MCH NUR 2633 – Study Guide Test 1/50 questions
1. Women’s health encompasses breast care, GYN exams, and assessments. Be comfortable with
the
... [Show More] parameters of education for Self breast exams, and what is normal for a woman to note
when doing breast exam. Know normal menstrual cycle - what is the most common complaint
with the menstrual cycle, and complications; STI’s and risks.
Menstrual cycle retroactive event; reported event; cannot know what to expect; most
women do not normally follow their cycles, very few women can give you accurate date,
can give you an estimate
time of ovulation forward 14 days will have period; from menstrual bleed towards next
phase, don’t know when ovulation will take place—can be affected by stress, body fat,
meds, dietary changes, activity, alcohol
ovulation 24hr time frame—is not exactly 14 days after
sperm lives 3-5 days
Two hormones women—estrogen growth hormone—breast larger; progesterone
thicker, full tenderness (slows things down, can cause constipation, cramping in legs)
without progesterone most pregnancies would not go to term (endometrial lining
influenced by these hormones)
Progesterone-prolife
STI’s—viral—antivirals, not cure, only TX symptoms; teach to decrease stress, take
vitamins, eat better nutrition, get rest, improve immune system; during shedding is most
active; bacterial infection—ABT
Common reason for amenorrhea—pregnancy (immune system is depressed when
pregnant so viral infections become pronounced. Eat healthier to help boost system)
STI’s-if bacterial then you need antibiotics to treat
If a patient finds a breast lump how will you advise her?
All women should do their own breast exams first 7-10 days after period
Breast lump—seek out doctor SBE—when hormones are least influential on breast
tissue; not definitive, recognize change
Breast tissue gets larger during pregnancy, endometrial lining thicker r/t to these
hormones
2. What is your role in the GYN exam
Educate patients
o Painful periods—dysmenorrhea
o Non-pharmacological management—stretching, exercise, heating pad, increase
calcium (uterus is muscle—want to be strong and efficient), decrease intake of
caffeine, fat, alcohol, salt, warm bath
o Pharmacological—NSAIDS (Motrin); post-partum discomfort (uterine cramping);
not for post-op patient [Show Less]