Midterml Exam:l NRl 602l NR602l Latestl

Midterml Exam:l NRl 602/l NR602l (Latestl

2026/l 2027l Update)l Primaryl Carel ofl thel Childbearingl andl Childrearingl Familyl Practicuml Guide|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain

Q:l Menstruall cyclel physiology

Answer:

-Onel maturel ovuml isl releasedl everyl 28l days -Duringl thel 1stl halfl ofl thel menstruall cycle,l estrogenl levelsl risel andl thel endometriuml growsl andl thickens -Onl dayl 14,l onel folliclel breaksl openl andl releasesl itsl eggl celll =l ovulation -Progesteronel levelsl risel andl helpl preparel thel uterusl forl pregnancy -Ifl pregnancyl doesl notl occur,l estrogenl andl progesteronel levelsl drop,l andl thel thickenedl liningl ofl thel uterusl isl shedl =l menstruall period

Q:l Ovarianl Cycle

Answer:

-Eggsl developl insidel asl follicles -Thel cyclel isl 28l daysl long

Q:l Follicularl Phase

Answer:

-FSHl andl LHl stimulatesl growthl ofl thel follicle;l estrogenl levelsl continuel tol rise -Firstl halfl isl menses,l secondl halfl isl proliferativel phasel =l thickeningl ofl endometrium -Towardsl dayl 14,l therel isl al largel secretionl ofl LHl calledl thel "luteall surge" -Finall stage:l ovulation;l thel eggl isl released 1 / 4

Q:l Luteall Phase

Answer:

-Becausel thel folliclel nol longerl existsl andl becomesl thel corpusl luteum,l itl beginsl tol mass-producel progesterone -Progesteronel stimulatesl andl preparesl thel uterinel liningl forl implantation

-Secretoryl phase:l FSHl andl LHl continuel tol bel suppressed

-Corpusl luteuml beginsl tol die,l atrophies,l andl estrogenl andl progesteronel plummetl (whenl nol pregnancyl occurs) -Thel luteall phasel ends,l thel follicularl phasel beginsl withl endometriall sheddingl andl menstruation

Q:l Vaccinesl duringl pregnancy

Answer:

-Contraindicated:l livel vaccinesl i.e.l MMR,l orall polio,l varicella,l herpesl zoster,l andl flumist

-Recommended/safe:l inactivatedl influenza,l hepl B,l meningococcal,l Tdap

Q:l Emergencyl contraception

Answer:

-Thel Yuzpel regimen:l combinedl ECPsl thatl mustl containl atl leastl 100l mcgl ofl ethinyll estradioll andl 0.50l mgl ofl levonorgestrel,l repeatedl inl 12l hours -Levonorgestrell containingl eitherl 1.5-mgl (singlel dosel Planl Bl One-Step)l orl twol dosesl ofl 0.75l mgl takenl 12l hoursl apartl (Nextl Choicel andl Planl B) -Ulipristall acetatel (Ella)-al selectivel progesteronel receptorl modulator,l singlel 30-mgl dosel isl thel mostl effectivel orall emergencyl contraceptionl method

Q:l Tierl 1l contraception

Answer:

Mostl effectivel withl al failurel ratel ofl lessl thanl 1% -IUD:Levonorgestrell increasesl cervicall mucusl tol makel sperml penetrationl morel difficult 2 / 4

-DMPA:Depol Provera,l progestinl only,l lastsl 3l months

-Progestinl implants:l Nexplanonl subcutaneousl implant,l effectivel upl tol 3l years;l slowl releasel ofl progestinl tol suppressl ovulationl byl inhibitingl LHl surge

-Sterilization:l tuball ligationl orl vasectomy

Q:l Tierl 2l contraception

Answer:

Failurel ratel betweenl 2-3% -Combinedl orall contraceptives -Progestinl onlyl "minipill" -Emergencyl contraception -Transdermall patch:l slowl releasel estrogenl andl progesterone;l appliedl weeklyl withl 4thl weekl patch-free -Cervicall ring:l slowl releasel estrogenl andl progesterone;l removedl forl onel weekl atl al time,l inl placel forl 3l weeks

Q:l Tierl 3l contraception

Answer:

Leastl reliablel methodl withl al failurel ratel ofl upl tol 20% -Barrierl methods,l naturall familyl planning,l andl coitusl interruptus

Q:l Amenorrhea:l Etiology

Answer:

-Mostl commonl causes:l pregnancy,l hypothalamicl amenorrhea,l andl PCOS

-Primaryl amenorrhea:l thel failurel tol beginl mensesl byl agel 16

-Secondaryl amenorrhea:l 3l monthsl withoutl mensesl oncel mensesl hasl beenl established -Causes:l anatomicl defects,l ovarianl failure,l chronicl anovulation,l anteriorl pituitaryl disorders,l CNSl disorders

Q:l Amenorrheal classifications

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Answer:

-Disordersl ofl thel genitall outflowl tract -Disordersl ofl thel ovaryl (mostl commonl cause,l testl estrogenl levels) -Disordersl ofl thel anteriorl pituitary -Disordersl ofl thel hypothalamusl orl centrall nervousl system

Q:l Etiologyl andl treatmentl ofl primaryl dysmenorrhea

Answer:

-Cyclicall menstruall painl withl nol identifiablel pelvicl disease -Almostl alwaysl associatedl withl ovulatoryl cycles -Occursl withinl firstl 6l monthsl ofl menarche -Becomesl morel severel withl age -Al diagnosisl ofl exclusionl (secondaryl causesl mustl bel ruledl out) -Thel mostl commonl MISDIAGNOSISl ofl primaryl dysmenorrheal isl secondaryl dysmenorrheal duel tol endometriosis -Treatl withl COCsl andl NSAIDs

Q:l Etiologyl andl treatmentl ofl secondaryl dysmenorrhea

Answer:

-Cyclicall menstruall painl thatl resultsl froml pelvicl pathologyl i.e.l pelvicl inflammatoryl disease,l endometriosis,l uterinel fibroidsl andl adenomyosis -Endometriosisl isl thel mostl commonl cause -Highl associationl withl autoimmunel conditionsl suchl asl Rheumatoidl Arthritisl (RA),l Sjögrensl syndromel andl SLE -Treatl withl progestin-onlyl contraceptivesl tol atrophyl thel endometriall liningl andl inhibitl ovulation

Q:l PMS

Answer:

-Al clusterl ofl mildl tol moderatel physicall andl psychologicall symptomsl thatl occurl duringl thel latel luteall phasel ofl mensesl andl resolvesl withl menstruation -Commonl andl occursl inl thel majorityl ofl premenopausall women

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