Knowing that women normally do not have their first mammogram until the age of 50, what tests can be performed for this patient? Are there any tests more specific than a mammogram to detect breast cancer and what are they?
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- You are a medical student performing your gynecology rotation in a local physician's office. A 38 year-old woman presents to the office for evaluation. While obtaining her past medical history, she relates a family history of her mother having died from breast cancer. Knowing that women normally do not have their first mammogram until around the age of 50, what tests can be performed for this patient? Are there any tests more specific than a mammogram to detect breast cancer and what are they?Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…
- Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…
- Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…Erika, a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole 500…Nurse Zasha is reviewing the Obstetrician-Gynecologists orders for Mrs. Zexy Lucero. 25 years old, G1P0, 37 weeks AOG admitted for watery vaginal discharge before the onset of regular uterine contractions. Internal examination revealed: cervix 3-4 cms dilated, 50% effaced, cephalic, station -1, with pooling of fluid in the vaginal canal on speculum examination. Which of the following activities are expected to be written in the doctor's orders and to be performed by Nurse Zasha? (Select all that apply) Administer an antibiotic per order and hospital protocol Monitor maternal vital signs frequently Monitor fetal heart rate continuously Perform vaginal examination every shift Perform cesarean section immediately
- A patient in labor at 37 weeks’ gestation presents to the labor and delivery unit with a documented breech presentation. The patient’s water broke while getting out of the car. The nurse assists the patient into bed and immediately assesses the FHR, which is 60 bpm. Next, the nurse should assess the patient for which condition? A) Prolapsed umbilical cord B) Vaginal bleeding C) Fetal station via sterile vaginal examination D) Meconium-stained amniotic fluidMrs. Zexy Lucero, 25 years old, G1PO, 39 4/7 weeks age of gestation is in labor. Internal examination revealed: cervix 5-6 cms dilated, 50% effaced, cephalic, Station 0, (+) BOW. External fetal monitoring revealed a variable decelerations. Nurse Zasha is preparing for cesarean birth. Which of the following activities should not be implemented without clarification by Nurse Zasha? (Select all that apply) Slow the intravenous flow rate. Continue the oxytocin drip if infusing. Place the client in a high Fowler's position Administer oxygen, 8 to 10 L/ minute, via face maskMs. Lexy Lucero, 18 years old, an FEU nursing student as a competent maternity care provider should be able to identify early signs of abortion in order to be able to save a product of conception. Which of the following represents an incomplete abortion? (Select all that apply) Mild abdominal pain Passage of fetus, placenta, embryonic sac Severe uterine cramps Profuse vaginal bleeding