ch 15 minors

Question 1

What do the external organs, referred to collectively as the “vulva” refer to?

Answer 1

Mons pubis, labia majora, labia minora, opening and urethral opening

Question 2

a perineal gland, and ducts are located on each side of the lower end of the vagina

Answer 2

bartholin’s glands

Question 3

These narrow ducts open into the vaginal orfice on the inner aspects of the labia inflammed

Answer 3

bartholins glands

Question 4

The greek word —— meaning ‘trumpet” or tube is used to refer to the fallopian tubes

Answer 4

Salpinx

Question 5

Fallopian tubes are how lo — to — cm long, forming the canals through peristaltic action of the muscular layer and the cilary movement propel the ova toward the uterus.

Answer 5

10 to 13 cm

Question 6

a ——- with colpomicroscopy is often performed in the physicians office

Answer 6

colposcopy

Question 7

a colpomicroscopy, examination is indicated for the pt with abnormal papanicolaou (pap smear) suggestive of ——–. it identifies cellular abnormalities that may involve the vulva, vagina or cervic.

Answer 7

Dysplasia

Question 8

—— ——- samples may be obtained during the colposcopic proceudre to rule out invasive carcinoma or to detect early adenocarcinoma

Answer 8

endocervical curette

Question 9

conditions treated by ——- ——- include congenital diaphragmatic hernia, congenital cystic adenomatioid malformation, brochopulmonary sequestration, obstructive uropathy, sacroccygeal teratomas, twin to twin transfusion, thoracic lesions, twin reversed arterial perfusion, monochorionic twins, discordant twins and myelomeningocele.

Answer 9

Fetal Surgery

Question 10

—– —— may be accomplished by way of laparotomy, or in some instances with endoscopic techniques

Answer 10

Fetal Surgery

Question 11

——- are medications that increase motor activity within the uterus by hormonal stimulation or by direct stimulation on the smooth muscles, usually resulting in uterine contractions. They may be used intra op and post op

Answer 11

oxytocins

Question 12

Nursing conciderations after administration of oxytocins

Answer 12

monitor blood pressure, asses for continued bleeding, monitor fundal response to the drug

Question 13

—– —– consists of the iliac crest, ischia, pubic bones, and sacrum

Answer 13

pelvic girdle

Question 14

—– —— are located within the vestibule

Answer 14

Bartholins Glands

Question 15

The ph of vaginal fluid is

Answer 15

acidic

Question 16

Uterine lining is called the

Answer 16

endometrium

Question 17

the ligament that supports the bulk of the ovary is called the

Answer 17

suspinsory ligament

Question 18

the uterine tubes are contained within the —– ——-

Answer 18

broad ligament

Question 19

What are the uterine appendages

Answer 19

ovaries and fallopian tubes

Question 20

—— ——- cause the decent of the fetus through the pelvic canal

Answer 20

uterine contractions

Question 21

——- indicates the number of pregnancies

Answer 21

Gravida

Question 22

—– —— position is the position the pt is normally put into for a D and C

Answer 22

frog legged

Question 23

what 2 things are needed in the OR for a pt put in lithotomy positon

Answer 23

stirrups and foot holders

Question 24

term to describe abnormal labor or child birth

Answer 24

dystocia

Question 25

a lower transverse abdominal incision

Answer 25

pfannenstiel

Question 26

the internal cervical os is the aperture at ------ -------- ------

Answer 26

corpus uteri cervical junction

Question 27

what are the three layers of the uterine wall

Answer 27

visceral, peritomeum, myometrium, and endometrium

Question 28

two hormones from the antirior pituitary that stimulate the ovarian cycle are

Answer 28

LH and FSH

Question 29

what is the most common site for etopic pregnancies

Answer 29

fallopian tube

Question 30

the absence or abnormal stoppage of the menses is called

Answer 30

amenorrhea

Question 31

what is the most significant cause of morbidity in a cesarean section is

Answer 31

anesthetic problems

Question 32

a ---- suction device is used to clear a neonates airway in the presence of meconium

Answer 32

DeLee

Question 33

-------- -------- is performed to repair a rectocele

Answer 33

posterior colporraphy

Question 34

What catheter is used routinely during pelvic procedures to decompress the bladder to prevent injury

Answer 34

Foley

Question 35

what position is used to prevent injury and enhance visualization by displacing the abdominal contents superiorly

Answer 35

Trendelenburg

Question 36

what procedure involves the total removal of the uterus

Answer 36

total abdominal hysterectomy

Question 37

------ is performed to close an incompetent cervix

Answer 37

cerclage

Question 38

The ovaries fuction to produce and expel

Answer 38

ova

Question 39

what is performed to restore tubal patency

Answer 39

Tuboplasty

Question 40

what is the external female genitalia are collectively reffered to as the

Answer 40

vulva

Question 41

the ------ is the fingerlike extensions of the fallopian tubes

Answer 41

fundus

Question 42

the ------- is the annular recess created by the cervical-vaginal junction

Answer 42

fornix

Question 43

the fundus, corpus and cervix are all parts of the -------

Answer 43

uterus

Question 44

what is performed to rule out cervical dysplasia

Answer 44

a pap smear

Question 45

is an abnormal impantation of endometrial tissue

Answer 45

Endometriosis

Question 46

position used for a total abdominal hysterectomy

Answer 46

supine

Question 47

indicates that a pouch is created

Answer 47

marsupialization

Question 48

a ------ is a benign tumor found in the uturus

Answer 48

fibroid

Question 49

what is used following a tuboplasty to demonstrate tubal patency

Answer 49

indigo carmine

Question 50

What does D and C mean

Answer 50

dialate and curettage

Question 51

the prolapse of the bladder into the vaginal vault

Answer 51

cystocele

Question 52

-------- -------- is used to describe the removal of the uterus through a vaginal incision

Answer 52

vaginal hysterectomy

Question 53

what stage of labor is the placenta delivered in

Answer 53

3rd

Question 54

-------- ------- supply to the uterus is provided by the uterine arteries

Answer 54

arterial blood supply

Question 55

a surgicla instrument used to remove tissue by scraping

Answer 55

currette

Question 56

what is the most common reason for the performance of a cesarean

Answer 56

failure to progress

Question 57

the removal of the fallopian tube is a

Answer 57

salpingectomy

Question 58

who can aid in the prevention of adhesion formation following pelvic surgery is to ensure a drain is available for placement

Answer 58

ST

Question 59

the external genitalia is vascularized by branches of the ------ ----------

Answer 59

pudental artery

Question 60

name of the female erectile tissue

Answer 60

clitoris

Question 61

the ------ ------- secretes a luricating mucoid substance for the vaiginal vault

Answer 61

bartholins gland

Question 62

------ in the female is the area between the vaginal opening and the anus

Answer 62

perineum

Question 63

what is the uterus lined with

Answer 63

endometrium

Question 64

the ------ ------- suspends the uterus laterally

Answer 64

broad ligament

Question 65

------- ------- suspends the uterus anteriorly

Answer 65

cardinal ligament

Question 66

arterial blood supply to the uterus is derived from the uterine branch of the ----- ------ -------

Answer 66

internal iliac artery

Question 67

another name given to the fallopian tubes is the:

Answer 67

oviducts

Question 68

what FOUR regions are the fallopian tubes divided into

Answer 68

fimbria, isthmus, ampulla and instramural region

Question 69

name given to where the fallopian tubes enter the uterus is the

Answer 69

cornu

Question 70

arterial blood supply to the fallopian tubes is derived from the

Answer 70

uterine and ovarian arteries

Question 71

what are the two hormones the ovaries release

Answer 71

estrogen and progesterone

Question 72

what does the corpus luteum secrete

Answer 72

progesterone

Question 73

--------- is responsible for maintaining the growth of the uterine lining in preparation for the fertilized egg

Answer 73

progesterone

Question 74

what is a common drug given to induce labor

Answer 74

oxytocin

Question 75

what is the best suture choice for closing an episiotomy

Answer 75

chromic

Question 76

how many stages in the labor process

Answer 76

4

Question 77

what is stage 2 of the labor process

Answer 77

complete dialation of the cervix

Question 78

-------- are typically placed onto the fascia during a cesarean section

Answer 78

kochers

Question 79

how many counts are done on a cesarian section

Answer 79

four

Question 80

a ------- procedure is one done that involves the placement of a large diameter Dacron or Mersilene tape around the cervix at the internal os

Answer 80

Shirodkar

Question 81

--------- is the term used to describe the conversion of a closed cavity into an open pouch

Answer 81

marsupialization

Question 82

another name given to an anterior and posterior repair is

Answer 82

colphorraphy

Question 83

what is the name given to a fistula that forms between the bladder and vagina

Answer 83

vasicovaginal fistula

Question 84

------ is the absorption of the fluid into the vascular system, leading to increased blood pressure and possible death related to fluid overload

Answer 84

extravasation

Question 85

--------- is a fibrous, benign tumor of the uterus that usually arises from the myometrium

Answer 85

leiomyoma

Question 86

what is the area between the posterior vestibule and the anus is the

Answer 86

perineum

Question 87

excess bleeding during menses is

Answer 87

menorrhagia

Question 88

------- focuses on the treatment and prevention of diseases affecting the female reproductive system

Answer 88

Gynecology

Question 89

------ relates to the process of pregnancy and birth parturition

Answer 89

Obstetrics

Question 90

------- are small projections that extend from the end of the tube

Answer 90

Fimbriae

Question 91

what is a complete cycle called

Answer 91

ovarian cycle

Question 92

---------- ------ procedures require vaginal speculums and long instruments, including uterine clamps and heavy dissecting scissors

Answer 92

Transvaginal pelvic procedures

Question 93

----------- blue dye is used to identify and trace anatomical structures during assessment

Answer 93

Methylene

Question 94

During laparoscopic pelvic surgery, the uterus is retracted with a

Answer 94

uterine manipulator

Question 95

a ----- is removed intact by sharp dissection and extracted through a specimen retrieval bag using the technique described previously

Answer 95

teratoma

Question 96

------- ------- is performed to restore continuity to the fallopian tube, whether to reverse tubal ligation or to treat another condition

Answer 96

Tubal anastomostis

Question 97

---- is the removal of the uterus by a combined laparoscopic and vaginal approach

Answer 97

LAVH

Question 98

----- includes removal of the uterus and cervix

Answer 98

TAH

Question 99

Metzenbaum scissors and long tissue forceps are used by a surgeon to separate the bladder and uterus by dissecting the ------- ------ away from the bladder

Answer 99

peritoneal covering

Question 100

what is always applied before OBGYN surgery

Answer 100

Compression stockings or sequential compression device

Question 101

pelvic exenteration is performed to treat

Answer 101

metastatic cancer

Question 102

during hysteroscopy, a ----- ------ is inserted through the cervix and into the uterus

Answer 102

fiberoptic hysteroscope

Question 103

-------- is the absorption of the fluid into the vascular system, leading to increased blood pressure and possible death related to fluid overload

Answer 103

extravasation

Question 104

------- ------- is performed with a ball tip electrode and resectoscope

Answer 104

rollerball ablation

Question 105

a ----- is a benign, smooth muscle tumor of the uterus

Answer 105

leiomyoma

Question 106

----- is a nearly sterile fecal waste that accumulates while the fetus is in the uterus

Answer 106

meconium

Question 107

-------- may be performed as a simple or radical procedure

Answer 107

vulvectomy

Question 108

is a thick organ that adheres to the uterus on the maternal side

Answer 108

placenta

Question 109

2 procedural locations that require separate skin preps due to them being considered contaminated

Answer 109

abdominal-perineal and abdominal vaginal

Question 110

the ----- or ------ prep should be performed first in order to avoid splashing and contaminating the abdomen if it were to be prepped first.

Answer 110

Perineal or vaginal

Question 111

Once the perineum or vagina is prepped, the area should be covered with ---- ------ during the abdominal prep

Answer 111

Sterile towels