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Stack #2123445
women's health
| Question | Answer |
|---|---|
| what test can be scheduled which is a diagnostic evaluation for endometrial cancer? | Transvaginal ultrasound |
| At what age should the first pap by schedule? | age 21 |
| When doing a cone biopsy for cervical cancer . Teaching is successful when they obtain the specimen from? | Transformation zone |
| What way can you prevent endometrial cancer? | Have regular pelvic exams, engage in daily exercixe, and if you have been pregnant |
| Individual with reproductive cancer can experience disturbed body image | have positive self statements and positive sexuality |
| When assisting with a pelvic exam , what should b done first ? | Spread labia |
| What are the risk factors for vulvar cancer? | HPV 16 exposure, hypertension, diabetes |
| What symptoms or signs would the client with vulvar cancer have? | persistent vulvar itching, history of herpes |
| What is the least common type of reproductive cancer? | Vaginal |
| Preparing for a biopsy for vulvar cancer, the nurse exppects the leasion to be near? | labia majoria |
| A client with adenocarcoma in situ would have cancer found? | on the surface of endometrium |
| Is there a reliable screening method for ovarian cancer ? | no |
| what factos would help reduce the risk of ovarian cancer? | Pregnancy, oral contraceptiver agents breast feeding |
| Which contraceptive method is only available with a prescription? | diaphragm |
| An implantable contraceptive agent will contain? | Synthetic estrogen |
| A patient has abdominal pain. Her doctor suspects endometriosis. What diagnostic test should the nurse prepare the client for? | laproscopy |
| What contraceptive method is the most reliable? | Intrauterine system |
| Which contraceptive method offers protection from sexual transmitted disease/ | Condoms |
| What should the nurse teach the postmenopausal woman about osteoporosis? | Take calcium supplements |
| This is a test to measure bone mass to help diagnosis osteoporosis? | Dexa Scan |
| What is the primary cause of hot flashes and night sweats in a postmenopausal woman? | Estrogen deficiency |
| What should be included in a teaching plan for a postmenopausal woman on ho to reduce risk of osteoporosis? | Daily Exercise |
| What should be included when your are teaching a couple about contraceptive options? | The best contraceptive is one that you will use cxcorrectly and consistently |
| Describe aa client who may be expected to have osteoporosis ? | Thin woman with small bones |
| What laboratory finding might you suspect with a client with dysfunctional uterine bleeding | low hemoglobin |
| A client using fertility awareness method of birth control would describe her cervical mucus as looking like egg white . This is called? | Spinnbarkeit mucus |
| With the basal body temperature method for contraception a rise in basal body temeprature indicates/ | Ovulation |
| What are some things that can help reduce the discomfort of symptoms? | cut down on colas and coffee, quite smoking, do aerobic exercise |
| What symptom would you expect in a client with endometriosis besides abdominal pain? | Dysuria |
| What is a mandatory requirement for the diagnosis of premenstrual dysphoric disorder? | The client has persistent anger |
| What are some symtoms a client with premenstrual disorder might have/ | Bloating, tension, dysphoria, weight gain |
| What finding may make the nurse suspicious of dysfunctional uterine bleeding? | The client states she has been bleeding off and on that's irregular occasionally heavy |
| Name the mechanical barrier methods of contraception | Condoms,cervical cap, cervical sponge , diaphragm |
| What are some of the health benefits of oral contraceptives | Health benefits include improvement in acne, reduced risk of endometrial cancer, and protection against pelvic inflammatory disease |
| Name a risk factor of endometriosis. | Menstrual cycle sof 24 days |
| What medication is a first line treatment of endometriosis? | NSAIDS |
| what are the Risk factors for endometriosis? | History of smoking, Diabetes since the age of 15 years, weight below standard for height and age |
| Couple is having a fertility evaluation . The male [partner will have a semen analysis. What statement indicates the gentlemen understands the direction | Needs to abstain from sexual activity for 1 to 2 days before the sample is collected |
| what are three important points to make about emergency contraception (ECs) | ECS are birth control pills in higher,more frequent doses, ECs is not to be used in place of regular birth control, ECs provide little protection for future pregnancies |
| What is an enterocele? | a bulging of the small intestine through the posterior vaginal wall |
| what should you include when teaching women about preventing pelvic support disorders/ | Performing Kegel isometric exercises |
| what is contraindicated when caring for a client with an abdominal hysterectomy? | Messaging the client's legs |
| what helps in regaining control of the urinary sphincter for urinary incontinence ? | Performing Kegel exercises |
| A woman is admitted for repair of a cystocele and rectocele. She has nine living children and what should the nurse expect to find? | Stress incontinence with feeling of low abdominal pressure |
| A postmenopausal woman has uterine prolapse and is fitted for a pessary. what is a Side effect of this treatment | vaginal ulceration |
| The nurse explains to the patient that kegel exercises help with | pelvic floor |
| what is the rationale for taking oral contraceptives as part of the treatment plan for polycystic ovarian syndrome (PCOS)? | Restores menstrual regularity |
| What does a anterior and posterior colporrhaphy due for treatment of a cystocele | Procedure helps tighten the vaginal wall in the front and back so that the bladder an and urethra are in proper position |
| What are the signs with uterine fibroids? | Menorrhagia, complaints of bloating, chronic pain and enlarged uterus |
| Name some foods that have anticancer properties | garlic, soybeans, leeks,and flax seeds |
| what are some risk factors for breast cancer that can be reduced? | Keep weight gain under 11 pounds, eating at least seven portions of complex carbohydrates daily. limit intake of refined sugars |
| what is an essential element of breast cancer prevention? | If the lump is palpable ,it has been there for some time |
| Does a woman performing breast self examination have breast cancer awareness? | yes |
| when should a woman have her first mammogram? | age 40 |
| what is breast conserving surgery? | The lump is removed followed by radiation |
| Name two factors that indicate a benign breast mass | Firm consistency and absence of dimplying |
| Name two medications that are used to treat breast cancer and are selective estrogen receptor modulator (SERM) | Tamoxifen and Raloxifene |
| Breast cancer patient is receiving trastuzumab | It blocks the effect of the HER-2/neu protein inhibiting the growth of cancer celss |
| A serious side of effect of chemotherapy for breast cancer is_______ | Myelosuppression |
| When teaching breast self exam, what is a key element of instruction? | use the finger pads of the three middle fingers to apply pressure to my breast during the exam |
| What is duct ectasia? | The area below the aerola is red and swollen with tortuous tubular swelling |
| In stage two of breast cancer the mass is 1.25 inches and three lymph nodes are positive . True or false | true |
| what test will identify endometrial cancer? | endometrial cancer |
| what can the nurse teach about colposcopy examination? | A solution will be wiped on the cervix to identify abnormal cells and then be visualized with a magnifying glass |
| Is there a reliable screening test for ovarian cancer? | No |
| what are three medications that can be used to treat severe fibrocystic breast disease? | Tamoxifen, Bromocriptine and Danazol |
| what additional yearly test would help reduce the risk of reproductive cancer? | Yearly cholesterol starting at age 45 |
| A client is scheduled for a mastectomy because she had malignant cells on a breast biopsy. what nursing diagnosis can be a priority for the client? | Disturbed body image |
| what should the nurse include when instructing a client about a mammogram? | Tell the client each breast will be firmly compressed between two plates. |
| What is the Reach for Recovery program's primary purpose? | Help support women who have undergone mastectomies |
| A client with advance breast cancer has had both radiation and chemotherapy. She is to start hormonal therapy. What will she probably start? | Tamoxifen |
| A nurse is ASSISTING IN A CLINIC. WHILE DOING A CLINICAL BREAST EXAM , the nurse notes a well- defined ,firm, mobile lump. What is the next test that will be ordered for the client? | Mammogram |
| A client has a modified radical mastectomy . what is an appropriate nursing intervention for the client when they return from surgery? | Turn, cough, and deep breath frequently |
| What symptom would the nurse suspect if the client has breast cancer/ | Nipple retraction |
| The nurse has determine that a client has fibrocystic breast disease when she states? | she has eliminated caffeine |
| what would you want a client who has had a modified radical mastectomy on one breast to do? | Avoid wearing clothing with elastic on the sleeves |
| Should you draw blood from the same arm/side were a women has a mastectomy? | No |
| What intervention might need to be done at home on a client who had a repair of a uterine prolapse | Care of the indwelling catheter |
| A client over 50, says she has the onset of painless, red postmenopausal bleeding. what should the nurse suspect? | Endometrial cancer |
| What instructions should you give a client before a scheduled pap smear? | Do not douche for 48 hours before the scheduled pap smear |
| A history of exposure to________ will alert the nurse that her client may be at increased risk for cervical cancer | Human papillomavirus |
| Is the consumption of a high-fat diet, a risk of for ovarian cancer? | Yes |
| Should a female abstain for 48 hour from sex? | yes |
| What nursing diagnosis \can be apriority for a client with ovarian cancer? | Situatiolnal low self-esteem |
| Name a stimuli that can irritate stress incontinence. | Sneezing or coughing |
| Should a client with uterine prolapse jog? | no |
| What post residual voiding in a client with uterine organ prolapse requires further testing | greater than 100cc |
| What is a major cause of genital fistula? | Female genital cutting |
| A fibroid is another name for_____? | Leiomyoma |
| What is the treatment for a corpus luteum cysts? | none |
| A small loop of plastic tubing is secured in place to allow for drainage of a Bartholin's cyst, How long should it stay in place? | 3 weeks |
| What should you include when teaching about Kegel exercises? | Squeeze you rectal muscles as if you are trying to avoid passing flatus. Contract and relax pubococcygeal muscles rapidly 10 times |
| How is teaching removed when abnormal tissue is removed from the cervix? | Freezing |
| Endocervical plops are more common in women in their 30s or 50s | 50s |
| What are some of the characteristics of or symptoms of a client who is experiencing polycystic ovarian syndrome? | Evaluate blood insulin levels, anovulation, triglycerides level of 175mg/dl |
| What occurs with endometrial polps? | Metrorrhagia |
| What should be include in a discussion of pelvic organ prolapse? | Rectocele, Cystocele, enterocele |
| What type of cyst is associate with hydatiform mole? | Theca-lutein cyst |