Module 1: Women's Health Promotion Across the Lifespan

Question 1

What is sexuality ?

Answer 1

Sexuality is …
How people experience and express themselves as sexual beings

Body parts, sense of being feminine or masculine

How gender is expressed and sensed

Who we are attracted to and who is attracted to us

Unique to the person

Dynamic though the lifetime

Vital part of holistic care and patient-centered nursing

Question 2

What are two scopes of sexuality?

Answer 2

Scope of well-being (state of being happy, healthy or successful (function) to

Ill-being (deficient in health, happiness or prosperity (dysfunction).

Defined as the presence of positive emotions, absence of negative emotions, overall satisfaction with life, fulfillment and positive functioning.

Question 3

What are the phases of sexual response

Answer 3

Phases of sexual response

Motivation (desire, libido)

Arousal

Genital Congestion

Orgasm

Resolution

Question 4

What are the factors that influence Sexuality?

Answer 4

Biology
society
family
culture

Question 5

Etiology of sexual dysfunction - Things that can alter sexual dysfunction

Answer 5

-Physiological Factors
-Psychological Factors
- Maturational Factors
-Environmental Factors

Question 6

What are sexual disorders that affect sexual dysfunction

Answer 6

• Sti
  -IPV
  Male/Female disorder of the reproductive tract

Question 7

What are medications that affect sexual functions?

Answer 7

-Antihypertensives (ACEI, beta blockers, beta agonists, diuretics

-Antiulcer medications (omeprazole, cimetidine)

-Antidepressants

-Antipsychotics

-Anticonvulsants

-Diuretics

-Narcotics
- these drugs affect the CNS

Question 8

What are consequences of Sexual Dyfunction?

Answer 8

• Unsatisfactory Sexual Response
  -Unfulfilled Sexual desire
  -Pain
  -Inability to achieve pregnancy
  -STI
  -Pregnancy complications
  -Relationship Prx
• Low self esteem
  -Anxiiety
  -Depression

Question 9

What are RF for alterations in Sexual Function?

Answer 9

*Risky sexual behavior:

Multiple/casual partners

Condomless/unsafe sexual activity

*Substance use/abuse

*Underlying medical conditions/medication use

Question 10

What population is at risk for Sexual Function?

Answer 10

*Populations at Risk

Adolescents- early sexual activity increases risk for aids

Disabilities: Cognitive, Developmental, & Physical

Newly unpartnered

LGBTQ- behavior men who have sex with men are more at risk

Question 11

True and False?
Age does not affect the woman’s capacity to have an orgasm, intensity may decrease as women age.

Answer 11

True

Question 12

Disparities in women health is linked to ?

Answer 12

Biologic factors

Environment

Socioeconomics

Limited finances

Lack of access

Health behaviors

Question 13

Things to consider for sexual Health assessment

Answer 13

Female sexual history

Menarche

Menstruation

Pregnancy

Menopause

Contraception

Question 14

what is health promotion?

Answer 14

Definition - the process of enabling people to increase control over and to improve their health. (World Health Organization: Ottawa charter for health promotion. 1986, Author, Geneva.)

Question 15

What is women sexual health ?

Answer 15

-A state of well-being in relation to sexuality across the lifespan that involves physical, emotional, mental, social and spiritual dimensions.

Question 16

What are barriers to seeking Women’s Sexual Health Care

Answer 16

Cultural Issues:

Changing Demographics

Cultural Humility

Gender Issues:

Healthcare Providers

Sexual/Gender Identities

Question 17

Signs of IPV

Answer 17

Repeated nonspecific complaints

Overuse of the healthcare system

Hesitancy, embarrassment, or evasiveness in relating history of injury

Time lag between injury and presentation to care

Untreated serious injury

Overly SOLICITOUS partner who STAYS CLOSE to the woman and attempts to answer FOR her

Injuries of the head, face, neck and areas covered by a one piece swimsuit, during pregnancy the breast and abdomen are targets

Bruises at various stages of healing

Question 18

Nursing Responsibilities

Answer 18

-Assure total privacy when interviewing and assessing patient.

-Ask permission to involve social work. Know your own state’s mandatory reporting laws.

-Listen in non-judgmental way

-Give her resource information in a safe way-put hot line number in phone under another name.

-National domestic violence hotline # 800-799 7233

Question 19

Primary Prevention for Women’s health Care

Answer 19

Patient Education

Condom use

Safe-sex practices

HPV vaccine

Question 20

Secondary Prevention

Answer 20

Cervical cytologic screening (Pap test)

HIV screening

Screening for other STIs

Question 21

Infant mortality

Answer 21

death of a live birth between birth and the first birthday

Question 22

Neonatal mortality

Answer 22

death of a live birth between birth and < 28 days

Question 23

Maternal mortality

Answer 23

maternal deaths from live births, complications of pregnancy, or postpartum

Question 24

Perinatal Mortality

Answer 24

includes stillbirths

Question 25

still births

Answer 25

an infant @ birth who demonstrates no signs of life such as breathing, heartbeat or muscle movements

Question 26

Preterm Births is divided in 3 classification

Answer 26

• Very premature: Neonates born at less than 32 weeks of gestation
• Moderately premature: Neonates born between 32 and 33 completed weeks of gestation
• Late premature: Neonates born between 34 and 36 completed weeks of gestation

Question 27

What are Causes of Maternal death?

Answer 27

• Maternal death is defined by the WHO as the death of a woman during pregnancy or within 42 days of pregnancy termination caused by conditions aggravated by the pregnancy or associated medical treatments. This category excludes death from accidents or injury

*Direct obstetric death results from complications during pregnancy, labor, birth, or the postpartum period, including deaths caused by interventions, omission of interventions,

Question 28

What is maternal mortality?

Answer 28

Maternal mortality ratio (MMR) is defined as the number of maternal deaths per 100,000 live births

Question 29

What are primary causes of maternal deaths worldwide?

Answer 29

• Severe hemorrhage • Infections
• Eclampsia
• Obstructed labor
• Complications of abortions
• Other causes, such as anemia, HIV/AIDS, and cardiovascular disease

Question 30

Primary issues affecting health of mothers

Answer 30

Primary issues affecting the health of people, mothers, and infants in the United States include teen pregnancy, tobacco and electronic cigarette use, substance abuse during pregnancy, medications use during pregnancy, obesity, violence, sexually transmitted infections, climate change, depression and perinatal mood disorders, racism, and health disparities.

Question 31

What is EVP?

Answer 31

Integrate best current evidence with clinical ­expertise and patient/family preferences and values for delivery of optimal health care.

Question 32

What is Health Promotion?

Answer 32

the process of enabling people to increase control over and to improve their health. (World Health Organization: Ottawa charter for health promotion.

Question 33

What does it mean to meet women Health?

Answer 33

• Caring for women and infants during the childbearing cycle
• Meeting physical, psychologic, and social needs of women throughout the lifespan

Question 34

Health Promotion for Adolescents

Answer 34

Teen pregnancy

Question 35

Health Promotion for young and middle adult?

Answer 35

Pelvic and breast screenings

Contraception

Question 36

What are Risk factors for Teen Pregnancy ?

Question 37

what are some barriers to seeking women Sexual Health Care

Answer 37

Cultural Issues

Changing Demographics

Cultural Humility

Gender Issues

Healthcare Providers

Sexual/Gender Identities

Question 38

What are primary preventions for women’s health care

Answer 38

Patient education

Condom use

Safe-sex practices

HPV vaccine

Question 39

Secondary preventions in women’s health care

Answer 39

Cervical cytologic screening (Pap test)

HIV screening

Screening for other STIs

Question 40

What is moral distress?

Answer 40

-occurs when a person knows the ethically correct action but is unable to do it.
- Threatens our core values

Question 41

What are areas of clinical practice common for legal issues

Answer 41

-Inability to recognize or inability to appropriately respond to intrapartum fetal compromise

• Inability to perform a timely cesarean birth (30 minutes from decision to incision) when indicated by fetal or maternal condition

-Inability to appropriately initiate resuscitation of a depressed neonate

• Inappropriate use of oxytocin or misoprostol, leading to uterine tachysystole, uterine rupture, and fetal intolerance of labor or fetal death Inappropriate use of forceps/vacuum or preventable shoulder dystocia

Question 42

What are areas of clinical practice common for legal issues?

Answer 42

-Failure to accurately assess maternal and fetal status.

-Failure to appreciate a deteriorating fetal status

-Failure to treat an abnormal or indeterminate FHR

-Failure to reduce or discontinue oxytocin with an abnormal or indeterminate FHR

-Failure to correctly communicate maternal and fetal status to the care provider

-Failure to institute the chain of command in a clinical disagreement

Question 43

Primary causes of maternal deaths

Answer 43

-severe hemorrhage
-eclampsia
- infection
-obstructed labor
-complication of abortions