Question

Reproductive Handout

Use your own words only. (no handwriting, all typed). All questions to be answered.

1. Identify the four screening guidelines for breast cancer accepted by organizations involved with breast cancer. What nursing education would you provide to your patient?
3. What are the four classifications of syphilis and provide 2 clinical manifestations for each one?
4. Indicate what treatment or precautions should be taken during pregnancy or delivery when the patient has active gonorrhea. Describe why.
5. Indicate what treatment or precautions should be taken during pregnancy or delivery when the patient has active genital herpes. Describe why.
6. Indicate what treatment or precautions should be taken during pregnancy or delivery when the patient has active chlamydia. Describe why.
7. Indicate what treatment or precautions should be taken during pregnancy or delivery when the patient has active genital warts. Describe why.
8. Describe two factors that are associated with each of the following cancers. What nursing education would you provide for each?
   1. Cervical cancer
9. 2. Endometrial cancer
10. 3. Ovarian cancer
11. 4. Vaginal cancer
12. Identify two beneficial effects and two potential risks related to HRT that should be discussed with women during perimenopause. What nursing education would you provide for HRT?
13. Describe the difference between TUMT and TUNA. How are they used for the treatment of BPH? What nursing care would you provide for each?
14. Identify three findings in the following that are present in the patient with prostatic cancer that differ from findings in BPH.
15. 1. Prostatic palpation
16. 2. Blood tests
17. 3. Extra urinary symptoms

Answer 1

a, Breast cancer screening guidelines:
-Breast exam every 6 months
-Mammogram
-Supplemental imaging with dense breast tissue
-Annual breast MRI
Health education:
-Advice patient to have a healthy lifestyle by avoiding alcohol and smoking
-Advice healthy diet and maintain a healthy weight
-Lower the cholesterol diet
-!50minutes of moderate activity every week reduce the risk of breast cancer
-After 40 years of routine ultrasound, MRI and mammogram test is recommended annually
-Screening and monthly breast self-examination
-advise the patient to avoid hormone contraceptives that increase the risk of breast cancer.
b, Four classifications of syphilis include
-Primary - Painless sore in the mouth, and rectum and in the reproductive sytem and fever
Secondary - swollen lymph nodes and a red rash on the palm of the hand and sole of the feet
Latent -affect the heart, brain, bones, nerves, and infection
Tertiary - Numbness, dementia
c, During pregnancy and delivery precautions, are must avoid passing the infection to the child. screening is important during the first prenatal visit to reduce complications. Ceftriaxone is a safe medication during pregnancy to reduce the risk and infection. suppressive therapy from 36 weeks of pregnancy reduces viral infection during delivery. episodic treatment with the antiviral drugs for 10 days recommended.
d, Active genital herpes during childbirth affect newborn multiple organs a child develops with lesions on the skin, eyes, and mouth. early screening during pregnancy can detect the active genital herpes. Cesarian section is recommended to avoid risk and infection passing to the child. Acyclovir helps to treat infection in the end of pregnancy. antiviral medication recommended at the time of labor.