Maryville NUR 621 Adult Health Exam 4 questions with correct answers
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Course
NU1426
Institution
NU1426
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 o...
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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