women w/ reproductive disorders -- PREP U

Question 1

what interventions can be used with vulvovaginal infections to improve comfort?

Answer 1

-sitz bath
-warm perineal irrigation
-cornstarch for chaffed thighs

Question 2

what are some of the symptoms of cervical cancer?

Answer 2

-abnormal vaginal bleeding
-persistent yellow-ish, blood tinged, foul smelling discharge
-postcoital pain + bleeding (in-between periods)
-abnormal heavy menstrual periods
-flank pain (if progressed to pelvic wall)

Question 3

Menorrhagia is _________ menstrual bleeding.

Answer 3

excessive

Question 4

Amenorrhea is the _________ of menses.

Answer 4

absence

Question 5

Dysmenorrhea is a _______ menses.

Answer 5

painful

Question 6

Metrorrhagia is excessive and __________ menstrual bleeding.

Answer 6

prolonged

Question 7

what are the risk factors of developing breast cancer?

Answer 7

-over 50 y/o
-family hx of breast cancer
-obesity
-nulliparous or having children after 30
-2-5 alcoholic drinks/ day

Question 8

what is the preferred medication for bacterial vaginosis?

Answer 8

metronidazole 500 mg twice daily for seven days

Question 9

Monistat, Gyne-Lotrimin, and Terazol are used in the management of which bacterial infection?

Answer 9

candidiasis

Question 10

a young patient diagnosed with PID, what long term affect are we most concerned about?

Answer 10

infertility - **but early treatment prevents the infection from moving up the reproductive tract and/or becoming chronic PID

Question 11

what are some non-surgical treatments that can be used to manage a prolapsed uterus?

Answer 11

-pessary (inserted into vagina to support uterus)
-lifestyle changes
-pelvic floor exercises

Question 12

what are the 4 reasons why ovarian cancer is known as a lethal cancer?

Answer 12

-tumors are typically far advanced/ inoperable by diagnosis
-the vague, nonspecific symptoms are often ignored
-there is no effective screening test

Question 13

which condition is the downward displacement of the bladder toward the vaginal orifice?

Answer 13

cystocele - this is a result of damage to the anterior vaginal support structures

Question 14

A rectocele is a bulging of the ______ into the vagina.

Answer 14

rectum

Question 15

Vulvodynia is a painful condition that affects the ______.

Answer 15

vulva

Question 16

what are the risk factors of developing PID?

Answer 16

-early age of first intercourse
-multiple sexual partners
-frequent sex
-unprotected sex
-hx of STDs
sex w/ a partner who has STDs

Question 17

what 3 things are commonly associated with toxic shock syndrome?

Answer 17

-use of superabsorbent tampons that aren’t changed frequently
- internal contraception use (placed for long periods of time)

Question 18

-Escherichia coli
-Trichomonas vaginalis
-Staphylococcus
-Streptococcus
-Gonococcus

these organisms are associated with which infection of the greater vestibular gland?

Answer 18

Bartholinitis

Question 19

thick, white, curdy discharge, foul odor and burning w/ urination is associated with which infection?

Answer 19

Candida albicans

Question 20

foamy yellow/ white discharge, foul odor and severe itching is associated with which infection?

Answer 20

Trichomonas vaginalis

Question 21

watery, gray/ white discharge, fishy odor and more discharge after intercourse is associated with which infection?

Answer 21

Gardnerella vaginalis

Question 22

A patient being treated for Trichomoniasis with Metronidazole will need to be educated about what 3 points?

Answer 22

• BOTH partners need to be treated (either 1 time loading dose OR 3x/ day for a week)

-medication may cause a metallic taste
-abstain from drinking alcohol

Question 23

what 3 non-surgical techniques can be used to treat/ manage cystocele (downward displacement of bladder due to anterior muscle damage)?

Answer 23

-pessary
-Kegel exercises
-Colpexin Sphere

Question 24

Endometriosis is cured with natural or surgical menopause. But can be medically managed with the use of progestin/ estrogen __________, which keeps the patient in a non-bleeding phase of the menstrual cycle to keep ectopic tissue from shedding and causing more bleeding.

Answer 24

contraceptives

Question 25

HSV-2 (herpes simplex virus 2) is a recurrent, _____-_______ viral infections that causes lesions on genitalia. What are 3 complications that need to be included in the plan of care?

Answer 25

life-long 1. aseptic meningitis 2. neonatal transmission 3. severe emotional distress

Question 26

What is it called when the small intestine descents down into the vaginal vault?

Answer 26

Enterocele

Question 27

What are the common signs/ symptoms of endometriosis that point to a diagnosis before definitive diagnosis with a transvaginal ultrasound?

Answer 27

-chronic pelvic pain (most frequent/ common) -low back pain -dyspareunia (pain w/ intercourse) -dysuria (pain/ burning w/ urination) -dyschezia (difficulty pooping) -dysmenorrhea -menorrhagia

Question 28

what is the earliest and most common sign of endometrial cancer?

Answer 28

bleeding

Question 29

what is the most frequent, early sign of vulvar cancer?

Answer 29

pruritus w/ genital burning

Question 30

TRUE OR FALSE? Carcinoma in situ means the cancer has not left the original site and therefore has not invaded other tissues.

Answer 30

TRUE

Question 31

when a patient is receiving radiation material directly into the vagina. What do we need to pay attention to, to avoid radiation exposure?

Answer 31

-avoid bathing the patient, especially below the waist -strict bed rest, but HOB can be 30-45 degrees -the applicator placement should be checked every 4 hours

Question 32

a pessary should be taken out at prescribed intervals by a health care provider to be:

Answer 32

-examined -cleaned -examine the vaginal wall for pressure injury/ irritation

Question 33

-becoming sexually active at a young age -STDs/ genital infections these are risk factors of developing:

Answer 33

cervical cancer and PID

Question 34

what are 3 indications of premature ovarian failure?

Answer 34

-high FSH levels -irregular menses -premature cessation of menses

Question 35

What selfcare management do we need to teach patients with genital herpes (lesions)?

Answer 35

-don't touch lesions (to avoid infection of another area) -avoid bubble baths when lesions are present -avoid any direct contact w/ lesions (you + other people)

Question 36

what are the risk factors of developing ovarian cancer?

Answer 36

-never been pregnant ->40 y/o -infertile -menstrual irregularities -family hx of breast, bowel, or endometrial cancer

Question 37

the risk of developing ovarian cancer is reduced when women:

Answer 37

-have taken hormonal contraception -have had multiple births -had their first child at a young age