Examl 3:l NU650/l NUl 650l (Latestl 2025/l
2026l Update)l Advancedl Healthl Assessmentl Nursingl Review|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Regis
Q:l Whatl arel thel reproductivel phasesl ofl al woman'sl life?
Answer:
Menarchel -l firstl menstruall cyclel Menopausel -l cessationl ofl mensesl forl 12l consecutivel months
Q:l Definitionl ofl menopause
Answer:
cessationl ofl mensesl forl 12l consecutivel months Usuallyl occursl betweenl agesl 48l tol 55 associatedl withl hotl flashes,l flushing,l sweating,l andl sleepl disturbances
Q:l Reviewl thel anatomyl ofl thel breast
Answer:
4l Quadrants:l basedl onl horizontall andl verticall linesl crossingl atl thel nipplel (Upperl outer,l upperl inner,l lowerl outer,l lowerl inner,l taill ofl spencel -l extendsl intol axillaryl fold) Describedl asl clockl face:l usedl tol describel lesions,l alongl withl distancel inl centimetersl froml nipplel
Breastl composition:l glandularl tissuel -l formsl lobulesl radiatingl aroundl areola,l drainl intol milkl producingl ductsl thatl openl ontol areolal surface.l fibrousl connectivel tissuel providesl structurall supportl connectedl tol skinl andl fascia.l Adiposel tissuel isl present,l superficiallyl andl peripherally.l
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nipplel andl areola:l suppliedl withl smoothl musclel thatl contractl tol expressl milkl duringl breastl feeding.l
malel breastl -l mainlyl consistsl ofl nipplel andl areola,l lacksl lobules
Q:l Whatl isl thel orderl ofl examinationl forl thel femalel pelvicl exam?
Answer:
Assessl sexuall maturityl (ifl adolescent)
Inspectl monsl pubis,l labia,l andl perineum
Performl internall examination:l inspectl cervixl andl vaginal
Peforml al bimanuell examination:l palpatel cervix,l uterus,l ovaries,l andl assessl pelvicl floorl musclesl
Performl al rectovaginall examinationl ifl indication
Q:l signsl andl symptomsl ofl breastl cancer
Answer:
hard,l non-tender,l fixedl lumpl -l mayl havel discretel orl irregularl borders.l
Lumpl isl unilateral
sizel ofl lumpl doesl notl changel throughoutl cyclel
possiblel erythemal andl dimpling
increasedl vessell patterns
mayl havel nipplel discharge,l nipplel inversion
Q:l Presentationl andl diagnosisl ofl cervicall cancer
Answer:
presentation:l friablel cervix,l visiblel cervicall lesions,l erosion,l masses,l bleedingl duringl examination,l fixedl adnexa 2 / 4
Diagnostics:l Papl and/orl HPVl screening,l colposcopy.
Q:l Presentationl andl diagnosisl ofl ovarianl cancer
Answer:
presentation:l fullness/bloat,l nausea,l distention,l changesl inl bowell movements,l urinaryl symptoms,l dyspareunia,l weightl loss.l
Diagnosis:l adnexall mass,l CT,l pelvicl PRIl and/orl PETl scane.
Q:l Presentationl andl diagnosisl ofl uterine/endometrial cancer
Answer:
Presentation:l abnormall uterinel bleeding,l discharge,l possiblel pelvicl pain.l
Diagnosis:l Papl smear,l transvaginall ultrasound,l CT/PETl scan
Q:l cervicall abnormalitiesl onl exam
Answer:
bleeding ulcerations massesl dischargel -l normall variesl thinl tol thick/l clearl tol whitel (shouldl notl bel yellow/greenl orl malodorous) nodules
Q:l Collectionl ofl al papl smear
Answer:
insertl cervicall brooml (orl scrapel andl brush)l intol cervicall os
Ifl pregnantl -l usel al cottonl tippedl applicatorl moistenedl withl saline
rotatel tipl ofl brooml 360l degreesl inl clockwisel directionl
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remove
gentlyl strokel bothl sidesl ofl brooml ontol glassl slide,l orl insertl andl swirll brooml intol speciall liquid.
Q:l Assessingl thel vaginall canal
Answer:
inspectl whilel slowlyl removingl speculuml afterl examiningl thel cervix color,l odor bulgingl inl vaginall walll vaginall dischargel orl bleeding askl womenl tol bearl downl ifl assessingl degreel ofl uterinel prolapse
Q:l Stepsl forl performingl bimanuall examination
Answer:
1.l insertl twol fingersl intol vagina,l exertl pressurel posteriorl
2.l palpatel vaginall walll posterior,l laterally,l anteriorl -l notel nodules/tenderness
3.l palpatel cervixl -l notel position/size/shape,l consistency,l mobility,l tenderness
4.l palpatel uterusl -l placel otherl handl onl abdomenl betweenl umbilicusl andl symphisisl pubisl -l notel size,l shape,l consistency,l mobility.l identifyl masses/tenderness.l CMT/adnexall tendernessl canl indicatel PIDl whichl needsl immediatel treatmentl
5.l palpatel ovariesl -l placel abdominall handl onl RLQ,l andl intravaginall handl onl rightl laterall fornix.l Pressl abdominall handl inl andl down,l pushingl adnexall structuresl towardsl intravaginall hand.l Notel size,l shape,l consistency,l mobility,l tenderness.l Repeatl onl Leftl side.l Normall ovariesl mayl bel mildlyl tender
6.l assessl pelvicl floorl musclesl -l spreadl fingersl insidel vaginall wall,l askl patientl tol squeezel asl hardl asl theyl can.
Q:l Whatl isl thel rombergl test
Answer:
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