NUR 678 Exam 2 Questions With Complete Solutions
Extrinsic factors contributing to breastfeeding problems
-Separation of mother from infant
-Delaying first feedings to a healthy infant
-Limiting the frequency & duration of the feeding
-Introducing bottles to an infant p627
Drug transmission in Breast Milk-contraindications
-alcohol
-chronic aspirin
-cocaine
-Chloramphenicol
-Cimetidine
-doxorubicin
-Gold salts
-Iodine
-Methotrexate
-Minor tranquilizers
-Narcotics
-phencyclidine
-Thiouracil
-Tobacco
p628
Compatible drugs with breastfeeding
-Acetaminophen
-Acyclovir
,-Amoxicillin
-Azithromycin
-Cefoxitin
-Cimetidine
-Ciproflaxin
-Clindamycin
-Diltiazem
-Erythromycin
-Fluconazole
-Ibuprofen
-Labetalol
-Methyldopa
-Methimazole
-Metoprolol
-Mexilitine
-Minoxidil
-Piroxicam
-Prednisone
-Procainamide
-Progesterone
-Propanolol
-Sumatriptan
-Suprafen
-Teributaline
-Ticarcillin
-Tolmetin
-Valacyclovir
-Verapamil
,-Zolpidem
p 629
Bacterial Vaginosis
is a clinical syndrome characterized by alterations in vaginal
flora.
- most commonly occurs among childbearing women.
- patients may be asymptomatic or may have malodorous
discharge.
-foul odor after sex.
Objective data for BV
Three of the four criteria should be met
- thin, white homogeneous malodorous adherent vaginal
discharge.
- pH level above 4.5
- positive whiff test
- presence of clue cells on wet-mount microscopic examination.
Diagnostic test for BV
- saline wet mount
-whiff test
- vaginal pH
p.303-304
Differential dx for BV
- trichomoniasis
-vaginitis
-foreign body vaginitis
-monilia
, Treatment for BV
Oral metronidazole or gel are recommended (even during
pregnancy)
-oral metronidazole 500mg twice a day for 7 days
-metronidazole gel 0.75% one full applicator intravaginally once
a day for 5 days.
Clindamycin cream 2% one full applicator at bedtime for 7 days.
(can also be used during pregnancy).
Alterantive tx for BV:
Tinidazole (not recommended during pregnancy)
500mg by mouth daily for 2 days or 1 gram daily for 5 days.
Vulvovaginal candidiasis
overgrowth of normal vaginal microflora yeast, Candida
albicans, that often causes an infection in women that have taken
antibiotics.
Clinical presentation of vulvovaginal candidiasis
- vaginal itching, burning, and irritation.
Dysuria when urinating.
-Vaginal discharge- usually white and thick.
-odor is absent and pH is normal.
Treatment of vulvovaginal candidiasis
Monistat 2% cream- 100mg vaginal suppository for 7 nights or
200mg vaginal suppository for 3 nights.
Trichomoniasis
Extrinsic factors contributing to breastfeeding problems
-Separation of mother from infant
-Delaying first feedings to a healthy infant
-Limiting the frequency & duration of the feeding
-Introducing bottles to an infant p627
Drug transmission in Breast Milk-contraindications
-alcohol
-chronic aspirin
-cocaine
-Chloramphenicol
-Cimetidine
-doxorubicin
-Gold salts
-Iodine
-Methotrexate
-Minor tranquilizers
-Narcotics
-phencyclidine
-Thiouracil
-Tobacco
p628
Compatible drugs with breastfeeding
-Acetaminophen
-Acyclovir
,-Amoxicillin
-Azithromycin
-Cefoxitin
-Cimetidine
-Ciproflaxin
-Clindamycin
-Diltiazem
-Erythromycin
-Fluconazole
-Ibuprofen
-Labetalol
-Methyldopa
-Methimazole
-Metoprolol
-Mexilitine
-Minoxidil
-Piroxicam
-Prednisone
-Procainamide
-Progesterone
-Propanolol
-Sumatriptan
-Suprafen
-Teributaline
-Ticarcillin
-Tolmetin
-Valacyclovir
-Verapamil
,-Zolpidem
p 629
Bacterial Vaginosis
is a clinical syndrome characterized by alterations in vaginal
flora.
- most commonly occurs among childbearing women.
- patients may be asymptomatic or may have malodorous
discharge.
-foul odor after sex.
Objective data for BV
Three of the four criteria should be met
- thin, white homogeneous malodorous adherent vaginal
discharge.
- pH level above 4.5
- positive whiff test
- presence of clue cells on wet-mount microscopic examination.
Diagnostic test for BV
- saline wet mount
-whiff test
- vaginal pH
p.303-304
Differential dx for BV
- trichomoniasis
-vaginitis
-foreign body vaginitis
-monilia
, Treatment for BV
Oral metronidazole or gel are recommended (even during
pregnancy)
-oral metronidazole 500mg twice a day for 7 days
-metronidazole gel 0.75% one full applicator intravaginally once
a day for 5 days.
Clindamycin cream 2% one full applicator at bedtime for 7 days.
(can also be used during pregnancy).
Alterantive tx for BV:
Tinidazole (not recommended during pregnancy)
500mg by mouth daily for 2 days or 1 gram daily for 5 days.
Vulvovaginal candidiasis
overgrowth of normal vaginal microflora yeast, Candida
albicans, that often causes an infection in women that have taken
antibiotics.
Clinical presentation of vulvovaginal candidiasis
- vaginal itching, burning, and irritation.
Dysuria when urinating.
-Vaginal discharge- usually white and thick.
-odor is absent and pH is normal.
Treatment of vulvovaginal candidiasis
Monistat 2% cream- 100mg vaginal suppository for 7 nights or
200mg vaginal suppository for 3 nights.
Trichomoniasis
