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Disorders Female Rep
MAMC exam 8 disorders of remale reproductive tract
| Question | Answer |
|---|---|
| amenorrhea | absence of menstrual flow |
| dysmenorrhea | painful menstration |
| menorrhagia | excessive menstrual flow |
| metrorrhagia | excessive spotting between cycles |
| endometriosis | endometrial tissue appears in various places in the pelvic cavity |
| vaginal fistula | abnormal opening between 2 organs or between an internal hollow organ & the exterior of the body |
| uterine displacement | abnormal placement of the uterus |
| leiomyomas | benign tumor derived from smooth muscle, most often of the uterus |
| how endometrial tissue spreads in endometriosis | lymphatic circulation, menstrual backflow, congenital displacement |
| clinical manifestations of endometriosis | lower ABD pain pelvic pain with or without pain in the rectum unilateral or bilateral |
| risk factors of endometriosis | caucasian women between ages 25-35 who are higher socioeconomic classes & postponed childbirth until later years never experienced childbirth or lactation family history |
| treatment of endometriosis | high dose antiovulatory medications synthetic androgen gonadotropin-releasing hormone surgery |
| nursing considerations of endometriosis | pain, anxiety, pre & postoperative care, discharge teaching |
| types of GYN fistulas | urethrovaginal, vesteovaginal, rectovaginal |
| etiology of GYN fistulas | tissue breakdown, obstetric injury, surgical injury, rectovaginal fistula may be seen as a complication of ulcerative colitis |
| clinical manifestations of GYN fistulas | urine, feces, flatus from vagina vesicovaginal fistula may not void through the urethra excoriated, infected external genitalia, & vaginal wall |
| diagnosis of GYN fistulas | physical exam, methylene blue test, IV pyelogram, indigo cormine test, cystoscopy |
| treatment of GYN fistulas | surgical, nonsurgical, may heal spontaneously |
| nursing interventions for GYN fistulas | perineal hygiene proper nutrition, fluid intake, & rest prepare client for surgery postoperative nursing care |
| what are kegel exercises | allow contraction of the muscles used to stop the flow of urin |
| definition of relaxed pelvic muscles | relaxation of the floor of the pelvis |
| types of relaxed pelvic muscles | cystocele rectocele prolapse urethrocele enterocele |
| etiology of relaxed pelvic muscles | unrepaired postpartum tears childbirth, multiple births |
| what is a pessary? | firm rubber doughnut-shaped or ringed device that is inserted into the uppervagina to reposition & give support to the uterus when surgery is not performed |
| types of uterine displacement | anteflexion retroversion retroflexion |
| etiology of uterine displacement | congenital childbearing |
| diagnosis of uterine displacement made by | pelvic exam |
| amenorrhea may be caused by? | insufficient hormone secretion congenital abnormality stress pregnancy menopause |
| hysterectomy | ABD vaginal slapingectomy oophorectomy |
| define salpingectomy | removal of a fallopian tube |
| estrogens | available from natural sources (urine of pregnant mares) & may be made synthetically |
| patient is being treated for primary amenorrhea. what medication may be used for this problem | oxytocin (Pitocin) |
Created by:
ealongo
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