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Varneys Midwifery 6th Edition King
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Test Bank For Varneys Midwifery 6th Edition King | 9781284160215 | All Chapters with Answers and Rationals
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Test Bank For Varneys Midwifery 6th Edition King |9781284160215 | All Chapters with Answers and Rationals
Which STDs are reported for national surveillance? - ANSWER: chancroid, gonorrhea, Hep B & C, HIV,
syphilis
What are the 5 P's for conducting a sexual history? - ANSWER: partners (gender, numbers), pregnancy
prevention, protection, practices (oral, anal, penetrative?), past history of STIs
What are the CDC-recommended STI labs to be ordered on an OPT-OUT basis for all pregnancy
women? Which others should be added on for women at risk? - ANSWER: HIV, Hep B, syphilis,
chlamydia (gonorrhea, Hep C)
Bacterial vaginosis is characterized by a diminished or absent population of which bacteria? -
ANSWER: Lactobacillus species
What factors contribute to the development of BV? - ANSWER: smoking, menstruation, douching,
sexual contact without condoms, low level of education, oral or anal sex, menopause, african-
american ethnicity, woman-woman sexual activity
BV places women at risk for? - ANSWER: preterm birth, post-op infections, endometritis following
pregnancy, development of other STIs
What are the common symptoms of BV? - ANSWER: Might be asymptomatic. OR....vaginal irritation,
itching, dyspareunia, fishy odor after unprotected sex with men
The Amsel criteria are used to diagnose BV. What are they? How many must be met for diagnosis? -
ANSWER: 1. Presence of thin, homogenous discharge adhering to the vaginal walls
2. Presence of clue cells on normal saline slide
3. pH of vaginal discharge >4.5
4. Positive whiff test on KOH slide
Three of these must be met for diagnosis
Women taking metronidazole (flagyl) should be counseled to avoid what? why? - ANSWER: Alcohol. It
can cause severe N/V
What is the recommended treatment for BV ? - ANSWER: Metronidazole (flagyl) 500mg PO BID for 7
days (ok for pregnancy)
OR
Tinidazole 2g PO for 2 days
What is the recommended treatment for BV if the woman is breastfeeding? - ANSWER:
Metronidazole gel (Metrogel) 0.75%, one applicator per vaginal q HS for 5 days
What health education should be given to women who are to be treated for BV? - ANSWER: abstain
from intercourse during treatment, wash all objects that touch the vagina, receptive oral/anal sex
may increase risk, condoms may reduce risk, try using probiotics (lactobacillus)
What is the most common pathogen of vuvlovaginal candidiasis (yeast)? - ANSWER: candida albicans
Recurrent vuvovaginal candidiasis occurs when a woman has how many yeast infections per year? -
ANSWER: > 4 times/year
, What factors contribute to the development of vulvovaginal candidiasis? - ANSWER: nonbreathable
clothes, very warm/humid living conditions, pregnancy, oral contraceptive pills, diabetes, antibiotics,
immunosuppressed states (like HIV or use of corticosteroids)
What are the sx of vulvovaginal candidiasis? - ANSWER: vaginal itching, burning, irritation,
dyspareunia, increased vaginal discharge
The speculum exam of a woman with vulvovaginal candidiasis may show? - ANSWER: red/slightly
edematous vagina or vulva, thick/white/curd-like discharge (though sometimes thin and watery)
The wet-mount of a vulvovaginal candidiasis swab will likely show: - ANSWER: lack of lactobacillus on
a saline slide, presence of hyphae and pseudo-hyphae on saline or KOH slide
The wet-mount of a bacterial vaginosis swab will likely show: - ANSWER: clue cells and lack of
lactobacilli on saline mount
What is the treatment of vulvovaginal candidiasis? - ANSWER: Miconazole 2% cream (Monistat), 5g
per vaginal q HS for 7 days
OR
Fluconazole (Diflucan) 150 mg PO x 1 (NOT if pregnant)
What health education may be given to women treated for vulvovaginal candidiasis? - ANSWER:
Probiotics (lactobacillus) or garlic can be used, cotton underwear, loose-fitting clothing, avoid plastic
panty-liners and pads, dry vulva well after bathing, not wearing underwear at night, may try reducing
consumption of refined sugars and yeast products (though not proven), no douching
What makes vulvovaginal candiasis "complicated"? - ANSWER: recurrent, severe symptoms, or
occurring in women who are immunocompromised
How is complicated vulvovaginal candidiasis treated? - ANSWER: fluconazole 150mg x2 doses 72 hrs
apart
OR
4-14 days of micronazole
Atrophic vaginitis is related to low levels of...? - ANSWER: estrogen
What are the sx of atrophic vaginitis? - ANSWER: vaginal irritation, dryness, frequent vaginal
infections, dyspareunia, lack of lubrication with sexual activity
What events are associated with atrophic vaginitis? - ANSWER: menopause, breastfeeding,
chemotherapy, use of GnRH agonists
Atrophic vaginitis places women at risk for what complications? - ANSWER: yeast, BV, STIs
How would atrophic vaginitis be diagnosed? - ANSWER: thinning vulvar skin, decreased prominence of
inner labia, small/nonelastic vaginal introitus, few vaginal rug, pale vaginal walls, shortened vagina,
lack of vaginal moisture, possibly a vaginal pH > 4.5
How should atrophic vaginitis be treated? - ANSWER: over the counter water-based vaginal
moisturizers daily, then possibly topical estrogens
What is the pathogen causing chlamydia? - ANSWER: Chlamydia trachomatis
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