Exam (elaborations)
NURS 682 EXAM WITH COMPLETE SOLUTION 100% PASS
- Course
- Institution
NURS 682 EXAM WITH COMPLETE SOLUTION 100% PASS...
[Show more]
Content preview
NURS 682 EXAM WITH COMPLETE SOLUTION 100% PASSRead the "Women's Health Highlights" article and list 5 current health issues that are
impacting the health of women.
1. Cardiovascular disease
2. Stroke
3. Cancer
4. Diabetes
5. Mental Health
6. Violence
7. Healthcare cost
Breast Cancer Screening:
Average Risk Women
-- Most organizations support CBE q 1-3 years for women over 20 and annually over 40
and an individualized approach after 75.
-- 40-49 at average risk: offer annual MMG
-- 50-75: annual MMG
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:01
/
0:15
,Full screen
Brainpower
Read More
Breast Screening in High risk:
BRCA1, BRCA2, ect.
CBE: 6-12 months
MMG: start at 25 OR 5-10 years before youngest cancer diagnosis of family member.
MRI: yearly with MMG
Evaluation of Breast Pain:
Mastalgia or Mastodynia
Cyclic pain is ushually bilateral in UOQs 1 week prior to menses.
R/o Mastitis if breastfeeding
Areas with focal lesions/trauma, evaluate with US. However, if high-risk, evaluate with
MMG.
Nipple Discharge:
Can be associated with malignancy. The most concerning is spontaneous, bloody
(serosanguinous), unilateral, persistent, from a single duct, and associated with a mass.
Bilateral, non blood, multiductal secretions are usually benign regardless of color.
Evaluation of Breast Mass:
Malignant masses are usually: single, firm, nontender, and immobile with irregular
boarders.
,ALL masses should be evaluated radiographically.
- <30 with US and "fine-needle aspiration"
- >30 with MMG and "core-needle aspiration"
Benign Breast Disease:
High incidence in young women, but 2/3 are benign.
1/2 of palpable masses in perimenopausal women are malignant.
Majority of lesions in postmenopausal women are malignant.
Fibrocystic Breast Changes:
Pathophysiology:
exaggerated stromal response to hormones/growth factors.
presents as painful, multiple, and bilateral breast masses.
NO INCREASED RISK OF CANCER
Diagnosis:
depends on age: US, MMG, biopsy for lesions that do not fluctuate.
Treatment:
Decrease caffeine, tea, chocolate
Support bra, warm/cold compress
NSAIDs
Decrease MHT or OCP dose
Tanner Stages of Breast Development:
Stage 1: Preadolescent: elevation of papilla only.
, Stage 2: Breast bud: elevation of breast and papilla, areolar enlargement.
Stage 3: Further enlargement of stage 2 but without separation of contours.
Stage 4: Projection of areola and papilla form a mound.
Stage 5: Mature stage: projection of papilla only as areola recesses to breast.
Hormones in Breast Development:
Estrogen: promotes ductal development and fat deposition.
Progesterone: promotes lobular-alveolar development for lactation.
Prolactin: Milk production
Oxytocin: Milk letdown
**Postmenopausal women: hypoestrogenic state --> tissue atrophy
List the current recommendations for cervical cancer screening (including
recommendations for HPV testing).
Pts under 21 years old?
-- No cervical cancer screening is recommended, unless immunocompromised (HIV).
-- Just counseled and screening for STI and contraception.
List the current recommendations for cervical cancer screening (including
recommendations for HPV testing).
21-29 years old?
PAP every 2-3 years with cytology alone (PAP).
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through EFT, credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy summaries for 14 years now
