MATERNAL 9-25 Flashcards
Major life changes that can affect your sexual
desire include:
-pregnancy
-partner changes (marriage or -divorce)
-physical or psychological disability
menopause
-Major life changes that can affect your sexual
desire include:
work and life imbalance
Common
relationship factors that can impact sexual desire
include
conflict
toxic communication
controlling attitudes
contempt or criticism
defensiveness
breach of trust (infidelity)
lack of emotional connection
spending too little time alone
libido
(sexual desire)
Certain conditions can affect libido (sexual desire). The
most common of these are:
high blood pressure
cancer
coronary heart disease
sexually transmitted diseases (STDs)
neurological issues
diabetes
arthritis
Women who have had breast or vaginal surgery may
experience ____ , poor body image, and
inhibited sexual desire.
sexual dysfunction
- inability to achieve an
erection of the penis. This can cause HSDD in the
person with the penis, who may feel a failure sexually.
Erectile dysfunction (ED)
Erectile dysfunction isn’t necessarily due to aging.
It can be a sign of medical problems such as:
-diabetes
-heart disease
-clogged blood vessels
-In many HSDD cases, medical conditions aren’t
as influential as each partner’s attitude about
sexual intimacy.
How Is Inhibited Sexual Desire Diagnosed?
-blood tests to check for diabetes, high
cholesterol, thyroid problems, or low
testosterone
-pelvic exam to check for physical changes,
such as vaginal dryness, painful areas, or
thinning of the vaginal walls
-blood pressure check
-tests for heart disease
-prostate gland examination
B. Nursing Diagnoses
Knowledge deficit
Sexual dysfunction
Altered sexual function
Anxiety
Planning and Outcome Identification
The client and her partner will be knowledgeable
about reproduction and sexuality.
The client and her partner will achieve optimal sexual
functioning,
The client’s and her partner’s anxiety will be
alleviated.
producing new life or offspring; the
reproductive potential of a species is its relative
capacity to reproduce itself under optimal conditions;
the reproductive or generative organs, reproductive,
generative; fruitful – productive or conducive to
producing in abundance; “be fruitful and multiply”
having the power to procreate…
Procreative
- action of making a copy of something,
or the production of offspring by sexual intimacy…
Reproduction -
- roots sexuality and childbearing deeply
within with two relations: that of the man and woman,
and that between the couple and GOD (2006)
Procreation
Procreation is the creation of humans. There are two
main theories:
Creation. Evolution
God created the world an all that’s in it, including
humans, and they reproduce thorough sexual intercourse
Creation
Darwin’s theory that humans evolved over the years
through natural occurrences and from the growth and
development of monkeys and other creatures.
Evolution
- creation of a new human person, by the
act of sexual intercourse, by a man and a woman.
Procreation
- making of all things from nothing by an act of
God at some time in the past. God’s action could have
taken a second, or 6 days, or a million years.
Creation
all things came about by the
repeated random actions of natural selection, whereby:|
Life came into existence, and then
Primitive life evolved into more and more complex
organisms, and eventually producing mankind.
Evolutionary theory
With the introduction of ____ to the
marital act, the procreative dimension is purposefully
suppressed and ignored.
artificial birth control
Moreover, we must also consider the possible side
effects of these pills to the health of the woman. In
examining for various oral contraceptives, possible
health complications include,
thrombosis,
cerebrovascular disorders, birth defects and various
forms of cancer (breast, cervical, ovarian and
uterine).
2 Purposes of Pleasure:
To strengthen the couple’s relationship
To give them the ability to share with God in the
creation of another human being
is all those things that go with being male or
female–including physical and emotional differences.
They are all part of being human
Sexuality
- involves genital and erotic activity.
We are all sexual beings, but it isn’t necessary to become
involved in genital sex to be fully human
Sexual intercourse
UNITIVE purpose of our sexuality
Two becoming one
flesh
PRO-CREATIVE purpose
- Increase and multiply
Female Reproductive System: External Structures
mound of fatty tissue over the symphysis pubis that
cushions and protects the bone
Mons Pubis
Female Reproductive System: External Structures
longitudinal folds of pigmented skin extending from the
mons pubis to the perineum
Labia minora
Female Reproductive System: External Structures
soft longitudinal skin folds between the labia majora
Labia minora
Female Reproductive System: External Structures
is is erectile tissue located at the upper end of the
labia minora. It is the primary site of sexual arousal
Clitoris
Female Reproductive System: External Structures
small opening of the urethra; located between the clitoris
and the vaginal orifice for the purpose of urination
Urethral meatus
Female Reproductive System: External Structures
small mucus-secreting glands that open into the
posterior wall of the urinary meatus and lubricate the
vagina
Skene, paraurethral glands
Female Reproductive System: External Structures
almond-shaped area between the labia minora
containing the vaginal introitus, hymen, and Bartholin
glands
Vestibule
Female Reproductive System: External Structures
external opening of the vagina
Vaginal introitus
Female Reproductive System: External Structures
membranous tissue ringing the vaginal introitus
Hymen
Female Reproductive System: External Structures
mucus-secreting glands located on either side of the
vaginal orifice
Bartholin or vulvovaginal glands
Female Reproductive System: External Structures
composed of muscles and fascia that support pelvic
structures
Perineal body
Female Reproductive System: External Structures
area of tissue between the anus and vagina; an
episiotomy is performed here
Perineum
Female Reproductive System: Internal Structures
female organ of copulation and also serves as the birth
canal; tubular musculomembranous organ that lies
between the rectum and the urethra
Vagina
Female Reproductive System: Internal Structures
hollow, muscular organ located between the bladder and rectum, and consists
of the fundus, body (corpus), and cervix
Uterus
Female Reproductive System: Internal Structures
Broad and round ligaments provide upper support for
the uterus
Cardinal, pubocervical, and uterosacral ligaments
are suspensory and provide middle support.
Pelvic muscular floor ligaments provide lower support
Uterine ligaments
Female Reproductive System: Internal Structures
Extend from the upper outer angles of the uterus and end
near the ovary. These tubes serve as the passageway for
the ovum to travel from the ovary to the uterus and
for the sperm to travel from the uterus to the ovary.
Fallopian tubes
Female Reproductive System: Internal Structures
Female sex glands located on each side of the uterus.
Ovaries
Uterus is a hollow, muscular organ with 3 muscle layers
perimetrium
myometrium
endometrium
Ovaries
Female sex glands located on each side of the uterus.
The two functions of the ovaries are:
Ovulation (release of ovum)
Secretion of hormones (estrogen and progesterone)
Female Reproductive System: Pelvis
bony ring in the lower portion of the trunk
Pelvis
Female Reproductive System: Pelvis
held together by four joints (articulations) – symphysis
pubis, two sacroiliac, and sacrococcygeal. Fibrocartilage
between these joints provides movabilit
Pelvic bones
Pelvis
bony ring in the lower portion of the trunk. It consists of:
3 parts
ilium
ischium
pubis
4 bones
two innominate bones or hipbones
sacrum
coccyx
Types of Pelves
- typical female pelvis with a rounded
inlet
Gynecoid
Types of Pelves
- normal male pelvis with a heart-shaped
inlet.
Android
Types of Pelves
- “apelike” pelvis with an oval inlet
Anthropoid -
Types of Pelves
- flat, female-type pelvis with a
transverse oval inlet
Platypelloid
(the process of measuring the internal or
external pelvis) is performed with radiography or by
internal examination
Pelvimetry
Internal pelvic inlet measurements measures the
diagonal conjugate, which is the lower margin of the
symphysis pubis to the promontory of the sacrum; it is
normally ___ cm or more.
11.5
Internal midpelvic measurements measures the
distance between ischial spines and prominence or
bluntness of spines; it is normally ___ cm
10.5
Internal pelvic outlet measurement is an estimation of
the angle of the pubic arch (90 degrees), mobility of
coccyx, intertuberous diameter (___cm), and posterior
sagittal diameter (___ cm)
11 , 7.5
Female Reproductive System: Breasts (Internal)
composed of acini (milk-producing) cells that cluster in
groups of 15 to 20 to form the lobes of the breast
Glandular tissue (parenchyma)
Female Reproductive System: Breasts (Internal)
form passageways from the lobes to the nipple
Lactiferous ducts or sinuses
Female Reproductive System: Breasts (Internal)
provide the lative size and consistency of the breast
Adipose and fibrous tissues (stroma)
(mammary glands)
The female breasts
The female breasts (mammary glands) are specialized
____ that produce milk after childbirth
(lactation).
sebaceous glands
Female Reproductive System: Breasts (External)
a raised pigmented area of the breast
Nipple
Female Reproductive System: Breasts (External)
pigmented skin around the nipple
Areola
Female Reproductive System: Breasts (External)
Montgomery tubercles
The breasts change in size and nodularity in response to
cyclic ovarian hormonal changes, including:
which produces tenderness
Estrogen stimulation
The breasts change in size and nodularity in response to
cyclic ovarian hormonal changes, including:
which causes increased
tenderness and breast enlargement
Progesterone (postovulation)
Physical changes in breasts size and activity are at a
minimum ___ days after menstruation stops; this is the
best time to detect pathology changes through breast
self-examination.
5 to 7
The ovaries produce mature gametes and secrete the
following hormones:
contributes to the characteristics of
femaleness (eg. female body build, breast growth).
Estrogen
(onset of menstruation)
Menarche
Menarche (onset of menstruation) typically occurs
between ___ years
10 and 13
The ovaries produce mature gametes and secrete the
following hormones:
quiets or
decreases the contractility of the uterus.
Progesterone (hormone of pregnancy)