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Women's > Exam 1 > Flashcards

Exam 1 Flashcards

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1
Q

Autonomy

A

Agreement to respect another’s right to determine their own course of action

Support of independent decision making

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2
Q

Beneficence

A

To do good

To do no harm

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3
Q

Justice

A

The equal and fair distribution of resources

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4
Q

Depression

A

The leading cause of disease burden among females 12 and older in the us

10-15% experience at some point

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5
Q

Depression screening PHQ-2

A

2 questions
In the past month, how often have you been been bothered by little interest/pleasure in doing things?
In the past month, how often have you been bothered by feeling down, depressed, or hopeless?

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6
Q

Sex and gender differences in substance use and abuse

A

Gender differences in body structure and chemistry cause women to absorb more alcohol and take longer to break It down

Immediate effects occur more quickly and last longer in women

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7
Q

Tobacco use test

A 
The 5 A’s 
Assess
Advice
Agree
Assist
Arrange
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8
Q

Cycles of violence

A

Phase one: tension building state
Phase two: acute battering stage
Phase three: honeymoon stage

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9
Q

ABCDES for caring for abused women

A 
Alone
Belief
Confidentiality
Document
Educate
Safety
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10
Q

Treating dysmenorrhea symptoms

A

Heating pad

NSAIDS

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11
Q

Menstrual/Period diary

A

Useful because It tracks symptoms which helps to give teaching
Start NSAIDS 2-3 days before symptoms usually occur

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12
Q

Contraception vs STI protection

A

Many of the most effective contraception methods do not protect against STIs

Condoms are most effective against STIs, but not most effective contraception

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13
Q

VA reportable disease list

A

Report immediately: syphilis (primary and secondary)

Report within 3 days: chlamydia, gonorrhea, hep b, hiv

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14
Q

Chlamydia treatment

A

Azithromycin 1g PO single dose

Doxycycline 100 mg PO BID for 7 days (not if pregnant)

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15
Q

What can HPV cause?

A

Cervical cancer and genital warts

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16
Q

What is the HPV vaccine called?
When should you get It?
Dosage?

A

Gardasil 9
11-12 yr olds: 2 doses at least 6 months apart
Teens and young adults: 3 doses

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17
Q

What is the concern with HPV vaccine and a teen already sexually active?

A

There is no therapeutic effect demonstrated on an already present HPV infection
Vaccine still recommended since It can protect against other subtypes
Works in body for at least 10 years

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18
Q

Herpes primary symptoms

A

Fever, chills, malaise, dysuria, pain, tingling

Painful bumps

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19
Q

Herpes recurrent symptoms

A

Burning, itching, swelling, tingling

Less severe

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20
Q

Is any form of contraception 100% effective?

A

No

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21
Q

Medium effectiveness contraception results in:

A

6-12 pregnancies per 100 women per year

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22
Q

Estrogen

A

Uterine growth and placental blood flow

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23
Q

Progesterone

A

Quiets uterus, decreased contractions, causes thickening of endometrium - supportive environment for pregnancy

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24
Q

What happens with a lack of progesterone?

25
Presumptive indicators of pregnancy
``` Amenorrhea Nausea and vomiting Breast tenderness Urinary frequency Fatigue Quickening ```
26
Probable indicators of pregnancy detected by examiner
Uterine enlargement Braxton Hicks Uterine soufflé Positive pregnancy test
27
Positive indicators of pregnancy
Blood test Fetal heartbeat Fetal movement felt by someone other than mom Visualization of fetus
28
Rh status
Always check Rh status | You’ll rarely know status, so always give rhogam prophylactically in case Rh neg
29
What happens if mom is Rh negative?
Rhogam will prevent mom from developing antibodies after exposure of Rh positive blood Will receive additional dose after delivery if the baby is Rh positive
30
How to determine EDC
Nagle’s rule LMP subtract 3 months Add 7 days and one year
31
What GP - TAL?
``` G: how many times pregnant P: how many preterm T: how many term A: how many abortions L: how many living children ```
32
What are some things that help with PMS?
Eat complex carbs and fibrous food Regular exercise Mindfulness Stress relief techniques
33
When does ovulation occur?
2 weeks before period
34
Menorrhagia
Regularly occurring excessive bleeding greater than 80 ml/cycle or longer than 7 days Can indicate a disorder, but can be managed with hormonal therapy Monitor CBC to rule out anemia
35
Menometorrhagia
Irregularly occurring heavy bleeding
36
Metrorrhagia
Irregular bleeding
37
Dysmenorrhea Best treatment
Pain/cramping before and during period Heating pad
38
Amenorrhea Most common cause
No period Pregnancy
39
Leiomyoma Symptoms Treatment
Fibroids Heavy or prolonged bleeding GnRH agonist Side effect: bone loss, menopause like symptoms, change in lipid levels Regrowth is likely when treatment is done
40
What do hormonal contraceptives do?
Suppress the menstrual cycle by mimicking pregnancy
41
Aonticonvulsants and OCPS
They may decrease effectiveness of bc
42
IUDs Signs of potential complications
Should be inserted in first 10 days of menstrual cycle, use back up contraception for 7 days if not ``` PAINS Period late Abdominal pain Infections exposure, abnormal discharge Not feeling well Strings shorter/longer/missing ```
43
Depo-provera
Injection Is a good choice for women for forget to take bc pills Must use back up method for 7 days after shot unless given within first 7 days of cycle
44
Chlamydia Treatment
Can be asymptomatic Can cause infertility Can lead to PID Azithromycin 1g PO, one time dose
45
HPV
Present in most cervical cancers Causes genital warts Presents as soft papillary swellings- single or cluster Gardasil shot
46
Determinants of health and equity
Ability to perform life roles Capacity to respond to stress and strain and experience a high level of wellness Women tend to live longer than men: May experience more chronic conditions
47
Stress may cause:
Muscle tension, poor memory, insomnia, headaches, stomach pain, anxiety Stress hormones lead to physical symptoms Discrimination is a risk factor for stress
48
Pregnancy complications: TORCH
Infections: can cause congenital anomalies T: toxoplasmosis O: other (syphilis, varicella, herpes zoster) R: rubella C: cytomegalovirus H: herpes
49
Ectopic pregnancy Symptoms
Fertilized egg implants and grows outside of uterus Often presents as missed period, abdominal pain/tenderness, dark red/brown bleeding If mom is Rh neg: NEEDS rhogam Symptoms: hypovolemic shock, unresponsive, syncope, dizzy, shoulder pain
50
Spontaneous abortion
Commonly due to chromosome abnormalities | Feelings of fear and guilt
51
Elective/medical abortion Post procedure red flags
Medications: mifepristone, methotrexate, misoprostal Fever, bleeding more than 2 pads/2hours, foul smelling discharge, abdominal tenderness
52
Types of IPV
Physical, verbal, economic, sexual
53
Relationship between IPV and pregnancy
Can happen for first time during pregnancy Pregnant teens at higher risk Women abused before are likely to be abused during
54
When is the most dangerous time for IPV victims?
When they are trying to leave the relationship
55
GnRH
Stimulates release of FSH and LH to assist in ovulation
56
FSH
Responsible for maturation of ovarian follicle | Stimulates estrogen secretion from developing follicles
57
LH
Responsible for final maturation of follicles | Results in formation of corpus luteum
58
Estrogen
Secreted by the ovaries Crucial for development and maturation of follicle Thickens uterine lining, inhibits FSH and LH until preovulation
59
Progesterone
Secreted by corpus luteum Levels increase before ovulation and peak 5-7 days after Thickens uterine lining, inhibits FSH and LH

Women's (4 decks)

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