Female Genitourinary system Flashcards
List the external genitalia
mons pubis
symphysis pubis
labia majora
labia minora
frenulum
clitoris
urethral meatus
paraurethral glands
vaginal orifice
hymen
vestibular glands
List the internal genitalia
vagina
Cervix
squamocolumnar junction
anterior fornix and posterior forniz
rectourine pouch
uterus
fallopian tubes
What are some developmental considerations for infants?
age of menarche
Tanner’s table of sexual maturity
Position
External examination always most sufficient
What are some developmental considerations for pregnant women?
changes to uterus
vaginal secretions
hyperema of externl genitalia
Presence of varicose vins/hemorrhoids
Chadwicks’ and Hegar;s signs on internal exam
What are some developmental considerations for adolescents?
special needs during exam
Normal physiological leukorrhea
When pelvic exam required
What are some developmental considerations for older women?
Rapid decrease in hormones
stages of menopause
shrinkage of uterus and ovaries
more fragile vaginal surfaces
physiological changes in sexual response cycle
Cultural and social considerations
Female circumcision and health implications (illegal)
STI-chlamydia rates continue to increase
Increases HIV and AIDS in women
UTI who is more prone
Subjective Data:Health History Questions
Menstrual history
Obsetrical history
Menopause
Self-care behaviours
Urinary symptoms
Vaginal discharge
Past history
Sexual activity
Contraceptive use
STI contact
STI risk reduction
What are some additional health history questions for infants
urination problems
genital problems
molestation
What are some preadolescent and adolescents
puberty and menstruation
information and disease
immunization
molestation
Additional history questions for older women
bleeding and vagina problems
incontinence
sexuality
HPV?
Human papillomavirus
prevents cervical cancer
risk factors are low socioeconomi status, sexually active at a young age, multiple partners, older, immiggrant, indigenous women , smoker, weakened immune system, multipara, multipara
HPV vax
ages 9-14 years can recieve the HIV vaccine (2-3 doses)
health females and males 15 yers and older can get 3 if not previously immunized