Lecture 4: Female Genitourinary System Flashcards
1
Q
Structure/Function: External Genitalia (vulva)
A
- Mons pubis
- Symphysis pubis
- Labia majora
- Labia minora
- Frenulum
- Clitoris
- Urethra meatus
- Paraurethral (Skene’s)
- Paraurethral (Skene’s) glands
- Vaginal orifice
- Hymen
- Vestibular (Bartholin’s) glands
2
Q
Structure/Function: Internal Genitalia
A
- Vagina
- Cervix
- Squamocolumnar Junction
- Anterior fornix and posterior fornix
- Rectouterine pouch (cul-de-sac of douglas)
- Uterus
- Fallopian tubes
3
Q
Developmental Considerations: Infants and adolescents
A
- Age of menarche
- Tanner’s table of sexual maturity
- Position
- External examination almost always sufficient
4
Q
Developmental Considerations: Pregnant women
A
- Changes to uterus
- Vaginal secretions
- Hyperemia of external genitalia
Presence of varicose veins/hemorrhoids - Chadwick and Hegar’s signs on internal exam
5
Q
Developmental Considerations: Older women
A
- Rapid decrease in hormones
- Stages of menopause
- Shrinkage of uterus and ovaries
- More fragile vaginal surfaces
- Physiological changes in sexual response cycle
- Decreased natural lubrication
6
Q
Developmental Considerations: Adolescents
A
- Special needs during exam
- Normal physiological leukorrhea
- When pelvic exam required
7
Q
Cultural and Social Considerations
A
- Female circumcision (or female genital mutilation) and health implications
- Sexually transmitted infections (STIs)
- More prone to urinary tract infections (UTIs)
8
Q
Subjective Data: Health history questions
A
- Menstrual history
- Obstetrical history
- Menopause
- Self-care behaviours
- Urinary symptoms
- Vaginal discharge
- Past history
- Sexual activity
- Contraceptive use
- STI contact
- STI risk reduction
9
Q
Additional Health History Q’s: Infants and children
A
- Urination problems
- Genital problems
- Molestation
10
Q
Additional Health History Q’s: Preadolescents and adolescents
A
- Puberty and menstruation
- Information and disease
- Immunization
- Molestation
11
Q
Additional Health History Q’s: Older Women
A
- Bleeding and vaginal problems
- Incontinence
- Sexuality
