NSU Nura 2100 OB Test 1 Questions
and Answers
Whats important with Depo? - Answer-Needs calcium & vitamin D supplements
What is the drug used to induce medical abortion and how do you take this? - Answer-
Mifeprex (RU-486) Must take medication during first 7wks of pregnancy, 1st day take 1
dose, day 3 take dose of prostaglandin (this expels the fetus), day 14 come back for
follow up to make sure abortion is complete.
1st trimester abortion includes___; 2nd trimester includes____? - Answer-D&C (dilation
& curettage)
D & E (dilation & evacuation)
Explain the ages and times of a mammogram - Answer-Over 40yrs-> annually
40-49yrs-> q 1-2yrs
50 & older annually
___ is used for cervical cancer screening? - Answer-papsmear ( start screening at age
21 or sooner if sexually active)
What can happen if estrogen replacement is given alone? - Answer-Increase risk for
endometrial cancer.
HRT(hormone replacement therapy) prevents____; but is a risk for ____,___,___. -
Answer-Osteoporosis. Risk for stroke, breast cancer, thromboembolus.
(should use short-term 1-4yrs) Before starting a Pt. on HRT they need an exam, check
lipid levels, cholesterol, liver enzymes, and mammogram.
What are some alternative methods used if a Pt. isn't a good candidate for HRT? (6) -
Answer-High fiber diet
low fat diet
increased VIT B, D, E, calcium and phytoestrogens (found in plants/soybeans)
What is osteoporosis? - Answer-Decrease in bony skeletal mass associated with low
calcium & estrogen levels.
Who is at risk for osteoporosis? - Answer-Asian, Eropen, small/thin women, family hx.,
early menopause, smoking, ETOH, lack of wt. bearing, low calcium intake, nulliparity
(NO children)..
, Tx for osteoporosis? - Answer-Bisphosphonates (Fosamax, Actonel) Calcitonin, evista,
parathyroid sub q injections(increases bond density) Menostar (helps prevent fractures)
What is endometriosis? Common age is __-__? - Answer-When the endometrial tissue
is on the outside of the uterine cavity.
ages-20-45yrs
What are some S/S of endometriosis? - Answer-dull-cramping pain, dyspareunia,
infertility, retroverted uterus.
How do we Tx. endometriosis? - Answer-OCP's, NSAIDS, analgesics, GnRH, progestin,
danazole. (S/E hisutism), hysterectomy, or BSO(removes tubes and ovaries) PRIORITY
is pain management! Don't delay pregnancy, bc risk for infertility increases!
___ is a NON sexually transmitted infection, has a white/grey fishy odor. Tx is _____? -
Answer-BV (bacterial vaginosis)
TX.- Flagyl is tx. NO ETOH with this med!
___ is a "cottage cheese" discharge aka "yeast infection":. This is also NON sexually
transmitted. - Answer-Vulvovaginal Candidas (yeast)
What 4 Pt's do we commonly see Vulvovaginal Candidas (yeast) infections in? -
Answer-Common with pregnancy, DM, immunosuppressed, antibiotics.
** IF Pt. has 4 or more Dx, need to check glucose to make sure Pt. is not DM.. Increase
YOUGURT in their diets!`
____ is sexually transmitted, yellow-green FROTHY discharge. - Answer-Trichomonias
____has a purulent yellow-green dischargew, burning/frequency of urine, lower
abdominal pain?
Tx is ___&___? - Answer-Chlamydia.
Tx. azithromycin and doxycycline
** Do not give doxycycline if pregnant, give amoxicillin instead.
Pt's with chlamydia are at risk for? (3) - Answer-PID, infertility, ectopic pregnancy
Gonorrhea has a ___ discharge?
How is it tx? - Answer-Purulent discharge
Tx- ceftriaxone, ceftixime, azithromycin
Syphilis S/S are?
How is it tx? - Answer-fever
wt loss
malaise
sore throat (hoarseness)
Tx. Penicillin
