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Fundamentals 2 Pt. 2 > T3: Reproductive System Health (CH. 22) > Flashcards

T3: Reproductive System Health (CH. 22) Flashcards

1
Q

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

A

vulva
flattening
subcutaneous

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2
Q

The vaginal ___ thins.

A

epithelium

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3
Q

__, __ and __ tubes atrophy.

A

cervix, uterus, and fallopian

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4
Q

There is a reduction in __ and __ tissue.

A

collagen and adipose

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5
Q

shortening and ___ of the canal.

A

narrowing

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6
Q

less ___ which may lead to discomfort with intercourse.

A

lubrication

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7
Q

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

A

alkaline

estrogen

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8
Q

The uterus and ovaries decrease in ___.

A

size

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9
Q

The endometrium continues to respond to ____ ____.

A

hormonal stimulation

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10
Q

The Fallopian tubes become __ and __.

A

shorter and straighter

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11
Q

The breasts __ and are less __.

A

sag

firm

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12
Q

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

A

retraction

fibrotic

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13
Q

Seminal vesicles develop thinner ____.

A

epithelium

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14
Q

Muscle tissue is replaced with ___ tissue.

A

connective

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15
Q

There is a decreased capacity to retain __.

A

fluid

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16
Q

The seminiferous tubule changes in what 4 ways?

A
  • increased fibrosis
  • epithelium thinning
  • thickening of the basement membrane
  • narrowing of the lumen
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17
Q

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

A

atrophy

mass

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18
Q

Ejaculation fluid contains less __ __.

A

live sperm

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19
Q

Testosterone decreases slightly or ____.

A

stays the same

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20
Q

More time is needed to achieve an ___ for males.

A

erection

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21
Q

There is enlargement of the ___ gland.

A

prostate

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22
Q

Men with prostatic hypertrophy should be examined every ___.

A

6 months

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23
Q

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

A

fragile

irritation and infection

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24
Q

Keep incontinent patients __ and __.

A

clean & dry

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25
Q

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

A

Senile vulvitis

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26
Q

___ is the primary symptom associated with vulvitis.

A

Pruritus

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27
Q

Fourth most common gynecologic malignancy in late life

A

tumors of the vulva

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28
Q

What occurs in postmenopausal women?

A

Vaginitis

29
Q

Increased vaginal fragility increases the risk of irritation leading to ___

A

vaginitis

30
Q

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

A

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

31
Q

Cancer of the vagina is ___ in older women.

A

rare

32
Q

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

A

metastasis

33
Q

__ __ can predispose women to vaginal cancer.

A

chronic irritation

34
Q

The cervix becomes __, and the endocervical epithelium ___.

A

smaller

atrophies

35
Q

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

A

Nabothian cysts

36
Q

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

A

Cervical Cancer

37
Q

S/S of cervical cancer?

A

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

38
Q

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

A

endometrium cancer

39
Q

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.

A

endometrium cancer

40
Q

S/S of endometrial cancer

A

postmenopausal bleeding

41
Q

Dilation and __ is the diagnosis route for endometrial cancer.

A

curettage

42
Q

The leading cause of death from gynecologic malignancies.

A

Cancer of the Ovaries

43
Q

A common problem among older women is a perineal ___.

A

herniation

44
Q

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

A

Cystocele, rectocele, and prolapse

45
Q

Causes of perineal herniation?

A

childbirth

46
Q

S/S of perineal herniation?

A

lower back pain, pelvic heaviness, pulling

sensation, urinary fecal incontinence, retention & constipation

47
Q

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

A

Dyspareunia

48
Q

__ women experience dyspareunia more frequently than women who __.

A

Nulliparous

have had children.

49
Q

Painful intercourse

A

dyspareunia

50
Q

Is dyspareunia a normal consequence of aging?

A

NO

51
Q

Second leading cause of cancer deaths.

A

breast cancer

52
Q

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

A

mammograms

53
Q

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

A

40

75

54
Q

Problem affecting most men over 70 years of age.

A

erectile dysfunction

55
Q

Inability to obtain and sustain an erection

A

erectile dysfunction

56
Q

Most older men have some degree of benign __ __.

A

prostatic hyperplasia

57
Q

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

A

Bengin prostatic hyperplasia

58
Q

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

A

kidney damage

59
Q

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

A

prostate

60
Q

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

A

prostate cancer

61
Q

Cancer of the __ is rare.

A

penis

62
Q

Testicular cancer is __ in men.

A

uncommon

63
Q

Scrotal masses are usually ___.

A

benign

64
Q

Causes of scrotal masses/tumors?

A

hydrocele
spermatocele
varicocele
hernia

65
Q

Conditions of the reproductive system can be related to ___

disease processes.

A

undiagnosed

66
Q

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

A

close

67
Q

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

A

examination

68
Q

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

A

total body

Fundamentals 2 Pt. 2 (26 decks)

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