LPN 132: Reproductive Health Exam Review Topics

What is the recommended frequency for self-breast examinations?

Once a month, one week after menstruation begins.

What should be visually inspected during a self-breast examination?

Look for dimpling, puckering, or skin changes.

What is the proper method for physical inspection during a self-breast examination?

Use the pads of the three middle fingers to feel for lumps, ridges, or texture changes.

What should a client do if they notice changes during a self-breast examination?

Notify their healthcare provider immediately.

What happens to fibrosis in fibrocystic breasts after menopause?

Fibrosis may shrink after menopause.

What is the maximum dosage of acetaminophen within a 24-hour period?

No more than 4,000 mg (4 g).

What is endometriosis and what are its effects?

Endometrial tissue grows outside the uterus, causing pain, inflammation, retrograde menstruation, and infertility.

What are the cervical cancer screening recommendations for clients aged 21-29?

Pap smears every 3 years to identify abnormal cervical cells.

What are the cervical cancer screening recommendations for clients aged 30-65?

Combination pap and HPV testing every 5 years.

What are the side effects of combined oral contraceptives?

Contraindicated in cardiovascular disease, DVT, breast or endometrial cancer, and smoking.

What is the function of a hormonal intrauterine device (IUD)?

Releases levonorgestrel to prevent pregnancy and endometrial development.

What are the nursing interventions for premenstrual dysphoric disorder (PMDD)?

Talk therapy, CBT, SSRIs, hormonal contraceptives, and support for physical symptoms.

What distinguishes PMDD from PMS?

PMDD includes persistent sadness, severe mood changes, and episodes of anger.

What should clients avoid applying on the day of a mammogram?

Deodorant, lotion, perfume, or powder under the arms or breasts.

What is dysmenorrhea?

Painful cramps during menstruation, which can be primary or secondary.

What are the risk factors for uterine fibroids?

Family history, obesity, early menarche, never been pregnant, and late menopause.

What is the treatment for dysfunctional uterine bleeding?

Hormonal IUDs to decrease or stop vaginal bleeding, along with iron intake to prevent anemia.

What should a client report after menopause?

Any vaginal bleeding or spotting, as it may indicate endometrial cancer.

What hygiene practices should uncircumcised males follow to prevent infection?

Clean under the foreskin regularly.

What is the recommended method for testicular self-exams?

Once a month during or after a shower/bath, examining each testicle separately.

What should a client with prostatitis do if they cannot fully empty their bladder?

Seek immediate medical attention.

What is the action of sildenafil?

Increases blood flow to the penis during arousal.

What are the symptoms of syphilis in its primary stage?

Painless sores (chancres).

What are the symptoms of trichomonas vaginalis in females?

Frothy yellow-green discharge, foul odor, strawberry cervix, itching, and pain during sex.

What are the prevention strategies for human papillomavirus (HPV)?

Vaccination between ages 9-12, condom use, limiting sexual partners, and regular pap smears.

What are the 5 P's of sexual history intake questions?

Partners, Practices, Protection from STIs, Past history of STIs, Pregnancy intention.

What are the nursing interventions for transgender clients?

Address by preferred names and pronouns, provide respectful care, and protect privacy.

What are signs of intimate partner abuse?

Name calling, humiliation, control attempts, bruises, emotional distress, and inconsistent history.