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Women's > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Autonomy

A

Agreement to respect another’s right to determine their own course of action

Support of independent decision making

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2
Q

Beneficence

A

To do good

To do no harm

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3
Q

Justice

A

The equal and fair distribution of resources

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4
Q

Depression

A

The leading cause of disease burden among females 12 and older in the us

10-15% experience at some point

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5
Q

Depression screening PHQ-2

A

2 questions
In the past month, how often have you been been bothered by little interest/pleasure in doing things?
In the past month, how often have you been bothered by feeling down, depressed, or hopeless?

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6
Q

Sex and gender differences in substance use and abuse

A

Gender differences in body structure and chemistry cause women to absorb more alcohol and take longer to break It down

Immediate effects occur more quickly and last longer in women

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7
Q

Tobacco use test

A 
The 5 A’s 
Assess
Advice
Agree
Assist
Arrange
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8
Q

Cycles of violence

A

Phase one: tension building state
Phase two: acute battering stage
Phase three: honeymoon stage

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9
Q

ABCDES for caring for abused women

A 
Alone
Belief
Confidentiality
Document
Educate
Safety
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10
Q

Treating dysmenorrhea symptoms

A

Heating pad

NSAIDS

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11
Q

Menstrual/Period diary

A

Useful because It tracks symptoms which helps to give teaching
Start NSAIDS 2-3 days before symptoms usually occur

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12
Q

Contraception vs STI protection

A

Many of the most effective contraception methods do not protect against STIs

Condoms are most effective against STIs, but not most effective contraception

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13
Q

VA reportable disease list

A

Report immediately: syphilis (primary and secondary)

Report within 3 days: chlamydia, gonorrhea, hep b, hiv

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14
Q

Chlamydia treatment

A

Azithromycin 1g PO single dose

Doxycycline 100 mg PO BID for 7 days (not if pregnant)

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15
Q

What can HPV cause?

A

Cervical cancer and genital warts

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16
Q

What is the HPV vaccine called?
When should you get It?
Dosage?

A

Gardasil 9
11-12 yr olds: 2 doses at least 6 months apart
Teens and young adults: 3 doses

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17
Q

What is the concern with HPV vaccine and a teen already sexually active?

A

There is no therapeutic effect demonstrated on an already present HPV infection
Vaccine still recommended since It can protect against other subtypes
Works in body for at least 10 years

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18
Q

Herpes primary symptoms

A

Fever, chills, malaise, dysuria, pain, tingling

Painful bumps

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19
Q

Herpes recurrent symptoms

A

Burning, itching, swelling, tingling

Less severe

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20
Q

Is any form of contraception 100% effective?

A

No

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21
Q

Medium effectiveness contraception results in:

A

6-12 pregnancies per 100 women per year

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22
Q

Estrogen

A

Uterine growth and placental blood flow

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23
Q

Progesterone

A

Quiets uterus, decreased contractions, causes thickening of endometrium - supportive environment for pregnancy

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24
Q

What happens with a lack of progesterone?

A

Infertility

25
Q

Presumptive indicators of pregnancy

A 
Amenorrhea 
Nausea and vomiting
Breast tenderness
Urinary frequency 
Fatigue 
Quickening
26
Q

Probable indicators of pregnancy detected by examiner

A

Uterine enlargement
Braxton Hicks
Uterine soufflé
Positive pregnancy test

27
Q

Positive indicators of pregnancy

A

Blood test
Fetal heartbeat
Fetal movement felt by someone other than mom
Visualization of fetus

28
Q

Rh status

A

Always check Rh status

You’ll rarely know status, so always give rhogam prophylactically in case Rh neg

29
Q

What happens if mom is Rh negative?

A

Rhogam will prevent mom from developing antibodies after exposure of Rh positive blood

Will receive additional dose after delivery if the baby is Rh positive

30
Q

How to determine EDC

A

Nagle’s rule
LMP subtract 3 months
Add 7 days and one year

31
Q

What GP - TAL?

A 
G: how many times pregnant 
P: how many preterm
T: how many term 
A: how many abortions 
L: how many living children
32
Q

What are some things that help with PMS?

A

Eat complex carbs and fibrous food
Regular exercise
Mindfulness
Stress relief techniques

33
Q

When does ovulation occur?

A

2 weeks before period

34
Q

Menorrhagia

A

Regularly occurring excessive bleeding greater than 80 ml/cycle or longer than 7 days

Can indicate a disorder, but can be managed with hormonal therapy

Monitor CBC to rule out anemia

35
Q

Menometorrhagia

A

Irregularly occurring heavy bleeding

36
Q

Metrorrhagia

A

Irregular bleeding

37
Q

Dysmenorrhea

Best treatment

A

Pain/cramping before and during period

Heating pad

38
Q

Amenorrhea

Most common cause

A

No period

Pregnancy

39
Q

Leiomyoma

Symptoms

Treatment

A

Fibroids

Heavy or prolonged bleeding

GnRH agonist
Side effect: bone loss, menopause like symptoms, change in lipid levels
Regrowth is likely when treatment is done

40
Q

What do hormonal contraceptives do?

A

Suppress the menstrual cycle by mimicking pregnancy

41
Q

Aonticonvulsants and OCPS

A

They may decrease effectiveness of bc

42
Q

IUDs

Signs of potential complications

A

Should be inserted in first 10 days of menstrual cycle, use back up contraception for 7 days if not

PAINS
Period late
Abdominal pain
Infections exposure, abnormal discharge
Not feeling well
Strings shorter/longer/missing
43
Q

Depo-provera

A

Injection
Is a good choice for women for forget to take bc pills
Must use back up method for 7 days after shot unless given within first 7 days of cycle

44
Q

Chlamydia

Treatment

A

Can be asymptomatic
Can cause infertility
Can lead to PID

Azithromycin 1g PO, one time dose

45
Q

HPV

A

Present in most cervical cancers
Causes genital warts
Presents as soft papillary swellings- single or cluster
Gardasil shot

46
Q

Determinants of health and equity

A

Ability to perform life roles
Capacity to respond to stress and strain and experience a high level of wellness

Women tend to live longer than men: May experience more chronic conditions

47
Q

Stress may cause:

A

Muscle tension, poor memory, insomnia, headaches, stomach pain, anxiety

Stress hormones lead to physical symptoms

Discrimination is a risk factor for stress

48
Q

Pregnancy complications: TORCH

A

Infections: can cause congenital anomalies
T: toxoplasmosis
O: other (syphilis, varicella, herpes zoster)
R: rubella
C: cytomegalovirus
H: herpes

49
Q

Ectopic pregnancy

Symptoms

A

Fertilized egg implants and grows outside of uterus

Often presents as missed period, abdominal pain/tenderness, dark red/brown bleeding

If mom is Rh neg: NEEDS rhogam

Symptoms: hypovolemic shock, unresponsive, syncope, dizzy, shoulder pain

50
Q

Spontaneous abortion

A

Commonly due to chromosome abnormalities

Feelings of fear and guilt

51
Q

Elective/medical abortion

Post procedure red flags

A

Medications: mifepristone, methotrexate, misoprostal

Fever, bleeding more than 2 pads/2hours, foul smelling discharge, abdominal tenderness

52
Q

Types of IPV

A

Physical, verbal, economic, sexual

53
Q

Relationship between IPV and pregnancy

A

Can happen for first time during pregnancy
Pregnant teens at higher risk
Women abused before are likely to be abused during

54
Q

When is the most dangerous time for IPV victims?

A

When they are trying to leave the relationship

55
Q

GnRH

A

Stimulates release of FSH and LH to assist in ovulation

56
Q

FSH

A

Responsible for maturation of ovarian follicle

Stimulates estrogen secretion from developing follicles

57
Q

LH

A

Responsible for final maturation of follicles

Results in formation of corpus luteum

58
Q

Estrogen

A

Secreted by the ovaries
Crucial for development and maturation of follicle
Thickens uterine lining, inhibits FSH and LH until preovulation

59
Q

Progesterone

A

Secreted by corpus luteum
Levels increase before ovulation and peak 5-7 days after
Thickens uterine lining, inhibits FSH and LH

Women's (4 decks)

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