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16 Cards in this Set
- Front
- Back
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Patient teaching for medroxyprogesterone (Depo-Provera)?
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1. Pregnancy test prior to administration
2. SE: wt gain, breakthrough bleeding, increased risk of osteoporosis 3. Given q3months, IM, 1 1/2" needle, will cause scarring on buttocks |
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Candidiasis
C.albicans |
1. Commonly caused by the use of ABX
2. s/s: thick, white, cottage cheese-like d/c, dysuria, itching, dyspareunia, red and swollen labia 3. Tx: antifungal meds (Nystatin -cream or pill, Diflucan - single 150mg dose) |
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Trichomoniasis
T.vaginalis |
1. One of the most common STDs
2. s/s: gray, greenish-yellow, frothy d/c; odor, dysuria, red/inflammed genitals, hemorrhagic spots on cervix or vaginal walls 3. Tx: Flagyl - single 2g dose (SE: GI upset, bitter taste in mouth), cool compresses, sitz bath |
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Chlamydia
C.trachomatis |
1. The most common STD in the U.S. and the leading cause of PID, can cause blindness
2. s/s: usually asymptomatic 3. Tx: ABX: Zithromax, Doxycycline |
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Gonorrhea
N.gonorrhea |
1. Gram (+) bacteria
2. s/s: asymptomatic 3. Tx: Broad-spectrum ABX: Rocephin - single dose IM (refrain from ETOH for 2-4wks) |
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Genital Herpes
HSV-2 |
1. Can be lethal to fetus during delivery
2. Blister-like vesicles, inguinal lymph node enlargement, flu-like symptoms 3. Tx: Zovirax, Valtrex |
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Syphilis
T.pallidum |
1. s/s: early - canchre, late - arthritis, enlarged liver / spleen / lymph nodes
2. Dx: FTA-ABS 3. Tx: Penicillin G - 2.4million units, deep IM, really sore injection site |
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How does PID cause infertility?
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It causes scarring of the fallopian tubes
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s/s of PID
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Fever, chills, vaginal d/c, N/V, lower ABD pain (r/o ectopic pregnancy and appendicitis), tubal scarring, dyspareunia
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At what point is a couple considered infertile?
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After the lack of conception w/ unprotected intercourse for 1yr
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Benign fibroids in the endometrial cavity can contribute to:
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Implantation difficulties
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The optimum contraceptive for a client is one that:
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Will be used correctly and consistently
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PID affects what structures?
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Uterus, fallopian tubes, and ovaries
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What is a contraindication to the insertion of an IUD?
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Multiple sex partners
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Absolute contraindications to the combined oral contraceptive include:
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1. Known or suspected carcinoma of the breast
2. Undiagnosed heart disease 3. Ischemic heart disease 4. Hx of thrombolytic disorder |
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Patient teaching regarding the basal body temp (BBT) method for family planning:
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It is important to take temp about the same time every morning before getting out of bed
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