NUR 335 EXAM 5 WOMEN HEALTH STUDY GUIDE
WITH COMPLETE SOLUTION,,,100% PERFECT!!
What are the 3 leading causes of death in women?: heart disease, cancer, u
unintentional injuries and accidents
1.What are heart attack symptoms in women?: pressure on chest neck,
back, jaw pain
severe SOB
cold sweats
fatigue
lightheadedness/dizziness n/v
2.Which immunizations should adult females get? how frequently?: - Influen- za:
annually
- Tdap: q10years
- MMR: 1 dose for women 19-59 y/o
- Varicella: 1 round of 2 doses 4-8 weeks apart
- Herpes zoster: 1 round of 2 doses if over 50 y/o
3.What does HPV cause?: genital warts and cervical cancer
4.When should females get the HPV vaccine? contraindications? important
information?: - 1st dose before becoming sexually active/ before 15/ around 11-12 years
old; second dose 6 months after first
- yeast allergy and sever acute illness
- does not protect against STIs
5.What BMI is considered obese? what does obesity increase the risk for?: - over 30
- associated risks: HTN, CAD, T2DM, stroke, cholecystitis, sleep apnea, cancers,
osteoarthritis, menstrual abnormalities, infertility, miscarriage, macrosomia
6.What are some health promotion/maintenance suggestions we can give to
patients?: - Exercise: 150 or more minutes of exercise a week
- Diet: fruits, veggies, grains, fiber, fat-free/low-fat dairy, fish, low sat-fat
- smoking: avoid smoking and second hand smoke
- alcohol: 1 drink per day for women; dont drink in pregnancy because it increases risk
for FAS, premie, birth defect, SGA, miscarriage, stillbirth
7.Which screenings should women get and when?: - pap: q3years up to 30 then every 5
years up to 65 years old; best to get in the 10-20 days after the start of your
period that month
- mammogram and MRI: annually if positive for BRACA 1 or 2 gene mutations
(educate no deodorant or lotion on day of procedure)
- DXA scan: frequency is based on risk after 65 or after menopause
- STI testing: all pregnant women should be STI tested, otherwise it is according to risk
- colonoscopy: every 10 years staring at age 50 until age 75
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8
, 8.What is puberty? what changes occur? when does menstruation begin? when is
puberty over? age related risks?: - definition: period of time when a person sexually
matures and becomes capable of reproduction
- changes: breast enlargement, body hair, widening of the hips, accelerated growth
- menarche: occurs 2-2.5 years after beginning puberty
- end: when menstruation pattern becomes regular
- risks: mentrual disorders, acne, ED, STI, teen pregnancy, mental health issues,
unintentional injuries, suicide
9. what is perimenopause and menopause? when does it occur? s/s? Tx?: -
perimenopause definition: when a women is experiencing menopausal symptoms but is
having irregular periods; begins around age 40 and lasts for between 4-8 years
- menopause: occurs 12 months after a woman's last menstrual period, often occurs
between ages 45-55
- s/s: irregular periods, hot flashes (worsened by head, alcohol, spicy food, caffeine, and
stress), hight sweats, sleep disturbance, sexual disfunction, emotional lability, anxiety,
lethargy, anxiety and depression, hair loss and thinning, vision changes
- Tx: healthy lifestyle, avoid caffeine, alcohol, and smoking, conjugated estrogen (for
women with no uterus), estrogen/progesterone (for women with a uterus), estradiol cream
for vaginal dryness
10.what is surgical menopause?: removal of female reproductive organs
11. what is osteoporosis? DXA and T score? s/s? risk factors? risk reduction?-
: - definition: decreased bone density that increases risk for fractures
- DXA T score: score of -2.5 or below indicated osteoporosis; score -1 to -2.5
indicates osteopenia but not yet osteoporosis
- s/s: back pain, shrinking height, kyphosis, bone fractures
- risks: white women, low BMI, fam hx, current smoker, sedentary lifestyle, low
Calcium and vit D, >3 booze drinks per day, corticosteroids for > 3 mo., PPIs, Hx of
ED, Hx of bariatric surgery
- risk reduction: diet high in calcium and vit D, weight bearing exercise 3-4x/week, no
tobacco, limit alcohol
12.What meds can be used to treat osteoporosis + pt education?: Bisphos- phonates
(Alendronate): adverse effects are musculoskeletal aches and pains, GI
irritation, esophageal ulcerations; take on empty stomach 30 min before breakfast with 8 oz
water, stay upright
Estrogen receptor modulator (Raloxifene): adverse effects VTE, leg cramps, death from
stroke
Conjugated estrogen + medroxyprogesterone (Premphase): used in women with uterus but
c/i in women with estrogen related cancer
2/
8
WITH COMPLETE SOLUTION,,,100% PERFECT!!
What are the 3 leading causes of death in women?: heart disease, cancer, u
unintentional injuries and accidents
1.What are heart attack symptoms in women?: pressure on chest neck,
back, jaw pain
severe SOB
cold sweats
fatigue
lightheadedness/dizziness n/v
2.Which immunizations should adult females get? how frequently?: - Influen- za:
annually
- Tdap: q10years
- MMR: 1 dose for women 19-59 y/o
- Varicella: 1 round of 2 doses 4-8 weeks apart
- Herpes zoster: 1 round of 2 doses if over 50 y/o
3.What does HPV cause?: genital warts and cervical cancer
4.When should females get the HPV vaccine? contraindications? important
information?: - 1st dose before becoming sexually active/ before 15/ around 11-12 years
old; second dose 6 months after first
- yeast allergy and sever acute illness
- does not protect against STIs
5.What BMI is considered obese? what does obesity increase the risk for?: - over 30
- associated risks: HTN, CAD, T2DM, stroke, cholecystitis, sleep apnea, cancers,
osteoarthritis, menstrual abnormalities, infertility, miscarriage, macrosomia
6.What are some health promotion/maintenance suggestions we can give to
patients?: - Exercise: 150 or more minutes of exercise a week
- Diet: fruits, veggies, grains, fiber, fat-free/low-fat dairy, fish, low sat-fat
- smoking: avoid smoking and second hand smoke
- alcohol: 1 drink per day for women; dont drink in pregnancy because it increases risk
for FAS, premie, birth defect, SGA, miscarriage, stillbirth
7.Which screenings should women get and when?: - pap: q3years up to 30 then every 5
years up to 65 years old; best to get in the 10-20 days after the start of your
period that month
- mammogram and MRI: annually if positive for BRACA 1 or 2 gene mutations
(educate no deodorant or lotion on day of procedure)
- DXA scan: frequency is based on risk after 65 or after menopause
- STI testing: all pregnant women should be STI tested, otherwise it is according to risk
- colonoscopy: every 10 years staring at age 50 until age 75
1/
8
, 8.What is puberty? what changes occur? when does menstruation begin? when is
puberty over? age related risks?: - definition: period of time when a person sexually
matures and becomes capable of reproduction
- changes: breast enlargement, body hair, widening of the hips, accelerated growth
- menarche: occurs 2-2.5 years after beginning puberty
- end: when menstruation pattern becomes regular
- risks: mentrual disorders, acne, ED, STI, teen pregnancy, mental health issues,
unintentional injuries, suicide
9. what is perimenopause and menopause? when does it occur? s/s? Tx?: -
perimenopause definition: when a women is experiencing menopausal symptoms but is
having irregular periods; begins around age 40 and lasts for between 4-8 years
- menopause: occurs 12 months after a woman's last menstrual period, often occurs
between ages 45-55
- s/s: irregular periods, hot flashes (worsened by head, alcohol, spicy food, caffeine, and
stress), hight sweats, sleep disturbance, sexual disfunction, emotional lability, anxiety,
lethargy, anxiety and depression, hair loss and thinning, vision changes
- Tx: healthy lifestyle, avoid caffeine, alcohol, and smoking, conjugated estrogen (for
women with no uterus), estrogen/progesterone (for women with a uterus), estradiol cream
for vaginal dryness
10.what is surgical menopause?: removal of female reproductive organs
11. what is osteoporosis? DXA and T score? s/s? risk factors? risk reduction?-
: - definition: decreased bone density that increases risk for fractures
- DXA T score: score of -2.5 or below indicated osteoporosis; score -1 to -2.5
indicates osteopenia but not yet osteoporosis
- s/s: back pain, shrinking height, kyphosis, bone fractures
- risks: white women, low BMI, fam hx, current smoker, sedentary lifestyle, low
Calcium and vit D, >3 booze drinks per day, corticosteroids for > 3 mo., PPIs, Hx of
ED, Hx of bariatric surgery
- risk reduction: diet high in calcium and vit D, weight bearing exercise 3-4x/week, no
tobacco, limit alcohol
12.What meds can be used to treat osteoporosis + pt education?: Bisphos- phonates
(Alendronate): adverse effects are musculoskeletal aches and pains, GI
irritation, esophageal ulcerations; take on empty stomach 30 min before breakfast with 8 oz
water, stay upright
Estrogen receptor modulator (Raloxifene): adverse effects VTE, leg cramps, death from
stroke
Conjugated estrogen + medroxyprogesterone (Premphase): used in women with uterus but
c/i in women with estrogen related cancer
2/
8
