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NU664D/ NU 664D Exam 2 Study Guide (Latest 2025/ 2026 Update) Primary Care Adult Woman, Exams of Nursing

NU664D/ NU 664D Exam 2 Study Guide (Latest 2025/ 2026 Update) Primary Care Adult Woman I Review| Questions & Answers | Grade A (100% Correct Solutions)- Regis

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NU664D/ NU 664D Exam 2 Study Guide (Latest 2025/ 2026
Update) Primary Care Adult Woman I Review| Questions &
Answers | Grade A (100% Correct Solutions)- Regis
Question:
When is the follicular phase ovarian cycle begin
Answer:
begins at the onset of menses and ends on the day before the LH surge (Days 1-14)
Question:
What happens during the follicular phase
Answer:
Increase in FSH stimulates the ovary to develop follicles that contain and egg
Question:
The follicles produce
Answer:
estrogen
Question:
estrogen causes the uterine lining to
Answer:
thicken
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Download NU664D/ NU 664D Exam 2 Study Guide (Latest 2025/ 2026 Update) Primary Care Adult Woman and more Exams Nursing in PDF only on Docsity!

NU664D/ NU 664D Exam 2 Study Guide (Latest 2025/ 2026

Update) Primary Care Adult Woman I Review| Questions &

Answers | Grade A (100% Correct Solutions)- Regis

Question:

When is the follicular phase ovarian cycle begin

Answer:

begins at the onset of menses and ends on the day before the LH surge (Days 1-14)

Question:

What happens during the follicular phase

Answer:

Increase in FSH stimulates the ovary to develop follicles that contain and egg

Question:

The follicles produce

Answer:

estrogen

Question:

estrogen causes the uterine lining to

Answer:

thicken

Question:

LH is released from

Answer:

the pituitary gland

Question:

LH surge

Answer:

pituitary releases a large amount of LH

Question:

Luteal phase of the ovarian cycles begins

Answer:

on the day of the LH surge - 24 hours before ovulation - days 15-28 of cycle

Question:

Luteal phases causes

Answer:

rupture of the mature follicle and release of egg

Question:

Uterine cycle: proliferative phase

Answer:

depends on estrogen - corresponds with follicular phase - causes endometrial lining to grow

Question:

uterine cycle: secretory phase

Answer:

corresponds to luteal phase of ovarian cycle - corpus luteum produces progesterone - endometrium is receptive to implantation of blastocyst

Question:

Excessive estrogen

Answer:

menorrhagia, dysmenorrhea, fibrocystic breast changes, mucorrhea, edema/leg cramps, bloating, cyclic weight gain, increased fibroid growth, withdrawal headache

Question:

Insufficient estrogen

Answer:

amenorrhea, hypomenorrhea, break through bleeding before day 10, irritability, atrophy of vagina, hot flases, night sweats, decreased pelvic tone

Question:

excessive progesterone

Answer:

loss of libido, increased yeast infections, oligomenorrhea, increased appetite, depressed mood/anxiety, skin changes, non-cyclic weight gain, HTN

Question:

insufficient progesterone

Answer:

dysmenorrhea, menorrhagia, break through bleeding after day 10 of cycle

Question:

primary amenorrhea definition

Answer:

  • absence of menarche by age 15 w/ secondary sex charact.
  • OR age 13 if no menses and no secondary sex characteristics

Question:

primary amenorrhea: causes

Answer:

imperforate hymen, gonadal dysgenesis, mullerian agenesis (MRKH syndrome) physiologic delay

Question:

primary amenorrhea: gonadal dysgenesis (turner syndrome) SXS

Answer:

short stature, normal external female characteristics OR ambiguous genitalia, intra-abdominal tests, blind vaginal pouch, lack of secondary sex characteristics widely space nipples (shield chest), short webbed neck, absent pubic/axillary hair, lack of breast development, vagina and uterus present ovaries usually absent - replaced by scar tissue estrogen production is minimal

Question:

primary amenorrhea: mullerian agenesis dx

Answer:

probable when FSH is normal and US shows absence of uterus

Question:

Tanner stages: Breast development - stage 1

Answer:

prepubertal

Question:

Tanner stages: Breast development - stage 2

Answer:

breast buds with elevation of breast and papilla, enlargement of areola (8-9y/o)

Question:

Tanner stages: Breast development - stage 3

Answer:

further enlargement of breast and areola, no separation of their contour

Question:

Tanner stages: Breast development - stage 4

Answer:

areola and papilla form secondary mound above level of breast

Question:

Tanner stages: Breast development - stage 5

Answer:

mature stage, projection of papilla only, recession of areola

Question:

Tanner stages: Pubic hair - stage 1

Question:

Asherman's syndrome - definition

Answer:

anatomic variation associated with trauma to the endometrium from surgical procedure, most cases occur within close proximity to pregnancy when a women is in a hypo-estrogenized state

Question:

Asherman's syndrome - clinical manifestations

Answer:

intrauterine adhesions, scarring, or synechiae amenorrhea or disturbance of normal menses infertility

Question:

androgen insensitivity syndrome - definition

Answer:

46XY genotypically male but has male and female characteristics

Question:

androgen insensitivity syndrome - clinical manifestations

Answer:

uterus and ovaries absent, blind vaginal pouch, labia underdeveloped,, partially descended tests or they may be intra-abdominal

Question:

androgen insensitivity syndrome - dx

Answer:

sonohysterogram, HSG, MRI

Question:

androgen insensitivity syndrome - tx surgery, IUD

Answer:

Question:

Secondary amenorrhea: definition

Answer:

absence of menses for more than 3 months in a girl who previously had regular menstrual cycles or 6 month absence in a girl who previously had irregular menses

Question:

Secondary amenorrhea: hyperprolactinemia subjective sxs

Answer:

galactorrhea, amenorrhea, oligomenorrhea

primary ovarian insufficiency (POI) Other - tumor, eating disorder, stress, medications, chemo, autoimmune disorders

Question:

Hyperprolactinemia tx

Answer:

bromocriptine 1.25mg OHS

Question:

hypothalamic amenorrhea lab findings

Answer:

low FSH, LH, estradiol

Question:

hypothalamic amenorrhea risk factors

Answer:

intense exercise, eating disorder, weight loss more than 10% below BMI

Question:

hypothalamic amenorrhea sxs

Answer:

menstrual changes, tooth/gum decay, bruising, pale mucous membranes, brittle nails, stress/anxiety, normal breast thyroid and pelvic exam

Question:

primary ovarian insufficiency labs

Answer:

increase in FSH and LH and low estradiol check FSH on day 3 of cycle for more accurate results

Question:

primary ovarian insufficiency symptoms

Answer:

physiologic menopause in women < 40 irregular menses FSH levels equal to those in postmenopausal range

Question:

amenorrhea diagnostic work up

Answer:

UPT, thyroid, prolactin - fasting, FSH/LH, estradiol, pelvic US

Question:

Question:

estradiol labs indicate

Answer:

how well the ovaries are producing estrogen low when there is disordered eating

Question:

What to order if all amenorrhea wu is negative

Answer:

progesterone challenge test pelvic US to measure endometrial stripe

Question:

endometrial stipe thickness over ____ indicates adequate production of estrogen?

Answer:

6mm

Question:

What labs would you order for - breast tenderness, nausea, fatigue,

Answer:

UPT

Question:

What labs would you order for - fatigue, depression, dry skin, brittle nails cold intolerance, constipation, memory problems, goiter, weight gain, facial puffiness

Answer:

TSH, T3, T

Question:

What labs would you order for - HA, visual field defects, galactorrhea

Answer:

prolactin

Question:

What labs would you order for disordered eating?

Answer:

estradiol

Question:

What labs would you order for short stature, shield chest, lack of secondary sex characteristics, ovaries absent

Answer:

Karyotype, FHS/LH, testosterone

Provera challenge: continued failure

Answer:

endometrial scarring is likely - hysterosalpingogram can confirm

Question:

Provera challenge: why is it used

Answer:

to confirm presence of estrogen and intactness of the outflow tract (uterus, vagina) ordered prior to additional hormone testing

Question:

Dysmenorrhea: subjective (primary)

Answer:

crampy, achy, dill, midline pain, radiation to back/legs/abdomen pain beginning hours-days before menses and persist for 24-48 hours

Question:

PMS symptoms

Answer:

n/v, fatigue, dizziness, diarrhea, nervousness, and HA

Question:

Secondary Dysmenorrhea: definition

Answer:

changes to timing or intensity of pain plus prescence of pelvic pathology

Question:

Secondary Dysmenorrhea: SXS

Answer:

dyspareunia, HMB, IMB, postcoital bleeding, irregular cycles, urinary complaints, diarrhea, vaginal discharge

Question:

Secondary Dysmenorrhea: key differentiating factor presence of symptoms of pain and bleeding that persist beyond the normal menstrual cycle

Answer:

Question:

primary dysmenorrhea: exam findings

Answer:

normal, mild tender uterus

Question:

Secondary dysmenorrhea: exam findings