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MARK KLIMEK BLUE BOOK PART 2 NEWEST
2025/2026 UPDATED EXAM WITH COMPLETE QUESTIONS AND
ANSWERS.VERIFED/
Compare signs of non-ruptured ovarian cysts with the sings of a ruptured ovarian cyst. (Give 3 for each) - ----Answers---
Non-ruptured: low back pain, dull pelvic pain, abnormal
uterine bleeding especially with menstruation
Ruptured: acute pain, abdominal distention, and abdominal
rigidity
After surgery to remove an ovarian cyst the woman can return to normal activities between _______ to _______ weeks, - ---- Answers---4-6 weeks
How soon after removal of an ovarian cyst can a woman resume sexual intercourse? - ----Answers---4-6 weeks
Should a woman douche after surgery to remove an ovarian cyst? - ----Answers---No, it is not good to douche on a regular basis, it destroys natural protective vaginal flora
What does lightening mean? - ----Answers---When the fetal head descends into the pelvis
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When does lightening occur in pregnancy? - ----Answers---2-
- weeks before birth for primipara
What is the most common positive effect of lightening? - ---- Answers---After it occurs the woman can breathe much easier
Name the two earliest signs that a woman is likely in labor. - - ---Answers---Low back pain and show (blood-tinge mucous plug is )
What is the most RELIABLE or VALID indication that a woman is in labor? - ----Answers---The onset of regular contractions that result in progressive dilation/effacement of the cervix
What is the meaning of cervical effacement? - ----Answers--- The cervix thins
Into how many stages is labor and delivery divided? - ---- Answers---4
What is accomplished during the first stage of labor and delivery? - ----Answers---Full effacement and dilation
How long is the first stage of labor and delivery for a primagravida? For a multigravida? - ----Answers---12 hours,
- hours 2 / 4
THe cervix is fully dilated when it is ______ cm. - ----Answers- --10
The 2nd stage of labor and delivery accomplishes.... - ---- Answers---Delivery of the infant
The 2nd stage of labor and delivery begins with ______ and ends with _______ of the ________. - ----Answers---Full dilation, delivery, infant
The 2nd stage of labor and delivery lasts ______ hours for a primagravida and ______ hours for a multigravida. - ---- Answers---1 1/2 hours, 1/2 hour
The 3rd stage of labor and delivery accomplishes... - ---- Answers---Expulsion of the placenta
The 3rd stage of labor and delivery lasts... - ----Answers--- Less than one hour
What occurs during the 4th stage of labor and delivery? - ---- Answers---Recovery
When does the 4th stage of labor and delivery end? - ---- Answers---2 hours after expulsion of the placenta
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What is the average blood loss during labor? - ----Answers-- -500 cc
When the terminology "the three phases of labor" is used, what does it mean? - ----Answers---If the statement refers to phases of labor, it means the 3-step process of latency, followed by an active and transitional
Normal length of pregnancy is ______ to ______ days. - ---- Answers---240 to 300
Pregnancy is divided into ____ trimesters. - ----Answers---3
During the first trimester the woman experiences decreased or increased vaginal secretions? - ----Answers---Increased
When are urine pregnancy tests positive? - ----Answers---At the time of the first missed period
Pregnancy tests test for the presence of what hormone? - ---- Answers---HCG (human chorionic gonadotropin hormone)
Urine and blood pregnancy tests are enough evidence to be certain of pregnancy. (T/F) - ----Answers---False, these tests only suggest pregnancy
What is Hegar's sign? - ----Answers---Uterine softening
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