Module 16 women's assessment Flashcards
Gravida
total number of pregnancies
F/P/A/L
F: # of full term delivered
P: # of pregnancies delivered preterm
A: # of abortions; spontaneous or induced
L: # of living children
menstrual abnormalities
no periods by 14 with hirsuitism signs
no periods by 14 with hx of eating disorder
no period by 15
more frequently than 21 days or more than 45 days
change tampon every 1-2 hours
older women reasons for visit
vaginal irritation dyspareunia decreased libido urinary problems pelvic pain menopausal symptoms
perimenopause s/s
intermittent vasomotor symptoms
menstrual changes
reduced fertility - need contraception for a year
menopause s/s
dec. estrogen levels
increased body fat
total and low-density lipoprotein cholesterol increase
vaginal dryness, dec. libido, mood swings
sleep disturbances
induced menopause
cessation of menstruation due to surgical removal of both ovaries
- oophorectomy
iatrogenic menopause
ablation of ovarian function due to chemotherapy or pelvic radiation
premature menopause
occurs before the age of 40
older adult changes
labia flatter and smaller skin is drier and shinier gray and sparse pubic hair clitoris is smaller urinary meatus may appear as an irregular opening or slit vaginal opening may be constricted vagina is narrower and shorter smaller less-mobile cervix smaller uterus nonpalpable ovaries diminished rectal tone
preconception hx
tobacco use rubella immunization? chronic health issues glucose control nutrition habits medications that may affect fertility or birth outcome
breast pain
timing of occurrence proximity to menstrual cycle intensity of pain associated symptoms precipitating factors medication hx hormones, caffeine, fibroids
Breast mass
timing of occurrence with cycle
associated symptoms
changes in mass
medication hx
nipple drainage
color characteristics associated symptoms associated factors medications meds
inspection of breasts
size symmetry contour retractions or dimpling skin color changes venous patterns lesions supernumerary nipples
