general nursing mgmt for CA of the female reproductive system

Question 1

PID

Answer 1

• infectious condition of the pelvic cavity & genital tract

- caused by chlamydia

Question 2

risk factors of PID

Answer 2

• hx of STD
• low socioeconomics
• adolescents
• women under 24
• multiple sex partners
• frequent douching
• smoking
• IUD

Question 3

s/s of PID

Answer 3

• chlamydia
• abd pain, fever, chills
• irregular bleeding
• pain during intercourse

Question 4

diagnosing PID

Answer 4

• UA
• Pap smear
• pregnancy tests
• blood tests
• vaginal US

Question 5

tx of PID

Answer 5

• hospitalization
• drug tx for 2 weeks abx & corticosteroids
• no intercourse for 3wks
• surgery: pelvic abscess

Question 6

complications of PID

Answer 6

• fallopian tubes
• infertility
• peritonits
• septic shock
• acute perihepatitis
• ectopic pregnancy
• thrombophlebitis

Question 7

endometriosis

Answer 7

• presence of endometrial tissue outside uterus
• responds to hormones of the ovarian cycle & undergoes mini menstrual cycle
• can occur throughout the body (endometrial tissue->fallopian tubes->pelvis)

Question 8

cause of endometriosis

Answer 8

• unknown
• genetic predisposition or altered immune function
• retrograde menstrual flow

Question 9

risk factors of endometriosis

Answer 9

-late 20s, early 30s

Question 10

s/s of endometriosis

Answer 10

• secondary dysmenorrhea
• infertility
• pelvic pain
• dysparenunia
• backache
• painful BM
• dysuria

Question 11

diagnosing endometriosis

Answer 11

• laparoscopy**
• palpate firm nodular lumps to adnexa
• vaginal US

Question 12

tx of endometriosis

Answer 12

• depends on age & desire for pregnancy
• removal of myomas or uterus, tubes, & ovaries (definitive cure)
• shrink ovaries
• GnRH 4-6 mo before surgery
• drug tx: inhibit estrogen production

Question 13

complications of endometriosis

Answer 13

nodules in ovaries

• can rupture
• elicit pain
• promote formation of adhesion and obstructions
• infertility

Question 14

infertility

Answer 14

inability to achieve a pregnancy after at least one year of regular intercourse w/o contraception

Question 15

causes of infertility

Answer 15

• PID
• dx of cervix & uterus
• fallopian tube obstructions
• ovarian/endocrine gland dysfunction that prevents release of ova
• age related menopause

Question 16

diagnosing infertility

Answer 16

• hx & physical of both partners
• ovulatory
• tubal patency
• postcoital

Question 17

tx of infertility

Answer 17

• laparoscopic
• removal of uterine fibroids
• intrauterine insemination
• ART, IVF, GIFT

Question 18

complications of infertility

Answer 18

• depends on tx
• penile pain
• hypotension
• infection

Question 19

hysterectomy

Answer 19

• surgical procedure when benign or malignant tumors are found
• removal of uterus
• can be performed vaginally or abdominally

Question 20

complications of hysterectomy

Answer 20

• ligation of a ureter

- backache complaints or decreased urinary output must be reported