AND ANSWERS
What are the top three leading causes of death in females in the U.S.? - ANS Heart disease
Cancer
Unintentional Injuries and Accidents
What is the recommendation for adult women receiving the influenza vaccination? -
ANS Annually
What is the recommendation for adult women receiving the Tdap vaccination? - ANS Every
10 years
What is the recommendation for adult women receiving Pneumococcal polysaccharide
(PPSV23)? - ANS For women 65 years or older
What is the recommendation for adult women receiving the MMR vaccination? - ANS 1 dose
for adults aged to 19 to 59 years (not recommended for adults over age 60)
What is the recommendation for adult women receiving the VAR vaccination? - ANS Adults
without evidence of immunity to chicken pox should receive a 2 dose series 4-8 weeks apart
What is the recommendation for adult women receiving the shingles (herpes zoster)
vaccination? - ANS For women 50 years and older
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,What is the recommendation for adult women receiving the HPV vaccination? - ANS 3 doses
for women *between the ages of 19 and 26*
What is the most common sexually transmitted virus in the United States? - ANS Human
papillomavirus (HPV)
What is the fear if HPV goes untreated? - ANS *HPV is the main cause of cancer development
in the cervix, vulva, vagina, penis, or anus and genital warts.*
It can also cause oropharyngeal cancers: cancer in the back of the throat, base of the tongue,
and tonsils.
What is the recommendation for Gardasil (HPV Vaccine)? - ANS for girls and boys aged 11 or
12 years.
*Most effective when given before the patient becomes sexually active*
Prevents most cases of cervical cancer and genital warts.
What is the MOA ,SE , Route & Dose for the HPV vaccine? - ANS MOA: Formation of
antibodies to HPV
SE: Injection Site reaction
Route/Dose: *Intramuscular*,number of doses varies based on age at administration of first
dose.
What is the nursing education involved with the drug Gardasil? - ANS Provide information
about the vaccine.
Explain importance of completing the entire series.
Explain the need for continued routine cervical cancer screening.
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, Explain that the vaccine does not prevent STIs.
At what age are annual screening mammograms recommended to begin? - ANS *40*
(if healthy; no fx hx of breast cancer, or abnormalities)
When abnormalities are identified on a screening mammogram, further testing may include -
ANS - diagnostic mammogram
(a screening mammogram if no abnormalities; diagnostic is considered after abnormalities)
- ultrasound
- MRI
- biopsy
What is important patient teaching regarding preparation for a mammogram? - ANS Patients
should not wear deodorant, perfume, lotion, or powder on the day of the appointment because
these substances can make shadows on the x-ray
What are five late warning signs of breast cancer? - ANS - visible lump
- nipple change
- color or texture change
- dimpled or depressed skin
- bloody discharge
What is a Papanicolaou (Pap) smear? - ANS A screening test primarily used for early
detection of precancerous cells. A speculum is inserted into the vagina and both cervical and
vaginal specimens are obtained.
What is important patient teaching regarding preparation for a Pap smear? - ANS The patient
should not have sexual intercourse, douche, or use tampons, creams, spermicide, jellies,
lubricants, moisturizers, or medications for 48 hours prior to the test
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