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NURS 3800 > Test 2 > Flashcards

Test 2 Flashcards

0
Q

What causes the endometrium to grow?

A

High levels of progesterone and estrogen

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1
Q

What is the primary symptom of endometriosis

A

Pelvic pain often associated with your menstural period

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2
Q

What is aim therapy of endometriosis

A

Suppress levels of estrogen and progesterone which cause the endometrium to grow

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3
Q

What is a cystocele

A

Occurs when the posterior bladder wall protrudes downward through the anterior vaginal wall

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4
Q

What is a rectocele

A

Occurs when the rectum sags and pushes against the posterior vaginal wall

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5
Q

What is a enterocele

A

Occurs when the small intestine bulges through the posterior vaginal wall (common with straining)

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6
Q

What are the four most common types of pelvic and genital prolapse

A

Cystocele
Rectocele
Enterocele
Uterine prolapse

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7
Q

What is a uterine prolapse

A

Occurs when the uterus descends through the pelvic floor and into the vaginal canal

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8
Q

What are at particular risk for uterine prolapse

A

Multiparous women

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9
Q

What is a pessary?

A

Synthetic device inserted into vagina to provide support to the bladder and other pelvic organs as a corrective measure for urine incontinence and/or pelvic organ prolapse

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10
Q

What is surgery for uterine prolapse

A

Hysterectomy—this is used if you can’t treat it with anything else

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11
Q

Which are more common: cervical or endocervical polyps?

A

Endocervical polyps

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12
Q

When do cervical polyps often occur

A

After menarche

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13
Q

Who are endocervical polyps common in?

A

Multiparous women ages 40-60

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14
Q

Therapeutic management of polyps

A

Usually consist of simple removal with small forceps done on an outpatient basis, or removal during hysterectomy or D&C

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15
Q

Color of endocervical polyps

A

Cherry red

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16
Q

Color of cervical polyps

A

Grayish-white

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17
Q

Fibroids are ______ dependent and grow rapidly during childbearing years

A

Estrogen

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18
Q

Untreated PCOS=

A

At risk for endometrial cancer

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19
Q

What is the most common bacterial STI in the US

A

Chlamydia

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20
Q

What is herpes

A

Recurrent lifelong viral infection

21
Q

What is second most reported STI in US

A

Syphilis

22
Q

What is trichomoniasis

A

Sexually transmitted infection caused by the parasite Trichomonas vaginalis. Not caused by bacteria or virus!

23
Q

What do you also treat when treating PID

A

Bacterial vaginosis

24
Q

What is PID frequently from

A

Untreated chlamydia or gonorrhea

25
Q

Is cervical dysplasia cancer?

A

No. It indicates abnormal cells were found on the surface of the cervix

26
Q

With abnormal pap what may doctor recommend

A

Hpv test and colposcopy

27
Q

What is most common gynecologic malignancy

A

Endometrial cancer

28
Q

What is the major initial symptom of endometrial cancer

A

Painless vaginal bleeding

29
Q

Most common STI

A

HPV

30
Q

What are symptoms like with ovarian cancer

A

Very vague. Typically not diagnosed until stage 3 or 4

31
Q

Who is vulvar cancer common in

A

Older women (mid 60s-70s)

32
Q

What are signs of hypovolemic shock

A

Hypotension, tachycardia, weak and thready pulse, rapid shallow respirations, oliguria

33
Q

What will happen if uterine atony is left untreated

A

Will result in postpartum hemorrhage and may result in uterine inversion

34
Q

Should you express clots before the uterus becomes firmly contracted?

A

No because pushing on an in contracted uterus can invert the uterus and result in extensive hemorrhage

35
Q

What is subinvolution

A

Failure of the uterus to resume to its prepregnant state and may result in late postpartum bleeding

36
Q

What is inversion of the uterus?

A

The turning out of the uterus and may be partial or complete. Emergency situation and can result in postpartum hemorrhage and requires immediate intervention

37
Q

What is postpartum depression characterized by

A

Tearfulness, insomnia, lack of appetite, and feeling letdown

38
Q

Excessive blood loss with a pad saturated in ____ minutes or less is a sign of postpartum hypovolemic shock

A

15

39
Q

Major complication of uterine atony

A

Postpartum hemorrhage

40
Q

What are often the first sings of inadequate blood volume

A

Decreasing BP and rising pulse

41
Q

What is the most common cause of secondary dysmenorrhea

A

Endometriosis

42
Q

Where are Bartholins glands located

A

Each side of the vaginal opening

43
Q

What do Bartholins glands do

A

Secrete fluid that helps lubricate the vagina

44
Q

What is most effective treatment for syphilis

A

Penicillin

45
Q

Do syphilis lesions hurt?

A

They don’t hurt even though they look like they would

46
Q

What are chlamydia and gonorrhea treated with

A

Antibiotic

47
Q

What medication would you use to treat somebody if they were allergic to penicillin

A

Doxycycline

48
Q

Ectoderm

A

Forms the CNS, special senses, skin and glands

49
Q

Mesoderm

A

Ford skeletal, urinary, circulatory, and reproductive organs

50
Q

Endoderm

A

Forms respiratory system, liver, pancreas, and digestive system

NURS 3800 (19 decks)

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