WOMEN'S HEALTH FNP, EXAM 1 QUESTIONS AND CORRECT ANSWERS 2024 NEW UPLOAD
0 view 0 purchase
Course
WOMEN\'S HEALTH
Institution
WOMEN\'S HEALTH
WOMEN'S HEALTH FNP, EXAM 1 QUESTIONS AND CORRECT ANSWERS 2024 NEW UPLOADWOMEN'S HEALTH FNP, EXAM 1 QUESTIONS AND CORRECT ANSWERS 2024 NEW UPLOADWOMEN'S HEALTH FNP, EXAM 1 QUESTIONS AND CORRECT ANSWERS 2024 NEW UPLOADWOMEN'S HEALTH FNP, EXAM 1 QUESTIONS AND CORRECT ANSWERS 2024 NEW UPLOAD
WOMEN'S HEALTH FNP, EXAM 1 QUESTIONS AND CORRECT ANSWERS 2024 NEW UPLOAD BV, Candida vulvovaginitis, cervicitis, trichomonas, VVA (atrophic vaginitis) - ANSWERSConditions that cause vaginal d/c leukorrhea - ANSWERSexcessive but normal vaginal secretions lactobacillus - ANSWERSnormal vaginal flora that maintain vaginal pH 3.8-4.5 - ANSWERSnormal vaginal pH KOH - ANSWERSdisrupts epithelial cells allowing better visualization of spores and hyphae BV - ANSWERSan amonia -like "fishy" smell on whiff test with KOH indicates? vaginal walls - ANSWERSarea vaginal secretions are obtained from for wet mount saline slide - ANSWERSslide that is observed FIRST under microscope present on normal saline slide - ANSWERSepithelial cells, lactobacilli, <5 WBC, absence of pathogens lactobacilli appearance - ANSWERSmay move, elongated, small, normal dominant flora (96%), "comma" shaped clue cell - ANSWERSepithelial cell borders are indistinct, cell is "dotted" with bacteria - also results in decreased amounts of lactobacilli may cause an increase in vaginal WBC (shouldnt be a huge amount) - ANSWERSIUD use, post partum 6 wks or less, vulvovaginal atrophy, spermicide or douche allergy vaginosis - ANSWERSexcess of bacteria in the vagina vaginitis - ANSWERSinflammation of the vagina WBC - ANSWERSon wet mount, appear darker and granular with a clear nucleus. edges are "rough". Smaller than epithelial cell but larger than lactobacilli normal WBC number on slide - ANSWERS<5 WBC per HPF or absence of WBC symptoms of candida infection - ANSWERSvisualize spore buds and hyphae on KOH slide pH does NOT change "cottage cheese" curd -like discharge pruritis pain trichomonas - ANSWERSprotozoa that causes 10% of all vaginitis cases. Decreases glycogen content of cells which decreases the thickness of vaginal walls and makes more prone to ulceration - resulting in increased risk of HIV contraction symptoms of trich - ANSWERS"strawberry" petechia cervix profuse, frothy yellow/green discharge vulvar edema >5 WBC per HPF areas trich may infect - ANSWERSbartholin glands, skenes glands, bladder/urethra amount of time to view living trich on slide - ANSWERSabout 30 mins. they die when exposed to oxygen and room temp. they are still viewable, but will not be alive RBC - ANSWERSmay be present on slide if finishing menses or having a little bit of bleeding PMN - ANSWERSanother name for WBC PID - ANSWERSinfection associated w/ascending spread of microorganisms from the vagina or cervix to the endometrium, fallopian tubes, ovaries, and surrounding structures. PID minimum criteria - ANSWERSmay be silent or severe uterine or adnexal tenderness cervical motion tenderness (CMT) other PID criteria - ANSWERStemp >38.3 cervical/vaginal mucopurulent discharge and/or friability >WBC on wet mount >ESR, >CRP present in most women with PID - ANSWERSMPC or evidence of WBC on wet mount what might TVUS show in patient with PID - ANSWERStubo -ovarian abscess, free pelvic fluid, thickened tubes most common causes of PID - ANSWERSgonorrhea, chlamydia other bacterial causes of PID - ANSWERSe.coli, streptococcus, anaerobes (those associated with BV), mycoplasma genitalium, ectopy - ANSWERSeversion of columnar tissue through the cervix SCJ- squamocolumnar junction (transformation zone) - ANSWERSnormal area of rapid metaplasia where columnar and squamous cells meet on the cervix ectopy - ANSWERSallows for increase adherence of infectious organisms, increasing the risk of PID likely to present with ectopy - ANSWERSadlescence patients on oral contraceptives PID risk factors - ANSWERScervical ectopy hx of PID hx of STI multiple partners douching BV IUD insertion w/in 21 days ONLY - then back to baseline (risk greatly reduced if tested for STD prior to implantation) patient on oral contraceptives adolescence Treatment of PID in pt with IUD - ANSWERSIf woman wants to remove IUD, begin ABT and then remove IUD - offer other BC If woman wants to keep IUD - treat with ABT and reassess in 24 -48 hrs. If improvement, continue IUD. If no improvement, continue ABT and consider removal ABT regimen for PID as outpatient - ANSWERSBroad spectrum ABT that treats gonorrhea and chlamydia ceftriaxone 250mg IM once, doxycycline 100mg PO BID x 14 days, metronidazole 500mg PO BID x 14 days Follow up completed in 72 hours, if no improvement, admit patient for IV ABT follow up tx of PID - ANSWERS"pelvic rest" until therapy is completed and partner treated adequately s/s should improve within 3 days of ABT therapy retest for gonorrhea, chlamydia, HIV and syphilis in 3 months should be tested in patient presenting with abdominal pain - ANSWERSvaginal wet mount test for gonorrhea, chlamydia, trich
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller brendawambui0309. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.99. You're not tied to anything after your purchase.
