male and female genitalia Flashcards
1
Q
male external genitalia
A
- penis
- scrotum
- inguinal area
1
Q
subjective data
A
- Frequency, urgency, & nocturia –> how often are you peeing
- Dysuria – difficulty going
- Hesitancy & straining
- Urine color – pale = overly hydrated. dark = dehydrated
- Past genitourinary history
- Penis-pain, lesion, discharge
- Scrotum-lump, self-care behaviors
- Sexual activity (# of partners) & contraceptive use
- Sexually transmitted infection (STI) contact –> asymptomatic until fullblown
2
Q
objective data for men
A
- Client Preparation
- Position the male standing and it gown
- Examiner should be sitting and u only lift gown high enough to see parts
- Be matter-of-fact
- Examiner’s demeanor should be confident, relaxed, unhurried, & businesslike
- Use a firm, deliberate touch
- Position the male standing and it gown
- Equipment and Supplies
- Disposable gloves
- Flashlight (for possible transillumination) (can illuminate a mass)
- Glass slide for cytology specimen –> for discharge
3
Q
penis inspection and palpation
A
- Inspect
- base and pubic hair
- skin of the shaft
- Palpate the shaft
- Inspect the foreskin
- Inspect the glans
- Palpate for urethral discharge
4
Q
scrotal inspection and palpation
A
- Inspect
- size, shape and position
- scrotal skin
- Palpate the scrotal contents
- testis
- epididymis
- spermatic cord
- Transilluminate the scrotal contents
- Only if abnormal swelling or mass was noted
- Normal scrotal contents do not transilluminate
5
Q
inguinal inspection and palpation
A
- Inspect for inguinal and femoral hernia
- Palpate for inguinal hernia, femoral hernia and inguinal lymph nodes
- Use NAVEL (ask patient to “bear down”
- Nerve
- Artery
- Vein
- Empty space
- Lymphatics
- Use NAVEL (ask patient to “bear down”
6
Q
TSE
A
- Teach every male (13 years –adulthood)
- Points to include
- T: timing, once a month
- S: shower, warm water relaxes scrotal sac
- E: examine, check for changes, report changes
immediately
- Message for teaching is to emphasize familiarity with body in addition to cancer detection
7
Q
urinalysis
A
- Color : pale yellow to amber
- pH: 4.5-8.0
- Specific gravity: dilute at 1.003 to concentrated at 1.030
- Little or no protein
- No glucose
- Fewer than 5 red blood cells or white blood cells
8
Q
urinary fxn – BUN
A
- Measures urea, an end-product of protein metabolism
- 10-20 mg/dl
- Rises with a decrease in fluid volume or an increase in protein intake
9
Q
urinary fxn – creatine
A
- An end-product of muscle metabolism
- 0.7-1.5 mg/dl
10
Q
external female genitalia
A
- Vulva
- Mons pubis
- Clitoris
- Urethral meatus
- Vaginal orifice
- Hymen – not always seen
11
Q
internal female genitalia
A
- need speculum
- Vagina
- Cervix
- Uterus
- Fallopian Tubes
12
Q
subjective data for female
A
- Menstrual history
- Obstetric history
- Menopause (no period for 6 months in a row)
- Patient-centered care
- Acuter pelvic pain
- Urinary symptoms
- Vaginal discharge
- Past history
- Sexual activity
- Contraceptive Use
- Sexually transmitted infection contact
13
Q
objective data for females
A
- Client Preparation
- Assemble equipment first & place within easy reach
- Familiarize yourself with the vaginal speculum before the examination
- Equipment and Supplies
- Sitting stool
- Light
- Vaginal Speculum: Graves (varied lengths & widths) or Pederson (narrow blades)
- Water-soluble lubricant
- Cotton-tipped applicators
- Materials for cytologic study
14
Q
positioning for women
A
- Sitting at first to establish trust & rapport
- Empty the bladder before the exam
- Lithotomy position for the actual exam
- Body supine
- Feet in stirrups
- Knees apart
- Buttocks at the end of examination table
- Arms at side or across chest
- Drape fully and expose only genitalia
- Examiner sits on a stool
- Communicate!!
- Use the educational or mirror pelvic examination to educate the woman during the exam and make her an active participant
