Reproductive Flashcards
Treatment for fibrocystic breast
Pain management
Limit salt intake before menses to decrease swelling
Wear supportive bra, even while sleeping, reduces tension on ligaments
Ice or Heat application temporary relief
Oral contraceptives
Vitamin Supplements
Diuretics
fibrocystic breast
Changes in the lobules, ducts and stromal tissues of breast
Caused by imbalance in estrogen-to-progesterone ratio
Risk factors for breast cancer
Family History BRCA Gene (Jewish Heritage) Alcohol Hormone Replacement Therapy Nulliparity or childbirth after 30
Self breast exam
Premenopausal- Examine breasts 1 week after menstrual cycle
Postmenopausal-Pick one day each month to perform SBE
Post-mastectomy nursing interventions and considerations
Reduce Lymphedema Do not take blood pressure or place IV on side of mastectomy Elevate affected arm Do not immobilize affected side Encourage arm exercise at home Address body image and coping Monitoring drains at home- EDUCATE! Early ambulation Regular Diet
Pelvic organ prolapse S/S
Dyspareunia- painful intercourse Backache Heaviness or pressure in pelvis Feels like ‘something fell out’ Urinary difficulties
Pelvic organ prolapse
Pelvic organs are supported by a sling of muscles and tendons, when they become weak they can no longer keep organs in place
Uterine fibroids treatment
Asymptomatic fibroids do not require treatment Contraceptives Hysterectomy if severe: -Total abdominal hysterectomy -Transvaginal hysterectomy
Uterine fibroids patient teaching
tell them to track how many pads are they saturating to figure out how much blood
Uterine Fibroids
Benign, slow-growing solid tumors of uterus
Endometrial Cancer: who’s at risk?
Caucasian females
Prolonged exposure to estrogen without protective progesterone
Gene mutation for hereditary nonpolyposis colon cancer (HNPCC)
Endometrial Cancer surgical options
Total hysterectomy: take everything out
Bilateral Salpingo-oophorectomy: may take uterus but leave cervix
Cervical Cancer: who’s at risk?
first intercourse at young age
multiple partners
smokers
history if STD
Cervical cancer leading cause
Human papilloma virus
HPV testing at 30 years old
Recommended screenings for HPV
HPV testing should start at 30 years old
Patient teaching related to HPV vaccination
Gardasil
can be given as early as 9 years old
Schedule -, 2nd dose 1 month after first dose and 3rd dose 6 months from 1st dose
Ovarian Cancer
grows RAPIDLY and bilaterally
high reoccurence
Ovarian Cancer: who’s at risk?
People who have: Excessive exposure to estrogen Over 40 Nullparity: women who have never given birth BRCA1 or BRCA2 gene mutation
Prostate cancer: who’s at risk?
Men over 65
In U.S., African American men
Prostate Cancer in Family
Diet high in red meat and fat
Testicular Cancer: who’s at risk?
Cryptorchidism (undescended testes) HIV infection Family history Cancer of one testicle Caucasian male
Testicular Cancer S/S
Mass in or enlarged testicle
Gynecomastia, Feminization
Oligospermia (low sperm count)
Azoospermia (absence of sperm)
Testicular Cancer makes men
infertile
discuss sperm banking
Testicular Torsion
A twisting of spermatic cord and blood vessels. This is a urological emergency. The testicular viability greatly diminishes within 6 hours.
Testicular Torsion commonly occurs in
children and adolescents
