Maternity nursing 1. The nurse educator has been asked by a local… Maternity nursing 1. The nurse educator has been asked by a local women’s cancer support group to speak with their daughters and granddaughters about cervical cancer. (Learning Objectives 1, 2, 3, and 4)A. What are the identified risk factors for cervical cancer? What can be done to decrease the risk for development of cervical cancer?B. What screening test should women have, and how often, for cervical cancer? Does this change with age?C. Once a woman is diagnosed with cervical cancer, what are the treatment options?D. What is the most common cancer of the reproductive tract? What can be done to decrease the risk factors for all female cancers? 2. Janet is a 67-year-old Caucasian client coming to your office today to receive her test results after being seen a week ago for complaints of pelvic and abdominal discomfort, urinary frequency and urgency, and abdominal bloating despite not eating much. You are in the room with Janet when her doctor enters the room and gives Janet the diagnosis of probable ovarian cancer. He wants to schedule surgery immediately. He leaves you and Janet to discuss the situation and come up with a decision regarding immediate surgery. Janet is stunned and has a lot of questions. (Learning Objectives 2, 3, and 6)A. Janet wants to know how she got ovarian cancer. How would you explain the etiology to Janet in terms she can understand?B. Janet wants to know what this means. Janet asks “Am I going to die from this?” What are the treatment options and prognosis for ovarian cancer to Janet?C. As the nurse caring for Janet, how can you support her and her family as they journey through this event? 2 CASE1. Kerry, age 24, presents to your clinic today to have a pregnancy test. You notice that she has a fading bruise on the side of her face. This is her fourth pregnancy in 5 years. Kerry has three boys and is hoping that this one will be a girl. Kerry states “He will be so happy if this one is a little girl. I don’t know how he will take it if it is another boy.” You begin to suspect that Kerry may be experiencing some marital difficulties so you ask if Kerry is being abused by her husband. Kerry immediately puts her hand to her face and says, “Oh, this. No, this was my fault. My 2-year-old had a temper tantrum and I caught this one in the face with his toy truck.” Again, you ask Kerry if she is safe. Kerry starts to cry and says “He has been so great lately. He brought me flowers and gave me some spending money and told me to enjoy a few hours out shopping. I don’t know how to tell him I am pregnant again.” (Learning Objectives 3, 6, and 7)A. What clues lead the nurse to suspect that Kelly is in an abusive relationship?B. Where is Kelly at now in the cycle of violence? What specific nursing interventions would you implement? C. Why is this the optimal time to explore with Kelly what her options are?D. What is the nurse’s role in assisting victims suffering from abuse? Health Science Science NursingShare
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