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Maryville NUR 621 Adult Health Exam 4 questions with correct answers

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Maryville NUR 621 Adult Health Exam 4 questions with correct answers Cervical cancer screening guideline What are behavioral risk factors for STIs What groups are at risk for STIs? HPV testing When do start oral contraceptives after delivery in non nursing women What are the adverse effects of oral birth control? What are the two methods of spermicidal birth control? What is the correct usage of a diaphragm? How do you correctly apply a condom? Fertility awareness method When is progestin OC contraindicated? 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? 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. VS: BP 104/66, HR 67, Wt. 145lbs, Ht 5'2" What further history would you want to collect? A 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 What contraceptive options would you offer this patient and why? Why would you not offer other options? TermA 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 What test must be performed before prescribing any contraceptive? A 52 year old women presents with concerns over lack of menstrual cycle for 9 months. Reports she was having irregular cycles prior for the past 2 years. Cycles would be heavy when she had them with bleeding for 5 days but having to change pads every 2 hours or more. She also reports noting some hot flashes at night for the last 3-4 years, increased vaginal dryness as well. Is sexually active, not using condoms or contraceptive. Is only sexually active with 1 partner. VS: 136/88, HR 78, Wt: 190lbs, Ht: 5'7" What tests would you order and why? 52 year old women presents with concerns over lack of menstrual cycle for 9 months. Reports she was having irregular cycles prior for the past 2 years. Cycles would be heavy when she had them with bleeding for 5 days but having to change pads every 2 hours or more. She also reports noting some hot flashes at night for the last 3-4 years, increased vaginal dryness as well. Is sexually active, not using condoms or contraceptive. Is only sexually active with 1 partner. VS: 136/88, HR 78, Wt: 190lbs, Ht: 5'7" What further history you would want to collect? 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. VS: BP 104/66, HR 67, Wt. 145lbs, Ht 5'2" What would be your differential diagnoses and why? 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. VS: BP 104/66, HR 67, Wt. 145lbs, Ht 5'2" What lab work and diagnostic tests would you order? Pt. presents with vaginal discharge for 1 week, with odor and irritation. Describes discharge as yellow and thin. Does report history of vaginitis. Is sexually active with single partner, not using condoms. Is on depo provera for contraceptive. VS: 122/76, HR 65, Wt: 134lbs, Ht: 5'3" What would be your differential diagnoses? What would be the treatment for each of these diagnoses? Pt. presents with vaginal discharge for 1 week, with odor and irritation. Describes discharge as yellow and thin. Does report history of vaginitis. Is sexually active with single partner, not using condoms. Is on depo provera for contraceptive. VS: 122/76, HR 65, Wt: 134lbs, Ht: 5'3" Any further history you would want to collect? A woman wishes to discuss her contraceptive options. She is breastfeeding on demand. She wishes to continue breast feeding. What is the most appropriate contraceptive for her situation? What is the recommended treatment for chlamydia? What are some consequences of chlamydia infection? What is the most commonly reported STI in the United States? A patient is being treated with Metronidazole for bacterial vaginosis, why should you tell them to avoid alcohol What is the most common cause of vaginal discharge and odor? One of the most common causes of amenorrhea is? Patients who use Depo Provera should be counseled about what? What is the treatment for gonorrhea?

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Maryville NUR 621 Adult Health Exam 4
questions with correct answers

1). Cervical cancer screening guideline

 Ans: 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
Stop pap smears in women regardless of age if hx of hyst (uterus and cervix) unless
history of high grade CIN


2). What are behavioral risk factors for stis

 Ans: New sex partner in the past 60 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


3). What groups are at risk for stis?

 Ans: Young age (15-24)Men who have sex with men. History of a prior STHIV positive
status. Pregnant women, Correctional facility, Illicit drug use


4). Hpv testing

 Ans: HPV DNA Test: identifies 13 high risk types
used in conjunction with pap
not a substitute for pap
directs follow up plan if certain pap abnormalities


5). When do start oral contraceptives after delivery in non nursing women

 Ans: 4 to 6 weeks


6). What are the adverse effects of oral birth control?




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,  Ans: 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


7). What are the two methods of spermicidal birth control?

 Ans: Vaginal contraception sponge:
One size fits all disposable polyurethane sponge, treated with nonoxynol-9,
adverse effects include: irritation, displacement, toxic shock syndrome
Foam, cream, film, jelly, and suppository
Nonoxynol-9
Easy to use, readily available, relatively inexpensive


8). What is the correct usage of a diaphragm?

 Ans: 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


9). How do you correctly apply a condom?

 Ans: Applied tightly, extending one half inch beyond tip of penis, adverse effects
include irritation, allergic reaction, unfavorable oral sex, accidental splitting condom


10). Fertility awareness method

 Ans: avoidance of intercourse during fertile periods
Basal body temperature and cervical mucous changes recorded daily
Failure rate is 25% during the first year


11). When is progestin oc contraindicated?

 Ans: Pregnancy, current or past history of DVT, stroke, heart disease, breast cancer,
liver mass, undiagnosed vaginal bleeding


12). 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




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Subido en
31 de marzo de 2024
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