Diagnostic Testing

Question 1

Complete Blood Count CBC (5)

Answer 1

RBC's, 
WBC's, 
Plasma
Hematocrit, 
Hemoglobin

Question 2

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

Answer 2

Screening Test for ovarian cancer ONLY for high risk pt
Not always accurate
Monitor cancer during and after TX

Question 3

Urinalysis:
Purpose: (3)

Answer 3

Assess overall health
dx medical condition
Monitor medical condition

Question 4

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

Answer 4

Nurse Assessment: Allergies
Purpose: Examine uterus, ovaries, cervix Full bladder, fetus, pelvic pain, ectopic pregnancy, infertility
Preparation: Empty bladder
Procedure: 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 cancer
Aftercare:
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 camera
Gas can be used to insufflation under general anesthesia

Question 8

Colposcopy/Hysteroscopy (Invasive)
Indicators:
Purpose:

Answer 8

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

Question 9

Colposcopy:
Preparation:
Aftercare:

Answer 9

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

Question 10

Colposcopy: If biopsy is taken
Expect:
Avoid:

Answer 10

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

Question 11

LEEP: Loop ElectoSurgical Excision Procedure
Purpose:
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 taken
Procedure: Wire wand used to take biopsy of cervix and/or vaginal wall.

Question 12

LEEP: RISKS (5)

Loop ElectoSurgical Excision Procedure

Answer 12

Bleeding
scarring
difficulty getting pregnant
preterm and/or low birth baby weight

Question 13

LEEP: Loop ElectoSurgical Excision Procedure

Nursing Assessment: (3)

Answer 13

Nursing Assessment:  
Hx of Pelvic inflammatory disease
bleeding disorder
allergies to latex, iodine
steps in the procedures, preparation for after the procedure