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Nursing IV > Conditions Affecting Female Sexuality > Flashcards

Conditions Affecting Female Sexuality Flashcards

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0
Q

Uterine prolapse anteversion

A

Forward tilt

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1
Q

Uterine prolapse retroversion

A

Uterus tilted toward rectum

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2
Q

Causes of Uterine prolapse

A

If baby is too large, forceps are used, chronic cough

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3
Q

Rectocele/cystocele

A

Herniation of rectum or bladder

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4
Q

Signs of severe rectocele/cystocele

A

Difficulty emptying bladder, difficulty pooping

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5
Q

Treatments for uterine displacement

A

Legal exercise, pessary, surgery, meds

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6
Q

Pessary

A

Device inserted in vagina that helps decrease urine leakage. Pt can insert and remove themselves

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7
Q

Meds for incontinence and uterine displacement

A

Detrol, ditropan, tofranil, urecholine

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8
Q

Colporrhaphy

A

Surgical repair to the vaginal wall to treat rectocele/cystocele

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9
Q

Sacrocolpopexy

A

Surgery for suspension of the uterus

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10
Q

postoperative nursing care after uterine displacement surgery

A

Voiding or catheter care before leaving hospital, cleanse with sterile saline solution &dry with sterile material, ice pack to perineum, head and knees slightly elevated, avoid constipation, Tylenol for pain

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11
Q

Myomas size

A

Develop slowly during reproductive years, growth is accelerated during pregnancy, atrophy after menopause

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12
Q

Myomas s/s

A

Low back pain, fertility problems (if not treated), menorrhagia

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13
Q

Myomas treatment

A

Small fibroids=no treatment, if they have pain they can have surgery to remove them, hysterectomy

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14
Q

If cervical cancer is detected what other tests can they preform

A

Colposcopy (scope used to examine cervix), cervical biopsy

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15
Q

S/s of cervical cancer

A

Irregular bleeding, pain in pelvic, flank or legs, malodorous vaginal discharge, dyspareunia (vag pain during sex), rectal pressure (always feel like they need to poop)

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16
Q

Cervical cancer risk factors

A

Intercourse before age 20, multiple sex partners, non circumcised males, no barrier contraceptives, no regular paps , smoking, exposure to HIV

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17
Q

LEEP (loop electrosurgical excision procedure)

A

An electric current is used to cut away cells in the cervix. It’s quick and they go home that day

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18
Q

Cold knife cone biopsy

A

Freeze off cells in cervix

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19
Q

Post cervical biopsy instructions

A

Rest for 24 hrs, avoid heavy lifting or strenuous exercise, no tampons and sex for 3-4 weeks or until vag discharge stops, if vag packing then don’t remove until instructed, teach s/s of infection

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20
Q

When should pt call doctor after a cervical biopsy?

A

If excessive bleeding occurs, if s/s of infection occur

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21
Q

Total hysterectomy

A

Removal of uterus, cervix & ovaries

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22
Q

Radical hysterectomy

A

Removal of uterus, ovaries, Fallopian tubes, proximal vagina, bilateral lymph nodes

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23
Q

Endometrial cancer is most likely occurs in which kind of women?

A

Obese, postmenopausal, diabetic, late menopause, nulliparous

24
Q

2 big s/s of endometrial cancer

A

Abnormal vaginal bleeding, pelvic pain

25
Q

Endometrial cancer treatment

A

Total or radical hysterectomy, radiation therapy (if advanced)

26
Q

Most deadly gynecological malignancy

A

Ovarian cancer

27
Q

Risk factors for ovarian cancer

A

Any age but mostly over 40, nullipara, fertility drugs, obese, BRACA1 &2 gene

28
Q

What does it mean when there is a palpable mass in abdomin with ovarian cancer?

A

Cancer invaded surroundings tissues s/s don’t usually appear until then

29
Q

Late s/s of ovarian cancer ( in stage 3 or 4)

A

Increased abdominal girth(mistaken for being fat), indigestion, change in bowel function, urinary frequency, back pain, menstrual cramps

30
Q

Screening tests of ovarian cancer

A

CA-125 antigen test (blood test) , ultrasound, CT, pelvic exam

31
Q

Ovarian cancer complications

A

Ascites, intestinal obstruction, dvt, lymphedema (leg)

32
Q

Ovarian cancer treatment

A

Hysterectomy

33
Q

Big postop hysterectomy complication nurse needs to watch for?

A

Bleeding/hemorrhage

34
Q

Endometriosis

A

Tissue growth outside of uterus

35
Q

Endometriosis is most common during what age group?

A

30-40

36
Q

Endometriosis s/s

A

Pelvic/back pain, bowel symptoms, dysuria, GI complaints, infertility, dyspareunia (pain in vag)

37
Q

Laparotomy

A

Surgery used to cut some of the tissue in endometriosis

38
Q

Endometriosis treatment

A

Laparoscopy or BC to suppress estrogen

39
Q

Causes of fistulas

A

Injury from childhood, pessary not being removed for a long time

40
Q

Fistulas can occur where?

A

Vagina, bladder, rectum

41
Q

Fistula treatment

A

Heal on its own or surgery with a temporary colostomy

42
Q

External radiation therapy

A

Beam delivered deep in pelvis

43
Q

External radiation therapy can cause what problems

A

Decreased WBC and platelets, decreased sexual desire, fatigue, diarrhea, abdominal cramping, cystitis

44
Q

Since radiation can cause severe diarrhea, what kind of diet should they be on?

A

Low residual

45
Q

External radiation therapy teaching

A

Plenty of rest, good nutrition, protect skin from sun, don’t scrub skin, don’t remove ink marks placed by radiologist, 1 cup of liquid after each bowel movement, avoid sugar free gum/candy because of sorbitol

46
Q

Intracavitary implant teaching

A

Private rm for 24-72 hrs, 10-30 min visits, no childbearing visitors, must be 6 feet from pt, BEDREST, no prego nurses

47
Q

What do you want to asses for with a pt who has a intracavitary implant?

A

Burning sensations, excessive perspiration, chills, fever, NV, fistulas, diarrhea

48
Q

Elective termination of pregnancy what is it and how old is baby when it happens

A

Ends pregnancy before fetus reaches age of viability (20-24 weeks)

49
Q

When does Mifepristone(mifeprex) need to be given and what’s the dose

A

Needs to be given within 49 days of last mentryal period; single oral dose of 600 mg

50
Q

What happens after medical termination of pregnancy

A

Painless heavy bleeding

51
Q

Teaching after medical termination of pregnancy and when to call dr

A

Tylenol or ibprofen for pain, take temp daily for a week, avoid sex, call dr of heavy bleeding, pass clots, abdominal tenderness, or depression occurs

52
Q

When is the follow up visit afteredical termination of pregnancy

A

2 weeks

53
Q

Menstrual extraction, endometrial aspiration is done when?

A

5-7 weeks gestation, no anesthesia

54
Q

D&C can be preformed when?

A

Less than 13 weeks gestation

55
Q

D&C

A

Mechanical dilation of cervix, scrape with curette

56
Q

D&E can be preformed when and what is it

A

12-16 weeks gestation. Cervix is dilated and its vacuumed out

57
Q

D&E potential probs

A

Uterine perforation, cervical trauma, not able to have kids again

58
Q

Late abortion accurate during how many weeks and how is it done

A

After 16 weeks; prostaglandin, saline induction, hysterotomy,

Nursing IV (20 decks)

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