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ob - 332 > reproductive health and the family 2 > Flashcards

reproductive health and the family 2 Flashcards

(59 cards)

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1
Q

fibrocystic breast changes

A

thickening of normal breast tissue
imbalance of estrogen and progesterone

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2
Q

fibrocystic breast changes - cm

A

cyclic pain, tenderness, swelling right before menses
may be able to feel mass

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3
Q

fibrocystic breast changes - tm

A

diagnose with mammogram mri or fine needle aspiration
limit caffeine, decrease Na, use oral contraceptives

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4
Q

endometriosis

A

presence of endometrial tissue outside of uterine cavity
unknown cause, maybe backflow of menstrual flow, inflam of endometrium, immune defect

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5
Q

endometriosis - cm

A

pelvic pain usually at menses
may cause infertility

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6
Q

endometriosis - tm

A

diagnose: laparoscopy
sx removal endometrial tissue (help with fertility), NSAIDS (inflam), oral contraceptives (stop periods)

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7
Q

PCOS

A

ovaries enlarges with cycsts along outer edge
unknown cause

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8
Q

PCOS - cm

A

irregular to absent menses, elevated testosterone and androgen, obese, insulin resistant, infertility
ance, alopecia, hurchuism, deep voice, increased muscle mass

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9
Q

PCOS - tm

A

diagnose: H&P, labs, vaginal ultrasound
oral contraceptives, glucophage and spironolactone (aldosterone)

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10
Q

toxic shock syndrome

A

around menses or postpartum
toxin by staph A

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11
Q

toxic shock syndrome - cm

A

fever, rash on trunk (sunburn), v, hypot, inflam mucouse membranes

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12
Q

toxic shock syndrome - tm

A

diagnose: elevated BUN, AST, ALT, bili, low plt
hospital, IVF to maintain BP abx

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13
Q

bacterial vaginosis

A

decrease in normal flora, overgrowth of bad - douching or freq sex

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14
Q

bacterial vaginosis - cm

A

increased thin watery whitish/grey fluid with fishy smell

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15
Q

bacterial vaginosis - tm

A

vaginal pH >4.5, slide prep
flagyl (metronidazole), clindamycin vaginal cream

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16
Q

vaginal candidiasis

A

yeast
abx, oral contraceptives, immunosuppressants, DM

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17
Q

vaginal candidiasis - cm

A

itch, thick and curdy, rash

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18
Q

vaginal candidiasis - tm

A

vaginal discharge will show spores under microscope
diflucan or nystatin

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19
Q

trichomoniasis

A

sex trans
trichomoniasis vaginalis

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20
Q

trichomoniasis - cm

A

yellow/green discharge, inflam, itch, dysuria

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21
Q

trichomoniasis - tm

A

visualize on microscope
flagyl vs non treatment (increased risk of preterm labor or complications with pregnancy, low brith weight, no sex until condition passes)

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22
Q

chlamydial

A

bacterial STD
chlamydia trachomatis

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23
Q

chlamydial - cm

A

can be asymp
thin purulent discharge, dysuria, lower abd pain

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24
Q

chlamydial - tm

Study These Flashcards
A

lab culture
azithromycin
can cause blindness and pna in newborn (neonatal conjunctivitis)

25
gonorrhea
std, increase risk for pelvic inflam disease bacteria meisseria gonorrhoeae
26
gonorrhea - cm
purulent, greenish/yellow discharge, dysruia, vulva swell can be asymp
27
gonorrhea - tm
lab rocephin and azuthromycin
28
herpes genitalis
hsv1 = cold sores hsv2 = genitals
29
herpes genitalis - cm
single blisterlike vesicle itch and tingle before vesicle
30
herpes genitalis tm
culture of lesion no cure, acyclovir to help keep dormant lesions usually heal themselves (2-4 wk) reoccurance: tight clothes, overheat, freq sex, stress, menstruation, pregnancy dont deliver vaginally if you have active lesion
31
syphilis
chronic from contact with open wound or acquired congenitally fetus can acquire from mom spirochete treponema pallidum
32
syphilis - cm
chancre - wart like plaque on vulva fever, weight loss, malaise
33
syphilis - tm
blood test VDLR or RPR penicillin increased risk for: interuterine growth restriction, preterm birth or still brith
34
HPV
sex trans - vaginal, oral or anal cause cervical cancer
35
HPV - cm
genital worts - can be internal for women
36
HPV - tm
biopsy lesions cryotherapy, shave excision, acid removal
37
Pelvic inflammatory disease
inflam disorder of upper genitalia, can cause tubal damage and infertility multiple partners, IUD, untreated gonorrhea and chlamydia
38
Pelvic inflammatory disease - cm
bilateral, sharp cramping pain, fever, chills, purulent vaginal drainage can be asymp
39
Pelvic inflammatory disease - tm
culture, cbc, vdrl, rpr (rule out syphilis) multiple abx combos
40
UTI lower
cystitis low grade temp, hematuria, painful urination e. coli, enterococcus or staph
41
uti lower - tm
urine specimen, labs abx
42
uti upper
pyelonephritis proceeded by lower infection high temp, chills, flank pain (one sided usually)
43
uti upper - tm
urine specimen, labs IVF, IV abx, pain meds
44
fertility essential: female
favorable cervical mucus, patent tubes with normal motility, ovaries that produce and release normal ova, no obstruction between ovary and uterus, favorable endometrium, adequate reproductive hormones
45
fertility essential: male
normal quality, quantity and motility of sperm; unobstructed genital tract, normal genital tract secretions, ejaculated sperm able to reach cervix
46
infertility workup
female: BBT, cervical mucus changes, hormonal assessment, endometrial biopsy, transvaginal US male: ductal obstruction or abnormal sperm/sperm production
47
infertility - meds
clomid progesterone gonadotropins (FSH, LH) parlodel
48
infertility - therapeutic insemination
donor or partner's sperm deposited at cervical os or uterus mechanically
49
infertility - IVF
egg collected from ovary fertilized in lab and placed in uterus after embryo development starts
50
infertility - gamete intrafallopian transfer
egg removed by laparoscopy and placed with sperm, fertilization occurs in fallopian tube, then egg travels to uterus to implant
51
infertility - zygote intrafallopian transfer
eggs retrieved and incubated with sperm and placed back into fallopian tubes once fertilization occurs
52
infertility - adoption
info from reliable sources, international v domestic, reputable agencies, expensive and time consuming
53
effects of infertility
stress on relationship, intrusiveness, guilt, frustration, anger, shame, loss of control, incompetence or defensive, social stigma, strained relationship with hcp, loss of status and ambiguity as couple
54
nurses role in prenatal diagnostic tests
identify families at risk, determine how genetic problem is perceived and what info is needed, be a liasion, provide education and referrals, help family cope, assure continuity of care
55
infertility - primary
unprotected sex for 12 mo
56
infertility - secondary
cant conceive or sustain after 1+ successful
57
improve fertility
dont douche, no lube, retain sperm 20-30 min, every other day, decrease anx and stress, nutrition (decrease or increase weight)
58
turner syndrome
45 X short, wide neck, failure of ovaries to develop, heart problems, abnormal trunk, infertility
59
kleinfelter syndrome
47xxy small testicles, decreased testosterone, less muscle mass, decreased body hair, enlarged breast tissue, little to no sperm

ob - 332 (15 decks)

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