Maryville Nur 621 Adult Health Exam 4 Questions With Correct Answers

Diaphragm {Ans: Latex hemisphere with flexible rim that fits over the cervix o Allows woman control, no systemic side effects o A teaspoon of spermicide is placed in cup before insertion and diaphragm must be left in for 8 hours after intercourse o Instructed to urinate before inserting to avoid UTIs}How do you diagnose candidiasis and what is the treatment? {Ans: Symptoms-pruritus, dyspareunia, vulvar edema and erythema, thick white discharge, no odor, vaginal pHDiflucan (fluconazole) 159 mg PO or if recurrent 100-400 mg qd for 1-5 daysKetoconazole 200 my qd for 5 days}Cervical cancer screening guideline {Ans: 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}A 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