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Maryville NUR 621 Adult Health Exam 4 exam with correct answers

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Maryville NUR 621 Adult Health Exam 4 exam with correct answers

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Maryville NUR 621 Adult Health Exam 4 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\




Cervical cancer screening guideline - correct answer✔✔start at age 21 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




age 21-29 should be screened very 3 years
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Women 30 to 65 with 3 negative PAPS in a row and no abnormal in the past ten years ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Stop cervical cancer screening at age 65 if 3 negative paps in a row and no abnormal paps in
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




the past ten years
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Stop pap smears in women regardless of age if hx of hyst (uterus and cervix) unless history
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




of high grade CIN
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What are behavioral risk factors for STIs - correct answer✔✔New sex partner in the past 60
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days. Multiple sexual partners. sex partners recently treated for an STITrading money or
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




drugs for sex. Sexual contact with sex workers. Meeting anonymous partners on the internet
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




What groups are at risk for STIs? - correct answer✔✔Young age (15-24)Men who have sex
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




with men. History of a prior STHIV positive status. Pregnant women, Correctional facility,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Illicit drug use ||\\||\\ ||\\||\\




HPV testing - correct answer✔✔HPV DNA Test: identifies 13 high risk types
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




used in conjunction with pap ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




not a substitute for pap
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directs follow up plan if certain pap abnormalities ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




When do start oral contraceptives after delivery in non nursing women - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answer✔✔4 to 6 weeks ||\\||\\ ||\\||\\ ||\\||\\

,What are the adverse effects of oral birth control? - correct answer✔✔elevated thyroid and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




cortisol levels ||\\||\\




altered lipid profile ||\\||\\ ||\\||\\




estrogens decrease glucose tolerance ||\\||\\ ||\\||\\ ||\\||\\




thromboembolism (smokers!) ||\\||\\




HTN, cervical dysplasia, cancer with long term use
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




migraines, depression, and fluid retention ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




What are the two methods of spermicidal birth control? - correct answer✔✔Vaginal
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




contraception sponge: ||\\||\\




One size fits all disposable polyurethane sponge, treated with nonoxynol-9,
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adverse effects include: irritation, displacement, toxic shock syndrome
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Foam, cream, film, jelly, and suppository
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Nonoxynol-9

Easy to use, readily available, relatively inexpensive
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




What is the correct usage of a diaphragm? - correct answer✔✔Place a teaspoon of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




spermicide in the cup before insertion, leave in for 8 hours after intercourse. Urinate before ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




insertion due to risk of UTI ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




How do you correctly apply a condom? - correct answer✔✔Applied tightly, extending one
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




half inch beyond tip of penis, adverse effects include irritation, allergic reaction, unfavorable
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




oral sex, accidental splitting condom
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Fertility awareness method - correct answer✔✔avoidance of intercourse during fertile
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




periods

Basal body temperature and cervical mucous changes recorded daily
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Failure rate is 25% during the first year ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\

, When is progestin OC contraindicated? - correct answer✔✔Pregnancy, current or past
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




history of DVT, stroke, heart disease, breast cancer, liver mass, undiagnosed vaginal bleeding
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




TeA 33 year old women with a history of HTN and smoking presents to the clinic to discuss
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




contraception, what options are safe for her to use? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




VS: 134/75, HR 74, HT 5'4", Wt 185lbs
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




rm

What further history and questions would you want to ask? - correct answer✔✔Have you
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




ever had a STI? ||\\||\\ ||\\||\\ ||\\||\\




Past and current birth control methods? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Do you have regular menstrual cycles?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Age of menarche? ||\\||\\ ||\\||\\




Do you use tampons or pads?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




How many sex partners have you had? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




How old were you when you became sexually active?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Current medications? ||\\||\\




Dyspareunia



A 25 year old women presents with complaints of intense cramping for the first few days of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




her menstrual cycles, reports menstrual cycles are regular, flow is moderate to heavy for first
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




few days with small clots and then moderate to light. Cycles lasts for 5-6 days. Menarche
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




started at age 10. She is sexually active currently with single partner, does not use condoms.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Is not on any contraceptive.
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VS: BP 104/66, HR 67, Wt. 145lbs, Ht 5'2"
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What further history would you want to collect? - correct answer✔✔Type, severity, and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




duration of pain ||\\||\\ ||\\||\\




Loss of appetite ||\\||\\ ||\\||\\




Dysparuenia

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