NU 607 Final Study Guide with Complete
Solutions
Treatment for low Hct/Hgb - Answer✔✔-Mild to moderate anemia treated with prenatal
vitamin or iron supplement
Causes for a teenage female not starting menses - Answer✔✔-Causes: chromosomal
abnormalities, hypothalamic hypogonadism, absence of uterus, cervix, vagina, transverse
vaginal septum, pituitary disease
Work Up for a teenage female not starting menses - Answer✔✔-Work up: hCG, FSH, TSH, PRL
Imaging for a teenage female not starting menses - Answer✔✔-Imaging: pelvic ultrasound
Best practice for determining the estimated date of delivery - Answer✔✔-EDD = LMP + 7 days -
3 months
Best practice for determining the estimated date of delivery - Answer✔✔-EDC by LMP should
match EDC by ultrasound within 7 days; if > 7 days difference then ultrasound date typically
assigned
Threatened abortion - Answer✔✔-Threatened: uterine bleeding in the presence of a closed
cervix, evidence of intrauterine pregnancy and cardiac motion
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Ectopic pregnancy - Answer✔✔-symptoms typically begin 6-8 weeks after LMP, include
abdominal/pelvic pain, amenorrhea, and vaginal bleeding
Inevitable abortion - Answer✔✔-cervix is already dilated, uterine bleeding increased, and
painful pregnancy
normal pregnancy - Answer✔✔-woman who have bleeding toward the end of the first trimester
are less likely to have a pregnancy loss than women who experience bleeding early in the first
trimester. The risk of loss after cardiac activity is around 6%
Treatment for ruptured membranes - Answer✔✔-Management based on proximity to delivery:
intravenous ampicillin and erythromycin for 48 hours, followed by oral amoxicillin and
erythromycin base
Pyelonephritis during pregnancy - Answer✔✔-Acute pyelonephritis can progress to maternal
sepsis, preterm labor, and premature delivery
symptoms of ectopic pregnancy - Answer✔✔-Symptoms include abdominal/pelvic pain,
amenorrhea, and vaginal bleeding
Labs for ectopic pregnancy - Answer✔✔-Plateaued or slowly rising HCG levels may suggest
ectopic
Treatment for ectopic pregnancy - Answer✔✔-Methotrexate used if hemodynamically stable
and to allow pregnancy to pass on its own
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