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NUR 335 / NUR335 EXAM 5. QUESTIONS WITH 100% CORRECT ANSWERS

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What are risk factors for developing endometrial/uterine cancer? s/s? Dx? Tx? - Risk factors: menopause hormone therapy including just estrogen for women with uterus, early menarche or late menopause, obesity, tamoxifen (used to decrease risk for breast cancer), never preg, DM - s/s: bleeding after menopause or AUB, abnormal vag discharge, dysuria, pelvic pain/pressure - Dx: endometrial biopsy, PET scan to determine if metastasized - Tx: hyst, radiation, chemo, progesterone, "-zumab" drugs target tumor What are risk factors for developing ovarian cancer? s/s? Dx? Tx? - risk factors: fam Hx, older than 55, obesity, first preg after 35, infertility treatment for more than 1 year, BRACA 1 or 2 - s/s: pressure or pain in abdomen, pelvis, back, or leg, swollen/bloated abdomen, urinary urgency and frequency - Dx: transvaginal ultrasound and CA-125 blood test - Tx: total hyst with bilat salpingo-oopherectomy, chemo, "-zumab" "poly-" and "-tinib" target therapy What are side effects of radiation and chemo? Radiation: diarrhea, fatigue, sexual/fertility changes, skin changes, skin changes, urinary and bladder changes, n/v, bruising, anemia, premature menopause, leg edema, weakened bones Chemo: anemia, appetite changes (use plastic silverware), increased bleeding, mouth and throat ulcerations and dryness What are risk factors for IPV? s/s? - risk factors: low self esteem, poor academic performance, adolescent, young adult, few friends, substance use, marital conflict - s/s: repeated nonspecific complaints, abnormal behavior surrounding injury history, untreated serious injury, multiple bruises at various stages of healing

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NUR 335 EXAM 5
What are the 3 leading causes of death in women?
heart disease, cancer, unintentional injuries and accidents




What are heart attack symptoms in women?
pressure on chest
neck, back, jaw pain
severe SOB
cold sweats
fatigue
lightheadedness/dizziness
n/v




Which immunizations should adult females get? how frequently?
- Influenza: annually
- Tdap: q10years
- MMR: 1 dose for women 19-59 y/o
- Varicella: 1 round of 2 doses 4-8 weeks apart
- Herpes zoster: 1 round of 2 doses if over 50 y/o

,What does HPV cause?
genital warts and cervical cancer




When should females get the HPV vaccine? contraindications? important
information?
- 1st dose before becoming sexually active/ before 15/ around 11-12 years old;
second dose 6 months after first
- yeast allergy and sever acute illness
- does not protect against STIs




What BMI is considered obese? what does obesity increase the risk for?
- over 30
- associated risks: HTN, CAD, T2DM, stroke, cholecystitis, sleep apnea, cancers,
osteoarthritis, menstrual abnormalities, infertility, miscarriage, macrosomia




What are some health promotion/maintenance suggestions we can give to
patients?
- Exercise: 150 or more minutes of exercise a week
- Diet: fruits, veggies, grains, fiber, fat-free/low-fat dairy, fish, low sat-fat

, - smoking: avoid smoking and second hand smoke
- alcohol: 1 drink per day for women; dont drink in pregnancy because it increases
risk for FAS, premie, birth defect, SGA, miscarriage, stillbirth




Which screenings should women get and when?
- pap: q3years up to 30 then every 5 years up to 65 years old; best to get in the 10-20
days after the start of your period that month
- mammogram and MRI: annually if positive for BRACA 1 or 2 gene mutations
(educate no deodorant or lotion on day of procedure)
- DXA scan: frequency is based on risk after 65 or after menopause
- STI testing: all pregnant women should be STI tested, otherwise it is according to
risk
- colonoscopy: every 10 years staring at age 50 until age 75




What is puberty? what changes occur? when does menstruation begin? when is
puberty over? age related risks?
- definition: period of time when a person sexually matures and becomes capable of
reproduction
- changes: breast enlargement, body hair, widening of the hips, accelerated growth
- menarche: occurs 2-2.5 years after beginning puberty
- end: when menstruation pattern becomes regular
- risks: mentrual disorders, acne, ED, STI, teen pregnancy, mental health issues,
unintentional injuries, suicide

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