NUR 2759 MDC3 Exam 1 Review - With NCLEX questions and extra notes LATEST UPDATE

NUR 2759 MDC3 Exam 1 Review - With
NCLEX questions and extra notes LATEST
UPDATE
MDC3 Exam 1
Review


ABCs
• A - airway

• B - breathing

• C – circulation



Uterine Leiomyoma
• Benign, slow growing solid tumors of the muscle layer of

the uterus (fibroids)
• Excessive local growth of smooth muscle tissues

o Growth may be stimulated by estrogen,
progesterone, and growth hormone
Assessment: asymptomatic or symptomatic (heavy prolonged
vaginal bleeding)**
• Assess pelvic pressure, elimination pattern, abdomen

size, dyspareunia, infertility
• Painful menses

• Elimination patterns (due to enlarged fibroid pressing on

organs)
• Ask how many pads/tampons used in a day

NUR 2759 MDC3 Exam 1 Review - With
NCLEX questions and extra notes LATEST
UPDATE

,NUR 2759 MDC3 Exam 1 Review - With
NCLEX questions and extra notes LATEST
UPDATE
S/S: Heavy periods or periods that last a long time & abd
distention, urinary frequency
Psychosocial assessment:
• Quality of life from dyspareunia

• Fear that symptoms could be cancerous

• Anxiety

• Significance of loss of uterus for patient and partner if

want to conceive
Diagnostic assessment:
• CBC – iron deficiency anemia from heavy bleeding
• WBC would be normal
• HGB and HCT – low
• Pregnancy test to rule out uterine enlargement
• Transvaginal US – able to see if fibroid is protruding into
uterine cavity
• Biopsy: gold standard
Pelvic exam
Planning and Implementation
• Manage bleeding
o Non-surgical management: oral contraceptive**
o Surgical management:
▪ MRI focused ultrasound-heat to tumor

NUR 2759 MDC3 Exam 1 Review - With
NCLEX questions and extra notes LATEST
UPDATE

,NUR 2759 MDC3 Exam 1 Review - With
NCLEX questions and extra notes LATEST
UPDATE
▪ Uterine artery embolization – starves

tumor of circulation allowing it to shrink




NUR 2759 MDC3 Exam 1 Review - With
NCLEX questions and extra notes LATEST
UPDATE

, NUR 2759 MDC3 Exam 1 Review - With
NCLEX questions and extra notes LATEST
UPDATE
▪ Myomectomy- laser removal

▪ Hysterectomy




Erectile Dysfunction: causes & treatment
• Common as one ages: reduced blood flow to penis
Causes
Medical causes: change in
blood pressure Non-organic:
increased stressor, illnesses
Treatment
• Medications that increase perfusion to penis (PDE- 5
inhibitors)
• Vacuum pump
• Pineal implant
• Managing stress




Education related to treatment for HPV/Cervical Cancer
• Caused by HPV
s/s of cervical cancer:


NUR 2759 MDC3 Exam 1 Review - With
NCLEX questions and extra notes LATEST
UPDATE