NUR 314 FINAL EXAM questions with answers

NUR 314 FINAL EXAM questions with
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answers


Reproductive system |\ |




5 P's of sexual health history - CORRECT ANSWERS ✔✔-
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Partners
- Practices (Sexual)
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- Past STDs
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- Pregnancy (history, prevention/protection, and plans)
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- Protection from STDs (contraception)
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Screening guidelines for Pap smear test - CORRECT
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ANSWERS ✔✔- Start at age 21 (to age 29), every 3 years
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(even if sexually active before then)
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i. But need annual gyn exam
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- Every 5 years starting at age 30- 65?
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- After 65 = pap smear not needed
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Screening guidelines for Mammography - CORRECT |\ |\ |\ |\ |\ |\



ANSWERS ✔✔Screening for the early detection of breast
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cancer includes *yearly mammograms starting at age 45
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years*.

,Lactational Mastitis - CORRECT ANSWERS ✔✔↑ risk of
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BRCA? No |\




lactating women - Bacteria gain access through cracked
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nipple.


Risk Factors:
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- May also be due to clogged milk duct
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- Previous mastitis
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- Sore or cterm-9racked nipples
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- Improper nursing techniques
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- Overly tired or stressed
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- Poor nutrition
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- Smoking
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Fibrocystic Breast - CORRECT ANSWERS ✔✔
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Fibroadenomas


(Benign breast lumps) - CORRECT ANSWERS ✔✔
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,Intraductal Papilloma |\




(Benign, wartlike growth) - CORRECT ANSWERS ✔✔↑ risk
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of BRCA? *Slight ↑ risk of cancer*
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Ductal Ectasia |\




(Duct dilation) - CORRECT ANSWERS ✔✔
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Gynecomastia
(Men) - CORRECT ANSWERS ✔✔Transient, *non-
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inflammatory* enlargement of 1 or both breasts |\ |\ |\ |\ |\ |\




- Men
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- Temporary, benign
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• Most common cause: disturbance of normal ratio of
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active androgen to estrogen in plasma or the breast itself
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• Can occur in puberty, due to imbalance of estrogen and
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testosterone
• Resolves often by age 18
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• Treatment focuses on *reassurance* of the benign
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nature of this disease. |\ |\ |\




• Can be a manifestation of other problems:
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Testicular tumors, adrenal cancers, pituitary tumors,
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hyperthyroidism, liver disease |\ |\

, • Side effect of certain drugs: Spironolactone, digitalis,
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tricyclic antidepressants |\




• Marijuana can cause it.
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Breast Cancer |\




(Women) - CORRECT ANSWERS ✔✔ |\ |\ |\ |\




Gerontologic Considerations - CORRECT ANSWERS ✔✔- |\ |\ |\ |\ |\ |\



Pendulous breasts |\




|\ Loss of subcutaneous fat |\ |\ |\




|\ Loss of structural support
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|\ Atrophy of mammary glands |\ |\ |\




- ↓ Glandular Tissue density
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- ↑ Incidence of breast cancer
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> 50% of breast cancers diagnosed are in women aged
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65 or older |\ |\




Pt education |\




• Teach to wear well fitted bras w/ good support, this will
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improve overall appearance & reduce pain in the upper
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back, shoulders, & neck. |\ |\ |\




• Wearing a good bra will also decrease the risk of
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developing dermatitis that occurs when skin lies on top of |\ |\ |\ |\ |\ |\ |\ |\ |\



skin
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