Reproductive System Flashcards
What are the indications for a hysterectomy (removal of all or part of the uterus) in a client who has fibromas (benign fibrous tumor of connective tissue)?
Severe menorrhagia (abnormally heavy menstrual bleeding) leading to anemia, severe dysmenorrhea (painful menstruation; abdominal cramps) requiring narcotic analgesics, severe uterine enlargement causing pressure on other organs, severe low back and pelvic pain.
List the symptoms and conditions associated with a cystocele (tough fibrous wall between a woman’s bladder and her vagina [pubocervical fascia] is torn by childbirth, allowing the bladder to herniate into the vagina)
Symptoms include incontinence or stress incontinence, urinary retention, and recurrent bladder infections. Conditions associated with cystocele include multiparity, trauma in childbirth, and aging.
What are the most important nursing interventions for the postoperative client who has had a hysterectomy with an A&P repair (anterior and/or posterior vaginal wall repair; defect in the wall of the vagina)
Avoid taking rectal temperatures and rectal manipulation; manage pain; and encourage early ambulation.
Describe the priority nursing care for a client who has had radiation implants.
Do not permit pregnant visitors or pregnant caretakers in room. Discourage visits by small children. Confine client to room. Nurse must wear radiation badge. Nurse limits time in room. Keep supplies and equipment within client’s reach.
What screening tool is used to detect cervical cancer? What are the American Cancer Society’s recommendations for women ages 30 to 70 with three consecutive normal results?
Pap smear. Women ages 30 to 70 with three consecutive normal results may have Pap smears every 2 to 3 years (screening for HPV).
Cite two nursing diagnoses for a client undergoing a hysterectomy for cervical cancer.
Altered body image related to uterine removal; pain related to postoperative incision.
What are the three most important tools for early detection of breast cancer? How often should these tools be used?
Breast self-examination (BSE) monthly; mammogram baseline at age 35, followed by exams every 1 to 2 years in 40s and every year after age 50; physical examination by a professional skilled in examination of the breast.
Describe three nursing interventions to help decrease edema post-mastectomy (removal of breast).
Position arm on operative side on pillow. Avoid BP measurements, injections, and venipunctures in operative arm. Encourage hand activity and use.
Name three priorities to include in a discharge plan for a client who has had a mastectomy.
Arrange for Reach to Recovery (American Cancer Society program - helps people cope with their breast cancer experience) visit. Discuss the grief process with the client. Have physician discuss with client the reconstruction options.
What is the most common cause of nongonoccal urethritis (inflammation of the urethra that is not caused by gonorrheal infection)?
Chlamydia trachomatis
What is the causative organism of syphills?
Treponema pallidum (spirochete bacteria)
Malodorous (foul-smelling), frothy, greenish-yellow vaginal discharge is characteristic of which STD?
Trichomonas vaginalis (anaerobic, flagellated protozoan parasite; causative agent of trichomoniasis; causes vaginitis in women)
Which STD is characterized by remissions and exacerbations in both males and females?
Herpes simplex type II
Outline a teaching plan for a client with an STD.
Signs and symptoms of STD; mode of transmission; avoiding sex while infected; providing concise written instructions regarding treatment, and requesting a return verbalization to ensure that the client understands; teaching safer sex practice.
