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Test 3 Reproductive
| Question | Answer |
|---|---|
| how does the nurse demonstrate compassion w ED? | offer emotional support, ensure confidentiality, have both parties present. |
| how often is mammo recommended? | beginning at age 40 every 2 yrs, after 50 every year. |
| Herpes simplex occurs in both genital and oral. Determine similarity and difference. | 1-mouth. 2-genital. Can transfer to each area. |
| can a person spread asymptomatic syphillis? | yes |
| at what age does woman start SBE? Men TSE? | SBE- 18-20. TSE- 12-13 |
| PID can lead to infertility, how? | it can cause adhesions and strictures in fallopian tubes, can obstruct fallopian tubes |
| Explain risk factors for breast ca. | Fam hx, over 50, female, BRCA gene, nulliparity, 1st child >30 yrs old, early menses <12 yrs old, personal hx of female cancers, colon ca. |
| what instructions are important to include w ED meds, including use, and concurrent use w other meds? | Causes muscle relaxation to increase blood flow , so don't take nitrate drugs with it or it could bottom out BP. dont take if have cardio dx. take 30-1 hr before activity. |
| What is PSA? Why ordered and at what age is it started in early detection of ca? | Prostate specific antigen.The PSA test measures the blood level of PSA, a protein that is produced by the prostate gland. The higher a man’s PSA level, the more likely it is that he has prostate cancer. Age 50 |
| Describe a BSE | Palpate breast in circular motion in shower, usually after period is over so breasts aren't lumpy and tender. Report any lumps, discharge, pain |
| S/sx of breast ca | hard lump, dimpling skin, nipple d/c or retraction, altered breast contour, pain, ulcerations, change in skin color/texture. |
| Define menorrhagia, tx | excessive bleeding > 7d. tx: oral estrogen/progesterone, or ablation. |
| define dysmmenorrhea, tx | abd cramp/pain assoc w flow. tx: heat, drug therapy (Naproxen and oral contraceptives) |
| What is secondary dysmenorrhea | It is caused by PID. |
| How does tx differ from viral vs bacterial STD | viral- never goes away. Bacterial- treatable if caught early enough. |
| When should paps be started, and how often performed? | Age 21, every 3 yrs. 30-65 needs HPV co-testing w pap. |
| What does a pap screen for? | cervical cancer |
| What is a cystocele? | Support wall btwn bladder and vagina weakened. |
| what is a rectocele? | support wall btwn vagina and rectum weakened. |
| tx for rectocele/cystocele? | kegel exercises, or surgery to tighten vag wall. (colporrhaphy) |
| What age group is most affected by testicular ca? | 15-35 |
| Why would a person choose a vaginal hysterectomy over a TAH? | when vaginal repair needed in addition to removal of uterus. |
| What nursing care is done w a pt w radium implants? | No pregant or small kid visitors. Keep supplies close to bedside. Bedrest w as little movement as possible. Remind pt that she isn't radioactive. Secretions ARE radioactive. Stay as far away from pt when performing care. Stay at door when can. |
| Define ED. | Inability to attain or maintain erection that allows satisfactory sex performance. |
| Risk factors of ED | Vascular disease (most common), DM, med side effects, neuro sx, depression, anxiety, stress, drugs, nicotine. |
| Tx for ED | oral drugs, vacuum, intraurethral devices, penile implant (last option) |
| What assessment data important to collect w pt who has menorraghia | age, hx, change in lifestyle |
| Why is the person w gonorrhea at risk for PID | B/C gonorrhea and chlamydia is the most causative organism of PID. |
| How is herpes spread? Is it ever cured? | Physical contact. never cured. |
| Why is ovarian ca usually dx late? | There are not tests to screen for it. |
| How does one prevent uterine prolapse, cystocele, rectocele? | Kegel exercises, and can get a "pessary" device placed in vagina to help support uterus. |
| List most common sites of metastasis w breast ca. Why? | @site in skin or chest wall. Lymph nodes, brain, spinal cord, skeletal, bone marrow, pulmo, and liver. Primarily occurs thru axilla lymph nodes |
| Explain medical tx/care for prostate cancer | hormone therapy (androgen deprivation therapy), radical prostatectomy, chemo (external beam), brachytherapy (radioactive seed implants. |
| common site of prostatate cancer spreading? | bone |
| Differentiate btwn ED, impotence, and sterility. | ED and impotence are the same..inability to attain/maintain erection for good sex. STERILITY is inability of male to produce viable sperm to fertilize egg. |
| Cottage cheesy substance appears with which STD | candida |
| vesicles and erosions appear w which STD | Herpes |
| Dysuria, vag discharge and urethritis occurs w which STD | Gonorrhea. Men usually have sx right away, women often go asymptomatic. |
| Why are men on ED meds cautioned about nitrate meds and other bp meds? | ED meds w Nitrates or bp meds can bottom out BP. |
| Warts appear w which STD | Genital warts, HPV |
| Name common screening tools rx'd for reproductive health and when indicated. | pap-21, bse-18-20, tse 13-15, psa >50, mammo 40, |
| most common med used to tx uncomplicated yeast infections? How rx'd? | Metronidazole in cream form, and diflucan 150mg in pill form x 1 day. |
| explain medical hx/family hx that would increase your risk for breast ca | fam hx female ca or colon ca, Brca gene. |
| why are reproductive hormones and estrogen contraindicated in a woman who has reproductive cancers | increases risk of breast ca. |
| why are lymph nodes examined w breast ca? | to see if nodes have ca. It is also important in determining stage of ca, and to see if it has spread. |
| why must a woman who desires balloon therapy prove sterilization? | it makes you infertile. |
| How does bph and prostate ca differ? If one has one, are they at risk for the other? | BPH doesn't spread. Prostate ca can spread to pelvis and bone. BPH doesn't raise chance of prostate ca. |
| what is a TURP | Trans urethral resection of prostate. REMOVAL OF PROSTATE TISSUE |
| what type of anesthesia is most often used when a TURP is performed, why? | Spinal/general anesthesia...because procedure goes thru urethra. ouch. |
| what type of anesthesia used for radical prostatectomy? | spinal or general |
| what is first indication of prostate problems | Urinary sx. Frequency, dribble, hesitancy, nocturia. |
| what are your cares for a man immediately post op for prostate surgery? | main concerns are hemorrhage, bladder spasm, urinary incontinence, infection. bladder irrigation to remove clot blood, and urine drainage. watch for bright red clots. observe for s/sx infection, pain control. |
| why is Belladonna rx w prostate surgery | relieves bladder spasm and reduces pain. |
| Why does smoking increase risk of cardiac event w someone on birth control? | Increase risk of CVA and heart attack |
| if someone is latex allergic what bc can be selected? | oral contraceptive |
| Abstinence is best form of bc, what method is most effective for rest of us? | Natural fam planning?? Not sure... |
| Explain the gleason scale? | Gleason scale is what pathologists use to grade prostate ca. 1- looks like normal tissue. 5 is very abn growth. 2 most commonly occuring cells are graded and added together. 2-10 possible |
| why would a dr choose to "watch" and elderly man w score of 1 on gleason scale | b/c risk of surgery may outweigh benefit w an older man. |
| What position used for prostatectomy? | lithotomy most common |
| why is a digital rectal exam performed on male pt? | to palpate the prostate, feel for masses or enlargement. |
| what is ditropan rx for? | bladder spasm |
| why would you look for belladonna on a MAR? | reduce spasm, pain |
| what is metrorrhagia | irregular bleeding btwn periods. |
| hysterectomy is removal of... | uterus |
| OOpherectomy is removal of... | Ovaries |
| salpingo-oopherectomy is removal of... | fallopian tubes and ovaries. |
| partial hysterectomy still has.. | ovaries |
| Total hysterectomy is removal of... | uterus and cervix. |
| Benign ovarian tumors are classified as what? (2) | cysts (soft) or neoplasms ("new growth") |
Created by:
scynba36
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