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Fundamentals (Nurs 113) > Reproduction, Gender, And Sexuality > Flashcards

Reproduction, Gender, And Sexuality Flashcards

1
Q

What is sexual health?

A

Integration of the somatic, emotional, intellectual, and social aspects of sexual being

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2
Q

Sexual identity

A

A persons self-identify, biological sex, gender identity, gender role behavior or expression and sexual orientation

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3
Q

Biological sex

A
  • sex that is assigned at birth
  • term used to denote chromosomal sexual development
  • Male: XY
  • Female: XX
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4
Q

Sexual orientation

A

Romantic, emotional, affectionate, or sexual attraction to other people
Heterosexual: opposite sex
Gay: same sex
Bisexual: both
Asexual: no preference
Questioning

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5
Q

Sexual expression

A

Masturabatuon
Sexual intercourse
Oral-genital stimulation
Abstinence

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6
Q

Adaptation vs maladaptive

A

Adaption: 2 consenting adults
Maladaptive: bad experience

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7
Q

Developmental considerations: INFANCY

A

Birth to 18 month to a year
Brains pleasure from touching
Often dressed according social norms based on biological sex it sec assigned at birth

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8
Q

Developmental considerations: toddler

A

Age 1-3
Control over bowels
Enjoy fondling genitals
Identify own sex and gender
Develop vocabulary related to anatomy

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9
Q

Development considerations: late adulthood

A

Organisms may become shorter and less intense
Vaginal secretion decreases
Male resolution lengthens
May feel the need to cease sexual activity
Fear of losing sexual abilities

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10
Q

Young adulthood: 20-35

A

Premarital sex is common
Knowledge regarding sexual response and activity increases pleasure of relationships
Experience with various sexual expressions
Many couples share financial responsibility

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11
Q

Adulthood: 35-55

A

Bodily changes as a result of menopause
Purples focus on the quality of sex vs the quantity
Divorce is common
Town children begin their own sexual experiences
Sexual satisfaction increases due to loss of fear of being pregnant

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12
Q

Adolescence: 13-19

A

Romany and secondary sex characteristics develop
Sexual fantasies common
Masturbation common
Begin to partake in sexual intercourse
Experiment with same sex even if they are not gay
Risk for pregnancy and sti
Gender expression and identification is solidified during adolescence

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13
Q

What is menarche

A

The first period

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14
Q

Preadolescence 10-13

A

Puberty begun with secondary sex characteristics
Menarche takes place

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15
Q

Preschooler: 4-6

A

Becomes increasing aware of self
Enjoys exploring body arts of self and play mates
Engages in masturbation
Gender identity is formed

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16
Q

School age 6-10

A

Attachment to the parent of the opposite sex
Having same sex friend
Curiosity about about sex and fears
Increase self awareness

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17
Q

Culture

A

Every culture has its own norms regarding sexual identity and behavior
Ask the patient what is normal for them

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18
Q

What question can you ask the patient to know ,ore about their cultural sex beliefs

A

What type of dress is appropriate for children, female etc
How is nudity viewed
Is masturbation acceptable
What age is genital sexuality intimacy appropriate? With whom
What sexual practices are acceptable
What are the rules for marriage?
Is premarital sex, or polygamy accepted
What role behaviors and social repositions are expected of men and women

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19
Q

Religion

A

Some religion see virginity as purity. It is ok when you’re married
Negative expression of sexuality
Any other sexual expression other than male and female relationships is viewed as unnatural
Guilt and anxiety

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20
Q

Ethics

A

Healthy sexuality depends on free of guilt and anxiety
If the sexual expression is performed by 2 consenting adults, is not harmful to them, and is practiced in privacy, it should not be considered as a deviant behavior.
People should personally decide which aspects of sexual expression are comfortable for them

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21
Q

Lifestyle

A

Stressors
Varied responsibilities : energy level for sex may decrease
It’s important that couples set aside time for intimate relationships
Young people who receive accurate, direct information regarding sex and develop associated skills are less likely to engage in sexual behavior with multiple partners

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22
Q

Sexually transmitted diseases (Sti)

A

HIV, AIDS, bacterial vaginosis, chlamydia, genital herpes, gonnorrhea, hav, syphillis, trichomoniadis

Can cause reproductive issues and infertility issues
Mostly spread through sexual contact

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23
Q

Prevention of STI

A

Delay having sexual relations as long as possible
Have regular checkups for sti
Learn more common symptoms of sti
Avoid anal intercourse
Avoid douching
Correctly and consistently use condoms
Use clean needles if injecting drugs
Void sexual activity when being treated for sti
Get treated if you have an sti to reduce the risk of spreading it
Discuss with doctor the possible risk of when breastfeeding
Notify all your sexual partners if you have and sti and urge them to get tested and treated
Follow providers orders and do a follow up test
Abstinence
Avoid all sexual activity when being treated

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24
Q

Why should you avoid anal intercourse? And if you engage in it what should you do?

A

It increases the chance of getting sti. If you do engage in it use a condom

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25
Who are most prevalent
Young adults and teens
26
Why should you avoid douching
Because it removes some of the normal bacterial flora increases risk of getting sti
27
Ectopic pregnancy
Having sti increases chances of this kind of pregnancy
28
What is menstruation
Normal vaginal bleeding that prepares for the presence of fertilized ovum
29
What are the causes of irregular menstrual
Pregnancy or breastfeeding Eating disorders, weight loss extreme, extreme exercise Polycystic ovary syndrome: hormone disorder causing small cyst of ovaries Pelvic inflammatory disease Uterine fibroids: heavy prolonged periods Pre,styrene ovarian failure: loss of ovarian function before the age of 40
30
When does the normal vaginal bleeding take place
2-7 days
31
What is the first menstrual called? What age do you usually get thus
Mearche Age 12
32
What is menopause What age
The cessation of menstrual 48-55
33
How long does the menstration cycle last
28 days
34
Sexual dysfunction : Males
Erectile dysfunction Premature ejaculation Delayed ejaculation
35
Another name for erectile dysfunction
Impotnece
36
Erectile dysfunction
He inability to maintain or attain reaction to the extent where cannot have a satisfactory interaction Various illness, anxiety, treatment of illness
37
Premature ejaculation
Ejaculate before entering the vagina or as soon as you meter the vaginal orifice Partner does not get the chance to be satisfied
38
Delayed ejaculation
Ales inability to ejaculate within time frame
39
Female sexual dysfunction
Inhibited sexual desire Dyspareunia Vaginismus
40
Inhibited sexual desire
Inhibition of sexual desire Congestion and lubrication are absent Causative factors: anxiety, fear, negative emotion etc
41
Dyspareunia
Pain during sexual intercourse
42
Vaginismus
Vagina gets so tight that it can’t be penetrated The muscles at the vaginal opening have spasms
43
Effects of illness, injuries and medication: DIABETES
With type 2 Diabetes more likely to have erectile dysfunction Can be fixed with penile prosthesis
44
How can erectile dysfunction be fixed
Penile prosthetics
45
Cardiovascular disease
Antihypertensive medication can cause male to have difficulty with erection
46
What does hypertensive medication does
Contribute to erectile dysfunction
47
Diseases of the joint and mobility
Pain fatigue, loss of the range of motion Pain is associated decreases experience
48
Surgery and body image
After surgery the patients need to get adjusted to their bodies Can affect a persons self perception and sexual being
49
Mastectomy and ostomy
Give the patient time to grieve the loss of their uterus Many people are anxious how it will affect their sex lives Odor and leakage needs to addressed to make the the patient more comfortable
50
Spinal cord injuries
Affect the patients ability to ambulate waist down Ejaculation and orgasm are more likely to decrease Lack of physical sensation
51
Chronic pain
May not desire any sexual activity Less enjoyable
52
Mental illness
Disruption of functioning Disruption of sexual function Patients with mental illness may behave inappropriately sexually Patients with Alzheimer’s lose memory of partner
53
Medication
Antihypertensive: bp Antihistamine Narcotics Heavy drinking Antidepressants Some med affect sexual function Anticonvulsant Antipsychotic Recreational Drugs Barbiturates Antipsychotic
54
Heavy drinking and sexual
Heavy drinking can cause an libido and negatively affect sexual functioning Lower sex drive
55
What are you asking in the nursing history : table 46-1
Reproductive history History of sti History of sexual dysfunction Sexual self care behaviors Sexual self concept Sexual function
56
What should you make sure as a nurse that is form when performing nursing history
Quiet environment Open ended questions Sit at the patients level No interruptions Maintain eye contact
57
Methods of contraception: Barrier
Condoms Diaphragm : female version of a condom Spermicides: built into the condom
58
Hormonal contraception
Oral contraception Does not prevent sti Nexplaon Depo Patch
59
Intrauterine devices contraceptive
IUD: block the fallopian tube
60
Emergency contraception contraception
The morning after pill Reduce the risk of pregnancy after intercourse without contraception Delay ovulation and reduce the risk of pregnancy
61
Sterilization
Permanent and irreversible Sexual desire and ability is unaffected Vasectomy and hysterectomy
62
What makes birth control less effective
Antibiotic
63
Physical assessment
Physical assessments Annual gynecological exam with Pap smear Suspected sti Suspected pregnancy Work up for infertility Unusual lump, discharge, or appearance of genital organs Request for birth control Change in urinary fucntion
64
When is the annual gynecological papsmear should be done
Every 3 years At 21 Even if the patient is not sexually active
65
Implementation
Establish a trusting relationship with the patient Teach about sexuality and sexual health Promote responsible sexual expression Contraception Facilitating coping with special sexual needs Healthcare needs for lesbian, gay, bisexual, and transgender people Advocating for patient sexuality needs Counseling the patient regarding sexuality, abortion and in the case of abusive relationships and rape
66
Patient outcome regarding sexuality
Define individual sexuality Establish open pattern of communication with significant others Develop self-awareness and body awareness Describe responsible sexual health self-care practices Practice responsible sexual expression
67
What factors can affect sexuality
Developmental considerations Lifestyle Culture Ethics Religion Menstrual
68
Retarded ejaculation
Delayed ejaculation not the vagina
69
Vulvodynia
Chronic vulvar discomfort or pain that occurs with sexual intercoure
70
How can hypertension affect sexual function
THe medication cause sexual changes with function
71
Myocardial infarction and sexual function
In order to allow the cardiac muscles to heal they have to avoid sexual activity
72
What’s the main thing to remember with birth control
It does not prevent STI
73
Is sexual desire affected either by sterilization
No

Fundamentals (Nurs 113) (11 decks)

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