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Flashcards in FINAL: Test 1 Review Deck (53)
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1

Women experiencing primary dysmenorrhea should be advised to avoid:

Pretzels & potato chips - avoid salty foods & refined foods

2

T/F: Certain religions require Female Genital Cutting to be performed as part of their belief systems.

FALSE - page 272: "Although FGC may be interwoven into the culture, it is not mandated by any religion."

3

Moving to a new city and finding a new job are behaviors typical of a rape survivor in which phase of recovery?

REORGANIZATION: "The survivor attempts to make life adjustments by moving or changing jobs..."

Table 9.3 on pg 269
- Acute: shock, fear, disbelief, shame, guilt, feelings of uncleanliness, insomnia, nightmares, sobbing

- Outward adjustment (denial): appears outwardly composed, returns to work, refuses to discuss the assault, denies need for counseling

- Reorganization: life adjustments - moving, changing jobs, uses emotional distancing to cope.

- Integration/Recovery: begins to feel safe and starts to trust others, may become an advocate for other rape victims.

4

A nurse is caring for a Turkish client. The nurse understands that there could be major cultural differences between her and her client. What could be the consequence of a nurse assigning a client to a staff member who is of the same culture as the client?

something about stereotypes?

5

Which of the following pelvic types is most suitable to vaginal delivery?

Gynecoid

6

The three phases of the cycle of violence are:

Tension building
Battering
Honeymoon

7

T/F: Physiologic alterations in breast size reach minimum level about 5 to 7 days after menstruation stops

True

http://goo.gl/i6jXbd - this textbook says the exact thing/

This is why you should do breast exams 5-7 days after menstruation stops.

8

Of the following birthing locations, which is the least expensive?

Hospital
Birthing Inn
Home

Home

9

A 52yo client is seeking treatments for menopause. She is not very active and a history of cardiac problems. Which of the following therapy options should the nurse recognize as contraindicated for this client?

long-term hormone therapy

10

The leading "killer" for all women has been identified as:

#1: CV disease

11

A client is presenting with possible signs of menopause. The nurse recognizes that menopausal symptoms are related to:

vasomotor instability and early sign of estrogen deficiency

12

Which method of contraception is the best prevention against STI's?

barrier

unless abstinence is an option :P

13

All of the following are alternative methods of alleviating (Eastern medicine) primary dysmenorrhea discomfort except:

Some of the eastern medicines include:
- acupuncture
- herbal meds

If conventional medications (OTC hormones, NSAIDs, SERMs) or surgery is an option, that is likely the answer.

14

The treatment of choice for syphilis is:

penicillin

15

_______________is a set of goals designed to guide US national health promotion and disease prevention efforts.

Healthy People 2020

16

The most common bacterial STI is:

Chlamydia

17

Which woman is at greatest risk for developing hypogonadotropic amenorrhea?

A. 48-year-old woman in Weight Watchers who lost 20 pounds over 6 months
B. 14-year-old figure skater
C. 18-year-old softball player
D. 30-year-old (G3 P3003) breastfeeding woman

14-year-old figure skater

participating in a sport that is stressful, subjectively scored, requires contour revealing clothing, & success is favored by a prepubertal body shape.

18

It is important to be able to measure the health status of a group of people or a nation so that the number of people who die prematurely will decrease over time. How does the United States measure the health status of its people?

Statistical data, such as morbidity/mortality rates

19

The Endometrial Cycle is divided into 4 phases: The menstrual phase, proliferative phase, secretory phase and ischemic phase. Of these phases, which is responsible for decreasing the blood supply to the endometrium resulting in the lining shedding producing menstruation?

Ischemic phase

Proliferative: starts w/ enlargement of endometrial glands. Blood vessels are dilated and endometrium increases in thickness. Cervical mucus is thin, clear, and stretchy & more alkaline to help sperm.

Secretory: endometrium becomes thicker and more vascular and glandular to prepare for implantation. If no implantation, endometrium undergoes involution

Ischemic: if fertilization doesn't occur, estrogen & progesterone levels drop sharply and corpus luteum degenerates. There is ischemia which leads to the shedding of the endometrium down to the basal layer- menstrual flow begins.

20

Low birth weight and prematurity are not major indicators of infant health and significant predictors of infant mortality.

False

21

T/F: You are the nurse caring for a 16yo client in labor. Over the course of her care, it has been determined that she needs to have a cesarean section to provide the best outcome for both the mother and infant. Her mother states that "my daughter can't sign that consent, she is only 16 years-old. I will sign it for her". Knowing the laws around pregnancy and consent, you determine that this statement is correct.

False - you are considered an adult

22

T/F: All clients have the right to refuse medical treatments or medications, even in the event that they are life saving

True - pg 30
"All clients have the right to refuse medical treatment based on the American Hospital Association's Bill of Rights"

23

Of the cultures below, which believes that during the first 40 days after delivery, women are thought to be susceptible to cold?

Arabs
Africans
Hispanics
Americans

Hispanics
PG 22

24

T/F: Estrogen is the primary hormone responsible for breast growth.

True

25

Infibulation is:

surgical removal of the external female genitalia and the suturing of the vulva

26

T/F: Low socioeconomic status typically has an adverse affect on an individual’s health.

True

27

Chronic or recurrent infections with candida can be a symptom of:

uncontrolled diabetes, immunosuppression, obesity

28

You are the nurse in a primary care clinic. Mrs. Jones, a 42yo, Caucasian woman arrives for her GYN appointment with complaints of pelvic pain, abnormal menstrual bleeding, diarrhea and dyspareunia. You recognize that with these symptoms you should evaluate her for which of the following conditions:

Endometriosis?

29

___________________ prevention involves the early detection and initiation of treatment to stop or limit adverse health problems.

SECONDARY

Primary: preventing the dz before it occurs

Secondary: early detection treatment of adverse health conditions

Tertiary: reduce or limit progression of permanent, irreversible dz/disability

30

T/F: All sexually transmitted infections are curable with proper treatment.

F

Not viruses!