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NURS 612 Maryville Exam 4 MC Questions with Correct Answers 100% Verified By Experts| Latest Update Guaranteed Success

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NURS 612 Maryville Exam 4 MC Questions with Correct Answers 100% Verified By Experts| Latest Update Guaranteed Success

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NURS 612 Maryville Exam 4 MC Questions with Correct Answers 100% Verified By Experts|
Latest Update Guaranteed Success

What does cermasteri reflex test for ? cremasteric reflex can be performed in assessing
scrotal pain. While some studies report a high correlation of loss of cremasteric reflex and
testicular torsion.



How to inspect breasts arms at sides hanging loosely. symmetry, contour, color and texture,
venous pattern lesions



Abnormal Breast Inspection unequal nipple axis, dimpling, retraction of skin, nipple
discharge or orange peel appearance



Montgomery tubercles The sebaceous glands on the areola, which enlarge and produce a
secretion that protects and lubricates the nipples



what does unilateral nipple inversion mean malignancy



normals breast charting symmetrical, smooth, bilateral venous pattern, no lesions, areola
round, equal bilaterally, nipples and areola match in color. smooth texture of areola. no nipple
eversion or retraction. no extra nipples.



3 positions to inspect breasts extend arms overhead
press palms together
lean forward while seated



How to palpate the breast ( seated, supine, bimanual) seated; bimanual palpation. lymph
nodes palpated. Help the woman into a supine position and took a small pad under the side to
be palpated and raise her arm over the head. Use the pads of your first three fingers make
dental circular motion on the breast

,Tail of Spence (axillary tail) portion of the breast that extends towards the lateral upper
margin of the chest into the axilla



palpation techniques of breast vertical strip, concentric circles, or wedge technique
check for nipple discharge, depress areola



breast tissue dense, firm, elastic with nom assess lumps or nodules.



Female - Normal Exam 1. observe pubic hair, surface characteristics
2. skin smooth and clean
3. labia soft, homogenous, symmetrical
4. labia minora may be assymterical
5. no swelling, redness, tenderness, discoloration



female normal exam continued clitoris up to 2cm long and 0.5cm wide, no atrophy, or
adhesions
urethral orifice- slit should be midline near vaginal Introits
vaginal introitus-vary in size, moist, no discharge, fistula, or lesions
Skene gland- upper, insert finger into vagina,
bartholin gland-



speculum exam 1. lubricate speculum with water
2. tell patient you are touching
3. insert finger and apply pressure downward
4. when muscles relax, use fingers to separate labia
5. slowly insert speculum slightly downward along the path of least resistance
6. open speculum

, 7. sweep speculum until cervix comes into view. lock to the entire cervix is within the blades.



UTI versus pyelonephritis Pyelo- bilateral or unilateral flank pain, fever, chills, nausea,
vomiting. appear ill.
UTI-pain, frequency, urgency, bladder fullness, no fever, flank pain or chills, N/V.



Gail Model Risk Assessment Tool used to estimate any woman's 5 year and lifetime breast
cancer risk
1. age at period starting, age at first live birth, number of breast biopsies.



breast cancer risk factors - Age over 50
- gender
- genetic risk factors
- Family history, mother, grandmother, sister
- Personal history
- First pregnancy after the age of 30
- race- white higher risk
- previous breast biopsies
- radiation to chest
- periods before age 12 or menopause after 55
- breast density
-DES therapy ( infertility)
- hormone therpay
- alcohol use
- obesity
- high fat diet
- lack of physical activity

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