NUR 2633 – Study Guide Test 1/50 questions with ANSWERS
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Course
NUR 2633 –
Institution
Rasmussen University
1. Women’s health encompasses breast care, GYN exams, and assessments. Be comfortable with the parameters of education for Self breast exams, and what is normal for a woman to note when doing breast exam. Know normal menstrual cycle - what is the most common complaint with the menstrual cycle, an...
mch nur 2633 – study guide test 150 questions with answers
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NUR 2633 –
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lOMoARcPSD|3013804
Docx-15 - Study Guide for Exam
1
Maternal Child Health Nursing (Rasmussen
University)
, lOMoARcPSD|3013804
MCH NUR 2633 – Study Guide Test 1/50 questions
1. Women’s health encompasses breast care, GYN exams, and assessments. Be comfortable with the
parameters of education for self-breast exams, and what is normal for a woman to note when doing breast
exam. Who should do breast exams, all women after starting menses, approximately 10 days following
menses. Know normal menstrual cycle – retroactive/retroverted or retro noted system – from ovulation to
period is 14 days, from period to ovulation – we don’t know. What affects the menstrual cycle? Stress, diet,
body fat, medication, drugs, alcohol, hormones, eating disorders, familial connections – women cycle
together. Any barrier or block from the pituitary gland to the ovarian cycle or from the ovarian cycle to the
endometrium there may be no ovulation, or it may affect implantation. What is the most common
complaint with the menstrual cycle, and complications; Painful menses (dysmenorrhea) Know STI’s and
risks. Manage dysmenorrhea non-pharmacologically with heat, diet – eating properly, exercise, getting rid
of excess fats, alcohol, carbs. Pharmacological interventions include NSAIDS, Motrin, pamprin, Midol –
include diuretic that deals with edema.
2. If a patient finds a breast lump how will you advise her? Report lumps and follow up with a doctor,
ultrasound or mammogram. Early recognition is the key for less invasive treatment.
3. What is your role in the GYN exam – review STIs. There are bacterial, viral, protozoan, bacterial treated with
antibiotics. Viral – HIV, HPV, Herpes – treat symptoms and address lifestyle – diet and stress – maintain
immune system – keep viral load down.
4. Contraception - Forms of birth control – condoms, spermicides, birth control pills, Nexplanon, IUD,
emergency contraception, vaginal rings, Mirena, Depo Provera, diaphragm, patches, abstinence. good
subject for your postpartum patients as well – know them, know the risks and some of the educational
points to share with them regarding each type. Many items do not protect against STIs, IUD is long term –
meant for a monogamous relationship – can come out, Depo requires injections every 12 weeks & suggests
calcium supplements – birth control should be taken same time every day. Smoking is contraindicated with
Birth control. Choices should be based on someone’s lifestyle, breast feeding is contraindicated with
estrogen- based birth control – impedes prolactin in breast milk. Remember birth control choice should be
based on a patient’s lifestyle – if she cannot swallow pills do not offer oral contraception – right? Etc…
5. Emergency contraception – know education. Within 72 hours, not 100% effective, not for birth control,
does not cause an abortion, does not protect from STIs, encourage follow up and testing for STIs
afterwards.
6. Preconceptual care is provided for a means to identify risks and provide nutrition – not to establish who
should become pregnant. Access is important, counseling identifies risks- lifestyle, nutrition, immunizations,
genetic issues, prenatal vitamins, smoking, drugs, alcohol, provides opportunities for community referrals.
7. Pregnancy – understand the structure and function of the external and internal genitalia. Uterus – house
growing fetus, ideal musculature for delivering baby, menstrual cycling. Ovaries – house eggs and produce
estrogen (growth hormone) and progesterone (most important - quieting hormone) pro gestation, pro-life
hormone. Fallopian tubes – carry the eggs from the ovaries to the uterus. Egg is fertilized by the sperm in
the ampulla. Bladder is involved in pregnancy – can cause complications during pregnancy and delivery.
Know the purpose of each in the process of pregnancy. You must understand the changes that occur to
each system -
8. Please identify pregnancy history – G, F, P, A, L – this mnemonic is only for delivery - know how to complete
this given each women’s obstetrical history. G=Gravida, number of pregnancies, F=full term pregnancies,
P=preterm pregnancies before 37 wks, A=abortions, L=Living children. Twins are only one
pregnancy(gravida) and one delivery(parity).
9. EDD – Nagles rule – 1st day of LMP - 3months, + 7days. Based on a 28-day cycle, does not work for
everyone, can be a few days off.
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