Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB > OB Women's Health > Flashcards

OB Women's Health Flashcards

womens health

1
Q

Name 3 things that are important to know on a health history for women

A 
Menstrual history 
Pregnancies
Menses
Sexual history
Genital mutalation
Domestic Violence
Incest in childhood sexual abuse
Rape and sexual assault
Health issues in women with disabilities 
Lesbian health
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

*Why is it important to do a vaginal and rectal exam

A

*

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Name 3 parts of the female genitalia

A

Clitoris
labia minora and majora
urinary meatus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe a bimanual exam

A

physical examination of the external and internal female pelvic organs
Two hands used for “manual palpation”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Name the main diagnostic test done on women

A

Pap smear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some s/s of PMS

A 
Fatigue
Headache
Low back and breast pain
Bloating
Irritability 
Mood swings
Binge eating
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is dysmenorrhea

A

Painful periods “cramps”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some causes of amenorrhea

A 
Pregnancy
stress
nutritional disturbances 
Athletes 
Pituitary and thyroid dysfunction
Ovarian Problems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define metorrhagia, and postmenopausal bleeding

A

menorrhagia- Prolonged/excessive period (can lead to anemia)

Metorrhagia- bleeding between periods (could be cancer, benign tumors or other GYN problems)

Postmenopausal bleeding- bleeding 1 year after no periods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Name 5 vulvovaginal infections

A 
Candidiasis(yeast)
Bacterial vaginosis
Trichomoniasis
HPV
Herpes
Toxic shock syndrom
Chlamydia
Gonorrhea
PID 
HIV
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which infection has a discharge with a fishy odor

A

bacterial vaginosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does HPV look like on the cervix / what is it a precursor for

A

Flakiness / scaly / slough off

Cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is trichomonis

A

infection caused by a parasite

s/s Foul-smelling vaginal discharge, genital itching, and painful urination in women, men typically have no symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

which sex has the more signs and symptoms of gonorrhea

A

Males- yellow/white/green discharge, pain or burning feeling when you pee, pain or swelling in your testicles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

where can PID spread to

A

reproductive organs

can cause ectopic pregnancy, chronic lower belly pain, and infertility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe cystocele / rectocele / enterocele

A

Cystocele- bulge of the bladder into the vagina

Rectocele- tissue wall between the rectum and vagina weakens

Enterocele- herniation of perineal sac between vagina and rectum (small intestine decends into the lower pelvic cavity and pushes at the top of the vagina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is a vaginal fistula

A

an abnormal connection between the rectum and vagina causing foul-smelling vaginal discharge, leaking of stool or recurrent UTI’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

*what is an important thing to prevent in a patient with organ prolapse

A

Pelvic muscle exercises (Kegals)

*right or wrong??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is a pessary and what are they used for

A

It is a soft removable device that goes in your vagina that supports areas that are affected by a pelvic organ prolapse

20
Q

Name two benign disorders women can have

A 
Vulvitis 
vulvar cysts
vulvar dystrophy
ovarian cyst
endometriosis
adenomyosis
21
Q

where are leiomyomas found / what is another name for them

A

affect smooth muscle tissue on the uterus

Fibroids

22
Q

How can endometriosis be resolved

A

resolves with pregnancy, oopherectomy, and menopause

23
Q

a common symptom of endometriosis is dysparuria

A

Painful intercourse

24
Q

what is endometriosis

A

when endometrial tissue grows outside of the uterus

25
Q

describe infertility

A

unable to conceive after one year of unprotected sex

26
Q

Describe ectopic pregnancy

A

a pregnancy in which the fertilized egg implants outside of the uterus

27
Q

what can a decrease in estrogen cause in a woman going though menopause

A 
Bone formation decrease
Vaginal lubrication decrease
Increase Ph of vagina
Thinning of GU tissue
Prolapsed organs
Vasomotor instability 
Thin pubic hair
28
Q

How can a woman manage menopause

A

horomone replacement therapy

29
Q

Name three cancers specific to women

A

cervical cancer
ovarian cancer
fallopian tube cancer
vulvar cancer

30
Q

what are some management options for cancerous patients

A

pharmacologic

Radiation

Surgical

31
Q

what are method of radiation

A

indirect and direct

32
Q

what should be done if a intracavitary radiation device falls out of a patient

A

Put lead gloves on, remove it, place in lead container, and close it.

If pregnant avoid working with these patients

33
Q

describe different types of hysterectomy

A

Total: uterus / cervix
Subtotal: uterus
Bilateral salpingo oopherectomy: tubes and ovaries
PAN hysterectomy: Nodes, upper third of vaginal and surrounding tissue

34
Q

Define shoulder dystocia

A

occurs when a babys head is delivered through the vagina, but the babys shoulders get stuck inside the mothers body.

35
Q

Name 5 patients who have a higher risk of having shoulder dystocia

A 
Macrosomia
maternal diabetics
abnormal labor
maternal obesitiy 
Previous shoulder dystocia
Short maternal stature 
operative interventions 
augmentation or induction
36
Q

True or false

70%-90% of macrosomic babies deliver with some sort of dystocia

A

False

37
Q

what are some causes of shoulder dystocia

A

increased resistance between the fetal skin and vaginal walls (macrosomia)
large chest relative to the bipartial diameter of the head (diabetes)
Truncal rotation did not occur (precipitous)
Impaction of the posterior shoulder on the sacral promontory

38
Q

what is s/s of shoulder dystocia

A

retraction of fetal head against the maternal perineum( (turtle sign)

39
Q

what should happen when shoulder dystocia has been diagnosed

A 
No further traction
No fundal pressure 
Stop maternal pushing
Stay calm and in charge of the situation 
Notify physician
40
Q

what maneuvers can be used when shoulder dystocia is present

A

McRoberts
episiotomy
all fours
woods corkscrew

41
Q

describe McRoberts maneuver

A

symphsis pubis is rotated, cephalad and the sacrum is straightened. these motions push the posterior shoulder over the sacral promontory allowing it to fall into hallow of the sacrum and rotate the symphysis over the impacted shoulder thus freeing it

42
Q

what is suprapubic pressure?

A

appling pressure to the top of the mothers abdomen over the suprapubic area to help rotate the babys anterior shoulder

43
Q

what is gastins position

A

all fours

44
Q

decribe wood corkscrew

A

the shoulders must be rotated applying pressue on the scapula and clavicle, while making sure that the head is never rotate. During the maneuver, the head should never be grasped.

45
Q

What complications can happen to a mom with shoulder dystocia

A 
PPH
episiotomy extension 
4th degree laceration 
vaginal laceration 
cervical laceration
bladder atony d/t bruising
uterine rupture
46
Q

what complications can happen to a baby with shoulder dystocia

A

brachial plexus
Clavical or humerus fx
brain injury

47
Q

what is the key factor to avoid a law suit

A

document well!!!

OB (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions