Female Genitalia Assessment

Question 1

Related Health History

Answer 1

Menstrual history (amenorrhea, dysmenorrhea)
Post menopausal
Pregnancies/births (gravida - confirmed pregnancies, para - pregnancies resulting in birth after 20 weeks)
Sexual history
STDs/ Diseases
Pain, burning with intercourse
History of UTIs (how often) - anything over 4 in a year is considered problematic
Discharge

Question 2

Lithotomy Position

Answer 2

in stirrups

Question 3

Nulliparious

Answer 3

No births

Labia majora is closely approximated, after childbirth it is shriveled in appearance and widened

Question 4

Dark Blue labia major

Answer 4

Pregnancy indicator

Question 5

Cystocele

Answer 5

Anterior (bladder) prolapse
Occurs when the supportive tissue between a woman’s bladder and vaginal wall weakens and stretches, allowing the bladder ot bulge into the vagina

Question 6

Rectocele

Answer 6

Posterior (rectal) prolapse

Occurs when the thin wall that separates the rectum from the vagina weakens, allowing the vaginal wall to bulge

Question 7

Uterine Prolapse

Answer 7

Occurs when the pelvic floor muscles and ligaments stretch and weaken and no longer provide enough support for the uterus. As a result, the uterus slips down into or protrudes out of the vagina

Question 8

Skenes Gland

Answer 8

Located below the urethral opening

Gently milk the urethra and the skene’s duct opening, noting any discharge

Question 9

Bartholins Glands

Answer 9

Located on either side of the base of the vagina

Question 10

Nulliparous perineum

Answer 10

firm and muscular

Question 11

Multiparous perineum

Answer 11

thinner, rigid, scarring

Question 12

OA Genitlaia Variation

Answer 12

Increase of all CA
Atrophy of labia
Hair becomes sparse

Question 13

Dysmenorrhea

Answer 13

Menstrual cramps

Question 14

Amenorrhea

Answer 14

One or more missed menstrual periods