Maternal Child Health NUR 2633 Exam 1– Study Guide Test (latest version)

MCH NUR 2633 – Study Guide Test 1. Women’s health encompasses breast care, GYN exams, and assessments. Be comfortable with the parameters of education for Self breast exams, and what is normal for a woman to note when doing breast exam. Know normal menstrual cycle - what is the most common complaint with the menstrual cycle, and complications; (dysmenorrhea) Know STI’s and risks. a. 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, and 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? a. It’s 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 b. web-x all women should be doing breast exams once they start menses (10 days after) c. if a lump is found make an appointment d. ultrasound, mammography e. breast cancer at all ages 3. What is your role in the GYN exam a. 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 cannot swallow pills do not offer oral contraception – right? Etc… a. Types of birth control- diaphragm, IUD, the pill, condoms, depo shot(12 week injection), patches, sponge, cervical cap, nuva ring, rod in arm, abstinence, withdrawal, sterilization b. web-x c. patient education: does not prevent std d. same-time everyday e. for depo take ca because it depletes mineralization of bones f. based on lifestyle g. IF BREAST FEEDING DO NOT TAKE ANYTHING ESTROGEN BASED BC IT WILL IMPEDED THE BREAST MILK. The prolactin will be affected by the estrogen because they work against each other h. When the estrogen levels are high. The prolactin is depleted and vice-vers 5. Emergency contraception – know education. a. 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. b. web-x does not cause abortions-spotting n/v c. does not protect from sti d. follow- up for cultures for sti e. messes with menstrual cycle f. OTC 6. Preconceptual care is provided for a means to identify risks and provide nutrition – not to establish who should become pregnant. a. 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? b. web-x genetics/ genetic counseling c. starting prenatal vitamins d. community referrals 7. Pregnancy – understand the structure and function of the external and internal genitalia. Know the purpose of each in the process of pregnancy. You must understand the changes that occur to each system – a. Uterus has two functions that are to house the baby and expel it (menses). 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. b. Ovaries are egg storage, you start with all the eggs you have, and 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. c. web-x d. ovaries house eggs & produce hormones: estrogen- growth hormone and progesteroneacquiescent/quieting hormone