T3: Reproductive System Health (CH. 22)

Question 1

Some hormonal changes include:
___ atrophies
__ of the labia
loss of ___ fat and hair

Answer 1

vulva
flattening
subcutaneous

Question 2

The vaginal ___ thins.

Answer 2

epithelium

Question 3

__, __ and __ tubes atrophy.

Answer 3

cervix, uterus, and fallopian

Question 4

There is a reduction in __ and __ tissue.

Answer 4

collagen and adipose

Question 5

shortening and ___ of the canal.

Answer 5

narrowing

Question 6

less ___ which may lead to discomfort with intercourse.

Answer 6

lubrication

Question 7

The vaginal pH is more __, as a result of lower ___ changes.

Answer 7

alkaline

estrogen

Question 8

The uterus and ovaries decrease in ___.

Answer 8

size

Question 9

The endometrium continues to respond to ____ ____.

Answer 9

hormonal stimulation

Question 10

The Fallopian tubes become __ and __.

Answer 10

shorter and straighter

Question 11

The breasts __ and are less __.

Answer 11

sag

firm

Question 12

There is some __ of the nipples related to shrinkage and ___ changes.

Answer 12

retraction

fibrotic

Question 13

Seminal vesicles develop thinner ____.

Answer 13

epithelium

Question 14

Muscle tissue is replaced with ___ tissue.

Answer 14

connective

Question 15

There is a decreased capacity to retain __.

Answer 15

fluid

Question 16

The seminiferous tubule changes in what 4 ways?

Answer 16

• increased fibrosis
• epithelium thinning
• thickening of the basement membrane
• narrowing of the lumen

Question 17

There is ___ of the testes and reduction in testicular __.

Answer 17

atrophy

mass

Question 18

Ejaculation fluid contains less __ __.

Answer 18

live sperm

Question 19

Testosterone decreases slightly or ____.

Answer 19

stays the same

Question 20

More time is needed to achieve an ___ for males.

Answer 20

erection

Question 21

There is enlargement of the ___ gland.

Answer 21

prostate

Question 22

Men with prostatic hypertrophy should be examined every ___.

Answer 22

6 months

Question 23

Age related changes causes the vulva to be more __ and more susceptible to __ and __.

Answer 23

fragile

irritation and infection

Question 24

Keep incontinent patients __ and __.

Answer 24

clean & dry

Question 25

__ __ is the term used to describe vulvar infection associated with hypertrophy or atrophy.

Answer 25

Senile vulvitis

Question 26

___ is the primary symptom associated with vulvitis.

Answer 26

Pruritus

Question 27

Fourth most common gynecologic malignancy in late life

Answer 27

tumors of the vulva

Question 28

What occurs in postmenopausal women?

Answer 28

Vaginitis

Question 29

Increased vaginal fragility increases the risk of irritation leading to ___

Answer 29

vaginitis

Question 30

What are some nursing intentions for women to prevent vaginal infections?

Answer 30

Advise to wear cotton underwear, avoid douches, avoid perfumed sprays or soaps, good hygiene practices

Question 31

Cancer of the vagina is ___ in older women.

Answer 31

rare

Question 32

Cancer of the vagina is more often an area of ___ rather than the primary site.

Answer 32

metastasis

Question 33

__ __ can predispose women to vaginal cancer.

Answer 33

chronic irritation

Question 34

The cervix becomes __, and the endocervical epithelium ___.

Answer 34

smaller | atrophies

Question 35

Endocervical glands can seal over leading to formation of __ __.

Answer 35

Nabothian cysts

Question 36

Incidence/prevalence-median age 49 years, highest in Hispanic women

Answer 36

Cervical Cancer

Question 37

S/S of cervical cancer?

Answer 37

vaginal bleeding and leukorrhea (a mild, odorless discharge from the vagina that is clear or milky in color.)

Question 38

What type of cancer is not UNCOMMON in the older women?

Answer 38

endometrium cancer

Question 39

Causes of this disease: higher incidence w/later start menstruation, infertile, polycystic ovary disease, & family h/o nonpolyposis colon ca, obese, and increased estrogen use w/o progesterone.

Answer 39

endometrium cancer

Question 40

S/S of endometrial cancer

Answer 40

postmenopausal bleeding

Question 41

Dilation and __ is the diagnosis route for endometrial cancer.

Answer 41

curettage

Question 42

The leading cause of death from gynecologic malignancies.

Answer 42

Cancer of the Ovaries

Question 43

A common problem among older women is a perineal ___.

Answer 43

herniation

Question 44

__, __, and __ of the uterus are the types of perineal herniation that are most likely to occur.

Answer 44

Cystocele, rectocele, and prolapse

Question 45

Causes of perineal herniation?

Answer 45

childbirth

Question 46

S/S of perineal herniation?

Answer 46

lower back pain, pelvic heaviness, pulling | sensation, urinary fecal incontinence, retention & constipation

Question 47

__ is a common problem among older women that accompanies hormonal changes.

Answer 47

Dyspareunia

Question 48

__ women experience dyspareunia more frequently than women who __.

Answer 48

Nulliparous | have had children.

Question 49

Painful intercourse

Answer 49

dyspareunia

Question 50

Is dyspareunia a normal consequence of aging?

Answer 50

NO

Question 51

Second leading cause of cancer deaths.

Answer 51

breast cancer

Question 52

Older women are less likely to receive yearly __ and breast examinations by a health care professional.

Answer 52

mammograms

Question 53

annual mammograms recommended for women starting at ___, then every 2-3 years at __ years old

Answer 53

40 | 75

Question 54

Problem affecting most men over 70 years of age.

Answer 54

erectile dysfunction

Question 55

Inability to obtain and sustain an erection

Answer 55

erectile dysfunction

Question 56

Most older men have some degree of benign __ __.

Answer 56

prostatic hyperplasia

Question 57

S/S of this disease include: urethra pressure, hesitancy, decreased force of urinary stream, frequency, & nocturia, dribbling, poor control, overflow incontinence, bleeding

Answer 57

Bengin prostatic hyperplasia

Question 58

When men are reluctant or embarrassed to seek medical treatment for benign prostatic hyperplasia, it can result in __ __.

Answer 58

kidney damage

Question 59

There is an asymptomatic disease progression with cancer of the ___.

Answer 59

prostate

Question 60

S/S of this cancer include: back pain, anemia, weakness, weight loss-can develop as a result of metastasis

Answer 60

prostate cancer

Question 61

Cancer of the __ is rare.

Answer 61

penis

Question 62

Testicular cancer is __ in men.

Answer 62

uncommon

Question 63

Scrotal masses are usually ___.

Answer 63

benign

Question 64

Causes of scrotal masses/tumors?

Answer 64

hydrocele spermatocele varicocele hernia

Question 65

Conditions of the reproductive system can be related to ___ | disease processes.

Answer 65

undiagnosed

Question 66

The nurse should develop ___ relationships with patients so that they feel comfortable sharing concerns and symptoms

Answer 66

close

Question 67

A review of the reproductive system should be part of the history and physical ___.

Answer 67

examination

Question 68

Health of the reproductive system has an impact on __ __ health.

Answer 68

total body