WOMENS HEALTH - FINAL EXAM Flashcards
reducing death in women
eat healthy, exercise, no smoking or alc, immunization, prevent STI
mammogram
early tumor detection that takes images of breast with slight pressure
nursing care of mammogram
no deodorant/lotions
mammogram findings
abnls examined through biopsy/ultrasound
breast cancer genes
BRCA 1/2 that are genetic mutations passed down that increase risk for breast cancer
pap smear
early detection of precancerous cervical cells by scraping inside of cervix
visual signs of breast cancer
lumps, change in color, bleeding/fluid, change in nipple, skin dimple
nursing care for pap smear
no tampons, creams, sex 48 hrs before
menopause
1 yr of no period
perimenopause
several yrs before menopause
post menopause
after 1 full yr of no period
menopause s/s
hot flashes, irregular period, night sweats, poor sleep, sex dysfunction
education for menopause
rest, balanced diet, exercise, no caffeine/alc, hormone therapy, cotton clothes
osteroperosis
loss of bone mass after 35
s/s of osteoperosis
back pain, loss of height, stooped posture, fractures
risk factors of osteoperosis
white women, fam hx, smoking, inactive, alc, vit d deficiency
partial hysterectomy
removes the uterus so that the cervix lies in its place
total hysterectomy
removes the uterus and cervix
radical hysterectomy
most female reproductive organs
post op care of hysterectomy
monitor VS, LOC, blood loss, lung sounds, anti embolism stocking
PCOS
endocrine disorder with cysts of ovaries
women are risk for
type 2 diabetes, cardiovascular disease, hypertension, cancer, hyperlipidemia, preg complications, sleep apnea
endometriosis
chronic inflammatory disease with growth of endometrial tissue outside uterine cavity
s/s of PCOS
infertility, menstrual disorders, hirsutism, cysts, obesity, pelvic pain, male pattern baldness
s/s of endometriosis
low back pain, pelvic pressure, dyspareunia, infertility, spotting, diarrhea, bloody urine, enlarged ovaries
STI
infection transmitted through sex
reducing risk of STI
regular pelvic exams, use condoms, monogamous
vaginitis
inflammation of vagina
gential warts
painless warty growth in perineal area
candida vaginitis (yeast infection)
fungus that grows when vagina ecosystem disturbed from hormones, med
s/s of yeast infection
itchy, white cheesy discharge, pain w sex, burning w urination
treatment for yeast infection
fluconazole, clotrimazole, miconazole
bacterial vaginosis
when normal flora disrupted
s/s of bacterial vaginosis
fishy odor, milky thin discharge
treatment of bacterial vaginosis
metronidazole, clindamycin, tinidazole
trichomoniasis
inflammation of vagina/vulva
s/s of trichomoniasis
copious green discharge
treatment of trichomoniasis
metronidazole, condoms to prevent future STI
gonorrhea causes
PROM, miscarriage, PTL
s/s of gonorrhea
burning on urination, backache, pain w sex
adverse affects of gonorrhea
baby blindness = erythromycin
UTI
infection of urinary system
s/s of UTI
dysuria, frequency, bladder fullness, tender, cloudy foul urine, low back pain, fever
treatment of UTI
ciprofloxin, macrocrystals, bactrim
nrusing actions of UTI
2-4 quarts of fluid, void q 2-4 hrs, wipe back to front, void pre/post sex
pelvic organ prolapse
weakened structures and organs leading to organ prolapse
risk factors of prolapsed organs
LGA, vag delivery, assisted delivery, poor repair of laceration, obesity, menopause
uterine prolapse
uterus descends out of vagina
uterine prolapse s/s
protrustion, low back pain, heaviness, sensation uterus is falling out
treatment of uterine prolapse
pessary, surgery
cystocele
anterior bulge of bladder into vagina
cystocele causes
stress incontinence, bladder infection, fullness/pressure
rectocele
posterior bulge of rectum into vagina
nursing actions of cystocele/rectocle
kegels, prevent straining, no heavy lifting, wt loss
urinary incontinence
loss of bladder control
treatment of urinary incontinence
bladder train, scheduled trips, no caffeine/alc, wt loss, kegels
fibrocystic disease
benign fibrous tissue and cysts on breasts with pain
intervention for fibrocystic disease
mammogram, meds, heat, no caffeine/alc
breast cancer causes
older 55, dense breasts, radiation, obesity, early period, late menopause, smoking, alc
cervical cancer cause
HPV
risk factors of cervical cancer
HPV, sex before 16, smoking, STI, multiple partners, 3 or more kids, birth control more than 5 yrs
s/s of cervical cancer
watery pink brown blood, foul discharge, abnl bleeding, wt loss/gain, fatigue, pelvic/back pain
intimate partner violence
physical, sexual, stalking, psychological violence
risks for IPV
low self esteem, adolescents, alc/drugs, no friends, conflict, dominance/control
characteristics of abusers
jealously, controling, possessive, blameful, demeaning
signs of IPV
hesitancy, untreated serious injuries, covered areas, bruises, embarrasement
nursing action of IPV
screen, common questions
