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REPRO STUDY GUIDE
LSIII REPRO STUDY GUIDE
| Question | Answer |
|---|---|
| 1. A 36 year old female had a TAH BSO. Please list all important post-op interventions and why they are ordered. | Vital Signs – keep from shock Prevent urinary Retention intestinal distention/ venous thrombosis Infection Pain discomfort for several days IV Don’t bend knees = Venous Stasis |
| Please list signs and symptoms of breast cancer. | Small, solitary, irregularly shaped, firm, nontender, and non mobile. Possible change in skin color, feelings of tenderness, puckering or dimpling of tissue, nipple discharge, retraction of nipple and axillary tenderness |
| Explain the different types of mastectomies, and the Postoperative care for the client who has had a mastectomy. | Lumpectomy – tumor only preferred method Discharge instruct/ = must be followed by 6 – 7 weeks of radiation Partial mastectomy – tumor and portion of surrounding breast tissue, axillary Lymph nodes Discharge – may be disfiguring |
| What instructions are important to give the client before they are discharged. | Patient teaching: no proced to affectside – BP, injec., IV's, labs, guard against infect from burns, needle pricks, garden injuries, avoid lifting heavy objects for 6-8 wks with affected arm, no sleep on affected arm, no tight clothing, watches, |
| Explain the different types of mastectomies, and the Postoperative care for the client who has had a mastectomy. continued | Simple or total – entire breast & axillary lymph nodes Discharge – may need reconstruction Modified Radical – breast, axillary lymph nodes and lining over chest wall muscles. Radical – same as modified plus the chest wall muscles |
| Please discuss the different types of Birth Control, contraindications and special considerations of BC pills, IU, Depo injections, Diaphragms, cervical caps, Tubal ligation, foam and condoms | Birth control can be classified as surgical, hormonal, barrier and behavioral |
| Please discuss the different types of Birth Control, contraindications and special considerations of BC pills, | BC pills :cause wt gain, spotting, post pill amenorrhea, breast tendernessm H/A, chloasma , irritable, nervous, depression, decreased libido, compl of benign tumors, MI, thromboembolism, stroke. |
| Please discuss the different types of Birth Control, contraindications and special considerations of BC pills, | CONTRA in cardio or liver disease, hypertension, breast or pelvic cancer. Also caution in DM and sickle cell anemia. Provides no protection against HIV or transmission range from 98-99% effective |
| Please discuss the different types of Birth Control, contraindications and special considerations of IU, | IUD = Contra increase in menstrual cycle, bleeding and cramping, complications of ectopic pregnancy, pelvic infection, perforation of uterus, infertility, undetected expulsion of IUD 97 – 99% effective |
| Please discuss the different types of Birth Control, contraindications and special considerations of Depo injections, | Depo injection - Cause amenorrhea, HA, bloating and weight gain, return of fertility delayed for several months approximately 99% effective |
| 3. Please discuss the different types of Birth Control, contraindications and special considerations of Diaphragms, | Diaphragms = contra in those allergic to latex or spermicide, not suitable in severe relaxed pelvis. 87% effective if properly fitted and used correctly |
| Please discuss the different types of Birth Control, contraindications and special considerations of cervical caps, | Cervical caps = Contra in those with a allergy to rubber or spermicide, possible cervical irriation or erosion from suction |
| Please discuss the different types of Birth Control, contraindications and special considerations of Tubal ligation, | Tubal – Risk of bowel injury, hemorrhage or infection 99.96%effective failure only to recanalization of tubes |
| Please discuss the different types of Birth Control, contraindications and special considerations of foam and condoms. | FOAMS – allergies to spermicides Does not protect against HIV/AIDS, Must be readily available and used prior to penetration, Possible genital irritation. Condoms = Contra in those with allergy to rubber, decrease in sensation 85% effective |
| Please list the important indication of Self Breast Exam for clients who are having their periods and for those that are postmenopausal. | The premenopausal women should do self breast exam 7 - 8 days after the conclusion of the menstrual period- least congested The postmenopausal women should do her self breast exam the same day of each month |
| List the important issue of testicular self exams. | Testicular self exam should be done immediately following a shower so that scrotum is warm and most relaxed |
| List signs and symptoms of fibrocystic breast disease and the treatment. | Cystic lesions are often bilateral and multiple. They are soft, well differentiated, tender, and freely movable. The lumpiness and tenderness more apparent before period |
| Explain what an anterior and or posterior colporrhaphy is and the postoperative care. | Surgical procedure generally a vag. hyster with a anterior/posterior repair of vagina and underlying fascia, aka suture of the vagina. If surgery is contraindicated may need to have a pessary inserted. Needs to be cleaned &replaced every 3-4 months |
| List important instructions to give a client prior to a mammogram, and list appropriate times for a mammogram (age). | Mammograms will miss 10-25% of breast cancers. Thus making self breast exams. imperative. Must not wear deodorant, or necklaces. Mammogram q 1 -2 years age 40-49 Yearly age 50 |
| List the signs, symptoms and causes, if any of amenorrhea, | Amenorrhea – absence of menstrual flow |
| List the signs, symptoms and causes, if any of dysmenorrhea, | Dysmenorrhea - painful menstruation with abnormal bleeding |
| List the signs, symptoms and causes, if any of menorrhagia, | Menorrhagia – excessive bleeding in amount and duration |
| List the signs, symptoms and causes, if any of metorrhagia, | Metorrhagia – bleeding between menstrual periods |
| List the signs, symptoms and causes, if any of menopause(female climacteric). | Menopause – decrease in hormone secretion and cessation of ovulation and menses. Loss of skin turgor and 25% develop osteoporosis |
| What is PID? | It is an acute, recurrent chronic infection cervix, (cervicitis) uterus, (endometritis), fallopian tubes (salpingitis) and ovaries (oophoritis) extending to connective tissues lying between broad ligaments. |
| What are the important issues associated with PID? | very serious and may cause adhesions, sterility. Women with more than 1 partner at a higher risk. Wear goggles when caring for pt if risk of body fluids, may have chills, severe abd pain, malaise, n/v, and malodorous purulent vaginal exudate. |
| What causes PID | Most common causes are gonorrhoeae, streptococcus, staphylococcus, Chlamydia and tubercle bacilli. |
| What is endometriosis, signs and symptoms, | The condition in which endometrial tissue appears outside the uterus. |
| What is endometriosis signs and symptoms, and treatment? | S/S are lower abd and pelvic pa w/without pain in the rectum. unilaterial or bilateral may radiate to lower back, legs, groin. More acute @ menstruation. Higher risk if mom or sis have.white women 25-35 yr, and highe socioeconomic late having kids |
| What is endometriosis treatment? | Treatment = High dose of antiovulatory medication, severe cases may require surgery. Total hysterectomy, oophorectomy or salpingectomy may also be done. |
| Explain a tubal ligation, what if anything happens to the menstrual cycle and ovulation, and the postop treatment of the client. | A tubal ligation is is a surgery that permanently prevent sperm and ovum from meeting. Crushing ligating, clipping, or plugging of fallopian tube Nearly 100% effective. Menstrual cycle and ovulation still continue. |
| What is a vasectomy? What happens to the sperm after a vasectomy? | Simple procedure to make a small slits on either side of scrotum and sever the ductus deferens. Sperm can no longer be expelled |
| 15. What is a uterine prolapse? What causes uterine prolapse? What is the treatment? | Is a prolapses of uterus through the pelvic floor and vaginal outlet Can be caused by Obstetric trauma, overstretching of uterine muscle support system, coughing, straining, lifting heavy objects |
| What are Leiomyomas and what is the treatment for them? | The most common benign tumors of the female genital tract. Uterine fibrioid tumors. These tumors affect 20-25% of women older than 30 years. |
| What is treatment for uterine prolapse? | Treatment can be surgery with a vaginal hysterectomy with anterior posterior repair of the vagina and underlying fascia aka colporrhaphy, or if surgery is contraindicated they may opt to insert a pessary. |
| What are treatments for Leiomyomas | Treatment varies if the women don’t want to have more children, age, and symptom severity. Myomectomy is done during childbearing years, removes the myomas and leaves uterus., If severe bleeding or obstruction a hysterectomy may be necessary. |
| What is BPH? What are the signs and symptoms of BPH? What is the treatment of BPH? | A harmless condition called benign prostatic hyperplasia or BPH or prostrate enlargement. Elevated PSA levels. |
| Discuss STDs such as Chlamydia, List signs, symptoms, and treatment. | most common std in the U.S. 20-30% of PID common in young, promisc indig unwed F in inner city prior hx of STDs. S/S vag itch burn pelvic pain, low fever, vag dischg irreg bleed. Tx.= tetracycline, doxycycliine, azithromycin, ofloxacin, all contra if preg |
| Discuss STDs such as Candidiasis, List signs, symptoms, and treatment. | mild fungal infect appearing both sexes. The infect level rises from DM or when resistance is lowered from disease such as carcinoma. Radiation, immunosuppressants drugs, hyperventilation, atb therapy and oral contraceptives may predispose. S/S = sca |
| Discuss STDs such as Herpes, List signs, symptoms, and treatment. | |
| Discuss STDs such as Gonorrhea, List signs, symptoms, and treatment. | |
| Discuss STDs such as Syphilis List signs, symptoms, and treatment. | |
| Discuss STDs such as Trichomoniasis. List signs, symptoms, and treatment. |
Created by:
gmabrender
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