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NURA 404 EXAM 3 QUESTIONS WITH VERIFIED ANSWERS
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NURA 404 EXAM 3 QUESTIONS WITHVERIFIED ANSWERS
What are some risk factors for Ovarian cancer?
-Nulliparity
-Early menarche (before 12 years old)
-Late menopause (after 55 years old)
-Increasing age after menopause
-Obesity
-First-degree relative with ovarian cancer
-Genetics—women of Ashkenazi Jewish decent
-Older than 30 years at first pregnancy
-Positive BRCA1 and BRCA2 mutations
-Infertility
What symptoms could a patient experience when diagnosed for ovarian cancer?
-pelvic and abdominal pain
-urinary frequency
-urgency
-increased abdominal size (bloating)
-difficulty eating (feeling full)
How is ovarian cancer treated/diagnosed?
-no adequate screening test
-women with increased risk related to BRCA 1 or 2 mutations or a family history of
,ovarian cancer should be considered for genetic counseling to further evaluate their
risk
What is the nurses's role when caring for a patient w/ ovarian cancer?
-promote early detection
-educate the woman about the disease and its treatments
-provide emotional support
Take note: Ovarian cyst
A small ovarian "cyst" found on ultrasound in an asymptomatic postmenopausal
woman should arouse suspicion. Any mass or ovary palpated in a postmenopausal
woman should be considered cancerous until proven otherwise. Approximately
90% of ovarian cancers are of epithelial cell origin. These tumors occur in older
women, are diagnosed in advanced stages, and have a high mortality rate
What are some factors that put women at risk for endometrial cancer?
-Nulliparity
-Obesity (more than 50 lb overweight)
-Liver disease
-Infertility
-Diabetes mellitus
-Hypertension
-History of pelvic radiation
-Polycystic ovary syndrome
-Late onset of menopause (after age 55)
What are some symptoms a patient may experience with endometrial cancer?
-dyspareunia
-low back pain
,-purulent genital discharge
-dysuria
-pelvic pain
-weight loss
-change in bladder and -bowel habits
-HTN
How is endometrial cancer screened/diagnosed?
-There is no specific screening test currently available to detect endometrial cancer.
-A pelvic examination is frequently normal in the early stages of the disease
-Transvaginal ultrasound can be used to evaluate the endometrial cavity and
measure the thickness of the endometrial lining
-staging
What is the nurse's role caring for a patient with endometrial cancer?
-Ensure that follow-up appointments are scheduled appropriately.
-Educate the client about preventive measures or follow-up care if she has been
treated for cancer
What virus is the majority of cervical cancers are caused by?
human papilloma virus
What are some risk factors for cervical cancer?
-Early age at first intercourse (within 1 year of menarche)
-Lower socioeconomic status
-Promiscuous male partners
-Unprotected sexual intercourse
-Family history of cervical cancer (mother or sisters)
, -Sexual intercourse with uncircumcised men
-HIV
How is cervical cancer screened/diagnostic?
-presence of a precursor lesion
-cervical intraepithelial neoplasia
-pap test
What is the nurse's role when caring for a patient with cervical cancer?
-educating women about risk factors
ways to prevent cervical dysplasia (abn cells prior to cancer)
-Faithfully use barrier methods of
contraception.
-Avoid active and passive exposure to smoking.
-Receive the HPV vaccine
What are the risk factors associated with vaginal cancer?
-advancing age (over 60 years old)
-previous pelvic radiation
-exposure to diethylstilbestrol (DES) in utero
-vaginal trauma
history of genital warts (HPV infection)
-chronic vaginal discharge
-vaginal adenosis
-consuming alcohol
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