Female Physiologic Process Flashcards
How often should there be a papsmear?
Every 3 years after onset of intercourse
breast and pelvic ages for all women who are
21 or sexually active regardless of age
alleviate feelings of anxiety with
explanations and education
During pelvic exam palpate ____
Cervix, uterine, adenexal, vaginal, rectal palpation
Amenorrhea
abnormal absence of menustration
Menorrhagia
Heavy bleeding
Metrorrhagia
Spotting, usually harmless
Patients who use contraceptives may be
Embarrassed, anxious, and lacking information about birth control
Abortions can be
Spontaneous
Habitual
Elective
RoGHAM
RH- Patients
Infertility
couples inability to achieve pregnancy after 1 year
Primary infertility
couple has never been pregnant
secondary infertility
one conception has occurred but there is a second has not been
Symptoms of tube rupture
agonizing pain, dizziness, faintness, progression to shock
1 cause of death in 1st trimester
ectopic pregnancy
Planning care: ectopic pregnancy
Relief of pain
Increasing knowledge of ectopic pregnancy and treatment
acceptance of loss and grief
absence of complication
ectopic pregnancy: relieving pain
Preanesthetic medications PRN
Early ambulation
Promote TCDB
ectopic pregnancy: grieving
listen and support patient
encourage patients partner to be apart of this process
continuously monitor (after ectopic pregnancy)
VS, I&O, amount of bleeding
Check (after ectopic pregnancy)
Hct, Hgb, and ABGs
recommend after ectopic pregnancy
preconception counseling
Perimenopause
first sign of menopause
hot flashes
vaginal dryness
irregular menses
Menopause
cessation of menstrual cycle
offer hormone replacement: risks and benefits
hot flashes- ice on back of neck
Education for a patient of menopause
- view as a natural change
- promote health, exercise and diet
- fatigue and stress may worsen hot flashes
- decrease fats and calories and increase fruit whole grains calcium vitamin D and maybe supplements
- prevention and management of sexual problems