NP2

Situation: Mariah is a 31 year old lawyer who has been married for 6 months. She consults you for guidance in relation with her menstrual cycle and her desire to get pregnant.

Answer the following:

1. She wants to know the length of her menstrual cycle. Her previous menstrual period is October 22 to 26. Her LMB is November 21. Which of the following number of days will be your correct response? A. 29 B. 28 C. 30 D. 31

D. 31

2. You advised her to observe and record the signs of Ovulation. Which of the following signs will she likely note down? A 1 degree Fahrenheit rise in basal body temperature Cervical mucus becomes copious and clear One pound increase in weight Mittelschmerz A. 1, 2, 4 B. 1, 2, 3 C. 2, 3, 4 D. 1, 3, 4

A. 1, 2, 4

3. You instruct Mariah to keep record of her basal temperature every day, which of the following instructions is incorrect? A. If coitus has occurred; this should be reflected in the chart B. It is best to have coitus on the evening following a drop in BBT to become pregnant C. Temperature should be taken immediately after waking and before getting out of bed D. BBT is lowest during the secretory phase

D. BBT is lowest during the secretory phase

4. She reports an increase in BBT on December 16. Which hormone brings about this change in her BBT? A. Estrogen B. Gonadotropine C. Progesterone D. Follicle stimulating hormone

C. Progesterone

5. The following month, Mariah suspects she is pregnant. Her urine is positive for Human chorionic gonadotrophin. Which structure produces Hcg? A. Pituitary gland B. Trophoblastic cells of the embryo C. Uterine deciduas D. Ovarian follicles

B. Trophoblastic cells of the embryo