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NUR 611|Maryville NURS 611 Exam 4 | UPDATE|COMPREHENSIVE QUESTIONS AND VERIFIED SOLUTIONS/CORRECT ANSWERS|GET 100% ACCURATE!! ACOG mammogram guidelines - ANSWER>>Start at 40 years of age Stopping age, years: life expectancy 5-7years; life expectancy$17.89
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NUR 611|Maryville NURS 611 Exam 4 | UPDATE|COMPREHENSIVE QUESTIONS AND VERIFIED SOLUTIONS/CORRECT ANSWERS|GET 100% ACCURATE!! ACOG mammogram guidelines - ANSWER>>Start at 40 years of age Stopping age, years: life expectancy 5-7years; life expectancy
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NUR 611|Maryville NURS 611
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NUR 611|Maryville NURS 611
NUR 611|Maryville NURS 611 Exam 4 | UPDATE|COMPREHENSIVE QUESTIONS AND
VERIFIED SOLUTIONS/CORRECT ANSWERS|GET 100% ACCURATE!!
ACOG mammogram guidelines - ANSWER>>Start at 40 years of age
Stopping age, years: life expectancy 5-7years; life expectancy <10 years
Frequency: annual
NUR 611|Maryville NURS 611 Exam 4 | UPDATE|COMPREHENSIVE QUESTIONS AND
VERIFIED SOLUTIONS/CORRECT ANSWERS|GET 100% ACCURATE!!
ACOG mammogram guidelines - ✔✔ANSWER✔✔>>Start at 40 years of age
Stopping age, years: life expectancy 5-7years; life expectancy <10 years
Frequency: annual
anovulatory cycles are characterized by - ✔✔ANSWER✔✔>>Irregularity
Light, heavy, or no bleeding
Anovulation usually = infertility
AUB (abnormal uterine bleeding) - ✔✔ANSWER✔✔>>Overarching term used to
describe any departure from normal menstruation or from a normal menstrual cycle
barriers/facilitators to care for LGBTQ+ - ✔✔ANSWER✔✔>>Can be r/t isolation &
stigmatization; additionally lack of health insurance, prior judgment or insensitive
encounters with HCP's & assumption of heterosexually
Lack of curriculum addressing health care needs
Impact patient's willingness to disclose sexual orientation
Ways to improve
Welcoming environment
Clinicians with knowledge of LGBTQ needs
Medical confidentiality
Barriers to access to care (d/t lack of health insurance)
Prior negative experiences
Fear of exam or providers → anxiety
breast cancer diagnosis - ✔✔ANSWER✔✔>>diagnostic mmg
f/u with sonogram and needle biopsy
breast cancer etiology - ✔✔ANSWER✔✔>>Differences in glandular and fat
concentrations are key modifiers of breast cancer detection programs
breast cancer risk factors - ✔✔ANSWER✔✔>>Age
Personal history of breast cancer
History of atypical hyperplasia (ductal or lobular on past biopsies)
Inherited genetic mutations (BRCA1 or BRCA2)
High breast tissue density
First degree relative with breast or ovarian cancer diagnosed at an early age
Early menarche (<12 years)
Ashkenazi jewish
, Late cessation of menses (>55)
No term pregnancies
Late age at 1st live birth (>30 years)
Never breastfed
Recent and long term OC use
Postmenopausal obesity
Personal history of endometrial or ovarian cancer
Alcohol consumption
Radiation exposure (chest)
Lack of exercise (obesity)
breast cancer screening - ✔✔ANSWER✔✔>>SMW appear to have an ↑ risk &
incidence of Breast CA (may result from lifestyle choices: overweight/obesity, nulliparity
& excessive ETOH intake)
May also be due to lack of access to care (insurance coverage)
May also participate less in breast self-awareness (review with patients)
Explore body comfort with breast self-awareness exams
Familiarize self with community resources for mammography or uninsured or
underinsured women
breast cancer symptoms - ✔✔ANSWER✔✔>>Hard mass/nodule
Non-mobile
Non- tender
May see dimipling (peau d'orange)
May see retraction (nipple)
No free movement (may see)
cervical cancer screening - ✔✔ANSWER✔✔>>SMW have lower rates of screening than
heterosexual women
Barriers to access to care (D/T lack of health insurance)
Prior negative health care experiences & belief that Paps were unnecessary
Fear of exam; Provider naivety
Other system barriers
SMW women (significant percentage) have reported sex with a male partner (may still
continue with bisexual partner)
Higher rates of abnormal paps d/t delayed screening
Be sensitive to the likely possibility that SMW may have had sexual trauma and/or
negative experience with HCP
characteristics of nipple discharge - ✔✔ANSWER✔✔>>Nature of discharge
Mass present/absent
Unilateral/bilateral
Single duct/multiple duct discharge
Spontaneous, persistent, intermittent, with expression
Produced by pressure on certain site or spontaneous
Relation to menses
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