Nur 130 exam Flashcards
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
Tamoxifen
Signs of Breast Cancer
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
not recommended during pregnancy, may cause fetal harm
Vibramycin
used to improve painful symptoms by producing high androgen/low estrogen environments
Danazol
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
Metronidazole
given for: Group B strep, gonorrhea, syphilis
Penicillin G (antibiotic)
Rhogam Indications/RH Negative Blood
used to prevent an immune response to RH positive blood-prevents it from making antibodies
used to treat herpes simplex virus(HSV) and varicella-zoster virus(VZV)
Acyclovir/HSV
Functions of the Placenta
organ that develops in the uterus during pregnancy
● Provides oxygen and nutrients to the growing fetus and removes waste products
changes that client experiences that make them think they might be pregnant
Presumptive Signs of Pregnancy
Amenorrhea
absence of menstruation
Probable Signs of Pregnancy
changes that make the examiner suspect a client is pregnant(primarily related to physical changes of the uterus)
softening and compressibility of lower uterus
● Hegar’s sign
deepened violent-bluish color of cervix and vaginal mucosa
● Chadwick’s sign
softening of cervical tip
● Goodell’s sign
rebound of unengaged fetus
● Ballottement
false contractions that are painless, irregular, and usually relieved by walking
● Braxton Hick contractions
Positive Signs of Pregnancy
signs only explained by pregnancy
● Fetal heart sounds
● Visualization of fetus by ultrasound
● Fetal movement- palpated by experienced examiner
GTPAL/Gravidity and Parity
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
Menopause
absence of menstruation for one full year
all postmenopausal women 65+, all postmenopausal women with fractures, postmenopausal women less than 65 with one or more risk factors
Bone mineral density(BMD) testing
measure bone density at hip, lumbar spine
DEXA scan
