Chapter 18 Flashcards

1
Q

WHO defines Health Promotion as __

A

the process of enabling people to increase control over, and to improve their health

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2
Q

risk reduction (examples)

A
  • eat healthy
  • exercise 150 minutes/week
  • immunizations
  • maintain healthy weight
  • avoid smoking
  • limit alcohol
  • wear seat belts and don’t speed
  • improve strength to lessen falls
  • prevent STI’s
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3
Q

leading causes of death for women in the U.S.

A
  • heart disease (22.3%)
  • cancer (21.6%)
  • chronic respiratory disease (6%)
  • stroke (6%)
  • alzheimer’s disease (5%)
  • accidents (3.9%)
  • diabetes (2.7%)
  • flu and pneumonia (2.2%)
  • kidney disease (1.8%)
  • septicemia (1.6%)
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4
Q

breast cancer screenings look for what genes?

A

BRACA1 and BRACA2

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5
Q

mammograms

A
  • low dose x-ray
  • takes image of breast
  • each breast is done individually
  • pressure is applied
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6
Q

what cannot be worn on the day of a mammagram

A

deodorant
powder
lotion
perfume

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7
Q

breast cancer: key to successful treatment

A

early detection

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8
Q

if abnormalities are found on a mammogram

A
  • abnorms are examined by ultrasound
  • biopsies may be necessary
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9
Q

BRACA1 & BRACA2: breast cancer risks

A
  • gene mutation
  • hereditary
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10
Q

if the woman is at an increased risk for breast cancer, what is recommended?

A

MRI
mammogram

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11
Q

visual signs of breast cancer

A
  • lump
  • skin dimpling
  • change in how nipple looks: pulling in of the nipple
  • change in skin color or texture
  • clear or bloody fluid that leaks out of the nipple
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12
Q

cervical cancer screening

A

pap test: papanicolaou smear

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13
Q

pap test (smear)

A
  • scraping done with brush or spatula
  • sent to lab for analysis
  • abnormal results followed up with further testing
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14
Q

best time to do a pap test?

A

5 days after end of menses

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15
Q

what is not allowed 48 hours prior to a pap test?

A

douching
tampons
creams
spermicides
vaginal meds
sex

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16
Q

early detection of precancerous cervical cells

A

pap test (smear)

17
Q

menopause stages

A
  1. perimenopause
  2. menopause
  3. post menopause
18
Q

perimenopause

A

begins several years before menopause

19
Q

menopause

A

1 year without menses

20
Q

post menopause

A

after 1 full year of no period

21
Q

menopause s/sx

A
  • irregular periods
  • hot flashes
  • night sweats
  • sleep disturbances
  • sexual dysfunction
  • psychological effects
  • other
22
Q

education for menopausal women

A
  • get rest
  • eat well balanced diet
  • exercise
  • avoid caffeine and alcohol
  • hormonal therapy for severe s/sx
  • wear cotton clothes to sleep
  • establish regular bedtime patterns
23
Q

education for menopausal women: hot flashes

A

avoid:
- alcohol
- hot drinks
- spicy foods
- warm rooms
- smoking
dress in layers
wear cotton clothing

24
Q

education for menopausal women: night sweats

A
  • sleep in cool room
  • use a fan
  • wear cotton clothes
  • take cool shower
25
Q

education for menopausal women: sleep disturbances

A
  • establish routine
  • don’t watch tv or computer before bed
  • eat early
  • avoid alcohol
26
Q

osteoporosis

A

loss of bone mass

27
Q

bone mass decreases after age

A

35

28
Q

___ % of osteoporosis occurs in women

A

80%

29
Q

osteoporosis increases the risk for

A
  • hip fractures
  • vertebral fractures
30
Q

osteoporosis s/sx

A
  • back pain from fracture
  • loss of height
  • stooped posture
  • bone fractures
31
Q

osteoporosis risk factors

A
  • caucasian women
  • tiny thin bones
  • family hx
  • smokers
  • inactive
  • calcium and vit D deficiency
  • > 3 drinks/day (alcohol)
  • weight loss surgery (gastric bypass)