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OBS AND GYNE QUIZ 9 WITH ANSWERS AND RATIONALE

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What would be the appropriate first nursing action when caring for a 20-year old G1P0 woman at 39 weeks gestation who is in active labor and for whom an assessment reveals mild variable fetal heart rate decelerations?

Correct! Wrong!

The cause of variable fetal heart decelerations is umbilical cord compression, which can usually be corrected by changing the maternal position.

Lactation Amenorrhea Method(LAM) can be an effective method of natural birth control if

Correct! Wrong!

A mother who breastfeeds exclusively and regularly during the first 6 months benefits from lactation amenorrhea. There is evidence to support the observation that the benefits of lactation amenorrhea last for 6 months provided the woman has not had her first menstruation since delivery of the baby.

The natural family planning method called Standard Days (SDM), is the latest type and easy to use methoD. However, it is a method applicable only to women with regular menstrual cycles between ___ to ___ days.

Correct! Wrong!

Standard Days Method (SDM) requires that the menstrual cycles are regular between 26-32 days. There is no need to monitor temperature or mucus secretion. This natural method of family planning is very simple since all that the woman pays attention to is her cycle. With the aid of CycleBeads, the woman can easily monitor her cycles.

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Which of the following are signs of ovulation? 1. Mittelschmerz; 2. Spinnbarkeit; 3. Thin watery cervical mucus; 4. Elevated body temperature of 4.0 degrees centigrade

Correct! Wrong!

Mittelschmerz, spinnbarkeit and thin watery cervical mucus are signs of ovulation. When ovulation occurs, the hormone progesterone is released which can cause a slight elevation of temperature between 0.2-0.4 degrees centigrade and not 4 degrees centigrade.

Birth Control Methods and Infertility: In basal body temperature (BBT) technique, the sign that ovulation has occurred is an elevation of body temperature by

Correct! Wrong!

The release of the hormone progesterone in the body following ovulation causes a slight elevation of basal body temperature of about 0.2 – 0.4 degrees centigrade

If a couple would like to enhance their fertility, the following means can be done: 1. Monitor the basal body temperature of the woman every day to determine peak period of fertility; 2. Have adequate rest and nutrition; 3. Have sexual contact only during the dry period of the woman; 4. Undergo a complete medical check-up to rule out any debilitating disease

Correct! Wrong!

All of the above are essential for enhanced fertility except no. 3 because during the dry period the woman is in her infertile period thus even when sexual contact is done, there will be no ovulation, thus fertilization is not possible.

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Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

Correct! Wrong!

If the mother is breastfeeding, the progesterone only type is the best because estrogen can affect lactation.

The following methods of artificial birth control works as a barrier device EXCEPT:

Correct! Wrong!

Intrauterine device prevents pregnancy by not allowing the fertilized ovum from implanting on the endometrium. Some IUDs have copper added to it which is spermicidal. It is not a barrier since the sperms can readily pass through and fertilize an ovum at the fallopian tube.

The intra-uterine device prevents pregnancy by the ffg mechanism EXCEPT

Correct! Wrong!

An intrauterine device is a foreign body so that if it is inserted into the uterine cavity, the initial reaction is to produce inflammatory process and the uterus will contract in order to try to expel the foreign body. Usually, IUDs are coated with copper to serve as spermicide killing the sperms deposited into the female reproductive tract. But the IUD does not completely fill up the uterine cavity thus sperms which are microscopic is size can still pass through.

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Which of the following is a TRUE statement about normal ovulation?

Correct! Wrong!

Not all menstrual cycles are ovulatory. Normal ovulation in a woman occurs between the 14th to the 16th day before the NEXT menstruation. A common misconception is that ovulation occurs on the 14th day of the cycle. This is a misconception because ovulation is determined NOT from the first day of the cycle but rather 14-16 days BEFORE the next menstruation.

OBS AND GYNE QUIZ 9 WITH ANSWERS AND RATIONALE
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