NR 602: MIDTERM TEST EXAM
Atypical Squamous Cells of Undetermined Significance (ASCUS)
o Reflex testing for HPV on abnormal PAP results and repeat testing is
based on those
results
Atypical Glandular Cells (AGCs)
o More common in older women (ages 40-69 years)
o 1/3 of cases are associated with pre-malignancy or malignancy
o Risk of cancer increases with age
o Refer for Endometrial Biopsy
Low-Grade Squamous Intraepithelial Lesions (LSIL)
o Cervical cells are mildly abnormal
,o Usually caused by a low risk HPV infection
,o Appropriateness of repeat screening vs. referral for diagnostic testing is
largely
dependent upon whether or not the woman is HPV + and age
High-Grade Squamous Intraepithelial Lesions (HSIL)
o Abnormal cervical cells which are more likely to be associated with
premalignancy and malignancy.
o Refer immediately for cervical biopsy and treatment (Colposcopy or
LEEP procedure) PID experience vary widely. Historically, the abrupt onset
of acute lower abdominal pain following menses
). Substantial clinical improvement should occur within 72 hours of
beginning treatment. Women who do not respond within this time frame
should be reevaluated to confirm the diagnosis of PID; ceftrianone 250 im,
doxy 100 mg 14 days, flagyl 500 mg bid x 14 day
An increased risk of PID is seen in the first 21 days after IUD insertion
Infant length increases an average of 2.5 cm (1 inch) a month during the first 6 months
the infant should be going to the breast 8 to 12 times (or every 2 to 3 hours)
in 24 hours for approximately 20 to 45 minutes at each feeding. 6 wet diapers
in 24 hours
Head circumference: Head Circumference
, Like the rest of the growing infant, head circumference growth is rapid. During the first 6
months of life, head circumference increases approximately 1.5 cm (0.6 inches) per month.
During the second 6 months of age, head circumference slows to only 0.5 cm (0.2 inches) per
month. On average, the head circumference is 43 cm (17 inches) at 6 months and increases to 46
cm (18 inches) by 12 months, which represents a 33% increase from birth. During this time, the
cranial sutures close. The posterior fontanel closes between 6 and 8 weeks of age while the
anterior fontanel closes around 14 months, with a range between 12 and 18 months of age.
During the first 12 months of life, the brain size increases by 2.5 times. Developmental milestone
achievement illustrates brain growth and differentiation.
Smiling at you: By 3 months, the infant has a social smile, and smiles in
response to their parent’s voice.
4-5 months Infants spontaneously smile and visually follow their parent by
turning their head.
Throwing ball: 12 months – rolls a ball, 24 months kicks ball,s 36 months –
catches a ball 48 months- throws ball underhand
Gun safety- knowing friends Teaching about gun safety is always critical.
Working to strengthen the developmental competencies of youth includes
educating youths at an early age about violence and its prevention, teaching
anger management and strategies for preventing a fight (role-playing), and
promoting self-defense strategies, such as learning a martial art and
discussing ways to manage difficult or potentially violent situations Suggest
discussions with friends about ways to handle potential situations in which a
gun or knife might be brandished.
Atypical Squamous Cells of Undetermined Significance (ASCUS)
o Reflex testing for HPV on abnormal PAP results and repeat testing is
based on those
results
Atypical Glandular Cells (AGCs)
o More common in older women (ages 40-69 years)
o 1/3 of cases are associated with pre-malignancy or malignancy
o Risk of cancer increases with age
o Refer for Endometrial Biopsy
Low-Grade Squamous Intraepithelial Lesions (LSIL)
o Cervical cells are mildly abnormal
,o Usually caused by a low risk HPV infection
,o Appropriateness of repeat screening vs. referral for diagnostic testing is
largely
dependent upon whether or not the woman is HPV + and age
High-Grade Squamous Intraepithelial Lesions (HSIL)
o Abnormal cervical cells which are more likely to be associated with
premalignancy and malignancy.
o Refer immediately for cervical biopsy and treatment (Colposcopy or
LEEP procedure) PID experience vary widely. Historically, the abrupt onset
of acute lower abdominal pain following menses
). Substantial clinical improvement should occur within 72 hours of
beginning treatment. Women who do not respond within this time frame
should be reevaluated to confirm the diagnosis of PID; ceftrianone 250 im,
doxy 100 mg 14 days, flagyl 500 mg bid x 14 day
An increased risk of PID is seen in the first 21 days after IUD insertion
Infant length increases an average of 2.5 cm (1 inch) a month during the first 6 months
the infant should be going to the breast 8 to 12 times (or every 2 to 3 hours)
in 24 hours for approximately 20 to 45 minutes at each feeding. 6 wet diapers
in 24 hours
Head circumference: Head Circumference
, Like the rest of the growing infant, head circumference growth is rapid. During the first 6
months of life, head circumference increases approximately 1.5 cm (0.6 inches) per month.
During the second 6 months of age, head circumference slows to only 0.5 cm (0.2 inches) per
month. On average, the head circumference is 43 cm (17 inches) at 6 months and increases to 46
cm (18 inches) by 12 months, which represents a 33% increase from birth. During this time, the
cranial sutures close. The posterior fontanel closes between 6 and 8 weeks of age while the
anterior fontanel closes around 14 months, with a range between 12 and 18 months of age.
During the first 12 months of life, the brain size increases by 2.5 times. Developmental milestone
achievement illustrates brain growth and differentiation.
Smiling at you: By 3 months, the infant has a social smile, and smiles in
response to their parent’s voice.
4-5 months Infants spontaneously smile and visually follow their parent by
turning their head.
Throwing ball: 12 months – rolls a ball, 24 months kicks ball,s 36 months –
catches a ball 48 months- throws ball underhand
Gun safety- knowing friends Teaching about gun safety is always critical.
Working to strengthen the developmental competencies of youth includes
educating youths at an early age about violence and its prevention, teaching
anger management and strategies for preventing a fight (role-playing), and
promoting self-defense strategies, such as learning a martial art and
discussing ways to manage difficult or potentially violent situations Suggest
discussions with friends about ways to handle potential situations in which a
gun or knife might be brandished.
