Chapter 26 Female Genitourinary Flashcards
At birth DC:
external genitalia engorged because of presence of maternal estrogen
Size recedes in a few weeks.
childhood DC:
ovaries are in the abdomen rather than the elvis; move into the pelvis at time of menarche
Pregnant woman DC
cervical and vaginal secretions increase during pregnancy.
20-24 weeks—uterus almost to the liver, displacing intestines superiorly and laterally.
During pregnancy—risk of yeast infection—increase glycogen and pH
Aging woman DC
Clit size decreases after age 60; menopause at 48-51 years—cessation of menses
Ovaries stop producing progesterone and estrogen.
Decreased size of the uterus; ovaries atrophy; uterus droops;
Vagina less elastic; atrophies; decreased secretions
Decreased sexual response; decreased vaginal secretions; decreased duration of orgasm and rapid resolution.
Acute pelvic pain
last less than 3 months consider urgent condition, pelvic inflammatory disease, appendicitis, ruptured ovarian cyst, ovarian torsion, which needs transvaginal ultrasound
Consider delayed puberty if
no pubic hair or breast development has occurred by age 13
Newborn DC
sanguineous or mucus discharge from vagina normal during first few weeks because of maternal estrogen effect.
Ask about pain with urinating, crying holding genitals
Aging Adult and screening
women ages 65 years should stop cervical cancer screening if they have more than 3 consecutive negative pap test or less than 2 consecutive neg hpv and pap test within the last 10 years. Also, women with a total hysterectomy should stop cervical cancer screening.
puberty reaches is peaks
during first menstrual cycle.
Is irregularity of menstrual cycle common during adolescent?
Yes,
menopause symptoms ask about
hot flashes, night sweats, numbness and tingling, headaches, palpitations, mood swings.
Assess reaction to loss.
HRT can cause
fluid retention, breast pain, vaginal bleeding, CVD and breast cancer.
HPV and pap cotesting every ____ years for women at what age
5 between ages 30-65
Acute pelvic pain
last less than 3 months consider urgent condition, pelvic inflammatory disease, appendicitis, ruptured ovarian cyst, ovarian torsion, which needs transvaginal ultrasound
Consider delayed puberty if no pubic hair or breast development has occurred
by age 13
External genitalia—Inspect—skin color even;
labia minora should be a darker pink
perimenopausal period from 40-55 years has hormone shifts, resulting in
vasomotor instability
menrrhagia
heavy menses
UI can result in what three things
decrease quality of life, limited activities increase falls and fracture risk
infertility is considereed
after 1 year of unprotected sexual intercourse without conceiving.
pressure in genital area, loss of urine with cough/sneeze, back pain and constipation occurs with
weekend pelvic musculature and uterine prolapse
vaginal itching, discharge, pain with intercourse
atrophic vaginitis
postmenopausal bleeding warrants
pelvic exam, transvaginal ultrasonography, and referral
in the aging adult the cervix
shrinks and looks pale and glistening. It may retract appearing to be flush with the vaginal wall.
