rasmussen college nur2759 mdc3 exam 1 review with nclex questions amp extra notes
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Rasmussen College :NUR2759 MDC3 Exam 1 Review -
With NCLEX questions & extra notes, LATEST
UPDATED BEST EXAM SOLUTION GRADED A+
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
Rasmussen College :NUR2759 MDC3 Exam 1 Review -
With NCLEX questions & extra notes, LATEST
UPDATED BEST EXAM SOLUTION GRADED A+
,Rasmussen College :NUR2759 MDC3 Exam 1 Review -
With NCLEX questions & extra notes, LATEST
UPDATED BEST EXAM SOLUTION GRADED A+
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
Education:
• No sticking anything up the vagina (tampons, douches)
• May have bleeding
• No sexual intercourse
• No tub baths
Rasmussen College :NUR2759 MDC3 Exam 1 Review -
With NCLEX questions & extra notes, LATEST
UPDATED BEST EXAM SOLUTION GRADED A+
,Rasmussen College :NUR2759 MDC3 Exam 1 Review -
With NCLEX questions & extra notes, LATEST
UPDATED BEST EXAM SOLUTION GRADED A+
Breast cancer- preventative screenings, risk factors, diagnostic
tests
Preventative screenings
• Mammography
o Recommended to start screening at 45
o Women over 55 may switch to every 2 years
• Breast self-awareness/self-examinations
o >90% detected by patient
• Clinical breast clinical
Rasmussen College :NUR2759 MDC3 Exam 1 Review -
With NCLEX questions & extra notes, LATEST
UPDATED BEST EXAM SOLUTION GRADED A+
, Rasmussen College :NUR2759 MDC3 Exam 1 Review -
With NCLEX questions & extra notes, LATEST
UPDATED BEST EXAM SOLUTION GRADED A+
o At least every 3 years for women in their 20s and 30s
and every year for asymptomatic women at least 40
Risk years old
Factors
• Increased age
• Family history
• Early menarche, late menopause
• Lack of breastfeeding
• Postmenopausal obesity
• Alcohol consumption
• Mutations in BRCA1 or BRCA2
Diagnostic tests
• Lab assessment: study of breast mass tissue and lymph
nodes, liver enzymes, calcium, and alkaline phosphatase
• Imaging assessment:
o Mammogram
o Ultrasound
o MRI
o Chest x-ray, CT for metastasis
o Breast biopsy*
Rasmussen College :NUR2759 MDC3 Exam 1 Review -
With NCLEX questions & extra notes, LATEST
UPDATED BEST EXAM SOLUTION GRADED A+
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