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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
Q

Who are most prevalent

A

Young adults and teens

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26
Q

Why should you avoid douching

A

Because it removes some of the normal bacterial flora increases risk of getting sti

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27
Q

Ectopic pregnancy

A

Having sti increases chances of this kind of pregnancy

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28
Q

What is menstruation

A

Normal vaginal bleeding that prepares for the presence of fertilized ovum

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29
Q

What are the causes of irregular menstrual

A

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

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30
Q

When does the normal vaginal bleeding take place

A

2-7 days

31
Q

What is the first menstrual called?
What age do you usually get thus

A

Mearche
Age 12

32
Q

What is menopause
What age

A

The cessation of menstrual
48-55

33
Q

How long does the menstration cycle last

A

28 days

34
Q

Sexual dysfunction : Males

A

Erectile dysfunction
Premature ejaculation
Delayed ejaculation

35
Q

Another name for erectile dysfunction

A

Impotnece

36
Q

Erectile dysfunction

A

He inability to maintain or attain reaction to the extent where cannot have a satisfactory interaction
Various illness, anxiety, treatment of illness

37
Q

Premature ejaculation

A

Ejaculate before entering the vagina or as soon as you meter the vaginal orifice
Partner does not get the chance to be satisfied

38
Q

Delayed ejaculation

A

Ales inability to ejaculate within time frame

39
Q

Female sexual dysfunction

A

Inhibited sexual desire
Dyspareunia
Vaginismus

40
Q

Inhibited sexual desire

A

Inhibition of sexual desire
Congestion and lubrication are absent
Causative factors: anxiety, fear, negative emotion etc

41
Q

Dyspareunia

A

Pain during sexual intercourse

42
Q

Vaginismus

A

Vagina gets so tight that it can’t be penetrated
The muscles at the vaginal opening have spasms

43
Q

Effects of illness, injuries and medication: DIABETES

A

With type 2 Diabetes more likely to have erectile dysfunction
Can be fixed with penile prosthesis

44
Q

How can erectile dysfunction be fixed

A

Penile prosthetics

45
Q

Cardiovascular disease

A

Antihypertensive medication can cause male to have difficulty with erection

46
Q

What does hypertensive medication does

A

Contribute to erectile dysfunction

47
Q

Diseases of the joint and mobility

A

Pain fatigue, loss of the range of motion
Pain is associated decreases experience

48
Q

Surgery and body image

A

After surgery the patients need to get adjusted to their bodies
Can affect a persons self perception and sexual being

49
Q

Mastectomy and ostomy

A

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
Q

Spinal cord injuries

A

Affect the patients ability to ambulate waist down
Ejaculation and orgasm are more likely to decrease
Lack of physical sensation

51
Q

Chronic pain

A

May not desire any sexual activity
Less enjoyable

52
Q

Mental illness

A

Disruption of functioning
Disruption of sexual function
Patients with mental illness may behave inappropriately sexually
Patients with Alzheimer’s lose memory of partner

53
Q

Medication

A

Antihypertensive: bp
Antihistamine
Narcotics
Heavy drinking
Antidepressants
Some med affect sexual function
Anticonvulsant
Antipsychotic
Recreational Drugs
Barbiturates
Antipsychotic

54
Q

Heavy drinking and sexual

A

Heavy drinking can cause an libido and negatively affect sexual functioning
Lower sex drive

55
Q

What are you asking in the nursing history : table 46-1

A

Reproductive history
History of sti
History of sexual dysfunction
Sexual self care behaviors
Sexual self concept
Sexual function

56
Q

What should you make sure as a nurse that is form when performing nursing history

A

Quiet environment
Open ended questions
Sit at the patients level
No interruptions
Maintain eye contact

57
Q

Methods of contraception: Barrier

A

Condoms
Diaphragm : female version of a condom
Spermicides: built into the condom

58
Q

Hormonal contraception

A

Oral contraception
Does not prevent sti
Nexplaon
Depo
Patch

59
Q

Intrauterine devices contraceptive

A

IUD: block the fallopian tube

60
Q

Emergency contraception contraception

A

The morning after pill
Reduce the risk of pregnancy after intercourse without contraception
Delay ovulation and reduce the risk of pregnancy

61
Q

Sterilization

A

Permanent and irreversible
Sexual desire and ability is unaffected
Vasectomy and hysterectomy

62
Q

What makes birth control less effective

A

Antibiotic

63
Q

Physical assessment

A

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
Q

When is the annual gynecological papsmear should be done

A

Every 3 years
At 21
Even if the patient is not sexually active

65
Q

Implementation

A

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
Q

Patient outcome regarding sexuality

A

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
Q

What factors can affect sexuality

A

Developmental considerations
Lifestyle
Culture
Ethics
Religion
Menstrual

68
Q

Retarded ejaculation

A

Delayed ejaculation not the vagina

69
Q

Vulvodynia

A

Chronic vulvar discomfort or pain that occurs with sexual intercoure

70
Q

How can hypertension affect sexual function

A

THe medication cause sexual changes with function

71
Q

Myocardial infarction and sexual function

A

In order to allow the cardiac muscles to heal they have to avoid sexual activity

72
Q

What’s the main thing to remember with birth control

A

It does not prevent STI

73
Q

Is sexual desire affected either by sterilization

A

No

Fundamentals (Nurs 113) (11 decks)

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