Oncology FEMALE Flashcards
When should a girl start doing her monthly self breast exam?
As soon as she begins menstruation
why would you not wanna do your monthly self breast exam right before or during your period starts?
because of swelling and tenderness
If you have a patient that’s post-menaupausal or had a hysterectomy, how would you tell them to remember when to do their monthly self breast exam?
pick a date in the month and do it the same date each month. ex: the 14th of each month
Clinical breast exams need to be done on women >___ years old
40 y.o
Women ages 20- 39 need clinical breast exams done every___ years
3
A pap smear is only needed every__ years if there has been no trouble
3
T OR F? You should never use a douche unless it’s medically prescribed. why?
T! It can alter the cervical cells
T OR F? It’s ok to have sex before pap- smear
F!
A mammogram baseline should be done between __ to __ years of age. Should be done yearly after___ y.o
35 - 40 40
Before you have a mammogram, what should you NOT have on your body? why?
Lotion powder deodorant they can show up as calcium deposits (calcium deposits typically mean cancer)
Colonoscopy starts at age___ and then every ___ years after that.
50 ; 10 but, the more problems you’ve had, the more frequently you need to do it.
Cervical cancer: Sex, pregnancy at a young age, and repeated STDs (whoever is most reproductively mature) are all___
risk factors
T OR F? The early sign of pre-invasive cervical cancer is lower abdominal pain
F! Often asymptomatic
What is the classic symptom of invasive cervical cancer?
Painless vaginal bleeding
other general S/S of cervical cancer: watery, blood tinged___ leg pain along the ___ nerve back/___pain
vaginal discharge sciatic flank
T OR F? There’s a 100% cure of cervical cancer is detected early what is the test to help DX this? what will they do if it’s abnormal the firs time?
T! pap smear they’ll repeat the test
What is conization? what is a hysterectomy?
- remove part of cervix -remove uterus
What does a TAH (Total abdominal hysterectomy) consist of? bilateral oopherectomy is the removal of ___ bilateral salpingectomy is the removal of___
ONLY the removal of the uterus and cervix! ovaries fallopian tubes
What is a radical hysterectomy?
removal of ALL the pelvic organs. This patient can be expected to have a colostomy or an illeal conduit.
the GREATEST time for bleeding/hemorrhage following these surgeries is___. why?
the 1st 24 hours pelvic congestion of blood (we have a lot of blood rushing to the pelvis)
What is the MAJOR complication with abdominal hysterectomy?
Hemorrhage
What is the MAJOR complication with a vaginal hysterectomy?
infection because the vagina harbors mucho bacteria.
After having any surgery involving general anesthesia, ESPECIALLY after having a hysterectomy, YOU BETTER MAKE SURE THAT THIS PATIENT CAN___ in the next 8 hours.
pee/ void
Why is it so important to prevent abdominal distention after having a hysterectomy? that can cause what?
- we do not want tension on the suture line; - dehiscence (when wound margins are separating) evisceration (when you have organs coming out)
Which position should we avoid putting this patient in? why?
High fowlers position we don’t wanna put more pressure on the incision site, and in that position, more blood will rush to the site
Because this patient is at risk for pneumonia, thrombophlebitis, and constipation. what is one thing we can do to prevent these complication?
early ambulation
(they are able to walk now and because immobility causes constipation by making you pee more… you lose water, so you gotta walk)
Avoid what 5 things after having this surgery for a period of time?
1- sex
2- driving
3- girdles
4- douches
5- any exercise, including lifting heavy objects that will increase pelvic congestion
is it possible that a patient can experience hemorrhage 10 - 14 days after surgery?
yes
is a whitish vaginal discharge ok?
yes; whitish is normal. worry about infection when it starts to change colors.
must this patient take showers or baths? why?
showers. baths will promote an ascending infection
T OR F? Many tumors in women are testosterone dependent.
F! estrogen dependent
