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NUR 2633 ( LATEST 2024 / 2025 ) MC EXAM 1 STUDY GUIDE | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NUR 2633 ( LATEST 2024 / 2025 ) MC EXAM 1 STUDY GUIDE | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NUR 2633 MC Exam 1 Study Guide1. breast self examination (BSE)
Answer
Start in the 20's 5-7 (maybe 10) days after menstruation
1. Supine position
2. RT arm behind head
3. Opposite hand - pads of 3 middle fingers
4. Dime-sized circular motions Light, medium, & firm pressure Repeat step 4, Up and down
Pressing down on hips contracts chest muscles and enhances breast changes
2. Mammography Screening
Answer
X-ray of the breast tissue to detect abnormal growths
Screening tool
3. MRI (magnetic resonance imaging)
Answer
Noninvasive nuclear procedure is especially useful in women with an inherited susceptibility
to breast cancer
NOT a substitute for a mammogram Screening tool
4. Clinical Breast Exam (CBE)
Answer
,Should be performed annually
Annual screening after age 40
Screening tool
5. Breast Cancer
Answer
African American women are at a lower risk than
Caucasian women
6. If a patient finds a breast lump, how should the nurse advise her?
Answer
Feeling a lump is never normal! Have the PT F/U to do further testing!
Breast tissue thickens during pregnancy
Endometrial lining also thickens
7. Emergency Contraceptive Pills (ECP)
Can be used up to 72 hrs after inter- course
Three types
Answer
1. Combined ECPs (contain both estrogen & progestin)
2. One-dose progestin-only ECPs such as Plan B One-Step
3. A one-dose ECP that contains an anti progestin (Ella)
,Progestin-only ECPs are most common - Fever S.E. & more effective
** ECPs do NOT cause abortion or harm an established pregnancy Can delay ovulation, teach
PT to use backup contraception
8. IUD (intrauterine device)
Indications
Answer
1. Nullipara
2. Adolescents
3. Hx of ectopic pregnancies
4. Lactating women
5. Women w/+ HIV test
6. Immediately post 1st trimester abortion Preparations
Answer
1. - Pregnancy test
2. Tx for dysplasia
3. Eval for abnormal uterine bleeding
4. Cervical cultures to rule out STIs
5. CONSENT FORM
Risks
1. High rate of ectopic pregnancies in tubal ligation procedures that fail
9. Sterilization
, Permanent & irreversible Requires informed consent
Types
Answer
1. Bilateral tubal ligation (BTL)
Best performed within 48 hrs of vaginal birth or during cesarean birth
Hysterosalpingogram is a dye test performed at 3 months, after procedure, to confirm tubal
patency
10. Vasectomy
Answer
Performed under local anesthesia & involves a small incision in the scrotum
Interrupts the passage of sperm into the seminal fluid Semen no longer contain sperm
11. Depo-Provera
Medroxyprogesterone acetate
Bone mass may be adversely affected (Length of use may contribute to loss of bone mass)
Educate PT must take calcium and vitamin D to prevent bone loss while on Depo-Provera
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