Exam 3

Question 1

Adnexa

Answer 1

Description of ovaries and fallopian tubes

Question 2

Amenorrhea

Answer 2

Absence of menstrual flow

Question 3

Chandelier Sign

Answer 3

Pain of movement of cervix

Question 4

Cystocele

Answer 4

Bladder protruding into the vagina

Question 5

Dysmenorrhea

Answer 5

Painful Menstration

Question 6

Dyspareunia

Answer 6

Painful sexual intercourse

Question 7

Endometriosis

Answer 7

Implantation of endometrial tissue in other areas of the pelvis

Question 8

Menarche

Answer 8

Beginning of menstration

Question 9

The nurse discussing nutritional needs for a postmenopausal patient. What dietary increase should the nurse recommend?

Answer 9

Calcium

Question 10

In educating a pt with PMS about changing her dietary practices, what should the nurse recoommend that she increase intake of?

Answer 10

Iron

Question 11

A pt comes in with the complaint of “terrible pain” during menstruation. What is this called?

Answer 11

Menorrhagia

Question 12

What is the most common side effect of transdermal contraceptives?

Answer 12

Breast cancer

Question 13

What should the nurse do if a pt shows up to a gyno exam and pap on their menstrual cycle?

Answer 13

“We will reschedule your exam when you have finished menstruating”

Question 14

What are common physical symptoms of PMS?

Answer 14

Fluid retention, back pain and headache

Question 15

What drug is used only in early pregnancy o terminate nonsurgically?

Answer 15

Mifepristone (RU-486, Mifeprex)

Question 16

Pelvic exams should be done

Answer 16

For all sexually active, regardless of age. Starting at age 21 every year. Even 65+

Question 17

Self breasts exams should be done

Answer 17

Starting at age 19-21 every year. Includes 65+

Question 18

PAP tests should be done

Answer 18

Ages 21-29 every 3 years. 30-64 every 3 years or PAP + HPV testing every 5 years if nothing abnormal has shown. 65+ does not need them if 10+ years of regular PAP or hysterectomy.

Question 19

Mammograms should be done

Answer 19

Ages 45-54 every year. Ages 55+ every 1-2 years. Breast cancer risk increases with age.

Question 20

Colposcopy

Answer 20

Scope to look inside. Explain to pt what is about to happen. It will look for abnormal cells. If abnormal cells are found they normally take a biopsy at that time.

Question 21

Cryptherapy

Answer 21

Freeze cervical tissue with nitrous oxide. Report excessive bleeding, pain or fever.

Question 22

Nulliparity

Answer 22

No pregnancies

Question 23

Premenstrual dysphoric disorder (PMDD)

Answer 23

More severe form of PMS. Assess for suicidal behavior, uncontrollable behavior, or violence.

Question 24

Amenorrhea

Answer 24

Absence of menstrual flow. Often caused by anorexia.

Question 25

Menopause begins

Answer 25

Age 48-55. S/S: Increase in body fat, Increase in intra-abdominal deposition of body fat, Increased total cholesterol, Hot flashes (r/t altered thermoregulation), Irregular menses, Breast tenderness, Mood changes, Night sweats

Question 26

What are the pros and cons with hormone therapy to treat menopause?

Answer 26

The pro would be treating the symptoms of menopause such as hot flashes. The con is hormone treatment increases the risk for MI, stroke, breast cancer and thromboembolism.

Question 27

Vesicovaginal

Answer 27

Fistula- urine into the vagina

Question 28

Rectovaginal

Answer 28

Fistula- feces and flatus into the vagina

Question 29

Cervical cancer risk factors

Answer 29

Chronic cervical infection Early childbearing Exposure to diethylstilbestrol in utero Exposure to human papillomavirus, types 16 and 18 Family history of cervical cancer HIV infection and other causes of immune deficiency Low socioeconomic status (may be related to early marriage and early childbearing) Nutritional deficiencies (folate, beta-carotene, and vitamin C levels are lower in women with cervical cancer than in women without it) Overweight status Prolonged use of oral contraceptives Sexual activity: Multiple sex partners Early age (<20 years) at first coitus (exposes the vulnerable young cervix to potential viruses from a partner) Sexual contact with men whose partners have had cervical cancer Sex with uncircumcised men Smoking and exposure to secondhand smoke