NUR 2502 MDC 3 Final Exam Review Comprehensive
Study Guide with Complete Solutions - Rasmussen
MDC3 Ƒinal Review
Module 1
● Gynecological & Reproductive Health
○ Assessment
■ Pelvic exam considerations: provide privacy and comƒort, ensure
inƒormed consent, use trauma-inƒormed care techniques
■ Nurse’s role: emotional support, prepare equipment and
assist the provider, maintain patient dignity and explain
procedure
○ PMS
■ Symptoms: mood swings, irritability, depression, bloating,
breast tenderness, ƒatigue, headaches
■ Prevention/Intervention: diet changes (decrease caƒƒeine, sugar
and alcohol), regular exercise, stress reduction, medications
(NSAIDs, SSRIs, oral contraceptives)
○ Contraception
■ Single rod subdermal implant (Nexplanon)
● Beneƒits: long term (up to 3 years), high eƒƒicacy, no
daily maintenance
● Disadvantages: irregular bleeding, requires
insertion/removal by provider, hormonal side eƒƒects
○ Hormonal Contraception
■ Risks: blood clots, HTN, breast tenderness, mood changes,
contraindicated in smokers over age 35
○ Emergency contraception (pills)
■ Interventions: take within 72 hours (max eƒƒectiveness), may
need an antiemetic
■ Instructions: continue regular contraception, may alter menstrual
timing, not ƒor regular use
● Vulvovaginal inƒections
○ Risk ƒactors: antibiotics, diabetes, pregnancy, poor hygiene, tight clothing
○ Multiple treatments with antiƒungals: consider diabetes,
, immunosuppression (HIV) or antibiotic use
● Trichomoniasis
○ Medication: metronidazole or Tinidazole
○ Patient education: no alcohol ƒor 24-72 hours aƒter dose -> disulƒiram-
like reaction, treat sexual partners, ƒinish ƒull course, avoid intercourse
until treatment is completed
● Bacterial Vaginosis (BV)
○ Risk ƒactors: douching, multiple partners, new sexual partner, smoking
● Human Papillomavirus (HPV)
○ Transmission: skin-to-skin/genital contact (not just penetration)
, ○ Prevention: HPV vaccine, saƒe sex practices, regular pap smears
○ Risks: cervical cancer, genital warts
● Herpes simplex virus type 2
○ Preventing spread: avoid sexual contact during outbreaks, use
condoms, daily antivirals ƒor suppression
● Pelvic inƒlammatory disease (PID)
○ Signs/symptoms: pelvic pain, ƒever, abnormal discharge, dyspareunia,
irregular bleeding
○ Medications: broad-spectrum antibiotics (ceƒtriaxone + doxycycline)
○ Type based on: severity, causative organisms (chlamydia, gonorrhea)
● PCOS (polycystic ovarian syndrome)
○ Signs/symptoms: irregular periods, hirsutism, acne, weight gain, inƒertility
○ Medications: metƒormin, oral contraceptives, anti androgens
○ Complications r/t ovulation: inƒertility, risk oƒ endometrial cancer, cyst
rupture
● Breast exams
○ Screenings: selƒ exam monthly, clinical exam yearly, mammogram
starting at 40- 50, annually or biannually
○ Radiation exposure risks: small but cumulative (weigh risk vs beneƒit),
higher with ƒrequent imaging
● Hormone Replacement Therapy (HRT)
○ increased risk oƒ breast cancer, stroke, thromboembolism
● Osteoporosis
○ Prevention: weight-bearing exercises, calcium (1200 mg/day) & vitamin D
(800- 1000 IU/day), avoid smoking, limit alcohol
● Mastitis
○ Signs/symptoms: breast pain, redness, warmth, ƒever
○ Intervention: warm compresses, antibiotics, continue breastƒeeding or
pumping
○ Patient education: empty breasts ƒrequently, maintain hygiene, hydration
and rest
Module 2
● Male Reproductive Physical Assessment & Diagnostics
○ DRE (Digital Rectal Exam): palpates the prostate gland ƒor size,
nodules, tenderness; done annually ƒor men over 50
○ PSA (prostate-speciƒic antigen): blood test to detect prostate
cancer or inƒlammation
■ Avoid 24 hours beƒore test: ejaculation, vigorous exercise,
Study Guide with Complete Solutions - Rasmussen
MDC3 Ƒinal Review
Module 1
● Gynecological & Reproductive Health
○ Assessment
■ Pelvic exam considerations: provide privacy and comƒort, ensure
inƒormed consent, use trauma-inƒormed care techniques
■ Nurse’s role: emotional support, prepare equipment and
assist the provider, maintain patient dignity and explain
procedure
○ PMS
■ Symptoms: mood swings, irritability, depression, bloating,
breast tenderness, ƒatigue, headaches
■ Prevention/Intervention: diet changes (decrease caƒƒeine, sugar
and alcohol), regular exercise, stress reduction, medications
(NSAIDs, SSRIs, oral contraceptives)
○ Contraception
■ Single rod subdermal implant (Nexplanon)
● Beneƒits: long term (up to 3 years), high eƒƒicacy, no
daily maintenance
● Disadvantages: irregular bleeding, requires
insertion/removal by provider, hormonal side eƒƒects
○ Hormonal Contraception
■ Risks: blood clots, HTN, breast tenderness, mood changes,
contraindicated in smokers over age 35
○ Emergency contraception (pills)
■ Interventions: take within 72 hours (max eƒƒectiveness), may
need an antiemetic
■ Instructions: continue regular contraception, may alter menstrual
timing, not ƒor regular use
● Vulvovaginal inƒections
○ Risk ƒactors: antibiotics, diabetes, pregnancy, poor hygiene, tight clothing
○ Multiple treatments with antiƒungals: consider diabetes,
, immunosuppression (HIV) or antibiotic use
● Trichomoniasis
○ Medication: metronidazole or Tinidazole
○ Patient education: no alcohol ƒor 24-72 hours aƒter dose -> disulƒiram-
like reaction, treat sexual partners, ƒinish ƒull course, avoid intercourse
until treatment is completed
● Bacterial Vaginosis (BV)
○ Risk ƒactors: douching, multiple partners, new sexual partner, smoking
● Human Papillomavirus (HPV)
○ Transmission: skin-to-skin/genital contact (not just penetration)
, ○ Prevention: HPV vaccine, saƒe sex practices, regular pap smears
○ Risks: cervical cancer, genital warts
● Herpes simplex virus type 2
○ Preventing spread: avoid sexual contact during outbreaks, use
condoms, daily antivirals ƒor suppression
● Pelvic inƒlammatory disease (PID)
○ Signs/symptoms: pelvic pain, ƒever, abnormal discharge, dyspareunia,
irregular bleeding
○ Medications: broad-spectrum antibiotics (ceƒtriaxone + doxycycline)
○ Type based on: severity, causative organisms (chlamydia, gonorrhea)
● PCOS (polycystic ovarian syndrome)
○ Signs/symptoms: irregular periods, hirsutism, acne, weight gain, inƒertility
○ Medications: metƒormin, oral contraceptives, anti androgens
○ Complications r/t ovulation: inƒertility, risk oƒ endometrial cancer, cyst
rupture
● Breast exams
○ Screenings: selƒ exam monthly, clinical exam yearly, mammogram
starting at 40- 50, annually or biannually
○ Radiation exposure risks: small but cumulative (weigh risk vs beneƒit),
higher with ƒrequent imaging
● Hormone Replacement Therapy (HRT)
○ increased risk oƒ breast cancer, stroke, thromboembolism
● Osteoporosis
○ Prevention: weight-bearing exercises, calcium (1200 mg/day) & vitamin D
(800- 1000 IU/day), avoid smoking, limit alcohol
● Mastitis
○ Signs/symptoms: breast pain, redness, warmth, ƒever
○ Intervention: warm compresses, antibiotics, continue breastƒeeding or
pumping
○ Patient education: empty breasts ƒrequently, maintain hygiene, hydration
and rest
Module 2
● Male Reproductive Physical Assessment & Diagnostics
○ DRE (Digital Rectal Exam): palpates the prostate gland ƒor size,
nodules, tenderness; done annually ƒor men over 50
○ PSA (prostate-speciƒic antigen): blood test to detect prostate
cancer or inƒlammation
■ Avoid 24 hours beƒore test: ejaculation, vigorous exercise,
