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Exam (elaborations)

Maternity and Women's Health Care

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Maternity and Women's Health Care

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  • September 3, 2024
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  • 2024/2025
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TEST BANK - Maternity and Women's Health Care 13th
Edition by Lowdermilk & Perry


Breast self-examination - ANSWER: Done monthly one week after beginning your
menstrual period.

American Cancer Society - ANSWER: Recommends women 40 and over to have
mammogram annually.

Pap test starts at - ANSWER: Age 21

Every 3years - ANSWER: Age 21 to 29.

Every 5 years - ANSWER: Age 30 to 65

Mittelschmerz - ANSWER: Is pain that many women experience around ovulation,
near the middle of their menstrual cycle.

Dysmenorrhea - ANSWER: Painful menses or cramps.

Primary - ANSWER: No evidence of pelvic abnormality.

Secondary - ANSWER: A pathologic condition is identified.

Some women produce excessive amounts of prostaglandins - ANSWER: which are
potent stimulants of painful uterine contractions.

Endometriosis - ANSWER: The presence of tissue that resembles the endometrium
outside the uterus.

Endometriosis - ANSWER: Can cause pain, pressure, and inflammation. More
constant than spasmodic.

Endometriosis - ANSWER: Can cause dyspareunia or sexual intercourse.

Premenstrual Dysphoric Disorder or PMDD - ANSWER: Formerly called premenstrual
syndrome. Associated with abnormal serotonin response to normal changes in
estrogen levels.

- ANSWER: Symptoms occur between ovulation and the onset of menstruation. Are
not present the week after menstruation has occurred.

Physical symptoms of PMDD - ANSWER: Breast tenderness, bloating, weight gain,
headache.

, Treatment of PMDD - ANSWER: Complex carbohydrates and fiber diet. Exercise,
NSAIs to treat headache.

Fungal or bacterial std - ANSWER: PID or pelvic inflammatory disease, trichinosis,
chlamydia, and gonorrhea.

PID or Pelvic inflammatory disease - ANSWER: Infection of upper reproductive tract,
common cause is STD. Infertility may result.

Viral std - ANSWER: Human papilloma virus or HPV, HIV/AIDS, HERPES Type 2.

HPV Types 16 and 18 - ANSWER: Can cause cervical cancer. CDC recommends
vaccination of all females and males age 11 to 21.

Basal body temperature - ANSWER: Temp taken every morning upon awakening, a
rise in temp for 14 days indicates ovulation has occurred and the goal is to
determine the day before and after.

Cervical mucus clear and thin - ANSWER: Indicates ovulation.

Calendar or rhythm method - ANSWER: Chart on calendar, ovulation is 14 days
before next menstrual period.

ORAL CONTRACEPTIVE PILLS - ANSWER: Prevents ovulation, makes cervical mucus
thick and resistant to sperm penetration.

Contraceptive pill contraindicated: - ANSWER: women with history of blood clots,
heart disease, Breast cancer or smoke.

Medications that decreases oral contraceptive effectiveness: - ANSWER: Antibiotics-
Ampicillin/ Tetracycline.
Anticonvulsants,
Rifampin- antibiotic treats TB,
Barbiturates.

Barrier contraceptives - ANSWER: Barrier works by blocking entrance of sperm into
women's cervix.

Diaphragm - ANSWER: Must be left in place for 6 hours after sex to prevent
pregnancy. Used with spermicide.

Permanent contraception - ANSWER: Make sterilization and female sterilization.

Vasectomy - ANSWER: 20 minutes procedure done as outpatient, need to use
alternative method of birth control for about 3 months after to allow sperm to leave
male system.

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