NUR 2502 / NUR2502: Multidimensional Care III / MDC 3 Exam 1 MDC 3 – Exam 1 Blueprint

NUR 2502 / NUR2502: Multidimensional Care III / MDC 3 Exam 1 MDC 3 – Exam 1 Blueprint MDC 3 Exam 1 1. Uterine leiomyoma - o Also called fibroids or myomas o Benign, slow growing solid tumors of uterine myometrium (muscle layer) o Excessive local growth of smooth muscle cells Caused by hormones Cause pain for the patient o 80% of woman are likely to have fibroids o Symptomatic or asymptomatic Key symptom is often heavy vaginal bleeding o Ask how many pads/tampons are used daily o Assess pelvic pressure, elimination patterns, abdomen size, dyspareunia, infertility 2. Uterine leiomyoma Classification - Classified depending on layer of uterus Intramural- contained in uterine wall Submucosal-protrude into uterine cavity Subserosal- protrude through outer surface of uterine wall 3. Uterine leiomyoma Diagnostic - CBC- iron deficiency anemia from heavy bleeding Pregnancy test to rule out cause of uterine enlargement Transvaginal ultrasound- able to see if fibroid is protruding into uterine cavity 4. Uterine leiomyoma Treatment - Managing bleeding • Nonsurgical management o Oral contraception- first thing we do Surgical management • MRI focused ultrasound-heat to tumor • Uterine artery embolization- starves tumor of circulation allowing it to shrink • Myomectomy- laser removal • Hysterectomy 5. Erectile Dysfunction: Causes