CMN 572 Unit 1
WITH 100%
CORRECT AND
VERIFIED
ANSWERS
LATEST CMN572
UNIT 1 2024-2025 !!
,Gravida/Para - CORRECT ANSWERS 100%--Gravida/gravidity=total number of confirmed
pregnancies that a woman has had, regardless of the outcome
Para/parity=number of births after 20 weeks gestation
TPAL - CORRECT ANSWERS 100%--term, preterm, abortion, living
What to include/ask for in an complete OB/GYN history? - CORRECT ANSWERS 100%--
Age, LMP, GP, CC, present illness, past medical history, contraception, medications,
surgical history, allergies, OB/GYN history, sexual, social, family history
information to know for a patients OB history? - CORRECT ANSWERS 100%--pregnancies,
sex & weight of children, DOB, pregnancy duration, length/type of labor, anesthesia,
complications
information to know for a patients GYN history? - CORRECT ANSWERS 100%--menstrual
history: age at menarche, duration, period intervalss, amount/character of flow,
discomfort & age of menopause, STD history
,preferred time for self breast exam? - CORRECT ANSWERS 100%--1 week after menses
postmenopausal: same day each month
firm cervix may indicate: - CORRECT ANSWERS 100%--cancer or tumor
axdenal structures - CORRECT ANSWERS 100%--fallopian tubes & ovaries
acidic vs alkaline ph of vaginal discharge indicates: - CORRECT ANSWERS 100%--acidic
(4-5)= fungal infection
alkaline(5.5-7)= BV or trichomonas
schiller test for neoplasia: - CORRECT ANSWERS 100%--use of suspected pre/cancerous
growths of cervix or vaginal mucosa
suspect area painted with Lugols solution (strong iodine), areas NOT accepting dye=
abnormal
premenstrual syndrome (PMS) - CORRECT ANSWERS 100%--cyclic occurrence of
symptoms that interfere with aspects of life consistent around menses
premenstrual syndrome (PMS) symptoms - CORRECT ANSWERS 100%--occur 2nd half of
menstrual cycle (luteal phase) for at least 2 consecutive cycles
mood symptoms [irritability, mood swings, depression, anxiety]
physical symptoms [breast tenderness, bloating, pelvic pain, appetite changes]
cognitive changes [confusion & poor concentration]
MUST be symptom free period of 7 days in 1st half of cycle
causes & diagnosis of PMS - CORRECT ANSWERS 100%--potential cause r/t hormonal
imbalance
diagnosis: pt reports at least 1 mood & somatic symptom during 5 days prior to menses
in 3 prior cycles
symptoms dissipate 4 days post menses & stay dormant until day 13
Treatment of PMS - CORRECT ANSWERS 100%--minimal symptoms: limit alcohol, salt,
caffeine, tobacco
Ca Carbonate, Magnesium, b6, Vitamin E, NSAIDs to reduce bloating ad pai
SSRI's, contraceptives
Pap smear screening guidelines - CORRECT ANSWERS 100%--21 to 29yo: q3 years
30 to 65yo: q3 or pap+hpv screen q5
>65yo: not rec with previous normal paps
hysterectomy (with removal of cervix): not rec in addition to no history of cancer
high risk groups for cervical cancer - CORRECT ANSWERS 100%--prior cervical cancer
history, DES intrauterine exposure, immunocompromised conditions
, ACHES - signs of OC complications - CORRECT ANSWERS 100%--A = abdominal pain
(liver/gallbladder)
C - chest pain, sob (PE/MI)
H - headaches (STROKE)
E - eye problems - (CVA, HTN)
S - severe leg pain (thromboembolus)
Patient education on initial RX OC - CORRECT ANSWERS 100%--Use of a backup method
of birth control (such as condoms) is recommended for first 7 days, depending on when
in cycle pills are started
Expect breakthrough bleeding for the first several cycles.
Most common side effects are nausea and fatigue
OC start methods - CORRECT ANSWERS 100%--Sunday start: start pills on the first
Sunday after menses starts
Menses start: start pills on the first day of menses
Both of these methods are common, but if the next menses is 2-3 weeks away, the client
may forget to fill Rx or forget to start. Unintended pregnancy can occur while waiting to
start
Quick Start: start the pills the day of the office visit regardless of point in cycle. Do urine
pregnancy test if > 5 days since last menses and unprotected sex. Studies show lower
rates of unintended pregnancy & higher continuation rates at 3 months. Use backup
contraception for 7 days.
First 3 to 6 mos OC use - CORRECT ANSWERS 100%--Expect breakthrough bleeding (BTB)
Adjustment to daily regimen: pills should be taken at the same time every day
Evening dosing can prevent some side effects from occurring during the day (nausea and
fatigue)
categories of OC - CORRECT ANSWERS 100%--Combination oral contraceptives (COCs)
have an estrogen and a progestin
Progestin-only pills (POPs) have only progestin
Tri-phasic pills are COCs that have different doses for each of 3 weeks plus a placebo
week
Extended cycle pills are COCs that provide menses once every 3-12 months: Seasonique
or Seasonique Lo or you can use COCs (not tri-phasics) or POPs and drop placebo pills to
mimic this regimen.
Continuous cycling for a year: Lybrel
WITH 100%
CORRECT AND
VERIFIED
ANSWERS
LATEST CMN572
UNIT 1 2024-2025 !!
,Gravida/Para - CORRECT ANSWERS 100%--Gravida/gravidity=total number of confirmed
pregnancies that a woman has had, regardless of the outcome
Para/parity=number of births after 20 weeks gestation
TPAL - CORRECT ANSWERS 100%--term, preterm, abortion, living
What to include/ask for in an complete OB/GYN history? - CORRECT ANSWERS 100%--
Age, LMP, GP, CC, present illness, past medical history, contraception, medications,
surgical history, allergies, OB/GYN history, sexual, social, family history
information to know for a patients OB history? - CORRECT ANSWERS 100%--pregnancies,
sex & weight of children, DOB, pregnancy duration, length/type of labor, anesthesia,
complications
information to know for a patients GYN history? - CORRECT ANSWERS 100%--menstrual
history: age at menarche, duration, period intervalss, amount/character of flow,
discomfort & age of menopause, STD history
,preferred time for self breast exam? - CORRECT ANSWERS 100%--1 week after menses
postmenopausal: same day each month
firm cervix may indicate: - CORRECT ANSWERS 100%--cancer or tumor
axdenal structures - CORRECT ANSWERS 100%--fallopian tubes & ovaries
acidic vs alkaline ph of vaginal discharge indicates: - CORRECT ANSWERS 100%--acidic
(4-5)= fungal infection
alkaline(5.5-7)= BV or trichomonas
schiller test for neoplasia: - CORRECT ANSWERS 100%--use of suspected pre/cancerous
growths of cervix or vaginal mucosa
suspect area painted with Lugols solution (strong iodine), areas NOT accepting dye=
abnormal
premenstrual syndrome (PMS) - CORRECT ANSWERS 100%--cyclic occurrence of
symptoms that interfere with aspects of life consistent around menses
premenstrual syndrome (PMS) symptoms - CORRECT ANSWERS 100%--occur 2nd half of
menstrual cycle (luteal phase) for at least 2 consecutive cycles
mood symptoms [irritability, mood swings, depression, anxiety]
physical symptoms [breast tenderness, bloating, pelvic pain, appetite changes]
cognitive changes [confusion & poor concentration]
MUST be symptom free period of 7 days in 1st half of cycle
causes & diagnosis of PMS - CORRECT ANSWERS 100%--potential cause r/t hormonal
imbalance
diagnosis: pt reports at least 1 mood & somatic symptom during 5 days prior to menses
in 3 prior cycles
symptoms dissipate 4 days post menses & stay dormant until day 13
Treatment of PMS - CORRECT ANSWERS 100%--minimal symptoms: limit alcohol, salt,
caffeine, tobacco
Ca Carbonate, Magnesium, b6, Vitamin E, NSAIDs to reduce bloating ad pai
SSRI's, contraceptives
Pap smear screening guidelines - CORRECT ANSWERS 100%--21 to 29yo: q3 years
30 to 65yo: q3 or pap+hpv screen q5
>65yo: not rec with previous normal paps
hysterectomy (with removal of cervix): not rec in addition to no history of cancer
high risk groups for cervical cancer - CORRECT ANSWERS 100%--prior cervical cancer
history, DES intrauterine exposure, immunocompromised conditions
, ACHES - signs of OC complications - CORRECT ANSWERS 100%--A = abdominal pain
(liver/gallbladder)
C - chest pain, sob (PE/MI)
H - headaches (STROKE)
E - eye problems - (CVA, HTN)
S - severe leg pain (thromboembolus)
Patient education on initial RX OC - CORRECT ANSWERS 100%--Use of a backup method
of birth control (such as condoms) is recommended for first 7 days, depending on when
in cycle pills are started
Expect breakthrough bleeding for the first several cycles.
Most common side effects are nausea and fatigue
OC start methods - CORRECT ANSWERS 100%--Sunday start: start pills on the first
Sunday after menses starts
Menses start: start pills on the first day of menses
Both of these methods are common, but if the next menses is 2-3 weeks away, the client
may forget to fill Rx or forget to start. Unintended pregnancy can occur while waiting to
start
Quick Start: start the pills the day of the office visit regardless of point in cycle. Do urine
pregnancy test if > 5 days since last menses and unprotected sex. Studies show lower
rates of unintended pregnancy & higher continuation rates at 3 months. Use backup
contraception for 7 days.
First 3 to 6 mos OC use - CORRECT ANSWERS 100%--Expect breakthrough bleeding (BTB)
Adjustment to daily regimen: pills should be taken at the same time every day
Evening dosing can prevent some side effects from occurring during the day (nausea and
fatigue)
categories of OC - CORRECT ANSWERS 100%--Combination oral contraceptives (COCs)
have an estrogen and a progestin
Progestin-only pills (POPs) have only progestin
Tri-phasic pills are COCs that have different doses for each of 3 weeks plus a placebo
week
Extended cycle pills are COCs that provide menses once every 3-12 months: Seasonique
or Seasonique Lo or you can use COCs (not tri-phasics) or POPs and drop placebo pills to
mimic this regimen.
Continuous cycling for a year: Lybrel
