Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
MDC 3 – Exam 1 Blueprint
Breast Cancer
Patho:
- Impaired cellular regulation in the breast tissue. One single cell that grows and
multiplies in epithelial cells in one or more of the mammary ducts or lobules
Risk Factors:
- Increased age
- family history
- early menarche
- nulliparity
- late menopause
- lack of breastfeeding
- postmenopausal obesity
- smoking/alcohol consumption
- positive BRCA
1 or 2 Assessment:
- Lump in the breast, changes in the size, shape or appearance of a breast, changes
to the skin over the breast such as dimpling, a newly inverted nipple, peeling,
scaling, crusting, or flaking of areola or breast skin, peau d’ orange, tender, firm,
enlarged or itchy breast.
Diagnosis:
- Mammogram, tomosynthesis, ultrasound, MRI, chest x-ray, CT scan, liver
enzymes, serum calcium, alkaline phosphate
Treatment:
- Non-surgical: vitamins, diets, and herbal therapy
Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
,Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
- Surgical: lumpectomy, mastectomy (partial, total, or radical)
- Adjuvant: radiation, chemo or combo, drug therapy, stem cell transplant therapy
Self-screening and mammogram recommendations:
- Self-breast exam MONTHLY for all women 7-10 days after menstruation starts
- 45-54 mammograms every year
- Screening should continue as long as a woman is in good health
- Those with risk factors start screening earlier
Fibrocystic Breast Disorder
Patho:
- Non-cancerous, lumpy
breast texture Risk Factors:
- Hormone replacement therapy
- 20-50
years old
Assessment:
- breast
pain/tenderness/lumps
Diagnosis:
- Clinical breast exam
- Mammogram
- Ultrasound
- Fine-needle aspiration
- Breast
biopsy
Treatment:
Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
,Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
- Analgesics
- Limit salt intake before menses
- Wear supportive bra at all times
- Ice or heat may help
- Reduce or eliminate caffeine, dairy product
- Needle aspiration may be necessary
- Oral contraceptives or selective estrogen receptor modulators may be prescribed to help
with hormonal imbalance
Endometrial Cancer
Patho:
- Most common reproductive cancer of the inner uterine lining. Adenocarcinoma
is the most common tumor type. It arises from the glandular part of the
endometrium and usually follows endometrial hyperplasia (overgrowth)
- Stages of Endometrial Cancer:
Stage 1: endometrium only
Stage 2: endometrium, cervix
Stage 3: endometrium, cervix, vagina, lymph nodes
Stage 4: endometrium, cervix, vagina, lymph nodes, bowel and bladder
Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
, Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
Risk Factors:
- women in reproductive years
- family history
- diabetes mellitus
- hypertension
- obesity
- uterine polyps
- late menopause
- nulliparity
- smoki
ng
Assessment:
- The main symptom of endometrial cancer is postmenopausal bleeding. Ask the
patient how many tampons or pads they use each day.
- Other symptoms include low pelvic pain, watery and bloody vaginal discharge,
low back/abdominal pain. Ask the patient to describe where the pain is and
perform a pelvic examination.
Diagnosis:
- CBC’s because of blood loss and serum tumor markers CA-125
- -transvaginal ultrasound and endometrial biopsy **GOLD STANDARD**
- Chest x-ray, abdominal US, CT of pelvis, MRI of the abdomen and pelvis.
Treatment:
- Surgical: total hysterectomy and bilateral salpingo-oophorectomy
- Nonsurgical: radiation, chemotherapy, drug therapy.
Cervical Cancer
Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
2021/2022,100% CORRECT
MDC 3 – Exam 1 Blueprint
Breast Cancer
Patho:
- Impaired cellular regulation in the breast tissue. One single cell that grows and
multiplies in epithelial cells in one or more of the mammary ducts or lobules
Risk Factors:
- Increased age
- family history
- early menarche
- nulliparity
- late menopause
- lack of breastfeeding
- postmenopausal obesity
- smoking/alcohol consumption
- positive BRCA
1 or 2 Assessment:
- Lump in the breast, changes in the size, shape or appearance of a breast, changes
to the skin over the breast such as dimpling, a newly inverted nipple, peeling,
scaling, crusting, or flaking of areola or breast skin, peau d’ orange, tender, firm,
enlarged or itchy breast.
Diagnosis:
- Mammogram, tomosynthesis, ultrasound, MRI, chest x-ray, CT scan, liver
enzymes, serum calcium, alkaline phosphate
Treatment:
- Non-surgical: vitamins, diets, and herbal therapy
Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
,Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
- Surgical: lumpectomy, mastectomy (partial, total, or radical)
- Adjuvant: radiation, chemo or combo, drug therapy, stem cell transplant therapy
Self-screening and mammogram recommendations:
- Self-breast exam MONTHLY for all women 7-10 days after menstruation starts
- 45-54 mammograms every year
- Screening should continue as long as a woman is in good health
- Those with risk factors start screening earlier
Fibrocystic Breast Disorder
Patho:
- Non-cancerous, lumpy
breast texture Risk Factors:
- Hormone replacement therapy
- 20-50
years old
Assessment:
- breast
pain/tenderness/lumps
Diagnosis:
- Clinical breast exam
- Mammogram
- Ultrasound
- Fine-needle aspiration
- Breast
biopsy
Treatment:
Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
,Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
- Analgesics
- Limit salt intake before menses
- Wear supportive bra at all times
- Ice or heat may help
- Reduce or eliminate caffeine, dairy product
- Needle aspiration may be necessary
- Oral contraceptives or selective estrogen receptor modulators may be prescribed to help
with hormonal imbalance
Endometrial Cancer
Patho:
- Most common reproductive cancer of the inner uterine lining. Adenocarcinoma
is the most common tumor type. It arises from the glandular part of the
endometrium and usually follows endometrial hyperplasia (overgrowth)
- Stages of Endometrial Cancer:
Stage 1: endometrium only
Stage 2: endometrium, cervix
Stage 3: endometrium, cervix, vagina, lymph nodes
Stage 4: endometrium, cervix, vagina, lymph nodes, bowel and bladder
Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
, Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
Risk Factors:
- women in reproductive years
- family history
- diabetes mellitus
- hypertension
- obesity
- uterine polyps
- late menopause
- nulliparity
- smoki
ng
Assessment:
- The main symptom of endometrial cancer is postmenopausal bleeding. Ask the
patient how many tampons or pads they use each day.
- Other symptoms include low pelvic pain, watery and bloody vaginal discharge,
low back/abdominal pain. Ask the patient to describe where the pain is and
perform a pelvic examination.
Diagnosis:
- CBC’s because of blood loss and serum tumor markers CA-125
- -transvaginal ultrasound and endometrial biopsy **GOLD STANDARD**
- Chest x-ray, abdominal US, CT of pelvis, MRI of the abdomen and pelvis.
Treatment:
- Surgical: total hysterectomy and bilateral salpingo-oophorectomy
- Nonsurgical: radiation, chemotherapy, drug therapy.
Cervical Cancer
Rasmussen College: NUR 2502 MDC 3 – Exam 1 Blueprint_ LATEST
2021/2022,100% CORRECT
