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?

Seek emergency medical assistance Signup and view all the answers

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

Nasal trauma Signup and view all the answers

Which side effect is commonly associated with injectable progestins?

Decreased bone mineral density Signup and view all the answers

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

3 years Signup and view all the answers

When should emergency contraceptive methods be used?

Within 72-120 hours post unprotected intercourse Signup and view all the answers

What is a medical contraindication for using an IUD?

Pregnancy Signup and view all the answers

How often should depot medroxyprogesterone be administered?

Every 11-13 weeks Signup and view all the answers

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

It can decrease milk supply Signup and view all the answers

Which type of IUD is effective for the longest duration?

Paragard Signup and view all the answers

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

Consult a healthcare provider Signup and view all the answers

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

40 Signup and view all the answers

What is the primary purpose of a breast MRI?

Identify tumors not detected by mammogram Signup and view all the answers

When should a DXA scan for osteoporosis screening typically begin?

At age 65 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?

Every 5 years Signup and view all the answers

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

Breast ultrasound Signup and view all the answers

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

Three negative tests Signup and view all the answers

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

5 to 7 days after menstruation ends Signup and view all the answers

Which screening method is used primarily for assessing the cervix?

Pelvic exam Signup and view all the answers

Which symptom is NOT commonly associated with croup?

Severe chest pain Signup and view all the answers

What is the main characteristic of acute nasopharyngitis?

Runny nose Signup and view all the answers

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

Antibiotics Signup and view all the answers

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

Status asthmaticus Signup and view all the answers

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

Maintaining respiratory function Signup and view all the answers

What is a common characteristic of asthma in children?

Prolonged coughing at night Signup and view all the answers

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

Acute streptococcal pharyngitis Signup and view all the answers

What are some common symptoms of infection mononucleosis?

Fever and fatigue Signup and view all the answers

Cystic fibrosis management focuses primarily on which of the following?

Preventing respiratory complications Signup and view all the answers

Which symptom is indicative of tonsillitis?

Swollen tonsils Signup and view all the answers

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

To destroy sperm Signup and view all the answers

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

History of recurrent urinary tract infections Signup and view all the answers

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

6 hours Signup and view all the answers

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

Sunburn rash Signup and view all the answers

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

Weight loss of more than 20% Signup and view all the answers

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

24-30 hours Signup and view all the answers

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

Remove 6-8 hours after intercourse Signup and view all the answers

What is an essential step before inserting a contraceptive sponge?

Moisten it with water Signup and view all the answers

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

Sunburn rash and sudden high fever Signup and view all the answers

Which of the following should COCs users be cautious about?

Using them with systemic antifungals Signup and view all the answers

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

Three weeks Signup and view all the answers

Which scenario is a contraindication for using combined oral contraceptives?

A history of thromboembolic disease Signup and view all the answers

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

Wear it for three weeks, then have a week without a patch Signup and view all the answers

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

Every day at the same time Signup and view all the answers

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

Lactating women and women over 40 Signup and view all the answers

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

Use a backup contraceptive method Signup and view all the answers

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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Description

Test your knowledge on women's health issues, including fibrocystic breast changes, osteoporosis risk factors, and emergency contraception methods. This quiz covers essential treatments and contraindications relevant to reproductive health. Challenge yourself and learn more about these important topics.