Exam 13: Gynecologic and Obstetric Surgery

Sally Hargraves is a 72-year-old patient with multicentric carcinoma in situ (CIS)of the vulva,without evidence of leukoplakia and pruritus.She has a history of prior papillomavirus infection.Select the most appropriate surgical option.

During the preoperative nursing assessment in the ambulatory surgery receiving unit,the nurse notices bruises and abrasions in various stages of healing on her patient's abdomen,arms,and breasts.In a quiet and respectful manner the nurse said,"The staff at our facility are concerned about your safety.We know that many things can happen in our lives that affect our mental and physical health." This technique is an appropriate method of establishing a sense of __ with the patient while conveying caring and concern.

Angela Wiggins,an experienced perioperative nurse,has recently been hired at the new ambulatory surgery center to lead their endometrial ablation and fibroid embolization program.She has created a patient education booklet with relevant postprocedure care information for patients and caregivers and is developing a training module for the nurses to learn techniques for teaching patients before surgery and before discharge.She is teaching the nurses how to encourage patients and caregivers to reflect on what they have just learned in order to elicit a "teach-back" scenario.Select the reflective statements and questions appropriate for a post endometrial ablation patient,to determine her understanding of her discharge instructions.Select all that apply.

Miranda Cox returned to her gynecologist's office for a second Pap smear when her routine exam showed dysplastic cells in her cervical cytology test.Miranda has a family history of cervical cancer and had laser ablation within the last 2 years for vulvar condylomata.She can expect her gynecologist to perform another Pap smear and: