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RASMUSSEN NURSING MATERNAL CHILD CARE EXAM 1 QUESTIONS AND ANSWERS
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RASMUSSEN NURSING MATERNAL CHILD CARE EXAM 1 QUESTIONS AND ANSWERS
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RASMUSSEN NURSING MATERNALCHILD CARE EXAM 1 QUESTIONS AND
ANSWERS
Purpose of GYN exams - Answer-Screens for pregnancy complications (STI's and
cervical/uterine/ovarian cancer)
RN role in GYN exams - Answer-Provide comfort and educate the patient
Purpose and function of the uterus - Answer-Organ of implantation/menstruation,
receives ova from fallopian tube and furnishes protection for growing fetus.
Female genitalia - Answer-Vulva, labia majora, labia minora, clitoris
Male genitalia - Answer-Perineum, penis, testes and scrotum
Fallopian tubes - Answer-Sperm transport route to egg, site of fertilization, transports
egg from ovary.
Ovaries - Answer-Essential female organ, produce ova/eggs required for reproduction,
secretes hormones such as estrogen and progesterone which helps to regulate
menstrual cycle.
Why is it important to talk to mom about bladder? - Answer-It can interfere with
pregnancy and cause issues
How often should women perform self-breast exams? - Answer-monthly (7-10 days
after menstruation ends)
The influence of progesterone causes breasts to become lumpy.
It's better to perform exam when progesterone is out of mom's system and entering a
cycle renewed with estrogen.
Self-breast exam patient education - Answer-If you feel a lump, please see your doctor.
Painful menstruation, one of the MOST COMMON OB/GYN complaints. - Answer-
Dysmenorrhea
Chemical/pharmacologic management of dysmenorrhea - Answer-Analgesics such as
NSAID's (most prevalent)
Ex. Ibuprofen/Motrin, Naproxen, Mydol (NSAID/Diuretic)
Target of pain management for dysmenorrhea - Answer-Prostaglandins found in
menstrual blood (anti-prostaglandin)
, Long term management for dysmenorrhea (not for acute onset) - Answer-Birth Control
Non-pharmacologic interventions for dysmenorrhea - Answer-Heating, pad, diet
changes, increase activity, limit alcohol and chocolate
Absence of menstruation - Answer-Amenorrhea
Causes of amenorrhea - Answer-Pregnancy (most common), menstrual cycling issues,
hormonal reasons
Release of egg from woman's ovaries which takes place 14 days before next period -
Answer-Ovulation
Forms of birth control - Answer-Condoms, oral contraceptives, IUD, Patch, Depo, ring,
abstinence, natural family planning and sterilization
Condom pt education - Answer-must know how to use correctly
Oral contraceptive pt education - Answer-take the pill the same time every day
IUD education - Answer-Client should be monogamous because risk of STI's is greater,
check placement
Patch education - Answer-Weight, Can have irregular/breakthrough bleeding and body
habitus (physique or body build)
Hormone/cardiovascular risks of birth control - Answer-Blood clots, hypertension,
severe migraine HA's
Patient education for choosing form of birth control - Answer-Should not use birth
control pills with both progesterone AND estrogen (use progesterone only or Depo
Provera)
* Someone with breast cancer or any type of estrogen-feeding cancers would not want
any type of hormone/estrogen pill
* If woman's breast feeding is well established the birth control pills may not interfere but
initially we don't want to start someone on birth control pills immediately (interferes with
prolactin)
Disadvantages of natural family planning - Answer-Most difficult part is being committed
to plan, women feel most sexual when ovulating which makes it hard for them to fight off
urge
PERMANENT!!! (some means of reversal but with risk factors) - Answer-Sterilization
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