luteinizing hormone (LH).
3. What are the four phases of the menstrual cycle?
Answer: Menstrual, follicular (proliferative), ovulation, and luteal (secretory).
4. What is dysmenorrhea, and what causes primary dysmenorrhea?
Answer: Painful menstruation; primary dysmenorrhea is caused by excess prostaglandin release causing
uterine contractions, without underlying pelvic pathology.
5. What is the first-line treatment for primary dysmenorrhea?
Answer: NSAIDs, such as ibuprofen or naproxen.
6. What distinguishes secondary dysmenorrhea from primary dysmenorrhea?
Answer: Secondary dysmenorrhea is caused by underlying pelvic pathology, such as endometriosis or
fibroids, and often begins later in life.
7. What is amenorrhea, and what are the two types?
Answer: The absence of menstruation; primary amenorrhea (never had a period by age 15) and secondary
amenorrhea (absence of periods for 3+ months after previously menstruating).
8. What should always be ruled out first in a reproductive-age woman with secondary amenorrhea?
Answer: Pregnancy.
9. What is menorrhagia?
Answer: Heavy or prolonged menstrual bleeding, greater than 80 mL or lasting more than 7 days.
10. What is the most common cause of abnormal uterine bleeding in reproductive-age women?
Answer: Anovulation, often due to hormonal imbalance.
11. What are the classic symptoms of endometriosis?
Answer: Cyclic pelvic pain, dysmenorrhea, dyspareunia, and infertility.
12. What are the classic symptoms of polycystic ovary syndrome (PCOS)?
Answer: Irregular menses, hirsutism, acne, and obesity, often with insulin resistance.
13. What diagnostic criteria are used to diagnose PCOS?
Answer: The Rotterdam criteria, requiring at least two of: oligo/anovulation, clinical/biochemical
hyperandrogenism, and polycystic ovaries on ultrasound.
14. What is the first-line treatment for PCOS in a woman not seeking pregnancy?
Answer: Combined oral contraceptives to regulate cycles and reduce hyperandrogenism, along with lifestyle
modification.
, 15. How does PMS differ from premenstrual dysphoric disorder (PMDD)?
Answer: PMS causes mild-to-moderate physical/emotional symptoms before menses; PMDD causes severe
mood symptoms that significantly impair functioning.
Childrearing Family MIDTERM MASTERY
250-Question &Answer Study Guide
Contents
Unit 1A: Menstrual Cycle & Disorders (Questions 1–15)
Unit 1B: Contraception (Questions 16–30)
Unit 1C: STIs & Vaginal Infections (Questions 31–40)
Unit 2A: Preconception Counseling & Genetics (Questions 41–50)
Unit 2B: Normal Pregnancy Physiology & Prenatal Care (Questions 51–70)
Unit 2C: Prenatal Screening & Diagnostic Testing (Questions 71–85)
Unit 2D: Common Discomforts of Pregnancy (Questions 86–100)
Unit 2E: Nutrition in Pregnancy (Questions 101–110)
Unit 3A: Hypertensive Disorders of Pregnancy (Questions 111–125)
Unit 3B: Gestational Diabetes (Questions 126–135)
Unit 3C: Bleeding Disorders in Pregnancy (Questions 136–145)
Unit 3D: Preterm Labor & Other Complications (Questions 146–160)
Unit 4A: Postpartum Physiology & Care (Questions 161–180)
Unit 4B: Breastfeeding & Lactation (Questions 181–195)
Unit 4C: Newborn Assessment & Care (Questions 196–210)
Unit 4D: Newborn Complications & Common Issues (Questions 211–220)
Unit 5A: Growth & Development Milestones (Questions 221–235)
Unit 5B: Immunizations & Well-Child Visits (Questions 236–250)
,Unit 1A: Menstrual Cycle & Disorders
1. What is the average length of the menstrual cycle?
Answer: Approximately 28 days, with a normal range of 21–35 days.
2. What hormone triggers ovulation?
Answer: A surge in luteinizing hormone (LH).
3. What are the four phases of the menstrual cycle?
Answer: Menstrual, follicular (proliferative), ovulation, and luteal (secretory).
4. What is dysmenorrhea, and what causes primary dysmenorrhea?
Answer: Painful menstruation; primary dysmenorrhea is caused by excess prostaglandin release causing
uterine contractions, without underlying pelvic pathology.
5. What is the first-line treatment for primary dysmenorrhea?
Answer: NSAIDs, such as ibuprofen or naproxen.
6. What distinguishes secondary dysmenorrhea from primary dysmenorrhea?
Answer: Secondary dysmenorrhea is caused by underlying pelvic pathology, such as endometriosis or
fibroids, and often begins later in life.
7. What is amenorrhea, and what are the two types?
Answer: The absence of menstruation; primary amenorrhea (never had a period by age 15) and secondary
amenorrhea (absence of periods for 3+ months after previously menstruating).
8. What should always be ruled out first in a reproductive-age woman with secondary amenorrhea?
Answer: Pregnancy.
9. What is menorrhagia?
Answer: Heavy or prolonged menstrual bleeding, greater than 80 mL or lasting more than 7 days.
10. What is the most common cause of abnormal uterine bleeding in reproductive-age women?
Answer: Anovulation, often due to hormonal imbalance.
11. What are the classic symptoms of endometriosis?
Answer: Cyclic pelvic pain, dysmenorrhea, dyspareunia, and infertility.
12. What are the classic symptoms of polycystic ovary syndrome (PCOS)?
Answer: Irregular menses, hirsutism, acne, and obesity, often with insulin resistance.
13. What diagnostic criteria are used to diagnose PCOS?
Answer: The Rotterdam criteria, requiring at least two of: oligo/anovulation, clinical/biochemical
hyperandrogenism, and polycystic ovaries on ultrasound.
14. What is the first-line treatment for PCOS in a woman not seeking pregnancy?
Answer: Combined oral contraceptives to regulate cycles and reduce hyperandrogenism, along with lifestyle
modification.
, 15. How does PMS differ from premenstrual dysphoric disorder (PMDD)?
Answer: PMS causes mild-to-moderate physical/emotional symptoms before menses; PMDD causes severe
mood symptoms that significantly impair functioning.
