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Exam (elaborations)

NURS 371 Exam 3 Questions With Complete Solutions

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NURS 371 Exam 3 Questions With Complete Solutions

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NURS 371 Exam 3 Questions With Complete Solutions

Asthma (meds that are problematic while pregnant) Correct
Answers Oral meds like oral corticosteroids

Atrial or Ventricular Septal Defect (congenital heart disease)
Correct Answers Defects causing increased pulmonary blood
flow

Baby Blues (postpartum mood disorders) Correct Answers -
Mild depressive symptoms of anxiety, irritability, mood swings,
tearfulness, increased sensitivity, feelings of being
overwhelmed, & fatigue
-They are usually self-limiting & require no formal tx other than
reassurance & validation of the woman's experience as well as
assistance in caring for herself & her newborn

Breast Biopsy Correct Answers -Excision of a small piece of
mammary tissue for diagnostic evaluation
-Fine-needle aspiration biopsy
-Stereotactic needle-guided biopsy
-Sentinel lymph node biopsy

Breast Biopsy (what affect it will have) Correct Answers -
Altered breast appearance
-Bruising & swelling of the breast
-Infection or bleeding at the biopsy site

Breast Cancer (treatment) Correct Answers -Breast-conserving
surgery
-Mastectomy: simple, modified, radical

,-Radiation therapy
-Chemotherapy
-Tamoxifen
-Endocrine therapy
-Immunotherapy

Breast Self Exam (education) Correct Answers -Use the pads
of the middle 3 fingers to palpate the breast
-Visual inspection: look at breasts with arms up behind the head,
with arms down at the sides, & while bending forward
-Tactile palpation: check the breasts as well as the area between
the breast & the axilla, the axilla itself, & the area above the
breast up to the clavicle & across the shoulder.
-When palpating use a spiral, pie wedge, or vertical strip
approach

Cervical Cancer (dx) Correct Answers Pap test (possible false-
negative results)

Cervical Cancer (education) Correct Answers -Pap testing
-HPV vaccine
-Avoid early sexual activity
-Avoid active & passive exposure to smoking
-Prevent STIs
-Avoid long term use of oral contraceptives

Cervical Cancer (s&s) Correct Answers -First Sign: Abnormal
vaginal bleeding usually after sexual intercourse
-Vaginal discomfort
-Malodorous discharge
-Dysuria

, -Some cases are asymptomatic

Cervical Cancer (tx) Correct Answers -Cryotherapy
-Cone biopsy: LEEP & Cold knife cone biopsy
-Laser therapy
-Hysterectomy
-Radiation therapy
-Chemoradiation

Chlamydia (education) Correct Answers -Most common
bacterial STI in the US; majority asymptomatic
-Antibiotics (doxycycline, azithromycin)
-Combination regimen if gonorrhea also present
-Screening

Chlamydia (s&s) Correct Answers -May be asymptomatic
-Vaginal discharge
-Endocervicitis
-Inflammation of the rectum & lining of the eye
-Can infect throat

Cone Biopsy Correct Answers -Removes a cone-shaped
section of cervical tissue
-The base of the cone is formed by the ectocervix (outer part of
the cervix) & the point or apex of the cone is from the
endocervical canal
-The transformation zone is contained within the cone sample
-The cone biopsy is also a tx & can be used to completely
remove any precancers & very early cancers
-Two commonly used methods: LEEP & cold knife cone biopsy

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