Female Reproductive

Question 1

HH

Answer 1

Menstual pattern
abnorm vaginal bleeding 
typical mentraul sympton
contracetive use
menapause

Question 2

Gyno histpry

Answer 2

gyno symptoms: itching, sores, ab/pelvic pain, painful urination
surgeries
cancer history
infertility 
discharge: Oder, thicker, bloody
STIs
pelvic exams PAP smears (when last were)
Uses of external products douches
sexual HH

Question 3

Breast HH

Answer 3

family history breast cancer ()
breast surgeries (augmentations, lump removlal )
breast exams (self, mammograms’)
risk factors
breast concerns lumps pain nipple discoloration

Question 4

Menstrual HH questions about

Answer 4

age of start and last 
regular or irregular (Irreg at puberty up to a year)
amount and days of bleeding 
PMS: Menstrual cramps +
Premenstrual symptoms 
bleeding after sex
Meds: E or P or nonprescription 
QoL: pyscho well-being (going  thru menopause)
post menopauseal spotting or bleeding

Question 5

Menopause symptoms

Answer 5

+++

Question 6

Brest assesment

Answer 6

One breast larger than other
part angles up to shoulder
color contour edema lesions ulcerations texture vascular venous patters
Axillae: hair, texture protrusions of lumps
Areola: shape color hair lumps dimpling puckering
Nipples’: size positions shape e/inversion
discharge crusting accessory nipples

Question 7

4 different positions of breast assessment

Answer 7

arms at sides
arms up
seated hands at hip
seated leaning forward

Question 8

Breast inspeciton outcoms

Answer 8

N: sym color areaolar (round, unform)
A: sym (▲shape/wt) erythema mastitis tissue retraction

Question 9

Breast palpation

Answer 9

Three techniques: circular radial spokes vertical stripe
Supine arm raised
assess tissue density lumps masses shape tenderness (during cycle they experience tenderness)
Note: discharge (amount color )

Question 10

Breast palp findings

Answer 10

No tenderness (out of cylce) lumps ↑tissue densty

Paget’s disease

Question 11

Lethotomy position

Answer 11

supine legs bent up

Question 12

Femail genetlia inspeciton

Answer 12

color of majora and minora
external redness swelling or lesions
perineum swelling ulcers warts color shape
Urethral meatus: abnomal discharges midline
clit and vestibule size color color lesions discoloration masses
vag oriface for discharge protrusion

Question 13

Fem genetalia inspection findings

Answer 13

Urethra slitlike midline
Bartholin and Skene’s glands no redness or inflammination
perineum

A: Brusing swelling inflamed lesions lumps rash wards sparse hair signs of infection tares or fissure

Question 14

HP 2020 Female

Answer 14

Self exam 7-9 days after menses to avoid swelling and tenderness
Annual mammograms start after 40 
annual gyne after 21 
Pap smears every 3 years 
STD screenings if active
Edu about hepatitis or menopause