Nurs 546 final Exam Questions and Answers 100% Pass

Nurs 546 final Exam Questions and Answers 100% Pass efficacy of contraception - Answer- The likelihood of pregnancy if used as prescribed Only contraceptive to protect against STIs - Answer- Condoms When is the highest risk of pregnancy - Answer- 48 hours immediately preceding ovulation Typical fertile window - Answer- 5 days before and the day of ovulation Absolute contraindication of COCs - Answer- Migraine with aura Studies of COCs show - Answer- Decreased ovarian and endometrial cancers Non hormonal IUD - Answer- Paragard Hormonal IUDs - Answer- Mirena, Skyla, Liletta, Kyleena Paragard as emergency contraceptive - Answer- Can be placed within 5 days, the most effective EC Plan B - Answer- Progestin only EC, use within 3 days of unprotected sex Ella emergency contraceptive - Answer- Can be used up to 5 days post unprotected sex, more effective than plan b What condition to avoid using depo - Answer- Depression What are women with pcos at increased risk for endometrial cancer - Answer- Unopposed estrogen and buildup of endometrial lining Why would you recommend weight loss in pcos - Answer- Weight loss can help reduce androgen levels S/S of PCOS (Polycystic ovarian syndrome) - Answer- Cystic acne, hirsuitism, ovarian dysfunction, insulin resistance Average age of onset of menopause - Answer- 46; 95% between 39-51 Duration of menopause for 95% of women - Answer- 2-8 years What hormone is typically elevated in menopause - Answer- FSH What is menopause? - Answer- Absence of menses for 12 consecutive months Black women have higher rates of what in menopause - Answer- High rates of hot flashes, longer duration of symptoms When is it not appropriate to start HRT? - Answer- Menopause 10 years ago, over age 60 What is the best therapy for vasomotor symptoms? - Answer- Estrogen What percentage of vulvar cancers occur in women over 50? - Answer- 85% of vulvar cancers occur in women over 50 What is the definitive diagnostic tool for vulvar dermatitis? - Answer- Vulvar biopsy (punch biopsy) What should you do for a women with new vaginal bleeding after menopause? - Answer- Endometrial biopsy to rule out malignancy What is the most common complaint in patients with vulvar cancer? - Answer- Vulvar itching Where do most breast cancers develop? - Answer- The upper/outer quadrant of the breast What is the most common type of breast cancer? - Answer- Invasive/infiltrating ductal carcinoma What percentage of breast cancers are related to gene mutations ? - Answer- 5-10% of breast cancers are related to gene mutations How can you prevent breast cancer in high risk individuals? - Answer- SERMs