Maryville NUR 621 Adult Health Exam 4 with precise ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
detailed answers ||\\|//||
Cervical cancer screening guideline - correct answer✔✔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 answer✔✔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 answer✔✔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 answer✔✔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
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
answer✔✔4 to 6 weeks ||\\|//|| ||\\|//|| ||\\|//||
,What are the adverse effects of oral birth control? - correct answer✔✔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 answer✔✔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
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What is the correct usage of a diaphragm? - correct answer✔✔Place a teaspoon of
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
spermicide in the cup before insertion, leave in for 8 hours after intercourse. Urinate before ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
insertion due to risk of UTI
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
How do you correctly apply a condom? - correct answer✔✔Applied tightly, extending one
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
half inch beyond tip of penis, adverse effects include irritation, allergic reaction,
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
unfavorable oral sex, accidental splitting condom ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Fertility awareness method - correct answer✔✔avoidance of intercourse during fertile
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
periods
Basal body temperature and cervical mucous changes recorded daily
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
, Failure rate is 25% during the first year ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
When is progestin OC contraindicated? - correct answer✔✔Pregnancy, current or past||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
history of DVT, stroke, heart disease, breast cancer, liver mass, undiagnosed vaginal ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
bleeding
TeA 33 year old women with a history of HTN and smoking presents to the clinic to
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
discuss contraception, what options are safe for her to use? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
VS: 134/75, HR 74, HT 5'4", Wt 185lbs
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
rm
What further history and questions would you want to ask? - correct answer✔✔Have you
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
ever had a STI? ||\\|//|| ||\\|//|| ||\\|//||
Past and current birth control methods? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Do you have regular menstrual cycles?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Age of menarche? ||\\|//|| ||\\|//||
Do you use tampons or pads?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
How many sex partners have you had? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
How old were you when you became sexually active? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Current medications? ||\\|//||
Dyspareunia
A 25 year old women presents with complaints of intense cramping for the first few days of
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
her menstrual cycles, reports menstrual cycles are regular, flow is moderate to heavy for
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
first few days with small clots and then moderate to light. Cycles lasts for 5-6 days.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Menarche started at age 10. She is sexually active currently with single partner, does not ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
use condoms. Is not on any contraceptive.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
VS: BP 104/66, HR 67, Wt. 145lbs, Ht 5'2"
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
detailed answers ||\\|//||
Cervical cancer screening guideline - correct answer✔✔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 answer✔✔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 answer✔✔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 answer✔✔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
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
answer✔✔4 to 6 weeks ||\\|//|| ||\\|//|| ||\\|//||
,What are the adverse effects of oral birth control? - correct answer✔✔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 answer✔✔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
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What is the correct usage of a diaphragm? - correct answer✔✔Place a teaspoon of
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
spermicide in the cup before insertion, leave in for 8 hours after intercourse. Urinate before ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
insertion due to risk of UTI
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
How do you correctly apply a condom? - correct answer✔✔Applied tightly, extending one
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
half inch beyond tip of penis, adverse effects include irritation, allergic reaction,
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
unfavorable oral sex, accidental splitting condom ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Fertility awareness method - correct answer✔✔avoidance of intercourse during fertile
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
periods
Basal body temperature and cervical mucous changes recorded daily
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
, Failure rate is 25% during the first year ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
When is progestin OC contraindicated? - correct answer✔✔Pregnancy, current or past||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
history of DVT, stroke, heart disease, breast cancer, liver mass, undiagnosed vaginal ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
bleeding
TeA 33 year old women with a history of HTN and smoking presents to the clinic to
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
discuss contraception, what options are safe for her to use? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
VS: 134/75, HR 74, HT 5'4", Wt 185lbs
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
rm
What further history and questions would you want to ask? - correct answer✔✔Have you
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
ever had a STI? ||\\|//|| ||\\|//|| ||\\|//||
Past and current birth control methods? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Do you have regular menstrual cycles?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Age of menarche? ||\\|//|| ||\\|//||
Do you use tampons or pads?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
How many sex partners have you had? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
How old were you when you became sexually active? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Current medications? ||\\|//||
Dyspareunia
A 25 year old women presents with complaints of intense cramping for the first few days of
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
her menstrual cycles, reports menstrual cycles are regular, flow is moderate to heavy for
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
first few days with small clots and then moderate to light. Cycles lasts for 5-6 days.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Menarche started at age 10. She is sexually active currently with single partner, does not ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
use condoms. Is not on any contraceptive.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
VS: BP 104/66, HR 67, Wt. 145lbs, Ht 5'2"
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
