Chapter 26: Female Genitourinary System

Question 1

What does the external genitalia include?

Answer 1

vulva, mons pubis, labia majora, labia minora, urethral meatus, vaginal orifice

Question 2

What is the internal genitalia

Answer 2

vagina, cervix, uterus, fallopian tubes, ovaries

Question 3

what makes the external genitalia engorged in females at birth

Answer 3

presence of maternal estrogen; size recedes in a few weeks.

Question 4

Where are the ovaries located during childhood, where and when do they relocate

Answer 4

ovaries are in the abdomen in childhood. they move into the pelvis at the time of menarche

Question 5

What happens to vaginal secretions during pregnancy

Answer 5

they increase due to lactobacillus acidophilus that changes glycogen into lactic acid. the uterus moves up to the liver, displacing intestines both laterally and superiorly

Question 6

why is the risk of yeast infection greater in pregnancy

Answer 6

this is due to an increase in glycogen

Question 7

What is menopause, what is the mean age?

Answer 7

48-51. Menopause is the cessation of menses, ovaries stop producing progesterone and estrogen, decreased size of uterus, ovaries atrophy, uterus droops, vagina less elastic; atrophies, decreased secretions decreased sexual response, decreased vaginal secretions, decreased duration of orgasm and rapid resolution

Question 8

what subjective data do you need to obtain

Answer 8

menstrual history, obstetric history, menopause, acute pelvic pain, vaginal discharge, DM, past sexual history, current sexual history, contraceptive use, STI contact

Question 9

What is avg menstruation

Answer 9

Q 28days, 3-7 days duration

Question 10

Obstetric history: what is gravida, para, and abortions

Answer 10

gravida: pregnancies, para: live births, abortions: interrupted pregnancies

Question 11

what are symptoms of menopause

Answer 11

hot flashes, night sweats, numbness and tingling, headaches, palpitations, mood swings, assess reaction to loss.

Question 12

What does acute pelvic pain indicate

Answer 12

PID, appendicitis, ruptured ovarian cysts, ovarian torsion

Question 13

What do you ask about if the patient c/o urinary symptoms?

Answer 13

urgency, dysuria, nocturia, hematuria, urge incontinence, stress incontinence

Question 14

what are characteristics of vaginal discharge

Answer 14

normal: small, clear, cloudy, and non-irritating
abnormal: odiferous, green, yellow, curdlike, intense itching, burning

Question 15

what subjective questions do you ask if a female has abnormal discharge

Answer 15

medications? history of DM, use of douches, sprays, type of underwear, pantyhose,

Question 16

What is normal discharge for a newborn female

Answer 16

sanguineous or mucus discharge-normal due to maternal estrogen effect

Question 17

which group of female adolescents should be screened for STIs

Answer 17

1. history of previous STI treatment, 2. multiple sexual partners, 3. chlamydia and gonorrhea screening annually for sexually active teens, 4. syphillis screening for teens who trade sex for drugs, money, use IV drugs, or live in a high prevalence neighborhood.