Chapter 27: Female Genitourinary System Flashcards
Between ages 35 and 60 years, ovarian function declines, leading to changes in menses such as becoming ____ and having a ____ flow.
farther apart, lighter
After menopause, the uterus ____ and the ovaries ____ to the point that they are not palpable.
shrinks, atrophy
The vagina becomes shorter, narrower, and less elastic, resulting in a ____ mucosal surface at risk for ____ and vaginitis.
fragile, bleeding
Female genital cutting (FGC) is a cultural practice most common in ____ and has been deemed a violation of ____ rights.
Africa, human
Health implications of FGC include immediate effects such as severe pain and ____ retention, and long-term effects like ____ difficulties.
urinary, sexual
Sexually transmitted infections (STIs) are a major health concern, with rising rates of chlamydia, gonorrhea, and ____.
syphilis
Cervical cancer incidence and mortality rates have declined in Canada due to ____ programs.
cervical cancer screening
To obtain subjective data about the female genitourinary system, one should ask about menstrual history and ____ history.
obstetrical
Additional history for preadolescent females includes topics such as puberty, menstruation, and information on ____.
sexuality
Methods used to reduce the risk for sexually transmitted infections include understanding ____ and contraceptive use.
STI contact
During a pelvic examination, the woman should be positioned in the ____ position and draped to expose only the ____ to the examiner.
lithotomy, vulva
When inspecting the external genitalia, you should note the skin colour, hair distribution, ____ and any ____ present.
symmetry, lesions
To assess vaginal tone, have the woman squeeze her vaginal opening around your fingers; it will feel ____ in nulliparous women and ____ in multiparous women.
tight, less tone
While using a vaginal speculum, you should inspect the cervix for its colour, position, size, os, surface, and any ____ present.
cervical secretions
During a bimanual examination, one hand is inserted in the vagina while the other hand is placed on the ____ to assess the cervix’s consistency and mobility.
abdomen
When palpating the perineum, it should feel thick, smooth, and muscular in ____ women and thin and rigid in ____ women.
nulliparous, multiparous
In a pelvic examination, after inspecting the external genitalia, the next step is to inspect the clitoris, labia minora, urethral opening, vaginal opening, perineum, and ____.
anus
To obtain objective data during a pelvic examination, it is important to first inspect the external genitalia and then palpate the ____ and Bartholin’s glands.
Skene’s glands
When assessing for vaginal wall bulging or urinary incontinence, the woman should be instructed to ____ down.
bear
When palpating the uterus, assess its _____, _____, and position.
consistency,mobility
During a rectovaginal examination, use your index finger in the _____ and your middle finger in the _____.
vagina,rectum
If stool remains on your glove after examination, it should be tested for _____ blood.
occult
The first vaccine for preventing cervical cancer targets _____, which causes most cases of cervical cancer.
human papillomavirus
The cervical cancer vaccine is recommended for girls and women ages _____ to _____ years.
916
