Nurs 270 Hesi Review Questions and Correct Answers
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Course
NUR 270
Institution
NUR 270
HCG function supports pregnancy by allowing the production of progesterone and estrogen
Progesterone and estrogen hormone that helps prepare the lining of the uterus for implantation
Nagle's Rule estimates due date LMP - 3 months + 7 days
Ectopic pregnancy implantation of the fertilized egg in a...
Nurs 270 Hesi Review Questions and
Correct Answers
HCG function ✅supports pregnancy by allowing the production of progesterone and
estrogen
Progesterone and estrogen ✅hormone that helps prepare the lining of the uterus for
implantation
Nagle's Rule ✅estimates due date LMP - 3 months + 7 days
Ectopic pregnancy ✅implantation of the fertilized egg in any site other than the normal
uterine location; greater than 12 weeks tube can rupture; can be caused by stis
Early treatment of ectopic pregnancy ✅methotrexate (folic acid antagonist) helps
maintain possibility of future pregnancies injection of first dose and possibly a second
dose on day 7; methotrexate is a cytotoxic drug
Miscarriage ✅spontaneous abortion; born before 20 weeks
Missed abortion ✅nonviable pregnancy is not expelled; product of conception is are
retained in utero for several weeks
Threatened abortion ✅woman experiences increased vaginal bleeding and cramping
internal cervical os dilates and membranes may rupture
Signs and symptoms threatened abortion ✅early vaginal bleeding that progresses to
dilation,increased pain and pressure,and probable loss of pregnancy
Septic abortion ✅A life-threatening emergency in which the uterus
Becomes infected following any type of abortion.
Serial beta hcg testing ✅protocol for treatment with methotrexate, used to see if a
second dose of methotrexate is required
Secondary prevention ✅screening and early detection
Tertiary prevention ✅prevention of complications from an existing disease and
promoting health to the highest level; exercise/nutrition for diabetes foot care
,Folic acid ✅taken before getting pregnant prevents neural tube defects
Diaphragm ✅-used with spermicide
-must be fitted by a nurse practitioner or doctor
-must be left in place 6 hr after intercourse
-must be refitted if excessive weight gain or loss
-must be checked for integrity
-can irritate the urethra
Cervical cap ✅-used with spermicide
-contraindicated if cervical anomalies exist
-associated with cervical changes
-pap smear recommended 3 mo after use
Condom ✅-used with spermicide to increase effectiveness
-recommended if any suspicion of STD
-penis must be withdrawn while erect or may fall off
-water soluble jelly should be used
Copper IUD ✅-no hormones
-high association with dysmenorrhea
Contraindications
-diabetes
-anemia
-abnormal pap
-history of pelvic infections
Oral contraceptives ✅-Estrogen prevents pituitary secretion of FSH preventing
ovulation
-woman still menstruates
-compliance is a problem since must be taken everyday
Oral contraceptives contraindications ✅-history of coagulation problems
-thromboembolism
-liver disease
-reproductive cancer
-coronary artery disease
Transdermal contraceptive patch ✅-similar to oral contraceptives
-delivers continuous levels of progesterone and estradiol
-can be applied to lower abdomen, upper outer arm, buttock, or upper torso (except the
breasts)
-applied on the same day once a week for 3 weeks followed by a week without
Norplant ✅-sustained release subdermal progestion only
,-placed in a fanlike pattern just beneath the skin of the upper arm
-effective 24 hr after insertion and effective for approximately 5 years
-side effects menstrual pattern changes, headache, nervousness
-suppresses ovulation and thickens cervical mucus
Depo-Provera ✅-IM injection every 3 months
-administered first 5 days of menstrual cycle
-new mothers may be given post partum
-99% efficacy
-may experience weight gain and irregular or unpredictable menstrual bleeding
-must monitor for blood clots
Barrier contraceptives ✅condom, diaphragm, cervical cap
Infertility for women ✅-not ovulating/turner syndrome
-scar tissue (PID, stis, uterine surgery,endometriosis)
-psychological
Infertility men ✅-low sperm count (can be due to heat)
-psychological
Primary syphilis ✅up to 90 days postexposure
-chancre (red painless lesions with indurated border)
-highly infectious
Secondary syphilis ✅6 weeks to 6 months postexposure
-flu like symptoms
-generalized rash that affects palms of hands and soles of feet
-lesions contagious
Tertitary Syphilis ✅10-30 years postexposure
-cardiac and neurologic destruction
Treatment for syphilis ✅Penicillin G IM if allergic alternatives are tetracycline,
doxycycline, or ceftriaxone
Gonorrhea ✅Females: majority are asymptomatic
Males:
-dysuria
-yellowish-green urethral discharge
-urinary frequency
Gonorrhea treatment ✅-Ceftriaxone sodium plus doxycycline hyclate or azithromycin
-cefixime plus doxycycline or azithromycin
, Chlamydia ✅Females: many asymptomatic but may exhibit
-dysuria
-urgency
-vaginal discharge
-oral temp (>38.3)
-uterine or adnexal tenderness
Males:
-leading cause of nongonnocal urethritis
Chlamydia treatment ✅-doxycycline hyclate or azithromycin
-cefoxitin gentamycin
Trichomoniasis ✅Females:
-green,yellow, or white frothy foul smelling vaginal discharge with itching
Males: Asymptomatic
Trichomoniasis treatment ✅Metronidazole/Flagyl (male partners to be treated to
prevent infection)
Candidiasis ✅Females:
-odorless white or yellow cheesy discharge with itching
Males: Asymptomatic
Candidasis treatment ✅-miconazole nitrate (Monistat)
-clotrimazole (Gyne-Lotrimin)
-nystatin (Mycostatin)
-Fluconazole (Diflucan) PO single dose
HSV 2 ✅-vesicles in clusters that rupture and leave painful erosions that cause painful
urination
-characterized by remissions and exacerbation
-may be contagious even when asymptomatic
HPV ✅-multiple strains (>70) some of which are implicated in cervical cancer
-alarming increase in adolescent population
-lesions may be small,wartlike, or clustered
-may be flat or raised
Ovulation occurs ✅approximately 14 days before the next menstrual cycle
Fertile period ✅begins 4-5 days prior to ovulation and ends 24-48 hours after ovulation
Gravida ✅how many pregnancies there are including the current pregnancy if there is
one
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