NURS 630 Test 1 Questions With Complete Solutions
3-month oral pill Correct Answer Take 11 weeks of active
pills, 1 week of sugar pills. Period every 3 months. Same missed
pill scheduling, same risk profile. Benefit of decreased cycles.
Good for women who have dysmenorrhea or menorrhagia.
Bacterial vaginosis Correct Answer Positive whiff test, clue
cells present on saline wet mount, malodorous vaginal
discharge, vaginal discharge pH level above 4.5, treatment is
Flagyl 500mg BID x 7 days or suppository vaginal Metrogel x 5
nights. Can use clindamycin in pregnancy or recurrent cases.
Braxton-Hicks Correct Answer irregular contractions of the
uterus that occur during the middle of the pregnancy, do not
produce cervical changes, prodromal labor or practice
contractions, false labor, these start around 6 weeks gestation
Candida infections Correct Answer Yeast infection of the
vaginal vault, yeast buds, treatment is Miconazole or Diflucan
150mg a single dose
Chadwick's sign Correct Answer bluish discoloration of the
cervix and vulva at 6-8 weeks, probable sign
Chlamydia Correct Answer Yellow discharge,
burning/itching. Male partner may have itching/burning and
penile discharge. Treatment is Azithromycin 1 g single dose.
Reportable disease of health department. Test of cure: 3 months
,Combination oral pills Correct Answer May help with acne.
Take 3 weeks of active pills, 1 week of sugar pills. Ovcon,
ortho-tri-cyclen. Relatively inexpensive, easy to obtain and not
long term. Can be stopped at any point. Regular cycles, tend to
be shorter and lighter.
Contraindications to using the combination pill or Nuvaring
Correct Answer HTN, hx of thrombophlebitis,
thromboembolism, CA, estrogen or progestin dependent CA
(breast/endometrial). Smokers. Women over 35. DM with
vascular disease. Migraines. Pregnancy. May interfere with
anticonvulsant medications
Depo Provera Correct Answer IM injection, every 3 months.
Irregular cycles to no bleeding. Biggest risk factor is weight
gain, usually 10-15 lbs.
Eclampsia Correct Answer Facial twitching, tonic-clonic
seizure, pulmonary edema, renal failure
Fern test, nitrazine test Correct Answer Discriminates
between amniotic fluid and vaginal discharge
First trimester visit (1-13 weeks) Correct Answer Prenatal
visit (longest visit)
Confirmation of pregnancy, pregnancy test and ultrasound.
LMP and obstetric history. PMH.
Nutrition and habits such as drinking, smoking.
Genetic history.
Social history.
, Current symptoms.
Physical exam and labs-
Pelvic exam, PAP smear. Blood type and antibody screen.
Rubella and hepatitis B titer. GC, RPR, HIV, Hep C.
CBC.
UA with culture
Gonorrhea Correct Answer Yellow, thin discharge,
itching/burning. Male partner may have itching/burning and
penile discharge. Treatment is Ceftriaxone 250mg IM injection,
single dose. May co-treat chlamydia. Reportable disease of
health department. Test of cure: 3 months
Goodell's sign Correct Answer softening of the cervix and
vagina at 6-8 weeks, probably sign
Guidelines for breast cancer screening Correct Answer Assess
for risk factors of breast cancer, personal hx of breast, ovarian or
peritoneal cancer. Family hx of breast, ovarian or peritoneal
cancer. Genetic predisposition. Radiotherapy to the chest
between 10-30 years of age
Hegar's sign Correct Answer softening of the cervical isthmus
and the uterus, probably sign
HELLP syndrome Correct Answer RUQ pain, N/V, edema,
low H/H, low platelets, elevated liver enzymes
How do you store breast milk? Correct Answer It's good for
up to 4 hours at room temperature. Good in the fridge for up to 7
days. Good in freezer for 3 months, good in a deep freezer for 1
3-month oral pill Correct Answer Take 11 weeks of active
pills, 1 week of sugar pills. Period every 3 months. Same missed
pill scheduling, same risk profile. Benefit of decreased cycles.
Good for women who have dysmenorrhea or menorrhagia.
Bacterial vaginosis Correct Answer Positive whiff test, clue
cells present on saline wet mount, malodorous vaginal
discharge, vaginal discharge pH level above 4.5, treatment is
Flagyl 500mg BID x 7 days or suppository vaginal Metrogel x 5
nights. Can use clindamycin in pregnancy or recurrent cases.
Braxton-Hicks Correct Answer irregular contractions of the
uterus that occur during the middle of the pregnancy, do not
produce cervical changes, prodromal labor or practice
contractions, false labor, these start around 6 weeks gestation
Candida infections Correct Answer Yeast infection of the
vaginal vault, yeast buds, treatment is Miconazole or Diflucan
150mg a single dose
Chadwick's sign Correct Answer bluish discoloration of the
cervix and vulva at 6-8 weeks, probable sign
Chlamydia Correct Answer Yellow discharge,
burning/itching. Male partner may have itching/burning and
penile discharge. Treatment is Azithromycin 1 g single dose.
Reportable disease of health department. Test of cure: 3 months
,Combination oral pills Correct Answer May help with acne.
Take 3 weeks of active pills, 1 week of sugar pills. Ovcon,
ortho-tri-cyclen. Relatively inexpensive, easy to obtain and not
long term. Can be stopped at any point. Regular cycles, tend to
be shorter and lighter.
Contraindications to using the combination pill or Nuvaring
Correct Answer HTN, hx of thrombophlebitis,
thromboembolism, CA, estrogen or progestin dependent CA
(breast/endometrial). Smokers. Women over 35. DM with
vascular disease. Migraines. Pregnancy. May interfere with
anticonvulsant medications
Depo Provera Correct Answer IM injection, every 3 months.
Irregular cycles to no bleeding. Biggest risk factor is weight
gain, usually 10-15 lbs.
Eclampsia Correct Answer Facial twitching, tonic-clonic
seizure, pulmonary edema, renal failure
Fern test, nitrazine test Correct Answer Discriminates
between amniotic fluid and vaginal discharge
First trimester visit (1-13 weeks) Correct Answer Prenatal
visit (longest visit)
Confirmation of pregnancy, pregnancy test and ultrasound.
LMP and obstetric history. PMH.
Nutrition and habits such as drinking, smoking.
Genetic history.
Social history.
, Current symptoms.
Physical exam and labs-
Pelvic exam, PAP smear. Blood type and antibody screen.
Rubella and hepatitis B titer. GC, RPR, HIV, Hep C.
CBC.
UA with culture
Gonorrhea Correct Answer Yellow, thin discharge,
itching/burning. Male partner may have itching/burning and
penile discharge. Treatment is Ceftriaxone 250mg IM injection,
single dose. May co-treat chlamydia. Reportable disease of
health department. Test of cure: 3 months
Goodell's sign Correct Answer softening of the cervix and
vagina at 6-8 weeks, probably sign
Guidelines for breast cancer screening Correct Answer Assess
for risk factors of breast cancer, personal hx of breast, ovarian or
peritoneal cancer. Family hx of breast, ovarian or peritoneal
cancer. Genetic predisposition. Radiotherapy to the chest
between 10-30 years of age
Hegar's sign Correct Answer softening of the cervical isthmus
and the uterus, probably sign
HELLP syndrome Correct Answer RUQ pain, N/V, edema,
low H/H, low platelets, elevated liver enzymes
How do you store breast milk? Correct Answer It's good for
up to 4 hours at room temperature. Good in the fridge for up to 7
days. Good in freezer for 3 months, good in a deep freezer for 1
