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NURS 682 SPRING EXAM I QUESTIONS WITH CORRECT DETAILED ANSWERS 100% ACCURATE ADVANCED PRACTICE NURSING FAMILY HEALTH I LATEST VERSION $11.99
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NURS 682 SPRING EXAM I QUESTIONS WITH CORRECT
DETAILED ANSWERS 100% ACCURATE ADVANCED
PRACTICE NURSING FAMILY HEALTH I LATEST VERSION
2024-2025
What is the recommended screening tool for breast cancer?
Mammography
Modifiable risk factors for breast cancer:
Overweight
Low physical activity
Poor nutrition
Tobacco use
Non-Modifiable risk factors for breast cancer:
Family history
Breast tissue density
Proliferative lesions w atypic on breast biopsy
Early menarche
Age of 1st full-term pregnancy
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Late menopause
Age of female
For women over 20 years of age, clinical breast exams (CBE's) should be carried
out:
Every 1-3 years
For women over 40 years of age, CBE's should be carried out:
Annually (40-49 years of age)
*Most OB-Gyn's follow this rule*
For women under the age of 40 y/o and over 75 y/o, the following risk factors
would warrant further testing than normal:
BRCA 1, BRCA 2 (Would suggest a mammogram for women <40 y/o and >75 y/o)
For women between 50 and 74 years of age, CBE's should be carried out:
Bi-annually WITH mammography.
If the guidelines are carried out differently, this decision will be made by:
The physician AND the patient.
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Self-breast exams
Are no longer indicated. HOWEVER, 15% of masses are missed by mammography.
This is where SBE's can fill the gap and should still be recommended and educated
to the patient.
Cervical cancer screenings (PAP Smears), in women younger than 21 y/o:
Are not necessary. UNLESS female is immunocompromised (HIV infection,
receiving chemo, ect.)
Cervical cancer screenings (PAP Smears), in women between 21 and 29 y/o:
Screen every 3 years with cytology ALONE.
Cervical cancer screenings (PAP Smears), in women between 30 and 65 y/o:
Co-testing every 5 years with cytology AND HR HPV testing is preferred. However,
cytology alone every 3 years is acceptable.
Cervical cancer screenings (PAP Smears), in women over 65 y/o OR a total
hysterectomy:
No further screening needed if adequate prior screening and no history of
abnormal PAP or cervical cancer.
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In cervical cancer, the causal agent is:
HPV (This is what the PAP smear is for). It is the 4th leading cause of cancer in
women and the leading cause of cancer in developing cancers.
HPV vaccine is ___% effective.
97%
MOST OB-Gyn's carry out PAP smear's every:
Year. Insurance still covers the procedure annually.
Why do women YOUNGER than 21 y/o, no longer require cervical cancer
screenings?
It used to be under 18 y/o but research showed that under 21, the HPV cleared on
its own. Most HPV interventions are invasive and the immune system does it's job.
Abnormal PAP smear results can be:
ASC-US
CIN-I
CIN-II
CIN-III
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