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Health Promotions > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

How frequent should Clinical Breast exams be done for people who are 20-39 years old

A

Every 3 years

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2
Q

How frequent should Clinical Breast exams be done for people who are 40 plus years old

A

Yearly

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3
Q

Women ages 21 and 29 should have a Pap test how frequent?

A

Every 3 years

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4
Q

Women of the age of 30-65 should have a Pap test how frequent?

A

Every 5 years

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5
Q

Women of the age 30-65 should have what with a Pap test?

A

HPV test

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6
Q

What is a Colposcopy

A

Exam of cervix with microscope that magnifies the view

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7
Q

Treatment after abnormal Pap test

A

Colposcopy, Cryotherapy, and Laser cutting

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8
Q

what is the recommended gynecologic screening method

A

LEEP (Loop Electosurgical Excision Procedure)

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9
Q

What is Menopause

A

the time when menses ceases; ovaries stop responding to hormone levels

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10
Q

what happens during Menopause

A

Increase FSH, Decrease in estrogen, menses ceases, and ovaries stop responding to hormones

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11
Q

When is Menopause diagnosed

A

12 months of amenorrhea

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12
Q

What is amenorrhea

A

The absence of menstruation

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13
Q

what is Perimenopause

A

the period preceding menopause and one year after cessation of menses

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14
Q

how long can Perimenopause last and average age of onset

A

Can last 2-7 years and happens usually around 45-50 years old

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15
Q

Symptoms of Menopause

A

Changes in menstrual cycle
Atrophic changes in vagina, vulva, urethra and bladder
Hot flashes
insomnia

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16
Q

How to manage symptoms of Menopause

A

Hormone replacement therapy

Complimentary and alternative therapies

Diet and Nutrition: high fiber, low fat, Vit. D and calcium, Phytoestrogens (found in soy products) some herbs

Wt. Bearing and low impact aerobics (prevention of osteoporosis)

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17
Q

What is bacterial Vaginosis

A

Excessive amount of thin watery, yellow-gray discharge with foul odor

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18
Q

what is the Treatment of vaginosis

A

Non-pregnant woman: metronidazole or clindamycin

Pregnant: metronidazole (Flagyl) or clindamycin in 2nd trimester

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19
Q

what is the bacteria usually responsible for yeast infections

A

Candida Albicans

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20
Q

what is the most common form of vaginitis

A

Yeast Infection

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21
Q

symptoms of yeast infection

A

Thick, curdy vaginal discharge, severe itching, dysuria, and dyspareunia

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22
Q

of the 15 million new STI cases each year how many are teenagers

A

roughly 25%

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23
Q

Symptoms of Trichomoniasis

A

Yellow-green, frothy odorous discharge
Inflammation of vagina & cervix
Dysuria and dyspareunia

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24
Q

What is the most common STI in the US

A

Chlamydia

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25
Q

symptoms of Chlamydia

A

Thin or purulent discharge, burning and frequency or urination
Lower abd. pain

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26
Q

treatment for Chlamydia

A

azithromycin, doxycycline, or levofloxacin.

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27
Q

symptoms of Gonorrhea

A

Purulent, greenish yellow discharge
Dysuria and urinary frequency
No treatment can lead to infertility

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28
Q

treatment for Gonorrhea

A

Ceftriaxone IM

29
Q

Symptoms of PID

A 
Bilateral sharp, cramping pain in lower quadrants
Fever
Chill purulent vaginal discharge
Irregular bleeding
May also be asymptomatic
30
Q

Treatment for PID

A

Inpatient: IV fluids, pain medications and IV antibiotics

Outpatient antibiotics: Ofloxacin (Floxin)

31
Q

when is Infertility diagnosed

A

lack of conception despite unprotected sexual intercourse for at least 12 months

32
Q

types of Infertility

A

Sterility and Subfertility

33
Q

What is sterility

A

Term applied when there is an absolute factor preventing reproduction

34
Q

what is Subfertility

A

Term used to describe a couple that has difficulty conceiving because both partners have reduced fertility

35
Q

what hormone surges 24-36 hours after ovulation

A

LH

36
Q

Assessment for ovulatory factors

A

Surge of LH, Basal body temp, Ovulation Predictor kits

37
Q

what is Endometrial Biopsy

A

Gives info about effects of progesterone produced by the corpus luteum after ovulation and endometrial receptivity

38
Q

What are the evaluations for cervical factors

A

Spinnbarkeit

Ferning Capacity

39
Q

what test evaluates cervical mucus, sperm motility, sperm-mucus interaction

A

Postcoital/Huhner test

40
Q

how many hours do couples have intercourse before Postcoital/Huhner test

A

6-12 hours

41
Q

what is the first and least expensive test done for Male infertility

A

sperm analysis

42
Q

what is a pharmacological method to treat infertility?

A

Clomid

43
Q

what does Clomid do

A

induces ovulation

44
Q

how many women usually become pregnant using Clomid

A

40%

45
Q

What benchmarks do women need to meet to use Clomid

A

normal ovaries, normal prolactin level and in intact pituitary gland

46
Q

side effects of Clomid

A

visual disturbances

Hot flashes

47
Q

when is Vitro Fertilization used

A

Used when infertility is due to tubal factors, mucus abnormalities, male infertility

48
Q

what is Vitro fertilization

A

Ova removed, fertilized, returned to uterus after normal embryo development has begun

49
Q

what does GIFT stand for

A

gamete introfallopian transfer

50
Q

what does ZIFT stand for

A

Zygote introfallopian transfer

51
Q

what is ZIFT

A

Ova fertilized outside the body

Fertilized ova placed in distal fallopian tube

It enter uterus naturally

52
Q

what does TET stand for

A

tubal embryo transfer

53
Q

what is TET

A

Eggs retrieved and incubated with sperm

Retuned back at much earlier stage of cell division than IVF

Placed in fallopian tubes

54
Q

what is syphilis treated with

A

Penicillin G

55
Q

does Herpes Genitalis have a cure

A

No Known Cure

56
Q

symptoms of Syphilis

A

slight fever, loss of weight and malaise

Chancre persists for about 4 weeks

57
Q

What are the 4 Parenting styles and their definitions

A

Authoritative parents—Warm but firm
Authoritarian Parents –little warmth & highly controlling
Permissive Parents—Warm & undemanding
Uninvolved Parents—not warm or involved

58
Q

What are the 6 family assessments

A 
Family structure
Roles within the family
Physical Health status
Interactions patterns
Family values
Coping Resources
59
Q

what are the 6 indicators of stress in the family?

A

Inability by the family or a member to act on recommended treatments
Various somatic complaints among family members
High Anxiety
Depression
Problems in school
Drug use

60
Q

What is a Nuclear Family

A

Children live in the household with both biological parents and no one else

61
Q

What is Extended family

A

couples shares household and childbearing responsibilities with parents, siblings, or other relatives

62
Q

What is Blended family

A

two families living together

63
Q

What is communal family

A

Living together as extended families

64
Q

What are the 3 Learning Domains and their definitions

A

Cognitive Learning
“Thinking or understanding”

Affective Learning
“Feeling or attitude”

Psychomotor Learning
“Skill”

65
Q

What pattern of basal body temp indicates ovulation

A

Her temperature dips then rises

66
Q

Should a patient with a IUD check for the string after each menses

A

Yes

67
Q

what is used with a diaphragm

A

Spermicide

68
Q

When should a Cervical cap be used

A

Before intercourse and 6 hours after

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