NUR 2633 MC Exam 1 Study Guide

NUR 2633 MC Exam 1 Study Guide

• breast self examination (BSE)

Answer

Start in the 20's 5-7 (maybe 10) days after menstruation

• Supine position
• RT arm behind head
• Opposite hand - pads of 3 middle fingers
• Dime-sized circular motions Light, medium, & firm pressure Repeat step 4, Up and down

Pressing down on hips contracts chest muscles and enhances breast changes

• Mammography Screening

Answer

X-ray of the breast tissue to detect abnormal growths

Screening tool

• MRI (magnetic resonance imaging)

Answer

Noninvasive nuclear procedure is especially useful in women with an inherited susceptibility to breast cancer

NOT a substitute for a mammogram Screening tool

• Clinical Breast Exam (CBE)

Answer 1 / 4

Should be performed annually Annual screening after age 40 Screening tool

• Breast Cancer

Answer

African American women are at a lower risk than Caucasian women

• If a patient finds a breast lump, how should the nurse advise her?

Answer

Feeling a lump is never normal! Have the PT F/U to do further testing!

Breast tissue thickens during pregnancy Endometrial lining also thickens

• Emergency Contraceptive Pills (ECP)

Can be used up to 72 hrs after inter- course

Three types

Answer

• Combined ECPs (contain both estrogen & progestin)
• One-dose progestin-only ECPs such as Plan B One-Step
• A one-dose ECP that contains an anti progestin (Ella) 2 / 4

Progestin-only ECPs are most common - Fever S.E. & more effective

** ECPs do NOT cause abortion or harm an established pregnancy Can delay ovulation, teach PT to use backup contraception

• IUD (intrauterine device)

Indications Answer

• Nullipara
• Adolescents
• Hx of ectopic pregnancies
• Lactating women
• Women w/+ HIV test

• Immediately post 1st trimester abortion Preparations

Answer

• - Pregnancy test
• Tx for dysplasia
• Eval for abnormal uterine bleeding
• Cervical cultures to rule out STIs

5. CONSENT FORM

Risks

• High rate of ectopic pregnancies in tubal ligation procedures that fail

• Sterilization
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Permanent & irreversible Requires informed consent

Types

Answer

• Bilateral tubal ligation (BTL)

Best performed within 48 hrs of vaginal birth or during cesarean birth

Hysterosalpingogram is a dye test performed at 3 months, after procedure, to confirm tubal patency

• Vasectomy

Answer

Performed under local anesthesia & involves a small incision in the scrotum

Interrupts the passage of sperm into the seminal fluid Semen no longer contain sperm

• Depo-Provera

Medroxyprogesterone acetate

Bone mass may be adversely affected (Length of use may contribute to loss of bone mass) Educate PT must take calcium and vitamin D to prevent bone loss while on Depo-Provera Do not forget

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