NU 350 Davidson Review 5-6

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NU 350 Davidson Review 5-6
2014-04-30 23:07:05
Maternal Newborn

Davidson chapters 5-6 review
Show Answers:

  1. Maximum fertility for a woman occurs when?
    Approximately 5 days before ovulation and decreases rapidly the day after.
  2. Using the ovulation method (Billings method) how does a woman know when she is ovulating?
    At the time of ovulation, estrogen-dominant mucus is more clear, water, “egg-white” and stretchable; friendly to sperm.
  3. Absolute contraindications to the use of oral contraceptives:
    • pregnancy
    • previous history of thrombophlebitis or thromboembolic disease
    • acute or chronic liver disease
    • undiagnosed uterine bleeding
    • heavy smoking
    • gallbladder disease
    • hypertension
    • diabetes
    • migraine with visual disturbances
    • hypercoagulable disorders
    • hyperlipidemia.
  4. The woman using oral contraceptives should contact her healthcare provider if:
    • becomes depressed
    • develops a breast lump
    • becomes jaundiced
    • severe abdominal pain
    • severe chest pain or shortness of breath
    • severe headaches
    • dizziness
    • changes in vision (loss or blurring
    • speech problems
    • severe leg pain
  5. Postcoital emergency contraception, Plan B, must be initiated within how many hours?
    72 hours after unprotected intercourse.
  6. Depo-Provera provides birth control for how long? How often subsequent injections?
    3 months. Subsequent injections scheduled every 10-14 weeks.
  7. Bacterial Vaginosis is diagnosed how?
    The addition of a 10% potassium hydroxide (KOH) solution to the vaginal secretions (“whiff” test) releases a strong, fishy, amine-like odor. Vaginal pH usually > 4.5 (normal pH = 3.8-4.2)
  8. Treatment of bacterial vaginosis
    metronidazole (Flagyl) 500 mg orally twice a day for 7 days.
  9. metronidazole (Flagyl) is used to treat what infections?
    • trichomoniasis; amebiasis; bacterial vaginosis
    • Avoid alcohol for 24 hours after taking Flagyl.
  10. Trichomoniasis has what kind of vaginal secretions?
    yellow-green, frothy, odorous discharge and vulvar itching.
  11. Trichomoniasis is caused by what kind of organism?
    A single-celled parasite, a trichomonad, anaerobe.
  12. Pregnant women with Trichomoniasis are at increased risk for:
    • premature rupture of membranes
    • preterm birth
    • low birth weight
  13. What are the symptoms, when present, of chlamydial infection?
    • Thin or mucopurulent discharge
    • cervical ectropia
    • friable cervix (bleeds easily)
    • burning and frequency of urination
    • lower abdominal pain.
  14. Chlamydia is diagnosed with what lab test?
    nucleic acid amplification testing (NAAT).
  15. The treatment for chlamydia is:
    Single dose of azithromycin 1 g orally or doxycycline 100 mg by mouth twice a day for 7 days.
  16. Woman at high risk for and should be annually screened for chlamydia:
    • Sexually active females ages 20-25
    • Women over 25 with history of STIs
    • multiple sexual partners
    • inconsistent use of barrier contraceptives
    • high-risk pregnant women at first prenatal visit or during third trimester or both.
  17. The most common symptoms of gonorrheal infection, when they occur, are:
    Purulent, greenish-yellow vaginal discharge, dysuria, and urinary frequency.
  18. Treatment for gonorrhea is:
    • Nonpregnant women: antibiotic ceftriaxone or cefixime.
    • Pregnant women: cephalosporin.
  19. The most common symptoms of gonorrheal infection are:
    • Purulent
    • greenish-yellow vaginal discharge
    • dysuria
    • urinary frequency
  20. Treatment for gonorrhea is:
    • nonpregnant women: antibiotics: ceftriaxone or cefixime.
    • test for chlamydia
    • Retesting is recommended 3 months following treatment.
  21. What is the vaccine for Hyman Papilloma Virus (HPV) and how is it administered?
    The vaccine – Gardasil – is given in 3 doses over 6 months for females 9-26 years of age.
  22. The primary route of transmission for Hepatitis A is:
    • Fecal-oral, contaminated food/water
    • incubation period 15-50 days
    • Not a chronic infection
  23. The symptoms of Hepatitis A are:
    • jaundice
    • anorexia
    • nausea
    • vomiting
    • malaise
    • fever
  24. The primary route of transmission for Hepatitis B is:
    • Blood/body fluids
    • incubation period 45-160 days
    • chronic infection
  25. The primary route of transmission for Hepatitis C is:
    • Blood/body fluids
    • incubation period: 14-180 days
    • chronic infection
  26. The primary route of transmission for Hepatitis D is:
    • Blood/body fluids
    • incubation period: 45-160 days
    • chronic infection
  27. The greatest problem of pelvic inflammatory disease (PID) is:
    Postinfection tubal damage, which is closely associated with infertility.
  28. Women at risk for pelvic inflammatory disease (PID) are:
    • multiple sexual partners
    • history of PID
    • early onset of sexual activity
    • recent insertion of an IUD