TEST 1 MATERIALS NURS 5432 EXAM 2024
UPDATE | 100% VERIFIED SOLUTIONS
GRADED A
abortion - ✔✔✔ ANSWER pregnancy termination before week 24.
1st trimester: d/t chromosomal abnormalities
2nd trimester d/t cervical incompetence, infection or uterine abnormalities
s/s: vaginal bleed, cramp, low back pain, rupture of membrane,
hCH, US, cbc, coagulation
Treatment:
-surgical abortion:
vacuum D and C to 12 wk,
D and E 13-14wk to 20-22wk, hysterectomy
-medical:
Mifepristone (Mifeprex) AKA RU 486=ABORTION
Prostaglandin (Misoprostol)
abruptio placentae - ✔✔✔ ANSWER premature separation of the placenta from
the uterine wall
can be complete or partial; usually in 2nd or 3rd trimester
Complete abruption is an OB emergency, if not treated ASAP, fetal death is likely
uncontrolled hemorrhage (bad for mom) will result in Disseminated intravascular
coagulation (DIC)
, risks: trauma, chronic hypertension/preeclampsia, eclampsia, cocaine, alcohol,
cigarette, uterine tumor or structural abnormality
s/s: severe abd pain, bright red bleeding, if abruption is concealed minimal
bleedin, uterus is rigid, shock, fetal distress.absend FHT
Test: US, EFM ,CBC, coagulation profile, rh for transfusion.
immediate delivery once mom is stable
Benign Ovarian Tumors - ✔✔✔ ANSWER Non-malignant tumor of the ovary may
be solid or cystic
diagnostic test; pregnancy test, urine analysis, tumor marker test that is CA125
<35 MCG/ML, transvaginal ultrasound or MRI. Treatments:
non-pharmacological- laparoscopic surgery.
Pharmacologic - oral contraceptives or estrogen therapy
BRCA1 and BRCA2 - ✔✔✔ ANSWER tumor suppressor gene
Breast Cancer - ✔✔✔ ANSWER 2nd most cause of CA death in USA women
Malignant neoplasm of cells native to breast epithelial, glandular, or stoma
Breast cancer screening - ✔✔✔ ANSWER Average risk: if chest radiation therapy
before 30 year, genetic mutation of BRCA, family/pt history of CA
40-44yr: have option to start mammogram screening every year
45-54yr: SHOULD get mammogram every year
55 and up: can do every other year or q year until they are in good health to live
10 more years
UPDATE | 100% VERIFIED SOLUTIONS
GRADED A
abortion - ✔✔✔ ANSWER pregnancy termination before week 24.
1st trimester: d/t chromosomal abnormalities
2nd trimester d/t cervical incompetence, infection or uterine abnormalities
s/s: vaginal bleed, cramp, low back pain, rupture of membrane,
hCH, US, cbc, coagulation
Treatment:
-surgical abortion:
vacuum D and C to 12 wk,
D and E 13-14wk to 20-22wk, hysterectomy
-medical:
Mifepristone (Mifeprex) AKA RU 486=ABORTION
Prostaglandin (Misoprostol)
abruptio placentae - ✔✔✔ ANSWER premature separation of the placenta from
the uterine wall
can be complete or partial; usually in 2nd or 3rd trimester
Complete abruption is an OB emergency, if not treated ASAP, fetal death is likely
uncontrolled hemorrhage (bad for mom) will result in Disseminated intravascular
coagulation (DIC)
, risks: trauma, chronic hypertension/preeclampsia, eclampsia, cocaine, alcohol,
cigarette, uterine tumor or structural abnormality
s/s: severe abd pain, bright red bleeding, if abruption is concealed minimal
bleedin, uterus is rigid, shock, fetal distress.absend FHT
Test: US, EFM ,CBC, coagulation profile, rh for transfusion.
immediate delivery once mom is stable
Benign Ovarian Tumors - ✔✔✔ ANSWER Non-malignant tumor of the ovary may
be solid or cystic
diagnostic test; pregnancy test, urine analysis, tumor marker test that is CA125
<35 MCG/ML, transvaginal ultrasound or MRI. Treatments:
non-pharmacological- laparoscopic surgery.
Pharmacologic - oral contraceptives or estrogen therapy
BRCA1 and BRCA2 - ✔✔✔ ANSWER tumor suppressor gene
Breast Cancer - ✔✔✔ ANSWER 2nd most cause of CA death in USA women
Malignant neoplasm of cells native to breast epithelial, glandular, or stoma
Breast cancer screening - ✔✔✔ ANSWER Average risk: if chest radiation therapy
before 30 year, genetic mutation of BRCA, family/pt history of CA
40-44yr: have option to start mammogram screening every year
45-54yr: SHOULD get mammogram every year
55 and up: can do every other year or q year until they are in good health to live
10 more years
