Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

AGNP AANC Boards > Womens Health > Flashcards

Womens Health Flashcards

(49 cards)

Start Studying
1
Q

Absolute Contraindications for OCP

A

MY CUPLETS

Migraine > 35
CAD of CVA
Undx gental bleeding
Pregnant 
Liver tumor or liver dx
Estogen dependent tumor 
Thrombus or emboli 
S: smoker age 35 or OLDER

less that 21 days post-partum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Relative Contraindications for OCP

A 
cigarette smoking < 35 
DM w/ NO vascular complications
Fibriods
Obesity
Mirgraine < 35 (on both)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

advantages of COC and OCP’s

A

decreased problems with

  • cramps ( increased prostaglandins)
  • light more reg periods ( less anemia)
  • acne ( suppression of ovaries)
  • ovarian cysts ( suppression of ovaries)
  • fibrocyctic breasts ( decrease in progestrone)
  • lower risk of PID ( progesterone thicken mucus pug)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do OCP’s work?

A

thicken mucus plug

and surpresses ovulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what hormone stays the same amount in OCP’s

A

estrogen its the progesterone that changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

POP keys

A

safe for breast feeding mothers

if dose taken 3 hours late - take when remember but use condom for 48 hours

miss one day: take two tablets that day and then back up for 48 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ortho Evra

A

transdermal patch change each week x 3 weeks

has more estogren exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Nuvaring

A

insert once a month, must be in vagina 7 days to be effective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

keys to starting birth control

A

can start at any time during cycle
use back up method for 7 days

just r/o preg ( no need to get a pelvic or STI testing)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

BTB ( breakthrough bleeding) Unscheduled bleeding

A

likely to occur in first 3 months of new perscription

r/o other things

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

missed two OCP’s pills

A
  1. take two active pills ASAP
  2. take one pill daily until finished 21 day active pills
  3. Skip placebo and start new pack
  4. use condoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

drug interactions with OCP’s

A

” triple A”
Anticonvulsants : phenobarb, phenytoin
Antifungal : griseofulvin
Antibiotics : amplicilin, tertracyline, rafampin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pill danger signs

A 
ACHES
Abdominal pain
Chest pain 
Headache
Eye problems
Severe leg pains
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Plan B

A

contains levonorgestrol ( tyep of progresterone)

take 1 st dose asap ( upt 72 hours) after unprotected sex

take second dose within 12 hours of first dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ParaGuard

A

IUD - good for 10-12 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Mirena

A

5 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

contraindications for IUD’s

A 
recent infection or abortion
STD
uterine cancer
preg
undx vaginal bleeding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Depo-provera

A

injection lasting 3 months

not for women who want to get pregnant in 12-18 months

long term > 5 years use can cause: osteoporosis and weight gain

rec to only use for 2 years or less

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Diaphram w/ gell

A

shouldnt feel it if proper size
can leave inside for 24 hours
additonal spermacide after every act of intercourse
leave in on for 6-8 hours after intercourse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Nexplanon

Study These Flashcards
A

sudermal only containing progestin

effective for 3 years

use back up

21
Q

Birth control options for smokers greater than 35 or where estrogen is contraindicated

Study These Flashcards
A 
barrriers
IUD
Nexplanon
Depo- Provera
Progresten only pills
22
Q

dysmenorrhea

Study These Flashcards
A

uterine pain die first few days of menstraul period caused by prostaglandins

considered OCP’s, Ponstel (nsaid)

23
Q

Uterine Leiomyomas (fibroids)

Study These Flashcards
A

benign tumors of the uterus

middle age women complains of heavy menstraul bleeding w/ lower back pain

will see smooth muscular mass on the uterine that is not tender

get a pelvic and transvaginal US

24
Q

fibroids in post-menapausal women

Study These Flashcards
A

new onset or rapidly enlarging fibroid - r/o cancer

25
Drugs contraindiacted in pregnancy
Live anntenuated virus vaccines - measles, mumps, rubella, varicela, flumist, shingles, oral polio, rotavirus Quinolones ( achililes tendon, hyperglycemia) Trimethoprom-sulfamethazole ( hemolytic anemia, can also cause hyperkalemia if mixed ace and arb) Tetracycline (stain on tooth enamil) Ace /Arb ( poor kidney formation)
26
BV
not STI its overgrowth of bacteria on vagina strong odor, off white thin runny d/c increased risk of PID, pre-term labor DX : microscopy / wet smear (amsel criteria) - will see clue cells > 20 %, WBC and mobiluncus bacteria (squamous epithelial cells whose surfaces and edges are coated with large numbers of bacteria ) - whiff test + and ph > 4.5 tx : metronidazole for 7 days or gel for 5 days
27
What is a disulferam - like drug reaction
if flaygl is mixed with alcohol ( n/v/ HA high BP)
28
Trichomonias
STI unicellular protozoan w/ flagellas infects W and M severe vulvar and vaginal pruritis w/ green dicharge vagina will look irritated and red cervix = punctate hemorrhages and petecchiae ( strawberry cervix) copious yellow/green frothy discharge dx: Microscopy / Wet smear ( low power) - look for protozoa w/ flagelle adn WBC's TX: Flagly x 7 dyas tx sexual partner
29
Candida Vaginitis
yeast infection itching and burning, curd liek d/c DX: Microscopy/wetsmear - large # WBC's, pseudohyphae and spores *, may have some RBC if inflammation TX: OTC clotrimazole or miconazol can give perscription fluconazole if resistant one dose
30
Cervical Ectropion
glandular cells inside and around the os. Appears as bright bumps on the cervical surface covered in clear mucus. Teens and younger girls have larger ones.
31
Nabothian Cyst
a normal fingins. mucous retention cyst
32
HPV /pap smear testing for under 20
do not screen
33
HPV /pap smear testing for 21-65
if co-testing every 5 years if not testing HPV then pap q 3 years
34
HPV /pap smear testing for > 65
no rec if no hx of cancer in 20 years
35
HPV /pap smear testing for people who have under gone a hysterectomy?
if no hx of cancer than can d/c
36
coloposcopy does what
obtains cervical and endocervical biopsies
37
endometrial biospy for what?
do when suspecting endometrial hyperplasia cancer ( post-menopausal bleeding), pap smear with presence of grandular cells . NOT for the cervix
38
Cytology/pap must include what
both endocervical and squamous epithelial cells repeat pap if not have both
39
Atypical squamous cells in pap smear sig age 20 and below
repeat pap in 1 year
40
Atypical squamous cells in pap smear sig age 21-24
repeat pap in 1 year
41
Atypical squamous cells in pap smear sig age 25 and older
order HPV testing . if HPV pos but strains are non-oncogenic then repeat in 1 year if oncogenic types #16 and #18 then refer for colposocopy and cervical biopsy
42
Atypical glandular cells
common in 40-60 age women | associated with premalignant refer for endometrial and endocervical biopsy
43
Low-grade squamous intraepithelial lesions and high grade squamous epithelial lesions
do HPV and refer for colposcopy, biopsy and tx
44
LEEP
leep is a device that cuts through cervix to treat cervical cancer. Depedning on result of biopsy the cancerous can be removed by cryotherapy for mild lesions
45
Perimenapause
hot flashes, nigh sweats, insomnia, dysfunctional uterine bleeding meds: soy milk, tofu, wild yams, SSRI, exercise
46
Menopause
amenorrhea for 12 consectutive months increased risk of osteoporosis and cad
47
should you be able to palpate uterus and right ovary in menapuasal person?
no, if you feel ovary w/ smooth surface adn non tender then you should order pelvic and intravaginal US to r/o ovarian cancer
48
Atrophic Vaginitis
normal part of menapause chronic lack of estrogen affects the labia, vagina, urethra/ TX: vaginal lubricants topical and oral estogen rec first ( check if no risk factors) vaginal ring avail - if intact uterus then add progesterone for 10-12 days a month to prevent hyperplasia of the endometrium
49
Hormone replacement therapy
its combined estrogen and progesterone increase risk of : heart disease, stroke breast and unterine cancer dvt adn emboli if given, give the lowest dose for lowest amoutn of time ( only for people who have moderate - severe menopauseal symptpoms

AGNP AANC Boards (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions