W - management of women with reproductive system disorders

Question 1

Inflammatory – Pelvic Inflammatory Disease What’s PID?

Answer 1

• common infection of the reproductive tract
  Includes:
  Cervicitis - Infection of the cervix
  Endometritis - uterus,
  Salphingitis - fallopian tubes
• Oophoritis - ovaries
• Acute or chronic

Question 2

Signs & symptoms of acute PID? (5)

Answer 2

1. Bilateral lower abdominal pain, radiating to the legs (1st indication) -> sudden & severe or gradually increasing
2. Foul smelling vaginal discharge, purulent discharge at cervix
3. Dysuria (pain when peeing)
4. Fever (T > 38 deg), malaise, anorexia, nausea, headache
5. Tenderness during pelvic exams

Question 3

Nursing care for PID? (3)

Answer 3

• Heat application to abdominal area if ordered: to improve circulation and provide comfort
  *Administer analgesics for pain relief
• Aggressive broad spectrum antibiotic therapy: Cefoxitin, Doxycycline

JS READ
Patient education:
* Basic Hygiene
* Perineal hygiene: wipe from front to back
* Recognize whether her sexual partner is infected with gonococcus: discharge from
penis of whitish fluid with painful urination (not all males are symptomatic) .

Question 4

Structural – Whats Uterine Prolapse?

Admission for surgery)

Answer 4

Downward displacement of the uterus into the vagina

Question 5

Symptoms of uterine prolapse? (2)

Answer 5

1. pressure and urinary problems (incontinence or retention) from displacement of bladder
2. Aggravated when a woman coughs, lifts a heavy object, or stands for a long time
   - Normal activities, even walking up stairs, may aggravate symptoms.

Question 6

Nursing Management for uterine prolapse? (2)

Answer 6

1. Conservative:
   Lifestyle changes, pessaries, and pelvic floor muscle training -> symptomatic improvement.
2. Surgical: Uterus is sutured back into place and repaired to strengthen and tighten
   the muscle bands.