Female Assessment Flashcards
Follicular Phase
Day 1-14 Menstrual phase (1-5) Proliferative phase (6-14)
Luteal phase
Day 12-28- Secretory phase
Steps of the Clinical Breast Exam
Inspect breast and nipples in 4 views
1) Arms at sides- prominent pores- lymphatic obstruction
2) Arms overhead- dimpling, retraction
3) Hands of hips- Retracts pectoral muscles
4) Leaning forward- Retractions
Position for palpating breasts
Place the patient supine with hands overhead
Vertical strip method
3-5 minutes, go into the axilla (tail of spence), small concentric circles
Assess breasts for
Nodules, tenderness, consistency
Location Size Shape Consistency Delineation Tenderness Mobility
Dysmenorrhea (primary and secondary)
Painful bleeding
Primary- increased prostaglandin
Secondary- endometriosis, polyps, PID
Amenorrhea (primary and secondary)
Absence of period
Primary- Absence of ever starting a period
Secondary- Cessation once menses has been established
Gravida Para
Gravida- number of overall times pregnant Para -Full term -Preterm -Abortion -Living child
Tips for a successful pelvic exam
Avoid putting anything in the vagina for 24-48 hours.
Empty bladder before beginning.
Explain the steps, provide chaperone if needed, drape patient, monitor for comfort
Os
Where specimens are taken during a pap smear
Transformation zone
Risk for dysplasia
Displacement of the Uterus
Anteversion- sits forward Midposition- straight up Retroversion- sits back Anteflexion- Bends forward Retroflexion- bends backward
All patients should be considered pregnant until:
Proven otherwise!
Key Symptoms to ask a Pregnant Patient
Nausea/vomitting Abdominal pain Vaginal bleeding Dysuria/urinary frequency Fatigue Headache/visual changes/swelling Systemic symptoms
Questions to ask about Obstetric History
Gravida, Para
Details of prior pregnancies Complications of pregnancies Antenatal Labor Postnatal Miscarriages/terminations
