Ch24: Gynecologic Emergencies

Question 1

what is the labia minora and majora?

Answer 1

tissue surrounding the vaginal and urethra openings

Question 2

what is the perineum

Answer 2

tissue between vagina and anus

Question 3

menarche

Answer 3

onset of menstrual cycle at the beginning of puberty

Question 4

pelvic inflammatory disease (PID)

Answer 4

inflammation of fallopian tubes and surrounding pelvic tissue

Question 5

ectopic pregnancy

Answer 5

pregnancy outside of the uterus

Question 6

symptoms of pelvic inflammatory disease

Answer 6

lower abdominal pain
abnormal, foul-smelling vaginal discharge
increased pain during sex
malaise
fever
nausea
vomiting

Question 7

risk factors of PID

Answer 7

<26 yo
douching
multiple sexual partners
STD
history of PID

Question 8

chlamydia

Answer 8

caused by bacteria Chlamydia trachomatis
symptoms:
low back pain
low abdominal pain
bleeding between menstrual cycles
pain during sex

Question 9

what happens if chlamydia is left untreated

Answer 9

infection in cervix can spread to rectum; sometimes it can cause PID

Question 10

what ages is bacterial vaginosis most prominent in?

Answer 10

15 - 44

Question 11

bacterial vaginosis

Answer 11

overgrowth of other bacteria in the vagina
symptoms:
discharge with fishy or foul odor
itchy, burning or pain

Question 12

gonorrhea

Answer 12

painful urination
yellow/bloody vaginal discharge w/ odor

Question 13

is gonorrhea worse in men or women

Answer 13

men

Question 14

where else besides the respiratory tract can gonorrhea grow?

Answer 14

mouth, throat, eyes, anus

Question 15

spontaneous abortion

Answer 15

miscarriage

Question 16

what do you do if a woman is bleeding from her vagina but not enough to cause shock

Answer 16

privacy is priority! don’t insert ANYTHING into the vagina. you can offer a menstrual pad

Question 17

Vaginal bleeding and what symptom suggest shock and should be acted upon immediately

Answer 17

syncope

Question 18

if a friend is helping out on scene, what are you allowed or not allowed to tell the friend.

Answer 18

not allowed to tell any thing you found from the scene. patient can tell the friend by their choice.

Question 19

should you use paper or plastic bags when packing evidence/

Answer 19

paper, as it allows any clothing or evidence to dry naturally
bacteria and mold can grow on plastic

Question 20

what do you do if a patient wants to shower and change clothes right away?

Answer 20

DISCOURAGE her from doing so, as to not wash away any evidence from the SA
but if she is still persistent, respect her wishes

Question 21

what type of nurse is responsible collecting SA evidence and providing appropriate support to the victim

Answer 21

SANE - Sexual Assault Nurse Examiners