Maryville NUR 621 Adult Health Exam 4(complete solutions)

Cervical cancer screening guideline correct answers start at age 21 age 21-29 should be screened very 3 years Women 30 to 65 with 3 negative PAPS in a row and no abnormal in the past ten years Stop cervical cancer screening at age 65 if 3 negative paps in a row and no abnormal paps in the past ten years Stop pap smears in women regardless of age if hx of hyst (uterus and cervix) unless history of high grade CIN What are behavioral risk factors for STIs correct answers New sex partner in the past 60 days. Multiple sexual partners. sex partners recently treated for an STITrading money or drugs for sex. Sexual contact with sex workers. Meeting anonymous partners on the internet What groups are at risk for STIs? correct answers Young age (15-24)Men who have sex with men. History of a prior STHIV positive status. Pregnant women, Correctional facility, Illicit drug use HPV testing correct answers HPV DNA Test: identifies 13 high risk types used in conjunction with pap not a substitute for pap directs follow up plan if certain pap abnormalities When do start oral contraceptives after delivery in non nursing women correct answers 4 to 6 weeks What are the adverse effects of oral birth control? correct answers elevated thyroid and cortisol levels altered lipid profile estrogens decrease glucose tolerance thromboembolism (smokers!) HTN, cervical dysplasia, cancer with long term use migraines, depression, and fluid retention What are the two methods of spermicidal birth control? correct answers Vaginal contraception sponge: One size fits all disposable polyurethane sponge, treated with nonoxynol-9, adverse effects include: irritation, displacement, toxic shock syndrome Foam, cream, film, jelly, and suppository Nonoxynol-9 Easy to use, readily available, relatively inexpensive