Based upon you answer in the previous question, what is the best management plan for this patient?

A 42 year old woman comes in for her annual exam.  She is recently divorced after 23 years of marriage and had just started dating someone.  She is hopeful the relationship will become serious and anticipates potentially having a sexual relationship with this person.  She has 3 teenage children (whom she has full custody of) and works full time.  Her menstrual cycles have become somewhat irregular and heavier than in the past.  The bleeding patterns are “annoying”  to her.  She also describes occasional hot flashes, one of which occurred while she was on a date.  This caused embarrassment.  She asks if she really needs to be concerned about contraception given the changes in her cycle and the hot flashes.  She is ambivalent about the loss of fertility.  It seems that not having to worry about pregnancy would be really nice but maybe having another baby would be okay if the right person came along.  She is a nonsmoker, is normotensive, does not take any medication or supplements,  and her BMI is 24.  List 5 areas that you would counsel this woman about based upon the information provided.  

A healthy 26 year old nulliparous woman presents for her annual exam.  She is on COCs for contraception and is happy with her method.  She has had annual cervical cytology screenings for the past 3 years.  Her last cervical cytology screening was last year and have all been normal without evidence of dysplasia.  She has no risk factors for cervical cancer.  According to the latest ACOG recommendations how often does she need  cervical cytology screening?

Match the following diagnoses to the first line of treatment or treatment of choice per CDC 2015 STD Treatment Guidelines. Each answer may be used only once.

Which of the following statements regarding proper use of the diaphragm is INCORRECT?

According to the 2015 CDC STD Guidelines which of the following statements are true regarding suppressive therapy for recurrent genital herpes?

______________ is the process whereby a CNM who maintains primary responsibility for the woman’s care seeks the advice or opinion of a physician or another member of the health care team.

Immediately prior to ovulation, FSH levels are:

SS is a 25 y.o. who was started on oral contraceptives 1 week ago and is now on the phone with the c/o severe pain and swelling in her left leg.  Your best recommendation to her should be which of the following?

REQUIRED: Fill-in-the-blank after reading the ECU Academic Integrity Policy Each student must type in their name agreeing to adherence to the ECU Academic Integrity Policy. This must be completed for you to receive a grade on this exam. You are to adhere to the ECU Academic Integrity Policy. You may not use any resources, other than your own brain power to answer questions on this exam and you may NOT PRINT or SAVE this exam in any format. Procedures governing academic integrity violations are described and posted on the Blackboard Course Information for NURS 6112. Academic integrity is a fundamental value of higher education and East Carolina University; therefore, instructors will not tolerate acts of cheating, plagiarism, falsification or attempts to cheat, plagiarize, or falsify.  Should an instructor determine that an academic integrity violation has taken place, she/he reserves the right either to assign a grade sanction or to refer the case to the University Committee on Academic Integrity for review. Type your name in the fill-in-the-blank below agreeing to adherence of this policy.