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FNP Review > Reproductive/Pregnancy/Women's Health > Flashcards

Reproductive/Pregnancy/Women's Health Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

Physiological anemia of pregnancy

A

Increase of plasma volume when compared to production of RBC’s

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2
Q

Breast development Tanner stage III

A

Breast, nipples, and areola form one mound

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3
Q

Breast development Tanner stage IV

A

Breast, nipples, and areola form secondary mound

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4
Q

After 20 weeks gestation, how should fundal height be measured?

A

Measures the same as the number of weeks of gestation give or take 2 cm

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5
Q

Primary carbohydrate found in breast milk

A

Lactose

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6
Q

Full term infants should be back to birth weight at how many weeks?

A

2 weeks

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7
Q

Infants should lose no more than what percentage of their birth weight?

A

10%

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8
Q

What Tanner stage indicates the start of puberty?

A

Tanner stage II

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9
Q

What kind of bacteria is Trichomoniasis?

A

Protozoan with flagella

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10
Q

What is considered first line treatment for Trich?

A

Flagyl

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11
Q

Most common cause of female infertility

A

Ovulation disorders

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12
Q

Where is the fundus located at 12 weeks gestation?

A

Pubic symphysis

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13
Q

What is precocious puberty

A

Puberty that occurs before it is supposed to

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14
Q

What is the onset of normal puberty in females and males respectively?

A

Age 8, age 9

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15
Q

Best method to diagnose Candida albicans infection in primary care setting

A

Wet smear

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16
Q

Tznack smear

A

Used to detect herpes infection or SJS

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17
Q

What are presumptive signs of pregnancy?

A

Symptoms felt by the patient

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18
Q

Best way to diagnose trich infection in primary care setting

A

Wet smear

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19
Q

What age is recommended to begin cervical cancer screenings?

A

Over age 21

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20
Q

Cervical cancer screening recommendation for women 21-65

A

Every 3 years with cytology (pap)

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21
Q

Cervical cancer screening recommendation for women 30-65 who want to lengthen intervals of cancer screening

A

Every 5 years with cytology and HPV co-test

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22
Q

What should a woman do if she misses two days of BC?

A

Take two pills immediately, two pills the next day, continue rest of pack

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23
Q

Classic triad of preeclampsia

A

Hypertension, edema (weight gain), proteinuria

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24
Q

HELLP syndrome

A

Hemolysis, elevated liver enzymes, low platelet count, usually diagnosed after preeclampsia

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25
Q

Chadwick’s sign

A

Bluish discoloration of the cervix and vagina, present between 6-8 weeks of pregnancy/considered “probable” sign of pregnancy

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26
Q

Hegar’s sign

A

Softening of the lower uterine segment

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27
Q

Positive Coombs test

A

Mother has autoantibodies against Rh-positive RBC’s

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28
Q

Quickening

A

When mother first feels fetal movement

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29
Q

When does quickening usually occur?

A

16-20 weeks

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30
Q

Fundal height of 20 weeks gestation

A

At level of umbilicus

31
Q

Tanner stage II in males

A

Penis length is unchanged

32
Q

Tanner stage III in males

A

Penis begins to lengthen, testicles increase in volume, scrotum enlarges

33
Q

Tanner stage IV in males

A

Penis increases in length and width

34
Q

Tanner stage V in males

A

Scrotum and penis are matured

35
Q

First menarche usually begins at what age?

A

Age 12, 2-3 years after tanner stage II

36
Q

Caloric content of infant formula and breast milk

A

20 cals/30 mL

37
Q

Antibiotic most appropriate for treating UTI in pregnant women

A

Cephalosporins

38
Q

Antibiotic most appropriate for treating pyelonephritis in pregnant women

A

Cephalosporin and Augmentin, consider hospitalization

39
Q

Screen for gestational diabetes, how many weeks?

A

24-28 weeks

40
Q

McDonald’s Rule

A

Fundal height correlates with gestational age, 18-34 weeks

41
Q

Test for syphilis

A

RPR, EIA, ABS

42
Q

Test for chlamydia/gonorrhea

A

DNA probe

43
Q

Test for trich

A

Wet prep

44
Q

NAAT test

A

Most sensitive test for chlamydia

45
Q

Antibiotic treatment for chlamydia

A

1 gram azithromycin (can give pregnant) or 100 mg doxycycline BID x 7 days, or if pregnant with macrolide allergy amoxicillin 500 mg TID x 7 days

46
Q

Antibiotic treatment for gonorrhea

A

250 mg ceftriaxone, plus to treat possible co-infection of chlamydia

47
Q

Hallmark “strawberry cervix”

A

Associated with trich infection

48
Q

Four stages of syphilis

A
  1. Primary, 2. Secondary, 3. Latent, 4. Tertiary
49
Q

Primary stage syphilis

A

Associated with painless chancre on genitalia that spontaneously resolves

50
Q

Secondary stage of syphilils

A

Non-pruritic rash develops, usually on soles and palms, spontaneously resolves, warts on genitalia may appear

51
Q

Latent stage of syphilis

A

Asymptomatic

52
Q

Tertiary stage of syphilis

A

Associated with systemic manifestations

53
Q

Charcot joints

A

Degeneration of weight bearing joints, associated with syphilis

54
Q

Gumma

A

Skin lesions associated with syphilis

55
Q

Rotterdam criteria

A

Used to diagnose PCOS

56
Q

Two medication treatment options for PCOS

A

Contraceptives (progestin) and Metformin (decrease insulin sensitivity

57
Q

Screening for osteoporosis

A

Begin at age 65

58
Q

Most common breast masses

A

Fibroadenomas and cysts

59
Q

When is ultrasound for breast considered?

A

Age < 30 and/or those with dense breast tissue with breast complaint

60
Q

When is mammogram considered?

A

Age > 30 with breast complaint

61
Q

American Cancer Society screening recommendation for breast cancer

A

Screening to begin at age 45, annually

62
Q

Which contraception method has highest risk of osteoporosis?

A

Depo shot

63
Q

What type of contraception is safe in breastfeeding

A

Progestin only

64
Q

What kind of contraception is contraindicated in migraines?

A

Combo pills

65
Q

Which contraception has the highest risk of blood clots?

A

Ortho evra

66
Q

When if needed, is RhoGAM given?

A

28 weeks or 72 hours post partum

67
Q

Two common conditions that increase AFP

A
  1. Multiple gestation, 2. Neural tube defects
68
Q

Common condition that lower’s AFP

A

Down’s syndrome

69
Q

What pap result warrants referral?

A

CIN 2/3, indicative of HPV cytology changes

70
Q

What SSRI may be useful in treating symptoms of menopause?

A

Paxil

71
Q

Two herbs used to treat symptoms of menopause

A
  1. Ginko, 2. Black cohosh
72
Q

In what order should medication treatment for hyperthyroid be prescribed in pregnant women?

A

PTU in the 1st trimester, Tapazol in the 2nd trimester

73
Q

Three best BP medications for pregnancy

A
  1. Methyldopa, 2. Labetalol, 3. Nifedipine

FNP Review (18 decks)

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