Female Genitourinary Flashcards
Subjective data:
What questions would you ask regarding menstual history?
Info on periods
- Age of first period.
- How often are your periods?
- Spotting between periods?
Subjective data:
What would you ask regarding obstetric history?
Ever been pregnant?
Trying to get pregnant?
Gravida para
- Gravida= #of pregnancies
- Para= # of births
When collecting data, what is important to understand about the terms, abortion and miscarriage?
Abortion and miscarriage can be used synonymously.
Spontaneous abortion= miscarriage
Subjective data:
What questions do you ask regarding menopause?
- Have periods slowed down/stopped?
- Symptoms (mood swings, night sweats)
- How do you feel about going through menopause?
What is true menopause?
What is pre-menopause?
True= 12 months with no period.
Pre= Symptoms
Subjective data:
What questions do you ask regarding self-care behaviors?
How often do you have gynelogical checkups?
Pap smears?
Subjective data:
What questions do you ask regarding pelvic pain?
OLD CARTS
Associate with periods?
What questions do you collect regarding vaginal discharge?
- Ever had discharge?
- Abnormal (yellow, black…)?
- Hygiene practices (tight clothing, sprays)?
What questions do you ask regarding sexual activity?
- Multiple sexual partners?
- Satisfaction?
- Sexual preferences?
- STIs?
What questions would you ask regarding contraception?
Types of contraceptives/understanding of use.
What additional questions would you ask the aging woman?
- Vaginal bleeding (abnormal)
- Discharge with intercourse (atrophy)
- Pressure in genital area (abnormal)
- Leak of urine when coughing/sneezing?
When beginning a physical assessment for female genitourinary,
what positions do you use?
Seated at beginning (trust)
Lithotomy (for examination)
When woman is in lithotomy position, how should you cover her?
- Fully drape stomach and legs; only be able to see vulva.
- Be able to see her face.
How do you position women in lithotomy positions to make them feel less vulnerable/more comfortable?
- Raise head
- Allow a chaperone, at head of bed.
- Allow stoppages
- Communicate what you are doing.
What is a pap smear?
What may happen following procedure?
Scraping of cells from cervix that tests for cervical cancer.
- Patient may experience bleeding after procedure
What types of cancers can be detected from pap test?
Cervical
not endometrial/ovarian cancer
What are preparations for pap smear?
- Do not schedule during menstruation
- No sex/vaginal medications 24 hours before
- Empty bladder before
When sending pap smears to lab, what other information should be provided?
Anything that can alter info.
Is she pregnant?
Infections?
DOB
What types of testing can be done for STIs:
Discharge/lesions (chlam/herpes)
HIV
Lesions: Swab and culture
HIV: EIA; detects antibodies
Western Blot; determines strain (after EIA)
How long do EIA test results take?
3 weeks-3 months
What are expected changes to aging women?
- Decreased bone density
- Decreased skin elasticity
- Risk for pelvic floor weakening
- Atrophy of vaginal walls
Because of atrophy to vagina in old age, what occurs in older women?
Less vaginal secretions.
Pale looking cervix
What is the most common cause of cervical cancer?
What are the preventative measures?
HPV; causes changes to cervical cells
New vaccine
How common is HPV?
Very; most people are infected
Virus does not usually manifest
