Nur 130 exam

Question 1

estrogen receptor modulator
Used for patients at high risk for breast cancer to reduce their risk
Also used for patients after breast cancer surgery/chemo/radiation to prevent cancer from coming back

Answer 1

Tamoxifen

Question 2

Signs of Breast Cancer

Answer 2

Palpable lumps- usually non-mobile with irregular edges
Nipple discharge
Skin dimpling-skin changes
Pain
Nipple retraction or inversion
Skin redness
Palpable lymph nodes-especially in supraclavicular area	
Breast asymmetry

Question 3

not recommended during pregnancy, may cause fetal harm

Answer 3

Vibramycin

Question 4

used to improve painful symptoms by producing high androgen/low estrogen environments

Answer 4

Danazol

Question 5

antibiotic used to treat bacterial infections of vagina, stomach, liver, skin, joints, brain and spinal cord, lungs, heart, or bloodstream
● Shouldn’t take during first trimester-can harm fetus
● Shouldn’t breastfeed 24 hours after using

Answer 5

Metronidazole

Question 6

given for: Group B strep, gonorrhea, syphilis

Answer 6

Penicillin G (antibiotic)

Question 7

Rhogam Indications/RH Negative Blood

Answer 7

used to prevent an immune response to RH positive blood-prevents it from making antibodies

Question 8

used to treat herpes simplex virus(HSV) and varicella-zoster virus(VZV)

Answer 8

Acyclovir/HSV

Question 9

Functions of the Placenta

Answer 9

organ that develops in the uterus during pregnancy

● Provides oxygen and nutrients to the growing fetus and removes waste products

Question 10

changes that client experiences that make them think they might be pregnant

Answer 10

Presumptive Signs of Pregnancy

Question 11

Amenorrhea

Answer 11

absence of menstruation

Question 12

Probable Signs of Pregnancy

Answer 12

changes that make the examiner suspect a client is pregnant(primarily related to physical changes of the uterus)

Question 13

softening and compressibility of lower uterus

Answer 13

● Hegar’s sign

Question 14

deepened violent-bluish color of cervix and vaginal mucosa

Answer 14

● Chadwick’s sign

Question 15

softening of cervical tip

Answer 15

● Goodell’s sign

Question 16

rebound of unengaged fetus

Answer 16

● Ballottement

Question 17

false contractions that are painless, irregular, and usually relieved by walking

Answer 17

● Braxton Hick contractions

Question 18

Positive Signs of Pregnancy

Answer 18

signs only explained by pregnancy
● Fetal heart sounds
● Visualization of fetus by ultrasound
● Fetal movement- palpated by experienced examiner

Question 19

GTPAL/Gravidity and Parity

Answer 19

G- # of pregnancies
T- # of Term births
P- # of births after 20 weeks, before 37 weeks (Preterm)
A- # of spontaneous of therapeutic Abortions
L- # of Living children

Question 20

Menopause

Answer 20

absence of menstruation for one full year

Question 21

all postmenopausal women 65+, all postmenopausal women with fractures, postmenopausal women less than 65 with one or more risk factors

Answer 21

Bone mineral density(BMD) testing

Question 22

measure bone density at hip, lumbar spine

Answer 22

DEXA scan