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A comprehensive overview of key concepts and clinical scenarios related to gynecological health and contraceptive management. It covers topics such as hpv infection, cervical cancer screening, ovarian cancer symptoms, contraceptive methods, and their associated risks and benefits. A series of questions and answers, simulating an exam format, which can be valuable for students preparing for nurs 684 exams or those seeking to deepen their understanding of these topics.
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A 21-year-old patient receives a positive LSIL. What is the most appropriate course of action? - ANSWER Repeat pap in 1 year
Your 28-year-old patient is positive for HSIL. What is the most appropriate course of action? - ANSWER Colposcopy
T/F? Genitals warts are a lifelong disease. - ANSWER TRUE
A patient with a hx of vulvar cancer is reporting itching in the vulvar area. What is the most appropriate course of action? - ANSWER Biopsy
T/F? Once someone has genital warts, they are no longer eligible for the HPV vaccine - ANSWER FALSE
Genital warts increase the risk for which type of cancer? - ANSWER Cervical
S/S of ovarian cancer - ANSWER USu asymptomatic, or symptoms are vague
-Abd pain
-bloating
-pelvic pain
-frequency
-constipation
-abnormal discharge/bleeding
A 14 your old is receiving the HPV vaccines. What is the appropriate vaccination schedule? - ANSWER HPV will be in 2 series; 2nd dose will be 6 to 12 months after initial shot
T/F? The Depo shot decreases your risk for endometrial cancer - ANSWER TRUE
The ACS and ACOG agree that.... - ANSWER Everyone needs a mammogram at 40 years old
Breast cancer is the most common cancer in American women, affecting _____________ women. - ANSWER 1 in every 8
When performing the mammogram of a postmenopausal woman, you note that there is very dense breast tissue. What is the most appropriate course of action? - ANSWER Do further testing
If a woman becomes pregnant while using an IUD, what is the next step? - ANSWER Removal if strings visible
T/F? The use of BC in postmenopausal women is pregnancy prevention - ANSWER FALSE- do not prescribe them IUD
What is an expected characteristic of cervical mucus? - ANSWER Thin and stretchy with ovulation
What type of BC is not appropriate for a 46-year-old woman who smokes? - ANSWER Nuva Ring
T/F? Insertion of either IUD at or after 4 weeks postpartum can be used without restrictions - ANSWER TRUE
A breastfeeding mother of an infant is using lactation as BC. What is important education to give her? - ANSWER Need another type at 6 months old
T/F? Copper IUD thins endometrial lining and cervical mucus - ANSWER TRUE
T/F? A patient with PID receiving tx must have their IUD removed
immediately - ANSWER FALSE-can keep in unless s/s do not improve
T/F? The longer a patient has had a vasectomy, the more difficult it is the reverse. - ANSWER TRUE
A patient has missed their progestin-only pill (POP) for three hours. What is appropriate education to give them? - ANSWER Use back-up method
A patient is having spotting during their active pills. What is important to rule out? - ANSWER Chlamydia
A patient with a BMI of 28 would like the Depo shot for her contraceptive use. What is important to tell her? - ANSWER Depo shot decreases risk of endometrial cancer
T/F? When doing a pap, it is important to insert the brush so that the bristles are fully in the os - ANSWER TRUE
Which patient is a category 2 classification for COC? - ANSWER Healthy 40-year-old
T/F? COC pills decrease the risk for ovarian cancer - ANSWER TRUE
T/F? COC decreases risk for cervical cancer. - ANSWER FALSE- ALL but
T/F? HPV increases risk for vulvar cancer - ANSWER TRUE