female

Question 1

External genitalia includes:

Answer 1

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

Question 2

Internal genitalia includes

Answer 2

vagina, cervix, uterus, fallopian tubes, ovaries

Question 3

Uterus characteristics:

Answer 3

freely movable; tilts forward; superior to bladder

Question 4

At birth—external genitalia:

Answer 4

engorged because of presence of maternal estrogen

Size recedes in a few weeks.

Question 5

Childhood—ovaries located where:

Answer 5

are in the abdomen rather than the pelvis; move into the pelvis at the time of menarche.

Question 6

Pregnant woman changes

Answer 6

cervical and vaginal secretions increase during pregnancy.

20-24 weeks—uterus almost to the liver, displacing intestines superiorly and laterally.

Question 7

Aging women:

Answer 7

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.

Question 8

Cultural changes:

Answer 8

female genital mutilation—removal (partial or total) of clitoris
Aboriginal, Christian, Muslims from East and Southern Asia, Middle East, large areas of Africa

Question 9

Menstrual history— SD

Answer 9

normal menses Q 28 days; 3-7 days duration

Question 10

Obstetric history— SD

Answer 10

gravida, para, abortions (interrupted pregnancies)

Question 11

Menopause—SD

Answer 11

ask about symptoms: hot flashes, night sweats, numbness and tingling, headaches, palpitations, mood swings.
Assess reaction to loss.

Question 12

Vaginal discharge—SD

Answer 12

unusual discharge; taking any meds (OCPs, antibioitics)

Ask about family history of DM

Question 13

External genitalia—OD

Answer 13

Inspect—skin color even; labia minora should be a darker pink

Question 14

Newborn— DC

Answer 14

sanguinous or mucus discharge from vagina normal during fiet few weeks because of maternal estrogen effect.

Question 15

Children—DC

Answer 15

Children—during or after toddler age—foul-smelling discharge occurs with lodgin of foreign body, pinworms, or infection.

Question 16

Adolescents—DC

Answer 16

screen for STI:
With history of multiple sexual partners.
With previous STI treatment.
Chlamydia and gonorrhea screening annually for sexually active adults.
Syphilis screening for teens who trade sex for drugs or money, use IV drugs, or live in a high prevalence neighborhood.