Gynecologic Assessment Flashcards
female anatomy anterior to posterior
pubic bone, bladder, uterus, bowel
which day is the first day of cycle
1st day of period
G-Gravida
total number of pregnancies
T-Term births
when the birth happens between 37-42 weeks of gestation
P-Preterm births:
Extreme:___weeks
Very:__ weeks
Moderate to late:__weeks
Extreme: <28 weeks
Very preterm: 28-32 weeks
moderate to late: 32<37 weeks
A-Abortions
loss of baby spontaneously or elective in utero to 20 weeks gestation
first gynecological visit for screening and preventative services should occur at which age
13-15
what should a first gynecological visit consist of
patient education
a pap is a patient choice under which circumstances?
total hysterectomy, no hx of vulvar neoplasia, not HIV positive, not exposed to diethylstilbestrol in utero
if a patient does not want a pap what should still continue?
external genitalia
adnexa
ovaries
bimanual exam is better for evaluating the uterus or adnexa (ovaries)
uterus
what age is a pap/cervical screening recommended regardless of sexual activity
21
do you have to have a pelvic exam/cervical cancer screening in order to get oral contraceptives?
no
how often should cervical screenings take place for 20-29 yr olds
q3 yrs
how often should cervical screenings take place for 30-65 yr olds?
q5 years
how often should cervical screenings take place for >65 yr olds?
as long as they have regular screening for last 10 years and everything normal for past 20 years, may discontinue pap if requested, if they have had precancerous findings then continue pap for 20 years
condylomata acuminatum
HPV lesions, white dry, painless growth
chancroid
painful ulcer with rough floor and purulent yellow exudate, it heals leaving a scar
cystocele
bulge of upper 2/3 of vaginal wall with bladder above (fingers go underneath) it
rectocele
herniation of rectum into the posterior wall of vagina (fingers go above)
what are you checking for when palpating the external genitalia?
checking for lymphadenopathy, bartholin’s glands, masses, nodules, discharge
are Nabothian cysts normal on a cervix?
yes