Alexa reports to the clinic for her second prenatal appointm…
Alexa reports to the clinic for her second prenatal appointment. You are reviewing her chart and note her pregnancy history (using the 5 point GTPAL system) is documented as G5T2P0A2L2. Please select the meaning of this patients pregnancy history.
Read DetailsSherry, age 56, is postmenopausal. She is experiencing prob…
Sherry, age 56, is postmenopausal. She is experiencing problems with frequent hot flashes and vaginal dryness leading to discomfort during sexual activity. The nurse pracitioner decides to initiate hormone replacement therapy (HRT) for Sherry. HRT for post menopausal women with an intact uterus consists of:
Read DetailsA 30-year-old paralegal analyst comes to your clinic, compla…
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-smelling vaginal discharge with some mild itching, present for about 3 weeks. She tried douching but it did not help. She has had no pain with urination or with sexual intercourse. She has noticed the smell increased after intercourse and during her period last week. On speculum examination a thin gray-white discharge is seen in the vault. The pH of the discharge is over 4.5 and there is a fishy odor when potassium hydroxide (KOH) is applied to the vaginal secretions on the slide. Wet prep shows epithelial cells with stippled borders (clue cells). What type of vaginitis best describes her findings?
Read DetailsA 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28…
A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when she experiences bright red, painless vaginal bleeding. On her arrival at the hospital, which diagnostic procedure will the client most likely have performed?
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