Test 4

Question 1

What is the purpose of the pap smear?

Answer 1

Assess for the abnormal cellular changes that can lead to cervical cancer.

Question 2

Prior to pap smear screening, instruct the client to avoid: 3

Answer 2

Douche
Sex (48 hours)
Spermicides

Question 3

During a pap smear, it is important for the nurse to make the pap smear less _____________

Answer 3

threatening

Question 4

When should you begin to start screening for cervical cancer?
what age?

Answer 4

21 years old

Question 5

When are you able to stop receiving a pap smear?

Answer 5

65 years and older — stop routine screening if results are normal the previous 10 years

Question 6

A _____________ is used to magnify the tissue being examined from a pap smear. Application of acetic acid to help highlight any areas of suspicious cells. Areas of concern to determine treatment plan.
GOAL: prevent ___________ ________

Answer 6

colposcopy
cervical cancer

Question 7

A Culdoscopy is a visualization of the __________, _____________ ______, __________, and small intestines via a lighted tube inserted into the vagina via the cu-de-sac.

Answer 7

ovaries
fallopian tubes
uterus

Question 8

A culdoscopy is used to remove an __________ pregnancy. It is also used to evaluate ___________ disorders and pelvic __________.

Answer 8

ectopic
ovarian
masses

Question 9

A patient should avoid douching and intercourse for ____ weeks post culdoscopy

Answer 9

2

Question 10

Treatment for Cervical Dysplasia
*____________/ Laser therapy is used to freeze cervical cancer tissue with nitrous oxide
* Cone Bx Loop Electrosurgical Excision Procedure (LEEP) is a fine wire loop that has a low voltage electrical current to remove ____________ layer of cervical cells

Answer 10

Cryotherapy
abnormal

Question 11

Cervical cancer is often ________________.
Signs and Symptoms: **painless vaginal ___________, watery foul odor (progressively darken), irregular _________, bleeding b/w periods
Treatment: LEEP therapy, cryotherapy, cervical conization, hysterectomy

Answer 11

asymptomatic
bleeding
periods

Question 12

What is removed in a hysterectomy?

Answer 12

Uterus
cervix

Question 13

Reasons for Hysterectomy
- Uterine ________
- Heavy or unusual vaginal ___________
- Uterine ___________
- Endometriosis (severe)
- Chronic Pelvic Inflammatory disease (PID)
- Adenomyosis
- C______ of the uterus, ovary, cervix, or endometrium

Answer 13

fibroids
bleeding
prolapse
Cancer

Question 14

HPV vaccine is used for ____________ cancer prevention. HPV vaccine is best at ___-___ years old. Vaccine recommended for ages ___-___ for both males and females

Answer 14

cervical
11-12
9-26

Question 15

Ovarian cancer begins in the ________. Often found at late stage with no specific ___________.

Answer 15

ovaries
symptoms

Question 16

Symptoms of ovarian cancer
- __________ swelling / bloating
- Pelvic pressure/ abdominal pain
- Difficulty ________
- Urinary symptoms such as ___________ and ___________

Answer 16

abdominal
eating
frequency, urgency

Question 17

Risk factors of ovarian cancer include
- Increased ____
- Hx of _______ cancer
- BRCA1 or BRCA2 gene mutation
- Family history of breast or ________ cancer

Answer 17

age
breast
ovarian

Question 18

Fibrocycstic breasts is a ___-________ condition: presence of soft, movable, tender lumps (more common at the time of menses)
** NOT a precursor to _________ cancer
** caused by ____________ hormones made by the ovaries
symptoms
- swelling
- tenderness
- pain
- thickening of tissue
- lumps in one or both breasts

Answer 18

non-cancerous
breast
fluctuating

Question 19

Characteristics of breast cancer include:

Answer 19

small, immobile, painless lump (unilateral)