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NUR372 > Reproductive > Flashcards

Reproductive Flashcards

1
Q

Treatment for fibrocystic breast

A

Pain management
Limit salt intake before menses to decrease swelling
Wear supportive bra, even while sleeping, reduces tension on ligaments
Ice or Heat application temporary relief
Oral contraceptives
Vitamin Supplements
Diuretics

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2
Q

fibrocystic breast

A

Changes in the lobules, ducts and stromal tissues of breast

Caused by imbalance in estrogen-to-progesterone ratio

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3
Q

Risk factors for breast cancer

A 
Family History
BRCA Gene (Jewish Heritage)
Alcohol
Hormone Replacement Therapy
Nulliparity or childbirth after 30
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4
Q

Self breast exam

A

Premenopausal- Examine breasts 1 week after menstrual cycle

Postmenopausal-Pick one day each month to perform SBE

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5
Q

Post-mastectomy nursing interventions and considerations

A 
Reduce Lymphedema 
Do not take blood pressure or place IV on side of mastectomy
Elevate affected arm
Do not immobilize affected side
Encourage arm exercise at home 
Address body image and coping
Monitoring drains at home- EDUCATE!
Early ambulation
Regular Diet
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6
Q

Pelvic organ prolapse S/S

A 
Dyspareunia- painful intercourse
Backache
Heaviness or pressure in pelvis
Feels like ‘something fell out’
Urinary difficulties
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7
Q

Pelvic organ prolapse

A

Pelvic organs are supported by a sling of muscles and tendons, when they become weak they can no longer keep organs in place

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8
Q

Uterine fibroids treatment

A 
Asymptomatic fibroids do not require treatment
Contraceptives
Hysterectomy if severe:
-Total abdominal hysterectomy
-Transvaginal hysterectomy
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9
Q

Uterine fibroids patient teaching

A

tell them to track how many pads are they saturating to figure out how much blood

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10
Q

Uterine Fibroids

A

Benign, slow-growing solid tumors of uterus

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11
Q

Endometrial Cancer: who’s at risk?

A

Caucasian females

Prolonged exposure to estrogen without protective progesterone

Gene mutation for hereditary nonpolyposis colon cancer (HNPCC)

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12
Q

Endometrial Cancer surgical options

A

Total hysterectomy: take everything out

Bilateral Salpingo-oophorectomy: may take uterus but leave cervix

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13
Q

Cervical Cancer: who’s at risk?

A

first intercourse at young age
multiple partners
smokers
history if STD

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14
Q

Cervical cancer leading cause

A

Human papilloma virus

HPV testing at 30 years old

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15
Q

Recommended screenings for HPV

A

HPV testing should start at 30 years old

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16
Q

Patient teaching related to HPV vaccination

A

Gardasil
can be given as early as 9 years old

Schedule -, 2nd dose 1 month after first dose and 3rd dose 6 months from 1st dose

17
Q

Ovarian Cancer

A

grows RAPIDLY and bilaterally

high reoccurence

18
Q

Ovarian Cancer: who’s at risk?

A 
People who have:
Excessive exposure to estrogen
Over 40
Nullparity: women who have never given birth
BRCA1 or BRCA2 gene mutation
19
Q

Prostate cancer: who’s at risk?

A

Men over 65
In U.S., African American men
Prostate Cancer in Family
Diet high in red meat and fat

20
Q

Testicular Cancer: who’s at risk?

A 
Cryptorchidism (undescended testes)
HIV infection
Family history
Cancer of one testicle
Caucasian male
21
Q

Testicular Cancer S/S

A

Mass in or enlarged testicle
Gynecomastia, Feminization
Oligospermia (low sperm count)
Azoospermia (absence of sperm)

22
Q

Testicular Cancer makes men

A

infertile

discuss sperm banking

23
Q

Testicular Torsion

A

A twisting of spermatic cord and blood vessels. This is a urological emergency. The testicular viability greatly diminishes within 6 hours.

24
Q

Testicular Torsion commonly occurs in

A

children and adolescents

25
Q

Testicular Torsion S/S

A

Pain and swelling

Loss of cremasteric reflex

26
Q

Testicular Torsion treatment

A

surgery

27
Q

Benign Prostatic Hyperplasia (BPH)

A

Glandular Units of Prostate undergo Hyperplasia (increase in number of cells)

28
Q

Calculating urinary output post-Turp

A

Amount in catheter bag drained – amount of fluid used to irrigate

Should be voiding 150-200 mL clear yellow urine every 3-4 hours after third day post-op

29
Q

Benign Prostatic Hyperplasia (BPH) nonsurgical interventions

A

Frequent Ejaculations
Avoid drinking a lot of fluid
Avoid alcohol, diuretics, caffeine
Avoid drugs cause urinary retention (antihistamines, anticholinergics, decongestants, antidepressants)

30
Q

Prostate cancer is the second most common cancer at nearly

A

100 percent cure rate

31
Q

Care after TURP

A

Expect hematuria for first few days

Bladder irrigation is used to prevent formation of blood clots

Monitor for severe hyponatremia caused by excessive absorption of bladder irrigation

Monitor for post-operative infection and hemorrhaging

32
Q

Transurethreal Resection of Prostate

A

TURP

33
Q

signs and symptoms of hyponatremia

A 
Altered mental status
Bradycardia
Hypertension
Confusion
Visual disturbances
Nausea and vomiting

NUR372 (13 decks)

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