Women's Health Quiz

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Questions and Answers

Which symptom is characteristic of fibrocystic breast changes?

  • Increased breast size
  • Sharp pain in the chest
  • Discharge from the nipple
  • Lumpiness in the breast (correct)

What is a recommended non-pharmacological treatment for fibrocystic breast changes?

  • Complete rest and inactivity
  • Heating pads and warm baths (correct)
  • High sodium diet
  • Increased caffeine intake

Which of the following is NOT a risk factor for osteoporosis?

  • Heredity
  • Being petite or thin
  • Being of Caucasian or Asian descent
  • Obesity (correct)

What should be done if a child's nosebleed does not stop after 10-20 minutes?

<p>Seek emergency medical assistance (B)</p> Signup and view all the answers

What is a common cause of isolated and transient epistaxis in children?

<p>Nasal trauma (A)</p> Signup and view all the answers

Which side effect is commonly associated with injectable progestins?

<p>Decreased bone mineral density (C)</p> Signup and view all the answers

What is the maximum duration that the etonogestrel implant can remain effective?

<p>3 years (C)</p> Signup and view all the answers

When should emergency contraceptive methods be used?

<p>Within 72-120 hours post unprotected intercourse (B)</p> Signup and view all the answers

What is a medical contraindication for using an IUD?

<p>Pregnancy (C)</p> Signup and view all the answers

How often should depot medroxyprogesterone be administered?

<p>Every 11-13 weeks (D)</p> Signup and view all the answers

What is the primary reason for not using estrogen in breastfeeding women?

<p>It can decrease milk supply (D)</p> Signup and view all the answers

Which type of IUD is effective for the longest duration?

<p>Paragard (B)</p> Signup and view all the answers

What must be done if a woman experiences no menses after using emergency contraception?

<p>Consult a healthcare provider (C)</p> Signup and view all the answers

At what age should women begin annual or biannual mammogram screenings for breast cancer?

<p>40 (D)</p> Signup and view all the answers

What is the primary purpose of a breast MRI?

<p>Identify tumors not detected by mammogram (C)</p> Signup and view all the answers

When should a DXA scan for osteoporosis screening typically begin?

<p>At age 65 (A)</p> Signup and view all the answers

What is the recommended frequency of Pap smears for women aged 30 to 65 if they also have an HPV test?

<p>Every 5 years (A)</p> Signup and view all the answers

Which screening assessment is most suitable for women with dense breasts?

<p>Breast ultrasound (C)</p> Signup and view all the answers

After how many consecutive negative Pap tests may women over 65 choose to stop screening?

<p>Three negative tests (D)</p> Signup and view all the answers

What is the recommended timing for breast self-examinations (BSE) during the menstrual cycle?

<p>5 to 7 days after menstruation ends (A)</p> Signup and view all the answers

Which screening method is used primarily for assessing the cervix?

<p>Pelvic exam (D)</p> Signup and view all the answers

Which symptom is NOT commonly associated with croup?

<p>Severe chest pain (C)</p> Signup and view all the answers

What is the main characteristic of acute nasopharyngitis?

<p>Runny nose (B)</p> Signup and view all the answers

Which of the following is an appropriate treatment for bacterial otitis media?

<p>Antibiotics (D)</p> Signup and view all the answers

Which condition is characterized by a life-threatening asthma exacerbation?

<p>Status asthmaticus (D)</p> Signup and view all the answers

In managing RSV and bronchiolitis, what is an important nursing intervention?

<p>Maintaining respiratory function (C)</p> Signup and view all the answers

What is a common characteristic of asthma in children?

<p>Prolonged coughing at night (B)</p> Signup and view all the answers

Which condition requires parents to be educated about hygiene and the spread of infection?

<p>Acute streptococcal pharyngitis (B)</p> Signup and view all the answers

What are some common symptoms of infection mononucleosis?

<p>Fever and fatigue (A)</p> Signup and view all the answers

Cystic fibrosis management focuses primarily on which of the following?

<p>Preventing respiratory complications (A)</p> Signup and view all the answers

Which symptom is indicative of tonsillitis?

<p>Swollen tonsils (D)</p> Signup and view all the answers

What is the primary purpose of the spermicide in relation to the diaphragm?

<p>To destroy sperm (B)</p> Signup and view all the answers

Which of the following conditions makes a woman ineligible to use the diaphragm?

<p>History of recurrent urinary tract infections (C)</p> Signup and view all the answers

How long must a cervical cap remain in place after intercourse to minimize TSS risk?

<p>6 hours (D)</p> Signup and view all the answers

What is a common side effect of toxic shock syndrome (TSS)?

<p>Sunburn rash (B)</p> Signup and view all the answers

Which scenario requires a woman to get re-fitted for her diaphragm?

<p>Weight loss of more than 20% (D)</p> Signup and view all the answers

What is the maximum time a contraceptive sponge can remain in place?

<p>24-30 hours (B)</p> Signup and view all the answers

What should patients with TSS risk do regarding removal of devices?

<p>Remove 6-8 hours after intercourse (A)</p> Signup and view all the answers

What is an essential step before inserting a contraceptive sponge?

<p>Moisten it with water (D)</p> Signup and view all the answers

What are the potential common side effects of toxic shock syndrome?

<p>Sunburn rash and sudden high fever (B)</p> Signup and view all the answers

Which of the following should COCs users be cautious about?

<p>Using them with systemic antifungals (C)</p> Signup and view all the answers

How long should a patient wait to remove a vaginal contraceptive ring after insertion?

<p>Three weeks (B)</p> Signup and view all the answers

Which scenario is a contraindication for using combined oral contraceptives?

<p>A history of thromboembolic disease (D)</p> Signup and view all the answers

What is the correct usage instruction for the transdermal contraceptive patch?

<p>Wear it for three weeks, then have a week without a patch (A)</p> Signup and view all the answers

For how long must progestin-only oral contraceptives be taken every day?

<p>Every day at the same time (D)</p> Signup and view all the answers

Which of the following populations is likely to benefit from the 'mini pill'?

<p>Lactating women and women over 40 (B)</p> Signup and view all the answers

What should a patient do if they take the progestin-only pill more than 3 hours late?

<p>Use a backup contraceptive method (B)</p> Signup and view all the answers

Flashcards

Diaphragm

A dome-shaped barrier device placed in the vagina to prevent sperm from reaching the uterus. Contains spermicide.

Diaphragm Usage

Inserted before intercourse, left in place for at least 6 hours, fitted by a healthcare provider.

Diaphragm Risks

Irritations from spermicide, not suitable for women with pelvic floor weakness or recurrent UTIs.

Diaphragm and Toxic Shock Syndrome (TSS)

Diaphragm users need to be aware of TSS, a rare but serious bacterial infection.

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Cervical Cap

A small, thimble-shaped device that fits over the cervix, similar to the diaphragm.

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Cervical Cap Usage

Left in place for 6-48 hours, but longer usage increases TSS risk, requires less spermicide than the diaphragm.

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Cervical Cap Risks

Irritation, not suitable for women with abnormal Pap tests or infections, or those unable to insert/remove properly.

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Contraceptive Sponge

A soft, porous device that absorbs and releases spermicide, covering the cervix.

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Toxic Shock Syndrome (TSS)

A rare but serious bacterial infection that can cause a range of symptoms including fever, rash, and low blood pressure. It is often associated with tampon use.

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TSS Warning Signs

Common symptoms of TSS include sunburn-like rash, diarrhea, dizziness, faintness, weakness, sore throat, aching muscles and joints, sudden high fever, and vomiting.

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Combined Oral Contraceptives (COCs)

Birth control pills that contain both estrogen and progesterone. They work by preventing ovulation, altering cervical mucus, and changing the lining of the uterus.

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COCs: Contraindications

COCs are not recommended for women with a history of blood clots, heart disease, breast cancer, liver problems, or certain other medical conditions.

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COCs: Effectiveness

The effectiveness of COCs can be reduced when taken with certain medications, including anticonvulsants, antifungals, anti-tuberculosis drugs, and HIV medications.

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Transdermal Contraceptive System

A birth control patch that releases estrogen and progestin into the bloodstream. It is applied to the skin once a week for three weeks, followed by a week without the patch.

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Vaginal Contraceptive Ring

A flexible ring that releases estrogen and progestin into the vagina. It is worn for three weeks, then removed for one week.

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Progestin-Only Contraceptives

Birth control methods that contain only progestin. They are available in oral, injectable, and implantable forms.

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Progestin for Breastfeeding

Progestin-based contraceptives are preferred for breastfeeding mothers because estrogen can decrease milk supply.

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Depot Medroxyprogesterone

A long-acting injectable progestin given every 11-13 weeks, suitable for breastfeeding mothers.

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Etonogestrel (Nexplanon)

A long-acting implantable progestin that lasts for 3 years, suitable for breastfeeding mothers.

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Emergency Contraceptive

A method used to prevent pregnancy after unprotected sex, available in oral and IUD forms.

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Copper IUD (Paragard)

A non-hormonal IUD that is effective for 10 years.

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Hormonal IUDs

IUDs containing hormones that are effective for 3-5 years.

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IUD Insertion Risks

IUDs can pose a small risk of uterine perforation and increased risk of PID (Pelvic Inflammatory Disease).

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Sterilization Procedures

Permanent methods of contraception for both men and women, requiring informed consent and a waiting period.

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Fibrocystic Breast Changes

Benign breast condition characterized by lumpiness, achy/heavy breasts, and dull pain, often fluctuating with menstrual cycle.

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Osteoporosis

Condition where bone density decreases, leading to weaker bones and increased fracture risk.

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ITP Management

Treatment for ITP primarily focuses on supportive care, IV immunoglobulin, and anti-D antibody. In severe cases, splenectomy may be necessary.

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Epistaxis Management

For a nosebleed lasting under 10-20 minutes, apply pressure to the soft lower part of the nose, use cotton or tissues, and apply ice. Seek medical attention if bleeding persists.

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Underlying Causes of Recurrent Epistaxis

Recurring or severe nosebleeds in children may indicate underlying medical conditions such as vascular abnormalities, leukemia, thrombocytopenia, or clotting factor deficiencies.

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Mammogram Frequency

For average risk women, mammograms should be done annually starting at age 40, continuing until age 75.

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Mammogram for High Risk

If you have a close family member with breast cancer, start mammograms 10 years earlier than their age at diagnosis.

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Breast MRI use

A Breast MRI often investigates concerns found by other methods, like mammograms, to further evaluate breast tissue.

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When is a Breast MRI used?

High risk individuals with breast cancer history or those with dense breast tissue often get both a mammogram and a Breast MRI.

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DXA scan for?

DXA scans are used to measure bone density for osteoporosis screening.

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Osteoporosis screening age

Most women start DXA scans at age 65, with earlier screening recommended for high-risk individuals.

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Pap Smear Frequency

Women aged 21-65 should get a Pap test every 3 years, or every 5 years with HPV testing.

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Pelvic Exams:

Pelvic exams include an external inspection and a speculum exam to examine the cervix.

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Respiratory Assessment

A comprehensive evaluation of the respiratory system, including vital signs, respiratory effort, cough, and overall behavior.

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Wheezing

A high-pitched whistling sound during breathing, usually heard on exhalation, often associated with narrowed airways.

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Retractions

The visible pulling in of the chest wall during inhalation, a sign of increased respiratory effort.

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Nasal Flaring

The widening of the nostrils during breathing, a sign of increased respiratory effort.

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Stridor

A high-pitched, harsh sound heard during breathing, especially when inhaling, often caused by obstruction in the upper airway.

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Acute Nasopharyngitis

The common cold; an upper respiratory infection characterized by nasal congestion, runny nose, sore throat, and sometimes fever.

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Influenza

The flu; a highly contagious respiratory illness caused by a virus, usually with symptoms like fever, cough, sore throat, muscle aches, and fatigue.

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Acute Streptococcal Pharyngitis

Strep throat; a bacterial infection of the throat causing sore throat, fever, headache, swollen glands, and sometimes a red rash.

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Tonsillitis

Inflammation of the tonsils, often accompanied by difficulty swallowing, mouth breathing, and pain.

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Otitis Media

Ear infection; an inflammation of the middle ear, often resulting in earache, fever, and irritability.

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Study Notes

Contraceptive Options

  • COITUS INTERRUPTUS (Pull-out Method): Requires all parties to understand the risks associated with sperm remaining in the vagina. Pre-ejaculate can contain sperm so pregnancy is still possible. Super-swimmers still pose a risk of pregnancy. Patients should be mindful of the risk for STIs.
  • NATURAL FAMILY PLANNING: Non-hormonal, but relies on user compliance. Involves tracking menstrual cycles and avoiding sex during certain days. Includes daily basal body temperature and vaginal mucus observations. This is to track ovulation. Avoid sex four days before and three to four days after ovulation. This method is still at risk for STIs.
  • CALENDAR RHYTHM METHOD: Non-hormonal and compliance-dependent. Patients track menstrual cycles for 6 months. The fertile period is calculated based on shortest and longest cycle lengths. Sex is avoided within this time frame to avoid pregnancy. This method still carries risks of STIs.
  • STANDARD DAYS METHOD: Non-hormonal. Patient compliance is essential and the method depends on womens cycle. Instructions: avoid sex on days 8-19 of your cycle. This method is suitable for women with cycles of 26-32 days but is unreliable for shorter or longer cycles.
  • BBT (basal body temperature): Non-hormonal and patient compliance-dependent. Instructions include taking temperature immediately after waking up before getting out of bed.

Barrier Methods

  • Spermicides: Chemical that debilitate sperm. Commonly a chemical named N-9. Comes in different forms: tablet, suppository, film, and creams. Must be inserted into the vagina. Frequent use may increase HIV transmission.
  • Condoms: Common contraceptive method. May break down with certain substances (e.g., petroleum jelly). Condoms can provide protection against pregnancy but may not entirely eliminate the risks of STIs.
  • Female Condoms (vaginal sheath): Non-latex or latex. Places inside the vagina. Use condoms along with other methods to reduce risks of STIs.
  • Diaphragm: Dome shaped device that is placed inside the vagina to cover the cervix to prevent pregnancy. Contains spermicide to destroy sperm. Must remain in place for 6 hours after sex at a maximum.
  • Cervical Cap: similar to diaphragm, and the instructions for use are similar as well.

Hormonal Methods

  • Combined Oral Contraceptives (COCs): Combined oral contraceptives containing estrogen and progesterone to inhibit ovulation. It alters cervical mucus, and the endometrium.
  • Transdermal Contraceptive System ("The Patch"): Estrogen and progesterone applied to the skin. Instructions: place on the skin. Suitable for women who are 36 + years old or smokers.
  • Vaginal Contraceptive Ring: Estrogen and progesterone in a ring inserted into the vagina.

Other Important Information

  • Lactational Amenorrhea Method (LAM): breastfeeding exclusively.
  • Emergency Contraception: Oral, or IUD forms within 72-120 hours (depending on the form).
  • IUD (Intrauterine Devices): Prevent pregnancy and are inserted by a licensed physician. The copper IUD lasts for 10 years, and the Mirena lasts 5 years.

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