What clinical manifestations should a nurse include about cervical cancer? Margie Smith, 32 years of age, presents to the emergency department after a fall. She stated that she fell down some steps and hit her face.

Assessment and Management of Female Physiologic Processes
1. Margie Smith, 32 years of age, presents to the emergency department after a fall. She stated that she fell down some steps and hit her face. The patient has two black eyes, a nasal fracture, and her ear lobe is torn. She has bruises on the inside of her arms shaped as ?ngers. There are bruises on her back in the shape of a shoe. Her boyfriend is with her at the bedside. (Learning Objective 2)

a. What steps should the nurse take to assess for abuse and what interventions should the nurse provide to deal with the suspected abuse?

2. Joyce Reynolds is a 52-year-old woman being seen by her family practitioner for her annual physical. Over the past 8 months, Joyce has noticed that her menstrual periods are very infrequent and last only 2 to 3 days. During the initial assessment, Joyce asks the nurse if her change in menstruation might be a sign of menopause. (Learning Objective 3)

a. What questions should the nurse ask to assess for other signs of menopause?

b. Joyce admits that she has also been experiencing hot ashes, and asks about hormonal therapy to treat them. How should the nurse answer this question?

c. What medical conditions or diseases would contraindicate the administration of hormonal therapy in postmenopausal women?

d. Joyce does not think she Wants to take hormonal therapy, and asks how she can minimize her hot ?ashes and decrease her chances of osteoporosis.

Case Study, Chapter 57, Management of Patients With Female Reproductive Disorders

1. June Brite, 35 years of age, is admitted to the medical-surgical unit after a Vaginal
hysterectomy with bilateral salpingo-oophorectomy for the treatment of uterine cancer.
(Learning Objective 7)

a. What will occur as a result of this type of surgery and what are the treatment options?

b. What nursing care should be provided for the patient as she arrives on the
medical-surgical unit?

c. What discharge instructions should the nurse provide the patient?

2. The Health Promotion nurse at a state university plans a series of educational programs focusing on female reproductive health issues for incoming ?rst-year female students. Because cervical cancer is the third most common female reproductive cancer and affects over 10,000 women annually in the United States, the nurse has planned the first session to focus on cervical cancer screening and prevention. (Learning Objective 6)

a. What information should the nurse include about Pap smears?

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