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Medical-Surgical Nursing, 10th Ed., Ignatavicius & Workman, 2020

Unit XV - Interprofessional Collaboration for Patients With Problems of the Reproductive System

Dysfunctional Uterine Bleeding

Assessment

Bimodal Age Distribution

Which of the following BEST describes the epidemiology of dysfunctional uterine bleeding?

Painless Vaginal Bleeding

Which of the following is most likely associated with dysfunctional uterine bleeding?

Amenorrhea 

Menorrhagia (Heavy Menstrual Bleeding)

Metrorrhagia (Bleeding Between Menses)

Interventions

Balloon Thermotherapy

Which of the following is most likely indicated in dysfunctional uterine bleeding?

Hormone Medications

Dilation and Curettage (DandC)

Considerations

Monitor for Anemia

Which of the following should be considered for patients with dysfunctional uterine bleeding?

Cervical Cancer Screening

Women Aged 21-65 Years

"A pap smear is most likely recommended for women of which ages?

Pap Smear Every 3 Years

What is the recommended frequency of pap smear screenings for a 24-year-old female?

Women Aged 30-65 Years

What is the recommended age range for co-testing (pap smear and HPV testing) as cervical cancer screening for women?<br>

Can Opt for Co-testing (Pap Smear + HPV Testing) Every 5 Years

Which of the following cervical cancer screening options is available for a 38-year-old woman?

Identify Lesions

Which of the following best describes the reasoning behind regular pap testing?

High grade lesions

Cryotherapy

Which of the following interventions is most likely to be used for a high-grade lesion detected during cervical cancer screening?

Loop Excision

Which of the following interventions is most commonly used to treat high grade cervical dysplasia?

Cold Knife Conization

Which of the following surgical procedures is used for both cervical cancer diagnosis and treatment?

Cervical Cancer Assessment

Cause/Mechanism

Human Papillomavirus (HPV)

What is an etiologic virus of cervical cancer?

Metrorrhagia

What is most commonly a sign or symptom of cervical cancer?

Leukorrhea

Pain

Abnormal Pap Test

What test is used in the diagnosis of cervical cancer?

May Be Asymptomatic

HPV Vaccine

Which is used in the prevention of cervical cancer?

Vaginitis

Infection

Which is most likely an etiology of vaginitis?

Postmenopausal Atrophy

Vaginal Discharge

During your assessment of a patient with vaginitis which of the following is most likely to be seen?

Pruritus

Antifungals (Miconazole, Clotrimazole)

Which of the following most likely represents a possible intervention for vaginitis?

Antibiotics

Estrogen Hormones

Abstinence

What is one intervention that should be recommended to a patient with a Trichomonal infection?

Good Hygiene

What recommendation should be made to prevent recurrent vaginitis?

Recurrent Vaginitis

A patient with an active HIV infection may present with what?

66 - Concepts of Care for  Patients With Gynecologic Problems

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 - Unit XV - Interprofessional Collaboration for Patients With Problems of the Reproductive System - Ignatavicius MedSurg 9th Ed - 66 Concepts of Care for  Patients With Gynecologic Problems for Nursing RN

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