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MEGA SUPER NR 602 MIDTERM STUDY GUIDE QUESTIONS WITH COMPLETE SOLUTIONS!!
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MEGA SUPER NR 602 MIDTERM STUDY GUIDE QUESTIONS WITH COMPLETE SOLUTIONS!!
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Name: Score:265 Multiple choice questions
Term 1 of 265
· The amount of menstrual flow varies, with the average being______ mL; nevertheless, this volume
may be as little as ________ mL or as much as ___________ mL.
Of the blood volume expansion occurring during pregnancy, 75% is considered to be
plasma. There is also a slight increase in red blood cell volume (RBC).
· Breast pain can be classified into 3 different categories:
· cyclical breast pain
· non-cyclical breast pain and
· extramammary (chest wall) pain.
· The amount of menstrual flow varies, with the average being 50 mL; nevertheless, this
volume may be as little as 20 mL or as much as 80 mL.
· Menarche, the onset of menses, arrives on average at age 12.5 (usually occurs 2.5 yrs after
entering stage 2)
Definition 2 of 265
Reduced menstrual flow and dysmenorrhea for most users ■ Reduce the risk of ovarian cancer 20
% for every 5 years- Even after discontinuing COC use, protection continues for 15-20 years. ■
COCs also reduce the risk of endometrial cancer by 40-50%, and like ovarian cancer, protection
increases with duration of use. ■ Reduces risk of colon cancer ■ 90 percent protection from
ectopic pregnancy with current OC use. ■ Reduced incidence of benign breast disease ■
Effective in reducing acne. ■ Lower incidence of endometriosis ■ Possible Advantages: 1) May
preserve bone density, and 2) May protect against iron deficiency anemia, ovarian cysts with
higher doses, and pelvic inflammatory disease.
· Disadvantages of COC
candidates for depo
Diagnostic criteria
Advantages of COC
,Definition 3 of 265
Treatment of Women During Pregnancy: The 2015 STD Treatment Guidelinesrecommend treating
symptomatic pregnant women with the same oral and intravaginal treatment options as non-
pregnant women, except that tinidazole is not recommended during pregnancy due to evidence
of fetal harm in animal studies. Metronidazole crosses the placenta and is excreted in breast milk,
but it has not been linked to teratogenic effects. Treating symptomatic infection in pregnancy
reduces symptoms and may reduce certain adverse obstetrical outcomes, such as late
miscarriage. For breastfeeding mothers with symptomatic bacterial vaginosis, metronidazole can
be used; some experts recommend deferring breastfeeding ("pump and dump") for 24 hours after
treatment with the higher (2 grams) single dose of metronidazole.
Treatment of Women During Pregnancy: The 2015 STD Treatment
Transdermal contraceptive patch
Progesterone-only treatments for dysmenorrhea
○ Treatment
■ outflow tract abnormalities
Diagnosis is anovulation
hyperprolactinemia
functional amenorrhea
,Definition 4 of 265
■ Normal leukocyte count is 1,000 to 4,000 white blood cells (WBCs) per milliliter.
○ Milk stasis is present with a WBC count of less than 106 cells/mL and a bacterial count of less
than 103 colony-forming units (CFUs)/mL
○ Noninfectious breast inflammation is present with a WBC count of more than 106cells/mL and a
bacterial count of less than 103 CFU/mL
○ WBC count of more than 106 cells/mL with a bacterial count of more than 103 CFU/mL is
indicative of infectious mastitis
· Typically treatment consists of inducing menses using a progestogen such as
______________________ 5 to 10 mg daily for the first 12 to 14 days of the cycle.
○ Hep B- caused by_____________________, transmitted via______________with other concentration in
wound exudate, semen, vag secretions, and saliva. Transmitted via percutaneous or mucous
mem w/exposure to blood or body fluid. ___________________________. Can
cause______________________ and death
● Emergency contraception (Women's Gynecological Health pg 242)
○ Why is emergency contraception used?Sperm can live for up to__________days in the
female reproductive tract, and pregnancy can occur with intercourse____________days prior to
ovulation. The highest risk of pregnancy is in the___________hours immediately preceding
ovulation. Emergency contraception is offered if unprotected intercourse (UPI) occurs at
any time in the menstrual cycle.
■ Normal leukocyte count is 1,000 to 4,000 white blood cells (WBCs) per milliliter.
○ Milk stasis is present with a WBC count of less than _______ cells/mL and a bacterial count
of less than _______colony-forming units (CFUs)/mL
○ Noninfectious breast inflammation is present with a WBC count of more
than_________cells/mL and a bacterial count of less than ________ CFU/mL
○ WBC count of more than __________ cells/mL with a bacterial count of more than _________
CFU/mL is indicative of infectious mastitis
, Term 5 of 265
Women ages_____________ years should have cervical cytology performed every 3 years
• Women ages _____________years should have cervical cytology performed every 3 years
Gonorrhea- aerobic gram negative diplococcus Neisseria gonorrhoeae first causes
cervical infection and ascends to endometrium and fallopian tube. Reportable
HPV co-testing in women less than 30 years is not recommended; women who want to
extend their screening interval, HPV co-testing every 5 years is an option
Sx-many are asymptomatic 80 % of women. inflamed and edematous cervix with d/c
coming from cervical os. Vag d/c urinary frequency, dysuria, unilateral swelling of intoitus,
anal itching, pain, pharyngitis, conjunctivitis, systematic triad (polyarthalgia, tenosynovitis,
and dermatitis)
Women ages 21-29 years should have cervical cytology performed every 3 years
• Women ages 30-65 years should have cervical cytology performed every 3 years
Term 6 of 265
○ If bacterial treat with_________________________
● DX: Based on findings of pelvic organ tenderness and signs of lower genital tract
infection including mucopurulent cervicitis and cervical friability. Endometrial biopsy with
histopathologic evidence of endometritis, Transvafinal sonography, MRI ($$$),
Laparoscopic abnormalities
● TX: Treat organism→ broad spectrum antibiotics
● Contraindications: Same as COC pills
● Risks: Same as COC pills
● Side effects: Same as COC pills
○ If bacterial treat with Flagyl 500 mg BID x 7 days
· Women older than 65 can stop screening
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