MCH NUR 2633 – Study Guide Test 1/50 questions

Women’s health encompasses breast care, GYN exams, and assessments. Be comfortable with the parameters of education for Self breast exams, normal menstrual cycle - what is the most common complaint with the menstrual cycle, and complications; STI’s and risks.  The most common compliant women have with menstrual cycle is abnormal bleeding, painful menses (dysmenorrhea), treatment is heating pad and NSAIDs. Other OBGYN complaints are fibroids, ovarian cysts, endometriosis. Self breasts exams monthly 7-10 days after the cycle. Two hormones with women’s health are Estrogen(growth hormone makes everything bigger), Progesterone(slows things down, makes lining thicker, the pregnancy will not survive without enough of this hormone) 2. If a patient finds a breast lump how will you advise her?  Its never normal to feel a lump, make sure you follow up and have other testing, discharge is not normal unless it’s a milk discharge after pregnancy 3. What is your role in the GYN exam  Our role in the GYN exam assisting the physician and the patient, explain to her what is happening so she is not nervous, pap smears are never down in the ER 4. Contraception - Forms of birth control – good subject for your postpartum patients as well – know them, know the risks and some of the educational points to share with them regarding each type. Remember birth control choice should be based on a patient’s lifestyle – if she can not swallow pills do not offer oral contraception – right? Etc…  Types of birth control- diaphragm, IUD, the pill, condoms, depo shot, patches, sponge, cervical cap, nuva ring, rod in arm, abstinence, withdrawal, sterilization 5. Emergency contraception – know education.  Plan B used as soon as possible up to 72 hours, doesn’t cause abortion, if your pregnant it won’t hurt the baby, high dose birth control, bad side effects-N/V, headache. 6. Preconceptual care is provided for a means to identify risks and provide nutrition – not to establish who should become pregnant  Identify risk factors, is it safe for them to become pregnant. Healthy nutrition and lifestyle. Weight and folic acid. Immunizations. Are they smoking or drinking? 7. Pregnancy – understand the structure and function of the external and internal genitalia. Know the purpose of each in the process of pregnancy.  Uterus has two functions that are to house the baby and expel it. Vagina is a collapsible tube that stretches to deliver baby. Cervix is usually closed but will thin and open to 10cm to allow baby to come out. Ovaries are egg storage, you start with all the eggs you have, you don’t make new ones. If the Bladder is inflamed, or UTI can cause preterm labor. Bowel, if you have diarrhea, if you use enema or laxative, can start preterm labor. Illegal drugs can also can use preterm labor. Three things uterus needs are food, fluids and rest if it doesn’t have these things if can cause muscle irritation and preterm labor. 8. Please identify pregnancy history – G, F, P, A, L – know how to complete this given each women’s obstetrical history. Gravida- Number of preg