EXAM 2 : NU 664D / NU664D (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
PRIMARY CARE ADULT WOMAN I | QUESTIONS &
ANSWERS | GRADE A | 100% CORRECT (VERIFIED
SOLUTIONS) - REGIS
when does menarche typically begin? .....ANSWER.....2-3 years
after thelarche (breast buds)
thelarche .....ANSWER.....breast buds
average age of menarche in the US .....ANSWER.....12-13
what can lead to earlier menarche? .....ANSWER.....high BMI
what regulates the menstrual cycle? .....ANSWER.....HPO axis
three characteristics of menstrual bleeding
.....ANSWER.....frequency, volume, length
normal menstrual bleeding frequency .....ANSWER.....24-38 days
with each new cycle within 7-9 days of the last
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normal menstrual volume .....ANSWER.....5-80 ml
normal length of menstruation .....ANSWER.....4.5-8 days
what happens during follicular phase
.....ANSWER.....hypothalamus releases gonadotropin releasing
hormone
anterior pituitary releases FSH and LH
follicles start developing
estrogen increases
one follicle dominates and produces more estrogen
other follicles go through atresia
estrogen and LH levels peak 24 hrs before ovulation
ovulation occurs
when does the luteal phase begin .....ANSWER.....with ovulation
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what happens in the luteal phase .....ANSWER.....shift from
estrogen to progesterone dominance
follicle ruptures
corpus luteum forms
progesterone is produced
the follicle ceases growth and endometrium secretes
how long is luteal phase .....ANSWER.....14 days (14-28)
how long/when is follicular phase .....ANSWER.....days 1-14
what triggers end of luteal phase and beginning of menses?
.....ANSWER.....drop in progesterone (and estrogen too but less
important)
what do estrogen levels do throughout follicular and luteal
phases? .....ANSWER.....surges with ovulation (end of follicular
phase and beginning of luteal phase)