*NURSING > EXAM REVIEW > MDC3 Exam 1 Review (All)
MDC3 Exam 1 Review ABCs A - airway B - breathing C – circulation Uterine Leiomyoma Benign, slow growing solid tumors of the muscle layer of the uterus (fibroids) Excessive... local growth of smooth muscle tissues o Growth may be stimulated by estrogen, progesterone, and growth hormone Assessment: asymptomatic or symptomatic (heavy prolonged vaginal bleeding)** Assess pelvic pressure, elimination pattern, abdomen size, dyspareunia, infertility Painful menses Elimination patterns (due to enlarged fibroid pressing on organs) Ask how many pads/tampons used in a day S/S: Heavy periods or periods that last a long time & abd distention, urinary frequency Psychosocial assessment: Quality of life from dyspareunia Fear that symptoms could be cancerous Anxiety Significance of loss of uterus for patient and partner if want to conceive Diagnostic assessment: CBC – iron deficiency anemia from heavy bleeding WBC would be normal HGB and HCT – low Pregnancy test to rule out uterine enlargement Transvaginal US – able to see if fibroid is protruding into uterine cavity Biopsy: gold standard Pelvic exam Planning and Implementation Manage bleeding o Non-surgical management: oral contraceptive** o Surgical management: MRI focused ultrasound-heat to tumor Uterine artery embolization – starves tumor of circulation allowing it to shrink Myomectomy- laser removal Hysterectomy Erectile Dysfunction: causes & treatment Common as one ages: reduced blood flow to penis Causes Medical causes: change in blood pressure Non-organic: increased stressor, illnesses Treatment Medications that increase perfusion to penis (PDE- 5 inhibitors) Vacuum pump Pineal implant Managing stress Education related to treatment for HPV/Cervical Cancer Caused by HPV s/s of cervical cancer: o heavy bleeding in later stages o bleeding after sex o Most of the time asymptomatic Bleeding between periods Preventive screening: PAP smear, surgical biopsy (gold standard) to determine staging Treatment: Early- ablation, laser Late- chemotherapy/radiation Education: No sticking anything up the vagina (tampons, douches) May have bleeding No sexual intercourse No tub baths Breast cancer- preventative screenings, risk factors, diagnostic tests Preventative screenings Mammography o Recommended to start screening at 45 o Women over 55 may switch to every 2 years Breast self-awareness/self-examinations o >90% detected by patient Clinical breast clinical [Show More]
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