NSG 222 Family Health Nursing Exam 1
QUESTIONS AND CORRECT DETAILED
ANSWERS AGRADE
What are some male factors of infertility?
low or absent numbers of motile sperm in the ejaculate, erectile dysfunction or
unexplained
What is the most effective preventive measure against pregnancies and STD...
NSG 222 Family Health Nursing Exam 1 QUESTIONS AND CORRECT DETAILED ANSWERS AGRADE What are some male factors of infertility? low or absent numbers of motile sperm in the ejaculate, erectile dysfunction or unexplained What is the most effective preventive measure against pregnancies and STDs? Condom which is a barrier What is the definition of Abortion? The expulsion of an embryo or fetus before it is viable. As a Nurse what can you do to help treat abortion patients? -Provide support, guidance, sensitive communication and accurate information -Considerate and sensitive communication is key in dealing with cases of termination of pregnancy. -If you feel unable to actively participate in the care of a woman undergoing an abortion for personal, religious, or ethical reasons, you still have the professional responsibility to ensure that the woman receives the nursing care and help she requires. If a nurse is uncomfortable with dealing with an abortion situation while the mother is delivering. How should that situation be approached? - Take the nurse aside and ask if you can take over, but do not confront the nurse in front of patient What is menopause? cessation of menses and fertility What are the 4 curable STI's? syphilis, gonorrhea, chlamydia, and trichomoniasis What are the four viral STIs that are incurable? HIV, herpes, HPV, hepatitis What is the nursing management for adolescents and STIs? - provide guidance and support to prevent initial infection - prevent transmission - educate on importance of treatment compliance - educate on safe sex practices - encourage regular STI screenings What is Genital Herpes Simplex? Recurrent, lifelong viral infection When patient is having a pap smear and you notice the lesions what should you ask the patient? ask the patient how long have they been there for What can we educate the patient about the prevention of PID? Follow up is very important to make sure disease process has been successfully treated and then educate on ways to prevent Facts about HPV - Lesions can grow very large during pregnancy, affecting urination, defecation, mobility, and descent of the fetus - There is currently no medical treatment or cure for HPV. Instead, therapeutic management focuses heavily on prevention through the use of the HPV vaccine and education and on the treatment of lesions and warts caused by HPV. What can we teach women about HPV? - even after genital warts are removed, HPV remains, and viral shedding will continue. - the recurrence of genital warts within the first few months after treatment is common and usually indicates recurrence rather than reinfection What causes Mastitis? clogged milk duct What are Nonmodifiable risk factors for Breast Cancer? - Gender (female) - Aging (older than 50 years old) - Genetic mutations (BRCA1 and BRCA2 genes) - Personal or family history of ovarian, breast, and colon cancer - Increased breast density increases the risk three to fivefold - Race/ethnicity (higher in White women, though African American women are more likely to die of breast cancer) - Previous abnormal breast biopsy (atypical hyperplasia) - Exposure to chest radiation (radiation damages DNA) - Previous breast radiation (12 times normal risk) - Early menarche (younger than 12 years old) or late onset of menopause (older than 55 years old), which represents increased estrogen exposure over the lifetime What are Modifiable risk factors of Breast Cancer? - Not having children at all or not having children until after age 30 - Postmenopausal use of estrogens and progestins; use of HRT - Failing to breast -feed for up to a year after pregnancy - Alcohol consumption; - Smoking - Obesity and consumption of high -fat diet - Sedentary lifestyle and lack of physical exercise What are the different stages of Cancer? 0- In situ, early type of breast cancer I- Localized tumor <1 in in diameter II- Tumor 1 -2 in in diameter; spread to axillary lymph nodes III- Tumor 2 in or larger; spread to other lymph nodes and tissues IV- Cancer has metastasized to other body organs What should you report to the provider upon completion of a Breast Exam? - changes in shape, size, contour, or symmetry. - skin discoloration or dimpling, bumps/lumps. - sores or scaly skin. - discharge or puckering of the nipple. What techniques are used with a Breast Exam?
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