NUR 2633 MC EXAM 1 QUESTION WITH COMPLETE SOLUTIONS
breast self examination (BSE) - Correct AnswersStart in the 20's
5-7 (maybe 10) days after menstruation
1. Supine position
2. RT arm behind head
3. Opposite hand - pads of 3 middle fingers
4. Dime-sized circular motions
Light, medium, & firm pressure
Repeat step 4, Up and down
Pressing down on hips contracts chest muscles and enhances breast changes
Mammography Screening - Correct AnswersX-ray of the breast tissue to detect abnormal
growths
Screening tool
MRI (magnetic resonance imaging) - Correct AnswersNoninvasive nuclear procedure is
especially useful in women with an inherited susceptibility to breast cancer
NOT a substitute for a mammogram
Screening tool
Clinical Breast Exam (CBE) - Correct AnswersShould be performed annually
Annual screening after age 40
Screening tool
Breast Cancer - Correct AnswersAfrican American women are at a lower risk than Caucasian
women
If a patient finds a breast lump, how should the nurse advise her? - Correct AnswersFeeling a
lump is never normal! Have the PT F/U to do further testing!
Breast tissue thickens during pregnancy
Endometrial lining also thickens
,Emergency Contraceptive Pills (ECP) - Correct AnswersCan be used up to 72 hrs after
intercourse
Three types:
1. Combined ECPs (contain both estrogen & progestin)
2. One-dose progestin-only ECPs such as Plan B One-Step
3. A one-dose ECP that contains an anti progestin (Ella)
Progestin-only ECPs are most common - Fever S.E. & more effective
** ECPs do NOT cause abortion or harm an established pregnancy
Can delay ovulation, teach PT to use backup contraception
IUD (intrauterine device) - Correct AnswersIndications:
1. Nullipara
2. Adolescents
3. Hx of ectopic pregnancies
4. Lactating women
5. Women w/+ HIV test
6. Immediately post 1st trimester abortion
Preparations:
1. - Pregnancy test
2. Tx for dysplasia
3. Eval for abnormal uterine bleeding
4. Cervical cultures to rule out STIs
5. CONSENT FORM
Risks
1. High rate of ectopic pregnancies in tubal ligation procedures that fail
Sterilization - Correct AnswersPermanent & irreversible
Requires informed consent
Types:
1. Bilateral tubal ligation (BTL): Best performed within 48 hrs of vaginal birth or during
cesarean birth
Hysterosalpingogram is a dye test performed at 3 months, after procedure, to confirm tubal
patency
, Vasectomy - Correct AnswersPerformed under local anesthesia & involves a small incision in
the scrotum
Interrupts the passage of sperm into the seminal fluid
Semen no longer contain sperm
Depo-Provera - Correct AnswersMedroxyprogesterone acetate
Bone mass may be adversely affected (Length of use may contribute to loss of bone mass)
Educate PT must take calcium and vitamin D to prevent bone loss while on Depo-Provera
Do not forget: Weight-bearing exercises also help!
Weight gain can be expected
Q 12 wks
Cervical Cap - Correct AnswersPlaced directly over the cervix
1/3 of cap is filled with spermicide, also applied to outside of cap
Inserted up to 6 hrs before intercourse & should be kept in for up to 6 hrs after the last
intercourse
Should never be in place for longer than 48 hrs
Remove by rotating the device & pushing tip of finger against the dome to break the suction
Cap should be washed with soap & water & stored in a dry cool place.
Condoms - Correct AnswersW/O reservoir tip, leave small space at the end
Natural skin condos do NOT protect against HIV & STIs
May cause anaphylactic reaction for latex allergy
85% accuracy
Abstinence - Correct AnswersThe only thing that protects against both STIs and pregnancy
Oral Contraceptives - Correct AnswersGoal of contraceptives is to prevent ovulation
Take at same time of day
breast self examination (BSE) - Correct AnswersStart in the 20's
5-7 (maybe 10) days after menstruation
1. Supine position
2. RT arm behind head
3. Opposite hand - pads of 3 middle fingers
4. Dime-sized circular motions
Light, medium, & firm pressure
Repeat step 4, Up and down
Pressing down on hips contracts chest muscles and enhances breast changes
Mammography Screening - Correct AnswersX-ray of the breast tissue to detect abnormal
growths
Screening tool
MRI (magnetic resonance imaging) - Correct AnswersNoninvasive nuclear procedure is
especially useful in women with an inherited susceptibility to breast cancer
NOT a substitute for a mammogram
Screening tool
Clinical Breast Exam (CBE) - Correct AnswersShould be performed annually
Annual screening after age 40
Screening tool
Breast Cancer - Correct AnswersAfrican American women are at a lower risk than Caucasian
women
If a patient finds a breast lump, how should the nurse advise her? - Correct AnswersFeeling a
lump is never normal! Have the PT F/U to do further testing!
Breast tissue thickens during pregnancy
Endometrial lining also thickens
,Emergency Contraceptive Pills (ECP) - Correct AnswersCan be used up to 72 hrs after
intercourse
Three types:
1. Combined ECPs (contain both estrogen & progestin)
2. One-dose progestin-only ECPs such as Plan B One-Step
3. A one-dose ECP that contains an anti progestin (Ella)
Progestin-only ECPs are most common - Fever S.E. & more effective
** ECPs do NOT cause abortion or harm an established pregnancy
Can delay ovulation, teach PT to use backup contraception
IUD (intrauterine device) - Correct AnswersIndications:
1. Nullipara
2. Adolescents
3. Hx of ectopic pregnancies
4. Lactating women
5. Women w/+ HIV test
6. Immediately post 1st trimester abortion
Preparations:
1. - Pregnancy test
2. Tx for dysplasia
3. Eval for abnormal uterine bleeding
4. Cervical cultures to rule out STIs
5. CONSENT FORM
Risks
1. High rate of ectopic pregnancies in tubal ligation procedures that fail
Sterilization - Correct AnswersPermanent & irreversible
Requires informed consent
Types:
1. Bilateral tubal ligation (BTL): Best performed within 48 hrs of vaginal birth or during
cesarean birth
Hysterosalpingogram is a dye test performed at 3 months, after procedure, to confirm tubal
patency
, Vasectomy - Correct AnswersPerformed under local anesthesia & involves a small incision in
the scrotum
Interrupts the passage of sperm into the seminal fluid
Semen no longer contain sperm
Depo-Provera - Correct AnswersMedroxyprogesterone acetate
Bone mass may be adversely affected (Length of use may contribute to loss of bone mass)
Educate PT must take calcium and vitamin D to prevent bone loss while on Depo-Provera
Do not forget: Weight-bearing exercises also help!
Weight gain can be expected
Q 12 wks
Cervical Cap - Correct AnswersPlaced directly over the cervix
1/3 of cap is filled with spermicide, also applied to outside of cap
Inserted up to 6 hrs before intercourse & should be kept in for up to 6 hrs after the last
intercourse
Should never be in place for longer than 48 hrs
Remove by rotating the device & pushing tip of finger against the dome to break the suction
Cap should be washed with soap & water & stored in a dry cool place.
Condoms - Correct AnswersW/O reservoir tip, leave small space at the end
Natural skin condos do NOT protect against HIV & STIs
May cause anaphylactic reaction for latex allergy
85% accuracy
Abstinence - Correct AnswersThe only thing that protects against both STIs and pregnancy
Oral Contraceptives - Correct AnswersGoal of contraceptives is to prevent ovulation
Take at same time of day
