NURS 460 Reproductive Quiz
Perimenopause - ANS--transitional time that ends in menopause (lasts 3 to 7 years
usually)
-Average mid to late 40s
-Irregular & unpredictable menstrual cycles (Unsure when become pregnant, Almost
50% unplanned pregnancies, Silver)
-Hot flashes & night sweats
-Mood changes, sleep disturbances, sexual dysfunction
-Education huge (Sleep hygiene, Contraception/family planning - risk for unintended
pregnancy, Coping mechanisms, Sexual desire)
Menopause - ANS--Cessation of reproductive ability
-Reduced estrogen
-Reproductive system
-Metabolism changes
-Neuro-endocrine
-Education huge (Nutrition & exercise, Cardiovascular changes, Sexual dysfunction &
abuse)
Breast Cancer (surgical interventions) - ANS--Lumpectomy (5-7 weeks radiation, Good
prognosis, May also look at lymph nodes)
-Simple mastectomy: entire breast & areola/nipple complex removed
-Modified radical: entire breast, ANC, & axillary lymph nodes removed
(Avoid lifting 5-10 lbs objects or kids/pets protect from infection and harm -arm, skin,
wound; no b/p or labs
-Radical: entire breast, ANC, axillary lymph nodes, & muscles removed
-Breast Conservation Therapy
-Sentinel lymph node biopsy: dye around tumor to see lymph nodes involved & then
biopsy them
Breast Cancer (complications from surgical interventions) - ANS--Lymphedema
(Impaired lymph system; Swelling of breast, fibrosis of soft tissue, pain, paresthesia,
infection; Arm sleeve; TX: early identification, referral to lymphedema specialist)
-Hematoma/seroma (Swelling, bruising, tightness, pain, increased output from drain;
Seroma—serous fluid buildup; TX: unclog the drain or manually aspirate the fluid with a
needle and syringe)
-Infection (TX: IV antibiotics)
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