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NURP 531 FNP childbearing age > asynch questions > Flashcards

asynch questions Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

What is the process through which sex hormones controlling the menstrual cycle are synthesized from cholesterol?

A

steroidogenesis

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2
Q

Which part of the brain initially releases the gonadotropin-releasing hormone?

A

hypothalamus

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3
Q

Which hormones does the pituitary gland produce when stimulated by GNRH?

A

Follicle-stimulating hormone and lutenizing hormone

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4
Q

The withdrawal of which hormone results in menstruation?

A

progesterone

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5
Q

What is the purpose of the follicular phase of the menstrual cycle?

A

to produce an ovum

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6
Q

A surge in the levels of the leutenizing hormone is an indicator of this.

A

ovulation

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7
Q

In the absence of conception, what process does the unfertilized follicle undergo?

A

leutenization

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8
Q

During which phase of the menstrual cycle does the endometrial tissue develop?

A

proliferative phase

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9
Q

Variations of normal menstrual patterns are generally results of higher levels of testosterone in the body.

A

false

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10
Q

Menorrhagia

A

heavy prolonged menstrual flow

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11
Q

Metomenorrhagia

A

irregular heavy menstrual bleeding

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12
Q

Polymenorrhea

A

frequent bleeding

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13
Q

Hypomenorrhea

A

light bleeding

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14
Q

Metorrhagia

A

irregular bleeding

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15
Q

polyp

A

A condition which presents as overgrowth of endometrial glandular tissue

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16
Q

maligancy/ hyperplasia

A

A condition in which overgrowth of endometrial glands may develop into a precancerous atypical adenmous hyperplasia

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17
Q

Leiomyoma

A

A condition in which uterine fibroid or fibromuscular benign tumors arise from smooth muscle in the uterine wall

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18
Q

adenomyosis

A

A condition in which endometrial tissue from the uterus burrows deep into the uterine muscle

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19
Q

amenorrhea

A

Which of these terms indicates an absence of menstruation?

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20
Q

dysmenorrhea

A

Which of these terms describes painful abdominal/pelvic cramps or back pain associated with the menstrual cycle?

21
Q

Which of the options provided below best describes PMS?

A

Cluster of mild to moderate physical and psychological symptoms that occur during the late luteal phase of menses and resolve with menstruation

22
Q

Toxic shock syndrome s/s

A 
Fever
Hypotension
Skin manifestations (sunburn-like rash)
Chills
Malaise
Headache
Sore throat
Myalgias
Fatigue
Vomiting
Diarrhea
Abdominal pain
Orthostatic dizziness or syncope

Fever >38.9 °C
Hypotension
Diffuse erythroderma
Desquamation (may be delayed).

Involvement of at least three organ systems (gastrointestinal, musculoskeletal, mucous membranes, renal, hepatic, hematologic, central nervous system)

23
Q

TSS by body system

A

Gastrointestinal: vomiting or diarrhea at onset of illness
Muscular: severe myalgia or creatinine phosphokinase elevation more than two times the upper normal limit
Mucous membranes: vaginal, oropharyngeal or conjunctival hyperemia
Renal: BUN or serum creatinine more than two times the upper normal limit or pyuria
Hepatic: bilirubin or transaminases more than two times the upper normal limit
Hematologic: platelets <100,000/microL
Central nervous system: disorientation or alterations in consciousness without focal neurologic signs in the absence of fever and hypotension

24
Q

During the initial 48 hours of TSS patients may develop

A

diffuse erythroderma, severe watery diarrhea, decreased urine output, cyanosis and edema of the extremities.

25
Q

Neurologic symptoms of TSS:

A

somnolence, confusion, irritability, agitation, and hallucinations may occur secondary to cerebral ischemia and edema.

26
Q

S. aureus strains associated with menstrual cases of TSS account for

A

90 to 100 percent

27
Q

Birth control helps with

A

limiting the # of children concieved

28
Q

Contraception allows for

A

prevention of pregnancy

29
Q

Which of these options describes the efficacy of birth control?

A

likelihood conception occurs despite consistent and correct use

30
Q

Which of these options describes the effectiveness of birth control?

A

Success of a method in preventing pregnancy when used typically in practice

31
Q

types of adoption

A

open, closed, semi-open

32
Q

cytotec (misoprostol) in abortion

A

prostaglandin analog. ripens the cervix and causes expulsion of contraception products.

33
Q

methotrexate in abortin

A

inhibits enzyme for DNA synthesis and stops normal mitosis.
not as effective, takes up to 2 weeks to work
less desirable

34
Q

Identify the type of surgical abortion procedure that can be safely done in the first trimester.

A

aspiration

35
Q

Identify the type of surgical abortion procedure that can be safely done in the first trimester.

A

Dn C

36
Q

Identify the type of surgical abortion procedure that can be safely done in the first trimester

A

dilation and evacuation

37
Q

From the list provided below, identify the drug that is used in combination to induce medical abortions.

A

mifepristone

38
Q

From the list provided below, identify the drug that is used in combination to induce medical abortions.

A

misoprostol

39
Q

Which medication in combination with oxytocin and misoprostol is used to induce labor after the first trimester?

A

prostaglandin

40
Q

Which of these is NOT a nonhormonal method of contraception?

A

Nuvaring

41
Q

Which of these is the active chemical agent in spermicidal gels, foams, suppositories, etc?

A

Nonoxynil-9 (N-9)

42
Q

Current Card

Which of these contraceptive methods could potentially cause toxic shock syndrome?

A

sponge & diaphragm

43
Q

What is the primary form of estrogen in most hormonal contraceptives?

A

Ethinyl estradiol

44
Q

The production of which hormone is inhibited by the progestin found in hormonal contraceptives?

A

Lutenizing hormone

45
Q

What are the three variations of combination oral contraceptives?

A

Multiphasic, monophasic, and extended cycle

46
Q

Which of these is a permanent form of contraception?

A

essure

47
Q

Which one of these is the method of emergency contraception that involves taking a regimen of combined oral contraceptive pills (not necessarily a single dose)?

A

Yuzpe Method

48
Q

Which of these forms of emergency contraception can be administered within 5 days (120 hours) following unprotected intercourse?

A

Paraguard IUD

NURP 531 FNP childbearing age (1 decks)

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