m m m m m m m
With NCLEX questions & extra notes, LATEST UPDA
m m m m m m m m
TED BEST EXAM SOLUTION GRADED A+
m m m m m
MDC3 Exam 1 Rev m m m
iew
ABCs
• A - airway
m m
• B - breathing
m m
• C – circulation
m m
Uterine Leiomyoma
m
• Benign, slow growing solid tumors of the muscle layer of the uterus
m m m m m m m m m m m
m (fibroids)
• Excessive local growth of smooth muscle tissues
m m m m m m
o Growth may be stimulated by estrogen, progesterone, a
m m m m m m m m
nd growth hormone
m m
Assessment: asymptomatic or symptomatic (heavy prolonged vaginal blee
m m m m m m m
ding)**
• Assess pelvic pressure, elimination pattern, abdomen size, dy
m m m m m m m
spareunia, infertility m
• Painful menses m
• Elimination patterns (due to enlarged fibroid pressing on organs)
m m m m m m m m
• Ask how many pads/tampons used in a day
m m m m m m m
S/S: Heavy periods or periods that last a long time & abd distention, u
m m m m m m m m m m m m m
Rasmussen College :NUR2759 MDC3 Exam 1 Review -
m m m m m m m
With NCLEX questions & extra notes, LATEST UPDA
m m m m m m m m
TED BEST EXAM SOLUTION GRADED A+
m m m m m
,Rasmussen College :NUR2759 MDC3 Exam 1 Review -
m m m m m m m
With NCLEX questions & extra notes, LATEST UPDA
m m m m m m m m
TED BEST EXAM SOLUTION GRADED A+
m m m m m
rinary frequency
m
Psychosocial assessment: m
• Quality of life from dyspareuniam m m m
• Fear that symptoms could be cancerous
m m m m m
• Anxiety
• Significance of loss of uterus for patient and partner if want to co
m m m m m m m m m m m m
nceive
Diagnostic assessment:
m
• CBC – iron deficiency anemia from heavy bleeding
m m m m m m m
• WBC would be normal
m m m
• HGB and HCT – low
m m m m
• Pregnancy test to rule out uterine enlargement
m m m m m m
• Transvaginal US – able to see if fibroid is protruding into uterine cavity
m m m m m m m m m m m m
• Biopsy: gold standard m m
Pelvic exam m
Education:
• No sticking anything up the vagina (tampons, douches)
m m m m m m m
• May have bleeding
m m
• No sexual intercourse
m m
• No tub baths
m m
Breast cancer- preventative screenings, risk factors, diagnostic tests
m m m m m m m
Rasmussen College :NUR2759 MDC3 Exam 1 Review -
m m m m m m m
With NCLEX questions & extra notes, LATEST UPDA
m m m m m m m m
TED BEST EXAM SOLUTION GRADED A+
m m m m m
,Rasmussen College :NUR2759 MDC3 Exam 1 Review -
m m m m m m m
With NCLEX questions & extra notes, LATEST UPDA
m m m m m m m m
TED BEST EXAM SOLUTION GRADED A+
m m m m m
Preventative screenings
m
• Mammography
o Recommended to start screening at 45
m m m m m
o Women over 55 may switch to every 2 years
m m m m m m m m
• Breast self-awareness/self-examinations
m
o >90% detected by patient
m m m
• Clinical breast clinical
m m
Rasmussen College :NUR2759 MDC3 Exam 1 Review -
m m m m m m m
With NCLEX questions & extra notes, LATEST UPDA
m m m m m m m m
TED BEST EXAM SOLUTION GRADED A+
m m m m m
, Rasmussen College :NUR2759 MDC3 Exam 1 Review -
m m m m m m m
With NCLEX questions & extra notes, LATEST UPDA
m m m m m m m m
TED BEST EXAM SOLUTION GRADED A+
m m m m m
o Atmleastmeverym3myearsmformwomenminmtheirm20s mandm30s mand mev
ery year for asymptomatic women at least 40 years old
m m m m m m m m m
Risk Facto
m
rs
• Increased age m
• Family history m
• Early menarche, late menopause
m m m
• Lack of breastfeeding
m m
• Postmenopausal obesity m
• Alcohol consumption m
• Mutations in BRCA1 or BRCA2 m m m m
Diagnostic tests m
• Lab assessment: study of breast mass tissue and lymph nodes, liv
m m m m m m m m m m
er enzymes, calcium, and alkaline phosphatase
m m m m m
• Imaging assessment: m
o Mammogram
o Ultrasound
o MRI
o Chest x-ray, CT for metastasis
m m m m
o Breast biopsy* m
Rasmussen College :NUR2759 MDC3 Exam 1 Review -
m m m m m m m
With NCLEX questions & extra notes, LATEST UPDA
m m m m m m m m
TED BEST EXAM SOLUTION GRADED A+
m m m m m