Chapter 27: Female Genitourinary System Flashcards

1
Q

Between ages 35 and 60 years, ovarian function declines, leading to changes in menses such as becoming ____ and having a ____ flow.

A

farther apart, lighter

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2
Q

After menopause, the uterus ____ and the ovaries ____ to the point that they are not palpable.

A

shrinks, atrophy

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3
Q

The vagina becomes shorter, narrower, and less elastic, resulting in a ____ mucosal surface at risk for ____ and vaginitis.

A

fragile, bleeding

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4
Q

Female genital cutting (FGC) is a cultural practice most common in ____ and has been deemed a violation of ____ rights.

A

Africa, human

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5
Q

Health implications of FGC include immediate effects such as severe pain and ____ retention, and long-term effects like ____ difficulties.

A

urinary, sexual

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6
Q

Sexually transmitted infections (STIs) are a major health concern, with rising rates of chlamydia, gonorrhea, and ____.

A

syphilis

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7
Q

Cervical cancer incidence and mortality rates have declined in Canada due to ____ programs.

A

cervical cancer screening

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8
Q

To obtain subjective data about the female genitourinary system, one should ask about menstrual history and ____ history.

A

obstetrical

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9
Q

Additional history for preadolescent females includes topics such as puberty, menstruation, and information on ____.

A

sexuality

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10
Q

Methods used to reduce the risk for sexually transmitted infections include understanding ____ and contraceptive use.

A

STI contact

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11
Q

During a pelvic examination, the woman should be positioned in the ____ position and draped to expose only the ____ to the examiner.

A

lithotomy, vulva

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12
Q

When inspecting the external genitalia, you should note the skin colour, hair distribution, ____ and any ____ present.

A

symmetry, lesions

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13
Q

To assess vaginal tone, have the woman squeeze her vaginal opening around your fingers; it will feel ____ in nulliparous women and ____ in multiparous women.

A

tight, less tone

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14
Q

While using a vaginal speculum, you should inspect the cervix for its colour, position, size, os, surface, and any ____ present.

A

cervical secretions

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15
Q

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.

A

abdomen

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16
Q

When palpating the perineum, it should feel thick, smooth, and muscular in ____ women and thin and rigid in ____ women.

A

nulliparous, multiparous

17
Q

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 ____.

A

anus

18
Q

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.

A

Skene’s glands

19
Q

When assessing for vaginal wall bulging or urinary incontinence, the woman should be instructed to ____ down.

A

bear

20
Q

When palpating the uterus, assess its _____, _____, and position.

A

consistency,mobility

21
Q

During a rectovaginal examination, use your index finger in the _____ and your middle finger in the _____.

A

vagina,rectum

22
Q

If stool remains on your glove after examination, it should be tested for _____ blood.

A

occult

23
Q

The first vaccine for preventing cervical cancer targets _____, which causes most cases of cervical cancer.

A

human papillomavirus

24
Q

The cervical cancer vaccine is recommended for girls and women ages _____ to _____ years.

A

916

25
Q

Routine _____ examinations and Pap tests are necessary even after receiving the cervical cancer vaccine because it does not prevent all types of cervical cancer.

A

pelvic

26
Q

The cervical cancer vaccine is most effective when given before girls become _____ active.

A

sexually