OB Exam 1 Practice Questions With 100% Correct Answers And Their Rationales 2024/2025 A+

OB Exam 1 Practice Questions With 100% Correct Answers And Their Rationales 2024/2025 A+ Brenda states she has multiple sexual partners and she does not use condoms. She states she is on "the pill" for birth control. She presents with small red blisters on her perineum and flu-like symptoms. She asks the nurse if there is anything that she can take "to get rid of this". The nurses best response is: A: A single does of Penicillin G will clear this up B: The provider will speak to you about the option of freezing the blisters off C: You may be able to take Acyclovir for suppression of outbreaks to decease the severity of your symptoms. D: This will resolve on its own in 7 to 10 days - ANS-C: This is likely her primary HSV outbreak. We would provide acyclovir for treatment of the outbreak and for suppression A single dose penicillin would treat syphilis and her symptoms are not consistent with syphilis. Having blisters frozen off would be treatment for condyloma blisters associated with HPV. The symptoms (blisters/outbreak) may go away on their own, but the viral infection will never truly go away, that virus will be living within the body forever. Jenna is 26 years old and has just delivered her second child 6 weeks ago. She and her husband would like more children in 3-4 years. She is breastfeeding and has a history of smoking. She is asking about birth control methods and states she will consider anything except condoms. What method would the nurse suggest to her? A: Nuvaring B: IUD C: Patch D: Fertility awareness - ANS-B: IUD either progesterone only form or the nonhormonal copper IUD Rationale: Nuvaring contains estrogen and progesterone. Women who are breast feeding should avoid estrogen containing BC methods because it decreases milk production. A birth control patch also contains estrogen and progesterone Fertility awareness is not an acceptable form of birth control. Breastfeeding women can experience lactational amenorrhea, but onset of ovulation can be irregular so it is recommended that these women use another form of birth control. Jasmine is 40 years old, she states that instead of smoking cigarettes she is vaping, has a high blood pressure and terrible migraines. She wants to start a birth control method. She heard from her friend that the nuvaring was amazing and wants to know if she could use it. Knowing her medical history, how should the nurse respond? A: The nuvaring is a great method! You only need to think about it once every 3 weeks, this would work well for you. B: It is not a very effective method, maybe you want to think about an IUD? C: Based on your history, medication containing estrogen could cause a problem for you - ANS-C Rationale: Jasmine being 40 years old, smoking, and having a high BP are contraindications for estrogen containing medications. This could increase her chance of having a stroke, cardiac incident, MI, developing a blood clot .... Continues....