Assessment & Health Promotion Flashcards

1
Q

Breast

Structure
Function

A

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

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2
Q

Best Time to do a SBE

A

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

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3
Q

First Menstraul Cycle Term

A

Menarche

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4
Q

Menstraul Cycle

list phases

A
  1. Endometrial cycle
  2. Hypothalamic-Pituitary cycle
  3. Ovarian cycle
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5
Q

Endometrial Cycle

A
  • Day one of the period (bleeding) begins the cycle
  • Menstruation > Proliferative phase > secretory phase > ischemic phase
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6
Q

Hypothalamic-Pituitary Cycle

A
  • Release FSH > stim primary folicle > develops egg
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7
Q

Ovarian Cycle

A
  • Primary folicle > Ovulation (14 days)
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8
Q

First day of cycle

A

First day beginning to bleed

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9
Q

14th Day of Cycle

A

Ovulation occurs

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10
Q

What are Prostaglandins

A

Oxygenated fatty acids classified as hormones

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11
Q

What do Prostagladins effect

A
  • Ovulation
  • Fertility
  • Changes in cervix & cervical mucus
  • Tubal & uterine motility
  • Sloughing of endometrium (mentruation)
  • Onset of abortion (spontaneous & induced)
  • Onset of labor (term & preterm)
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12
Q

Climacteric

before menopause

A
  • Transitional phase during which ovarian function and hormone production decline
  • Spans from the onset of premenopausal ovarian decline to postmenopausal time, when symptoms stop
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13
Q

Menopause

A
  • Refers to last menstrual period
  • Dated with certainty 1 year after menstruation ceases
  • Avg age: 51.4yrs
  • Age Range: 35-60yrs
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14
Q

Sexual Response

physical maturity
sexual stim
arousal

A
  • 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
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15
Q

Sexual Response Cycle

A
  • Excitement
  • Plateau
  • Orgasmic
  • Resolution
    Time/intensity and duration for cyclic completion differs from person to person and situation
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16
Q

Adolescents

hlth promo & disease prevention

A
  • 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
17
Q

Young & Middle Adulthood

hlth promo & disease prevent

A
  • Contraception
  • Pelvic & breast screenings
18
Q

Late Reproductive Age

hlth promo & disease prevent

A

Incrd risks w/ pregnancy, emergence of chronic diseases

19
Q

Types of services provided to women as they age

A
  • Preconception counseling & care
  • Pregnancy
  • Fertility control
  • Infertility
  • Menstrual problems
  • Perimenopause
20
Q

Assessment for Women

A
  • Hx
  • Physical examination
  • Pelvic examination
  • Women w/ special needs/disabilities
  • Adolescents (13-19yrs)
21
Q

Pelvic Exam

A
  • External inspection & palpation
  • Vulvar self-examination
  • Papanicolauo test
22
Q

Health Screening for Women Across the Life Span

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

A
  • 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