Antepartum: Diagnostic Testing General

Question 1

Complete Blood Count CBC (5)

Answer 1

RBC’s, WBC’s, PlasmaHematocrit, Hemoglobin

Question 2

CA-125, Cancer Antigen 125Purpose: (2)Type of pt:

Answer 2

Screening Test for ovarian cancer ONLY for high risk ptNot always accurate Monitor cancer during and after TX

Question 3

Urinalysis:Purpose: (3)

Answer 3

Assess overall healthdx medical conditionMonitor medical condition

Question 4

Transvaginal Ultrasound (Radiology)Nurse Assessment:Purpose:Preparation:Procedure/Position:

Answer 4

Nurse Assessment: AllergiesPurpose: Examine uterus, ovaries, cervix Full bladder, fetus, pelvic pain, ectopic pregnancy, infertility Preparation: Empty bladderProcedure: Wand inserted into vagina,

Question 5

Pap Smear (Invasive)Purpose:Aftercare:When to start Pap Smear?:

Answer 5

Purpose: Collecting cells from cervix, used to detect cervical cancerAftercare:When to start Pap Smear?:

Question 6

Biopsies(Invasive)

Answer 6

check Pelico

Question 7

Laparoscopy/Laparotomy (Invasive)Purpose:Procedure:

Answer 7

Purpose: Can be used for biopsy, hysterectomy, tube removal Procedure: via 1-2 small incisions, and video cameraGas can be used to insufflation under general anesthesia

Question 8

Colposcopy/Hysteroscopy (Invasive)Indicators: Purpose:

Answer 8

Indicators: Irregular pap smear or biopsy resultPurpose: Closely examine cervix, vagina and vulva

Question 9

Colposcopy: Preparation: Aftercare:

Answer 9

Preparation: Not during periodAvoid for 1-2 days before procedure using tampons, intercourse, vaginal medications Aftercare: Take OTC pain meds

Question 10

Colposcopy: If biopsy is takenExpect:Avoid:

Answer 10

Expect: light bleeding, dark discharge, vagina or vulva pain for a few daysAvoid: Douching, tampons and intercourse for one week

Question 11

LEEP: Loop ElectoSurgical Excision ProcedurePurpose: Procedure:

Answer 11

Purpose: Remove genital warts (which may indicate HPV infection a risk for cervical cancer), removal of benign polyps. Women who took DES during pregnancy are also at higher risk for cervical cancer and biopsy may be takenProcedure: Wire wand used to take biopsy of cervix and/or vaginal wall.

Question 12

LEEP: RISKS (5)Loop ElectoSurgical Excision Procedure

Answer 12

Bleedingscarringdifficulty getting pregnantpreterm and/or low birth baby weight

Question 13

LEEP: Loop ElectoSurgical Excision ProcedureNursing Assessment: (3)

Answer 13

Nursing Assessment: Hx of Pelvic inflammatory diseasebleeding disorderallergies to latex, iodinesteps in the procedures, preparation for after the procedure