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Health Assessment > Female GU (Exam 3) > Flashcards

Female GU (Exam 3) Flashcards

1
Q

Mons pubis

A

firm pad of tissue covering symphysis pubis

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2
Q

Clitoris

A

small erectile body, homologous with male penis

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3
Q

Vestibular (Bartholin) glands

A

secrete a clear lubricating mucous

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4
Q

Other components of the female genitalia

A

labia majora
labia minora
vestibule
urethral meatus
vagina
cervix
uterus
ovaries

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5
Q

Fallopian tubes

A

two trumpet shaped tubes, extending from the uterine fundus

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6
Q

Developmental Considerations: Infants and Adolescents

A

puberty cause estrogen to stimulate growth of cells in reproductive tract
development of secondary sex characteristics
breast development first sign of puberty (Tanner staging)

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7
Q

Developmental Considerations: Pregnancy

A

greatest change is in uterus
urinary frequency
20-24 weeks, uterus is oval shaped and almost reaches liver

RISK OF YEAST INFECTIONS INCREASE WITH CHANGE IN pH

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8
Q

Education for infants and adolescents

A

body changes
exploration
self identify
be direct and use correct terminology

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9
Q

Developmental Considerations: Aging Adult

A

menopause aka the cessation of menses, rapid decrease in female hormones (48-51 typical range)

perimenopause (40-55 yrs)

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10
Q

Effects of menopause

A

vaginal infections (pH becomes more alkaline)
UTIs
dyspareunia (pain with intercourse)
lowered libido

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11
Q

Effects of perimenopause

A

hot flashes
mood swings
menstrual irregularities

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12
Q

Dysmenorrhea

A

painful menses

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13
Q

Polymenorrhea

A

menstruation less than 21 days

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14
Q

Oligomenorrhea

A

infrequent bleeding

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15
Q

Metrorrhagia

A

intermenstrual bleeding

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16
Q

Subjective Data: History of present illness

A

abnormal bleeding
pain
vaginal D/C
premenstrual symptoms
menopausal symptoms
infertility
urinary symptoms and incontinence

17
Q

Gathering Subjective Data

A

menstrual history (LMP-1st day start of last menses)
obstetric history (gravida, para)
menopause (bleeding after menopause?)
PCC (last pap/pelvic, infections, immunizations, HPV)
acute pelvic pain
urinary symptoms
vaginal discharge
past history
sexual activity (# of partners, man or woman?)
contraceptive use (type, current or past use?)
STI contact

18
Q

Gravida

A

of pregnancies

19
Q

Para

A

of births

20
Q

Menopause

A

12 consecutive months w/o menstruation

21
Q

Abnormal Findings

A

inspection for hemorrhoids
rectocele
cystocele
uterine prolapse

22
Q

Stress urinary incontinence

A

leakage of small amounts of urine during physical movement (coughing, sneezing, exercising)

23
Q

Urge urinary incontinence

A

leakage of large amounts of urine at unexpected times, including sleep

24
Q

Overflow urinary incontinence

A

unexpected leakage of small amounts of urine due to a full bladder

25
Q

PAP Smear

A

screening for atypical cells, HPV
vaginal smears if drainage or lesions are suspected

26
Q

Human Papillomavirus (HPV)

A

causes almost all cervical cancers, as well as vulvar, vaginal, anal, and oropharyngeal in women; causes most oropharyngeal, anal, and penile cancer in men

27
Q

HPV Vaccine

A

GARDASIL 9 (prevents infection by 4 types of HPV, plus 5 other high-risk types, 90% of cervical cancers altogether!)

BOYS AND GIRLS RECEIVE 2 DOSES BETWEEN 9-12 YRS BECAUSE IT PRODUCES STRONGEST IMMUNE RESPONSE IN PRETEENS

13-26 years of age, not recommended after that

28
Q

Health promotion goals

A

increase # of adolescents who abstain or use condoms
increase condom use
reduce # of people with chlamydia, gonorrhea, syphilis, genital herpes, PID, and HIV
increase by at least 97% those 18+ to get pap smears

29
Q

Guidelines for detecting HPV

A

begin cervical cancer testing 3 yrs after starting to have sex, but no later than 21; pap smear every year or every 2 with liquid based pap tests; 30 yr olds can get tested every 3 years with pap test plus HPV test if 3 normal paps in a row

70 yrs+ and have had 3 normal pap tests in a row and no abnormal results in 10 yrs can stop getting tested

hysterectomy may stop testing unless purpose of procedure was for treatment of cervical cancer/pre-cancer

30
Q

Earlier onset of puberty

A

concern is that girls are entering puberty before emotionally ready

EARLIER MENARCHE MAY INCREASE RISK FOR SOME REPRODUCTIVE CANCERS

Health Assessment (19 decks)

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