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26 Cards in this Set

  • Front
  • Back
What glands regulate FSH and LH production?
Hypothalamus (secretes LH and FSH) and anterior pituitary (secretes GnRH).
What is mittelschmerz?
Lower abdominal pain which coincides with ovulation.
What is spinnbarkeit?
The stretchable, egg white like quality of ovulatory mucus.
What are the 4 phases of the endometrial cycle?
1. Menstrual
2. Proliferative
3. Secretory
4. Ischemic
What is the best time of the menstrual cycle for Breast Self Exam?
5-7 days after menstruation stops.
What does the Joint Commission define as a Sentinel Event?
"...an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof."
What percentage of pregnancies end in cesarean section?
31.8%
What percentage of pregnant women are battered?
4%-8%
How many women seek prenatal care?
69%
What are the 3 most common HIV-related opportunistic diseases?
1. Pneumocystis jiroveci (PCP)
2. Candida esophagitis
3. Wasting syndrome
How many weeks from HIV infection to seroconversion?
6-12 weeks.
What are the signs and symptoms of HIV?
Fever
Malaise
Headache
Night sweats
Generalized lymphadenopathy
Myalgia
Nausea
Diarrhea
Weight loss
Sore throat
Rash
What are the recommended immunizations for HIV+ women?
Hepatitis B
Pneumococcus
H. influenzae type B
Viral influenza
What are the characteristics of normal vaginal secretions?
Clear to cloudy
Slightly slimy, non-irritating, non-offensive odor
pH 4-5
Contains lactobacilli and epithelial cells
What are the 3 most common vaginal infections?
1. Bacterial vaginosis
2. Candidiasis
3. Trichomaniasis
What are some common bugs that cause bacterial vaginosis? What are the signs and symptoms of BV?
*H. vaginitis, Gardnella most common.
*Fishy, amine odor
*Profuse, thin, white/gray, milky discharge
*Mild irritation or pruritis may be present.
What is the treatment for bacterial vaginosis?
*Metronidazole 500mg bid x7 days
*No alcohol
*May cause GI upset
What are the characteristics and associated factors of vaginal candidiasis?
*2nd most common
*Painful and persistent in HIV+ women
*Lesions may be painful
*Predisposing factors: antibiotic therapy, diabetes, pregnancy, obesity, steroid use, immunosuppression, tight-fitting clothing
What are the signs and symptoms of candidiasis?
*Pruritis
*Dryness
*Dysuria
*Thick, white, lumpy discharge
*Redness, swelling
*No foul odor
What is the treatment for candidiasis?
*PO fluconazole
*Lactobacillus, garlic
*No underwear to bed
*No douching
What are the characteristics of trichomaniasis? Signs and symptoms?
*Caused by Trichomonas vaginitis (an anaerobic unicellular protozoan
*May be asymptomatic
*Discharge is yellow/green, frothy, mucopurulent, copious, and malodorous
*Dysuria, dyspareunia, pruritis
*Cervical petechiae
*May have inflammation
What is the management for trichomaniasis?
*Metronidazole 2g once
*Treat male partner too
What are the basics about group B streptococci? Risk factors? Treatment?
*Normal flora in non-pregnant women and 20%-30% of pregnant women
*Associated w/ poor pregnancy outcomes
*GBS infections may cause neonatal morbidity/mortality
*Risk factors are: pos. culture, premature membrane rupture for 18+ hours, intrapartum fever > 38C
*Treatment is penicillin or ampicillin
What health problems has IVP been linked to?
Headaches, GI issues, chronic pain, arthritis, STIs, pelvic pain, substance abuse, depression, PTSD, suicide.
What are the phases of rape trauma?
*Acute Phase--Disorientation
*Outward Adjustment Phase
*Long-term Phase--Reorganization Phase
What is the treatment of choice for gonorrhea?
Cefixime or ceftriaxone.