CCRI Nursing V Exam IV All Possible Questions and Answers with complete solution

puberty - regular menses cycle 8-13 menopause s/s - 1. hot flashes causes: alcohol, smoking 2. insomnia 3. vaginal dryness treatment: lubrication, flax seed, soy decreased estrogen menopause stages - peri: irregular period menopause: no period for one year post: all symptoms after the 1 year mark decrease in estrogen = increase in breast cancer risk IPV - intimate partner violence - various stages of bruises: head, breast, face, abdomen - not necessary to report like in child abuse- document amenorrhea - - no menses, hips, hair , breasts by 13 - congenital anomalies ( no vagina or ovaries ) runs in the family - lack of LH, FSH emotional support, hormone replacement secondary amenorrhea - - no meses for 6 months after she has had normal mess - assess for pregnancy causes: eating disorder, emotional stress, extensive exercise hypgonadotropic amenorrhea - emotional stress assess for pregnancy limited production of LH, FSH primary dysmenorrhea - Pain cause: too many prostaglandins 24 hours before onset and lasts for 12-24 hours after nausea, HA diarrhea give: prostaglandin inhibitors ( NSAIDS), BC, warm bath, heat, exercise secondary dysmenorrhea - Causes:- PID, uterine fibroids give: NSAIDS, warm baths menorrhagia - bleeding - women with fibroids, cancer - imbalance with estrogen and progesterone Nursing: endometrial biopsy, remove IUD, give BC ferrous sulfate - 324 mg - iron supplement - constipating eat high fiber, drink a lot of fluid, laxative metrorrhagia - bleeding between periods or after menopause - cancerous sign chlamydia - - can cause premature rupture of membranes ( risk to fetus) - post partum endometriosis s/s : asymptomatic or fever, vaginal spotting, painful intercourse dx: vaginal culture antibiotics : azithromyocinGonorrhea - high risk for: - miscarriage if active during pregnancy - premature rupture of membranes - preterm labor and birth - infection of membranes ( chorioamniitis ) - fetal demise , IUGR s/s: vaginal discharge, bleeding post coital, low back pain, UTI, antibiotics: IM ceftriaxone (one dose) then give doxycycline for 7 days syphilis - risk for : - miscarriage - preterm labor /birth - congenital anomalies - IUGR 3 stages 1. primary: single painless ulcer at point of contact 4-6 weeks then goes dormant. 2. secondary: 6 weeks - 6 months ulcer will return. fever, sore throat, weight loss, fatigue then goes dormant 3. tertiary: liver, kidney, neuro dysfunction penicillin PID - upper genital, uterus, ovaries, perineum- infertility - ectopic pregnancies ( adhesions in fallopian tubes) cause: have recurrent STI's , intrauterine device s/s: abdominal pain, irregular menses, abnormal discharge, painful sex, fever, high white counts dx: intrauterine biopsy tx: dependent on cultures trichomoniasis - - asymptomatic , 8-25 days will have symptoms - grey, green vaginal discharge - pain during sex - red ulcers in vagina tx: flagyl ( GI upset) - no alcohol HPV - - labor dystocia - painless growth on vagina: lesions can cause PPH herpes - intrauterine infection - congenital abnormalities in baby - itching, burning - stays with youactive herpes: cannot give birth vaginally tx: acyclovir Hep C - CAN vaginally delivery no proof it crosses into breast milk HIV - night sweats weight loss abnormal periods nursing: use PPE no breast feeding can have vaginal birth Bacterial vaginosis - risk factors: new partners , multiple partners, same sex / toys, douching, antibiotics s/s : odor/ discharge dx: culture , vaginal assessment nursing: - drink water - eat yogurt/ probiotics flagyl, clindomyocin, monistat,Group Beta Strep ( GBS) - 36 weeks: culture and screen moms high concentrations: risk of .. - UTI - choreoaminitis - post partum endometriosis -preterm labor/ birth