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NUR114 Sexuality > Pizzotti Sexuality 3 > Flashcards

Pizzotti Sexuality 3 Flashcards

1
Q

How is Dysfunctional Uterine Bleeding defined?

A

Excessive and Frequent Bleeding for more than 21 days

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2
Q

What are the two most common times that Dysfunctional Uterine Bleeding occur?

A

At either the beginning or at the end of a woman’s reproductive years.

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3
Q

Does Dysfunctional Uterine Bleeding increase progesterone production?

A

Yes

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4
Q

What are the two types of Dysfunctional Uterine Bleeding?

A

Anovulatory and Ovulatory

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5
Q

What are the seven common risk factors of Dysfunctional Uterine Bleeding?

A

Obesity, Extreme weight loss or gain, Age older than 40 years old, High Stress levels, Polycystic ovary disease, Long term drug use, Excessive exercise

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6
Q

What is the the nonsurgical intervention for Dysfunctional Uterine Bleeding?

A

Hormone manipulation

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7
Q

What are the four surgical interventions for Dysfunctional Uterine Bleeding?

A

Endometrial ablation, Uterine artery embolization, Dilation and Curretage, Hysterectomy

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8
Q

What is the overview definition of vulvovaginitis?

A

The disturbance of the balance of hormones and flora in the vagina and vulva

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9
Q

How is vulvovaginitis characterized?

A

Itching, change in vaginal discharge, odor or lesions

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10
Q

What are the two primary infections of vulvovaginitis?

A

Herpes genitalis, Condylomata acuminate

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11
Q

What are the three secondary infections of vulvovaginitis?

A

Candidiasis, Crabs, Scabies

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12
Q

How does a woman get Toxic Shock Syndrome?

A

By using a tampon that she inserts using a finger with staph aureus and leaving in for more than 6 hours

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13
Q

Exotoxins produced from this bacteria cross the vaginal mucosa to the bloodstream via microabrasions from tampon insertion or prolonged use

A

Staphylococcus aureus

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14
Q

What are the ten most common signs and symptoms of Toxic Shock Syndrome

A

Rash that often looks like sunburn, Abrupt onset fever, Myalgias, Sore throat, Edema, Hypotension, Broken capillaries in eyes and skin, Vomiting, Diarrhea, Headache, Keratolysis

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15
Q

What are the two intravenous antibiotic treatments for Toxic Shock Syndrome?

A

Penicillin and Vancomyin

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16
Q

It is the most common type of pelvic organ prolapse caused by neuromuscular damage of childbirth, increased intra abdominal pressure, or weakening of pelvic support also called “old lady stuff”.

A

Uterine prolapse

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17
Q

What is the nursing intervention for uterine prolapse?

A

Teach women to improve pelvic support and tone via pelvic floor muscle exercises like kegels

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18
Q

It is the protrusion of the bladder into the vagina wall, leading to urinary tract infection and urinary elimination problems, including stress incontinence.

A

Cystocele

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19
Q

It is the protrusion of rectum through a weakened vaginal wall, leading to constipation, hemorrhoids, fecal impaction, and feelings of rectal or vaginal fullness.

A

Rectocele

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20
Q

A benign, slow growing solid tumors of uterine myometrium

A

Leiomyoma

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21
Q

What are the four types of leiomyoma?

A

Intramural, Submucosal, Subserosal, Pedunculated

22
Q

These are abnormal openings between two adjacent organs or structures, as manifested by feelings of wetness or dribbling and smelling of stool in the vagina

A

Fistulas

23
Q

This results from obstruction of the duct of the Bartholin gland from infection, thickened mucus near the ductal opening, or trauma such as lacerations.

A

Bartholin Cyst

24
Q

Penduculated tumors arising from the mucosa extending through the opening of the cervical os.

A

Cervical polyps

25
Q

It is the most common gynecologic malignancy and grows slowly and has a good prognosis.

A

Endometrial Cancer

26
Q

This stage of endometrial cancer is confined to the endometrium.

A

Stage I

27
Q

This stage of endometrial cancer involves the cervix.

A

Stage II

28
Q

This stage of endometrial cancer reaches the vagina or lymph nodes.

A

Stage III

29
Q

This stage of endometrial cancer has spread beyond the pelvis.

A

Stage IV

30
Q

It is the main symptom of endometrial cancer.

A

Postmenopausal bleeding

31
Q

These are the two gold standard tests to determine the presence of endometrial thickening and cancer.

A

Transvaginal utrasound, Endometrial biopsy

32
Q

Give the two most important interventions for endometrial cancer

A

Surgical removal of the tumor and lymph nodes, Cancer staging of the tumor with adjacent lymph nodes

33
Q

It is a type of primary uterine cancer, manifested by painless vaginal bleeding.

A

Cervical Cancer

34
Q

What are the two types of cervical cancer?

A

Squamous carcinoma and Adenocarcinoma

35
Q

A precancerous type of cervical disease when the lower third of the epithelium contains abnormal cells with carcinoma confined to the epithelium.

A

Cervical dysplasia

36
Q

What is the name of the screening test for cervical cancer?

A

Pap tests

37
Q

What are two ways that early-stage invasive cancers are managed?

A

Radical surgery and radiation

38
Q

This is both a diagnostic procedure and a treatment for cervical cancer, which provides a specimen that can be examined by pathologist.

A

Loop Electrosurgical Excision Procedure or LEEP

39
Q

A procedure being performed one week after a patient’s last menstrual period, which uses a probe to freeze abnormal tissue and a small amount of normal tissue.

A

Cryosurgery

40
Q

Uses a carbon dioxide laser and which healing takes place in 3 to 6 weeks.

A

Laser Surgery

41
Q

What is a hysterectomy?

A

Removal of the cervix and uterus

42
Q

What are the three risk factors of hysterectomy?

A

Infection, Hemorrhage, Pulmonary embolism

43
Q

This type of cancer can be treated with surgery, radiotherapy, or a combination of both.

A

Invasive Cancer

44
Q

What are the five factors to assess during the early stages of recovery following hysterectomy?

A

Hemorrhage and shock, Pulmonary complications, Fluid and electrolytes imbalances, Renal and urinary complications, Pain

45
Q

Name the three types of radiation therapy.

A

Internal, External and Interstitial

46
Q

What are the three major complications of radiation therapy?

A

Radiation cystitis, Proctitis and Fistula formation or vesicovaginal

47
Q

This is the leading cause of death from female reproductive cancer, with low survival rates attributed to late detection.

A

Ovarian Cancer

48
Q

These two are both elevated when ovarian cancer is present.

A

Cancer antigen 125, Alpha fetoprotein

49
Q

Removal of the ovaries and fallopian tubes

A

Total abdominal hysterectomy and bilateral salpingo oopherectomy

50
Q

What are the four early signs of ovarian cancer?

A

Bloating, Abdominal distention, Changes in bowel patterns, Vaginal bleeding

51
Q

It is used to detect and evaluate ovarian masses.

A

Transvaginal ultrasound

52
Q

Name the four chemotherapy and anti neoplastic agents used after surgery to destroy cancer cells that may have spread into the abdominal cavity

A

Doxorubicin, Vincristine, Paclitaxel, Cyclophosphamide

NUR114 Sexuality (5 decks)

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