Assessment & Health Promotion

Question 1

Breast

Structure
Function

Answer 1

Structure
- mammary gland composed of a number of lobes, divided into lobules
Function
- Lactation
- Sexual arousal

Question 2

Best Time to do a SBE

Answer 2

Physiologic alts in breast size reach minimal lvl abt 5-7 days after menstruation stops

Question 3

First Menstraul Cycle Term

Answer 3

Menarche

Question 4

Menstraul Cycle

list phases

Answer 4

1. Endometrial cycle
2. Hypothalamic-Pituitary cycle
3. Ovarian cycle

Question 5

Endometrial Cycle

Answer 5

• Day one of the period (bleeding) begins the cycle
• Menstruation > Proliferative phase > secretory phase > ischemic phase

Question 6

Hypothalamic-Pituitary Cycle

Answer 6

• Release FSH > stim primary folicle > develops egg

Question 7

Ovarian Cycle

Answer 7

• Primary folicle > Ovulation (14 days)

Question 8

First day of cycle

Answer 8

First day beginning to bleed

Question 9

14th Day of Cycle

Answer 9

Ovulation occurs

Question 10

What are Prostaglandins

Answer 10

Oxygenated fatty acids classified as hormones

Question 11

What do Prostagladins effect

Answer 11

• Ovulation
• Fertility
• Changes in cervix & cervical mucus
• Tubal & uterine motility
• Sloughing of endometrium (mentruation)
• Onset of abortion (spontaneous & induced)
• Onset of labor (term & preterm)

Question 12

Climacteric

before menopause

Answer 12

• Transitional phase during which ovarian function and hormone production decline
• Spans from the onset of premenopausal ovarian decline to postmenopausal time, when symptoms stop

Question 13

Menopause

Answer 13

• Refers to last menstrual period
• Dated with certainty 1 year after menstruation ceases
• Avg age: 51.4yrs
• Age Range: 35-60yrs

Question 14

Sexual Response

physical maturity
sexual stim
arousal

Answer 14

• F/M reach physical maturity at 17yrs
• Sexual stimulation results in an incr in circulation to circumvaginal blood vessels
  > venous congestion is localized primarily in genitals & lesser degree in breast & other parts
• Arousal is characterized by myotonia, resulting in voluntary & involuntary rhythmic contractions

Question 15

Sexual Response Cycle

Answer 15

• Excitement
• Plateau
• Orgasmic
• Resolution
  Time/intensity and duration for cyclic completion differs from person to person and situation

Question 16

Adolescents

hlth promo & disease prevention

Answer 16

• 1st enter healthcare system as young women for purpose of contraception or women’s hlth exams
• Teen pregnancies: sexually active who do not use regular contraception has 90% of conceiving in 1st yr

Question 17

Young & Middle Adulthood

hlth promo & disease prevent

Answer 17

• Contraception
• Pelvic & breast screenings

Question 18

Late Reproductive Age

hlth promo & disease prevent

Answer 18

Incrd risks w/ pregnancy, emergence of chronic diseases

Question 19

Types of services provided to women as they age

Answer 19

• Preconception counseling & care
• Pregnancy
• Fertility control
• Infertility
• Menstrual problems
• Perimenopause

Question 20

Assessment for Women

Answer 20

• Hx
• Physical examination
• Pelvic examination
• Women w/ special needs/disabilities
• Adolescents (13-19yrs)

Question 21

Pelvic Exam

Answer 21

• External inspection & palpation
• Vulvar self-examination
• Papanicolauo test

Question 22

Health Screening for Women Across the Life Span

fasting BG
STI
mammogram
CBE
TB
Pap
pelvic exam
colon cx
bone mineral density

Answer 22

• Fasting Blood Glucose: 45yrs+
• STI: <25 & as needed
• Mammogram: 40yrs
• Clinical Breast Exam: 20yrs+
• TB Skin test: as needed for high risk
• Pap test: 21-65yrs
• Pelvic exam: until age 70yrs
• Colon Cx: 45yrs
• Bone Mineral Density (DEXA scan): 65yrs