mdc3_exam_1_review_with_nclex_questions_and_extra_note

11/21/23,ok4:50okA Mdc3okexamok1okreviewokwithoknclexokquestionsokandokextraoknot
M es.docx




RasmussenokCollegeok:NUR2759okMDC3okExamok1okReviewok-
WithokNCLEXokquestionsok&okextraoknotes,okLATESTokUPD
ok

ATEDokBESTokEXAMokSOLUTIONokGRADEDokA+
MDC3okExamok1okRe
view


ABCs
• Aok-okairway
• Bok-okbreathing
• Cok–okcirculation


Uterineo k Leiomyoma
• Benign,okslow okgrowingoksolidoktumorsokofoktheokmuscleoklayerokofokth
eokuterusok(fibroids)
• Excessiveoklocalokgrowthokofoksmoothokmuscleoktissues
o Growthokmayokbeokstimulatedokbyokestrogen,okprogester
one,okandokgrowthokhormone
Assessment:okasymptomaticokoroksymptomaticok(heavyokprolongedokva
ginalokbleeding)**

• Assesso k pelvico k pressure,o k eliminationo k pattern,o k abdomeno k size,
dyspareunia,o k infertility
• Painfulokmenses
• Eliminationokpatternsok(dueoktookenlargedokfibroidokpressing okonokorgans)
• Askokhow okmanyokpads/tamponsokusedokinokaokday



RasmussenokCollegeok:NUR2759okMDC3okExamok1okReviewok-
WithokNCLEXokquestionsok&okextraoknotes,okLATESTokUPD
ok

ATEDokBESTokEXAMokSOLUTIONokGRADEDokA+




about:blank 1/49

,11/21/23,ok4:50okA Mdc3okexamok1okreviewokwithoknclexokquestionsokandokextraoknot
M es.docx


RasmussenokCollegeok:NUR2759okMDC3okExamok1okReviewok-
WithokNCLEXokquestionsok&okextraoknotes,okLATESTokUPD
ok

ATEDokBESTokEXAMokSOLUTIONokGRADEDokA+
S/S:okHeavyokperiodsokorokperiodsokthatoklastokaoklongoktimeok&okabdokdistenti
on,okurinaryokfrequency
Psychosocialo k assessment:
• Qualityokofoklifeokfromokdyspareunia
• Fearokthatoksymptomsokcouldokbeokcancerous
• Anxiety
• Significanceokofoklossokofokuterusokforokpatientokandokpartnerokifok
wantoktookconceive
Diagnostico k assessment:
• CBCok–okironokdeficiencyokanemiaokfromokheavyokbleeding
• WBCokwouldokbeoknormal
• HGBokandokHCTok–oklow
• Pregnancyoktestoktookruleokoutokuterineokenlargement
• TransvaginalokUSok–okableoktookseeokifokfibroidokisokprotrudingokintookuterineokcavity
• Biopsy:okgoldokstandard
Pelvicokexam
Education:
• Nookstickingokanythingokupoktheokvaginaok(tampons, okdouches)
• Mayokhaveokbleeding
• Nooksexualokintercourse
• Nooktubokbaths


Breasto k cancer-o k preventativeo k screenings,o k risko k factors,o k diagnostico k tests
RasmussenokCollegeok:NUR2759okMDC3okExamok1okReviewok-
WithokNCLEXokquestionsok&okextraoknotes,okLATESTokUPD
ok

ATEDokBESTokEXAMokSOLUTIONokGRADEDokA+




about:blank 2/49

,11/21/23,ok4:50okA Mdc3okexamok1okreviewokwithoknclexokquestionsokandokextraoknot
M es.docx


RasmussenokCollegeok:NUR2759okMDC3okExamok1okReviewok-
WithokNCLEXokquestionsok&okextraoknotes,okLATESTokUPD
ok

ATEDokBESTokEXAMokSOLUTIONokGRADEDokA+
Preventativeo k screenings
• Mammography
o Recommendedoktookstartokscreening okatok45
o Womenokoverok55okmayokswitchoktookeveryok2okyears
• Breasto k self-awareness/self-examinations
o >90%okdetectedokbyokpatient
• Clinicalokbreast okclinical
o Atokleastokeveryok3okyearsokforokwomenokinoktheirok20sokandok
30sokandokeveryokyearokforokasymptomaticokwomenokatokleas
tok40okyearsokold
Risk
Factors
• Increasedo k age
• Familyokhistory
• Earlyokmenarche,oklateokmenopause
• Lackokofokbreastfeeding
• Postmenopausalo k obesity
• Alcoholo k consumption
• MutationsokinokBRCA1okorokBRCA2
Diagnostico k tests
• Labokassessment:okstudyokofokbreastokmassoktissueokandoklymph ok
nodes,okliverokenzymes, okcalcium,okandokalkalineokphosphatase
• Imagingo k assessment:

RasmussenokCollegeok:NUR2759okMDC3okExamok1okReviewok-
okWithokNCLEXokquestionsok&okextraoknotes,okLATESTokUPD

ATEDokBESTokEXAMokSOLUTIONokGRADEDokA+




about:blank 3/49

, 11/21/23,ok4:50okA Mdc3okexamok1okreviewokwithoknclexokquestionsokandokextraoknot
M es.docx


RasmussenokCollegeok:NUR2759okMDC3okExamok1okReviewok-
WithokNCLEXokquestionsok&okextraoknotes,okLATESTokUPD
ok

ATEDokBESTokEXAMokSOLUTIONokGRADEDokA+
o Mammogram
o Ultrasound

o MRI
o Chestokx-ray,okCTokforokmetastasis
o Breastokbiopsy*




Endometrialo k cancer-o k symptoms,o k risko k factors,o k diagnostico k testing
• Mosto k commono k gynecologico k malignancy
• Cancerokofokinnerokuterineoklining
• Growsokslowlyokbutokvaginal okbleedingokusuallyokleadsoktookp
romptokevaluationokandoktreatmentok=okgoodokprognosis
• Mostokcommonly okassociatedokwithokprolonged okexposur
eoktookestrogenokwithoutokitsokprotectiveokeffectsokofokpr
ogesterone
RiskokFactors:
• Womeno k ino k reproductiveo k years
• FamilyokHistory
• Diabeteso k Mellitus
• HTN
• Obesity
• Uterineokpolyps
• Lateokmenopause

RasmussenokCollegeok:NUR2759okMDC3okExamok1okReviewok-
WithokNCLEXokquestionsok&okextraoknotes,okLATESTokUPD
ok

ATEDokBESTokEXAMokSOLUTIONokGRADEDokA+




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