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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 old

A pap smear every 3 years is recommended for women of which ages?

Pap smear every 3 years

What cervical cancer screening regimen is recommended for a 28 year old woman?

Women aged 30-65 years old

Co-testing (pap smear and HPV testing) can be performed as cervical cancer screening for women of which ages?

Can opt for Co-testing (Pap Smear + HPV testing) every 5 years

Which of the cervical cancer screening regimens is an option for a 38 year old woman?

Identify lesions

Which of the following most likely describes the reasoning behind regular pap testing?

High grade lesions

Cryotherapy

Which of the following is most likely initially indicated when a high grade lesion is seen on a pap smear?

Loop Excision

Cold knife Conization

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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