CERTIFIED NURSE FIRST ASSISTANT CRNFA
QUESTIONS AND ANSWERS SURE A+
✔✔Ureters - ✔✔It is important to make an early identification and to avoid which of the
following structures during TAH?
✔✔Internal iliacs - ✔✔The uterine arteries branch from the?
✔✔Skeletonization - ✔✔Dissecting excess tissue from around the uterine vessels for
secure clamping is?
✔✔reperitonealization - ✔✔Reapproximating the bladder flap peritoneum to the
posterior cul-de-sac peritoneum is referred to as?
✔✔They are contaminated with vaginal flora - ✔✔Why would instruments be isolated
from the sterile field during a hysterectomy?
✔✔Cinch the stitch down securely on the pedicle and enable you to place a second
stitch or free tie on the pedicle. - ✔✔Purpose of flashing is?
✔✔Infundibulum - ✔✔Funnel shaped portion of the uterus?
✔✔absorbable - ✔✔The suture used to ligate a uterine artery is always a
_______________ suture?
✔✔round ligament - ✔✔Following a tubular structure to the side wall during a
hysterectomy help identify it as the ?
✔✔The cornea of the uterine tubes - ✔✔What structure mark the end of the fundus and
the beginning of the corpus?
✔✔Mesovarium - ✔✔The mesentery of the ovary and ovarian ligament is called the ?
,✔✔Fibroids
Cancer
Abnormal bleeding
endometriosis - ✔✔Valid indications for a hysterectomy are?
✔✔rectus abdominis muscle - ✔✔Abdominal wall structure that is encased by the
anterior and posterior rectus sheath?
✔✔Visceral - ✔✔peritoneum which lines the abdominopelvic organs is called the ?
✔✔To prevent rectus diastasis - ✔✔Why do some surgeons choose to approximate the
rectus abdominus muscles?
✔✔Urinary bladder - ✔✔By opening the anterior leaf of the broad ligament, what
structure can be dissected from the lower uterus and cervix?
✔✔Cervix - ✔✔The Ureter passes more closely to the uterus at this level?
✔✔Fimbria - ✔✔Finger-like projections at the open end of the uterine tubes are referred
to as the?
✔✔Bleeding Hx
Skin integrity
anxiety level
continence status
contraceptive Hx
maternal diethylstilbestrol therapy
core body temp
sexually transmitted disease his/hx
allergies
pain/discomfort
abdominal girth
menstural cycle
hormone replacement therapy
positional considerations
Rh factor status - ✔✔Assessment of the gynecologic surgery patient includes:
✔✔CBC
blood chemistry
pap smear
CT
MRI
U/S
ECG
, Chest Xray
colposcopy
UA
Blood type
D&C - ✔✔Possible diagnostic studies indicated for a hysterectomy ?
✔✔CO2 via veress needle
seeing at 15mm HG
maintaining pneumoperitoneum - ✔✔The process of insufflation includes?
✔✔Excision of the uterus from the superior aspect to the uterine vessels - ✔✔During
LAVH surgery where is the uterus excised from?
✔✔faster recovery
shorter length stay
less adhesions - ✔✔Advantages of LAVH/Robotic AVH are?
✔✔avoid heavy lifting/driving for 7-10 days
avoid intercourse, douching, tampons until seen by dr
call DR if redness, swelling at the incision site - ✔✔Post op considerations for LAVH
✔✔pulmonary disease
size of uterus - ✔✔Limitations on contraindications for performing LAVH/RAVH would
be?
✔✔Inflammatory
proliferative
remodeling (maturation) - ✔✔Name the Phases of wound healing
✔✔1-5 days - ✔✔how long is the inflammatory phase of wound healing ?
✔✔3 weeks - ✔✔The proliferative stage of wound healing can last up to ?
✔✔21 days to months - ✔✔Remodeling(maturation) phase of wound healing can take
how long?
✔✔Collagen fibers reorganize and tighten to reduce scar
tensile strength increases - ✔✔What occurs during the Remodeling(maturation) phase
of wound healing?
✔✔vasoconstriction
platelet aggregation and formation
phagocytosis - ✔✔What takes place in the Inflammatory phase of wound healing?
QUESTIONS AND ANSWERS SURE A+
✔✔Ureters - ✔✔It is important to make an early identification and to avoid which of the
following structures during TAH?
✔✔Internal iliacs - ✔✔The uterine arteries branch from the?
✔✔Skeletonization - ✔✔Dissecting excess tissue from around the uterine vessels for
secure clamping is?
✔✔reperitonealization - ✔✔Reapproximating the bladder flap peritoneum to the
posterior cul-de-sac peritoneum is referred to as?
✔✔They are contaminated with vaginal flora - ✔✔Why would instruments be isolated
from the sterile field during a hysterectomy?
✔✔Cinch the stitch down securely on the pedicle and enable you to place a second
stitch or free tie on the pedicle. - ✔✔Purpose of flashing is?
✔✔Infundibulum - ✔✔Funnel shaped portion of the uterus?
✔✔absorbable - ✔✔The suture used to ligate a uterine artery is always a
_______________ suture?
✔✔round ligament - ✔✔Following a tubular structure to the side wall during a
hysterectomy help identify it as the ?
✔✔The cornea of the uterine tubes - ✔✔What structure mark the end of the fundus and
the beginning of the corpus?
✔✔Mesovarium - ✔✔The mesentery of the ovary and ovarian ligament is called the ?
,✔✔Fibroids
Cancer
Abnormal bleeding
endometriosis - ✔✔Valid indications for a hysterectomy are?
✔✔rectus abdominis muscle - ✔✔Abdominal wall structure that is encased by the
anterior and posterior rectus sheath?
✔✔Visceral - ✔✔peritoneum which lines the abdominopelvic organs is called the ?
✔✔To prevent rectus diastasis - ✔✔Why do some surgeons choose to approximate the
rectus abdominus muscles?
✔✔Urinary bladder - ✔✔By opening the anterior leaf of the broad ligament, what
structure can be dissected from the lower uterus and cervix?
✔✔Cervix - ✔✔The Ureter passes more closely to the uterus at this level?
✔✔Fimbria - ✔✔Finger-like projections at the open end of the uterine tubes are referred
to as the?
✔✔Bleeding Hx
Skin integrity
anxiety level
continence status
contraceptive Hx
maternal diethylstilbestrol therapy
core body temp
sexually transmitted disease his/hx
allergies
pain/discomfort
abdominal girth
menstural cycle
hormone replacement therapy
positional considerations
Rh factor status - ✔✔Assessment of the gynecologic surgery patient includes:
✔✔CBC
blood chemistry
pap smear
CT
MRI
U/S
ECG
, Chest Xray
colposcopy
UA
Blood type
D&C - ✔✔Possible diagnostic studies indicated for a hysterectomy ?
✔✔CO2 via veress needle
seeing at 15mm HG
maintaining pneumoperitoneum - ✔✔The process of insufflation includes?
✔✔Excision of the uterus from the superior aspect to the uterine vessels - ✔✔During
LAVH surgery where is the uterus excised from?
✔✔faster recovery
shorter length stay
less adhesions - ✔✔Advantages of LAVH/Robotic AVH are?
✔✔avoid heavy lifting/driving for 7-10 days
avoid intercourse, douching, tampons until seen by dr
call DR if redness, swelling at the incision site - ✔✔Post op considerations for LAVH
✔✔pulmonary disease
size of uterus - ✔✔Limitations on contraindications for performing LAVH/RAVH would
be?
✔✔Inflammatory
proliferative
remodeling (maturation) - ✔✔Name the Phases of wound healing
✔✔1-5 days - ✔✔how long is the inflammatory phase of wound healing ?
✔✔3 weeks - ✔✔The proliferative stage of wound healing can last up to ?
✔✔21 days to months - ✔✔Remodeling(maturation) phase of wound healing can take
how long?
✔✔Collagen fibers reorganize and tighten to reduce scar
tensile strength increases - ✔✔What occurs during the Remodeling(maturation) phase
of wound healing?
✔✔vasoconstriction
platelet aggregation and formation
phagocytosis - ✔✔What takes place in the Inflammatory phase of wound healing?
