Female Reproductive Disorders

Question 1

Breast Disorders/Breast Cancer

Answer 1

Fibrocystic Breast changes/bengin BBD, most common

lumpiness, nipple discharge, cyst is mobile

Question 2

Bengin Breast Disease BBD/dx

Answer 2

Mammography, sonography, MRI, palpation, fine needle aspiration

Question 3

Mammography frequency

Answer 3

yearly for women 40 years or older

Question 4

Mammography frequency for High Risk Client

Answer 4

closest relative dx at 40 or younger…10 years before dx

Question 5

Screening for Cervical Cancer

Answer 5

Pap smear
under 21 no screening
21-29 every 3 years cytology
30-65 every 5 years with HPV or every 3 years cytology
>65 and not high risk, no smear
Hysterectomy no Hx of precancerous or cervical cancer

Question 6

Uterine (endometriosis): Fibroids/leiomyomas

Answer 6

non cancerous, does not require TX unless pain
Gonadotropin-releasing hormone can be used to reduce size and bleeding. Removal may be necessary if women wants to have children

Question 7

Uterine (endometriosis): Endometriosis

Answer 7

cells from the lining of the womb grow else where

Question 8

Salpingitis

Answer 8

tubal infection

Question 9

Total Abdominal Hysterectomy TAH

Answer 9

Removal of uterus via abd

Question 10

Bilateral salpingo-oophorectomy BSO

Answer 10

Removal of both fallopian tubes and ovaries

Question 11

TAH-BSO

Answer 11

Both procedures done at the same time

Question 12

Total Vaginal Hysterectomy TVH

Answer 12

Uterus is removed via the vagina

Question 13

Cystocele

S/S

Answer 13

downward displacement of the bladder

stress incontinence SUI e.g. during coughing

Question 14

Rectocele

Answer 14

Develops when posterior vaginal wall weakens and rectum balloons into the vaginal wall, making defecation difficult and stool can get trapped in the sac

Question 15

Uterine Prolapse

Tx?

Answer 15

Uterus protrudes downward and into the upper vagina, pulling vagina down with it.
TX: usually hysterectomy

Question 16

Amenorrhea
Primary
Secondary

Answer 16

absence of menses can be

primary: menses has not started by 16 or 4 yrs after breast development
secondary: pregnancy, hormone changes, stress diet oral contraceptives

Question 17

Dysmenorrhea
Primary
Secondary

Answer 17

Painful menstruation
Primary: cramps without underlying disease
Secondary: condition/disease is the cause of the pain

Question 18

Premenstrual Syndrome PMS

Occurs during which phase?

Answer 18

Luteal phases,

Question 19

Premenstrual Dysphoric Disorder PMDD

Answer 19

Must have PMS, symptoms are primarily mood related and severe

Question 20

PMS, PMDD: Nursing management

Answer 20

Diet, sugar, increase frequency of meals , exercise, vitamin supplements B6, E, Ca, diary, support group

Question 21

Polycystic Ovary Syndrome PCOS

S/S?

Answer 21

Endocrine disorder, maybe due to excessive androgens

s/s: long or infrequent periods, excessive hair, weight gain

Question 22

Menarche

Answer 22

Age when menstruation started

Question 23

Menopause

Answer 23

Absence of menses for full year

long range issue osteoporosis

Question 24

Anovulatory Menstrual Cycle

Answer 24

Egg is not released for fertilization every month