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Womens Health Competency Exam NUR 7590-material

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Womens Health Competency Exam NUR 7590-material
Study online at https://quizlet.com/_fcvjl5

1. What are the Infertility
complications of Ectopic pregnancy
PID (Pelvic In- Scar tissue - high risk of miscarriage
flammatory Dis- Chronic pelvic pain
ease)

2. Symptoms: smooth discolored skin patches, blotchy, wrinkled skin, itching, sore-
ness or
burning feeling, easy bruising, fragile skin, bleeding or open sores, painful sex

Complications: painful sex and scarring, including covering of the clitoris. Scarring
of the penis can cause painful erections, poor urine flow, and inability to retract
foreskin.
Increased risk of squamous cell carcinoma

3. Symptoms of Itching: Severe itching in the affected area, often worse at night.
Lichen Sclerosus • Discomfort or Pain: Painful intercourse, urination, or defecation if the genital or
anal area is
affected.
• White Patches: Smooth, white patches on the skin that are thinner than normal.
• Wrinkling or Crinkling: Skin may appear wrinkled or crinkled.
• Bruising or Tearing: Easy bruising or tearing of the skin.
• Blisters: In severe cases, blisters or ulcerations may develop.
• Bleeding: Bleeding from the affected areas due to skin fragility.
• Scarring: Chronic cases can lead to scarring and loss of normal skin architecture

4. Complications of Skin Atrophy: Thinning and loss of skin elasticity.
Lichen Sclerosus • Scarring: Permanent scarring, particularly in the genital area, can cause narrow-
ing of the
vaginal or anal opening, leading to pain and difficulty with intercourse or bowel
movements.
• Fissures and Ulcers: Painful cracks and ulcers can develop, particularly in the



, Womens Health Competency Exam NUR 7590-material
Study online at https://quizlet.com/_fcvjl5

genital or
anal area.
• Functional Impairment: Scarring and skin changes can lead to difficulties with
urination,
defecation, and sexual activity.
• Increased Risk of Skin Cancer: Slightly increased risk of squamous cell carcinoma
in the
affected areas, especially in chronic, untreated cases.
• Psychological Impact: Chronic pain, discomfort, and sexual dysfunction can lead
to
emotional and psychological distress.

5. Management Topical Steroids: Use high-potency topical corticosteroids to reduce inflammation
and Follow up of and
Lichen Sclerosus itching.
• Emollients and Moisturizers: Regular use to keep the skin hydrated and reduce
irritation.
• Regular Monitoring: Regular check-ups to monitor for changes or complica-
tions,
particularly the development of skin cancer.
• Surgical Intervention: In severe cases, surgery may be required to remove scar
tissue or to
correct anatomical changes.
• Psychological Support: Counseling or support groups to address the emotional
and
psychological impact of the condition.

6. Symptoms/Char- Irregular Periods
acteristics of o Infrequent, irregular, or prolonged menstrual cycles.
PCOS • Excess Androgen
o Elevated levels of male hormones, causing excessive hair growth (hirsutism),
acne,


, Womens Health Competency Exam NUR 7590-material
Study online at https://quizlet.com/_fcvjl5

and male-pattern baldness.
• Polycystic Ovaries
o Enlarged ovaries with many small cysts visible on ultrasound.
• Weight Gain
o Difficulty losing weight or unexplained weight gain.
• Insulin Resistance
o Higher risk of developing type 2 diabetes.
• Skin Changes
o Darkening of the skin, especially along neck creases, in the groin, and under-
neath
breasts (acanthosis nigricans).
• Thinning Hair
o Hair thinning on the scalp.

7. Treatment of Lifestyle Changes
PCOS o Weight loss through a healthy diet and regular exercise can help regulate
menstrual
cycles and improve symptoms.
• Medications to Regulate Menstrual Cycle
o Birth control pills to regulate periods, reduce androgen levels, and clear acne.
o Progestin therapy to induce periods and reduce the risk of endometrial cancer.
• Medications for Insulin Resistance
o Metformin to improve insulin sensitivity and lower insulin levels.
• Fertility Treatments
o Clomiphene citrate (Clomid) to stimulate ovulation.
o Letrozole (Femara) as an alternative ovulation-inducing medication.
o Assisted reproductive technologies like in vitro fertilization (IVF).
• Medications for Excessive Hair Growth
o Anti-androgens such as spironolactone to reduce hair growth.
o Eflornithine cream to slow facial hair growth.
• Acne Treatments
o Hormonal birth control and anti-androgen medications

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