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M6 13-005

Exam 8: Reproductive System; Disorders of the Female Reproductive Tract

Amenorrhea Absence of menstrual flow.
Dysmenorrhea Painful menstration.
Menorrhagia Excessive menstrual flow.
Metrorrhagia Excessive spotting between cycles.
Endometriosis Condition in which endometrial tissue appears outside the uterus.
Vaginal Fistula Abnormal opening in your vagina that connects it to another organ such as the bladder or colon
Uterine Displacement Abnormal placement of the uterus.
Leiomyomas Uterine fibroid tumors that are noncancerous growths in the uterus.
Endometriosis Condition in which endometrial tissue appears outside the uterus.
Endometrial Tissue Spread Lymphatic Circulation Menstrual Backflow Congenital Displacement
Endometrial Tissue Responds To Normal stimulation of the ovaries.
Endometriosis: Manifestations Lower ABD pain. Pelvic pain with or without pain in the rectum. Unilateral or bilateral.
Endometriosis: Risks White women, 25-35, higher in socioeconomic classes who postpone childbirth until later years. Never experienced childbirth or lactated. Family Hx.
Endometriosis: Diagnosis Symptoms Pelvic Examination
Endometriosis: Treatment High dose anti-ovulatroy medications Synthetic androgen Gonadotropin-releasing hormone Surgery
Endometriosis: Nursing Considerations (Pain) Mild Analgesics (Do not use ASA) Bed Rest Warm Sitz bath Warm Compresses
Endometriosis: Nursing Considerations (Anxiety) Listen Emotional Support Discuss Treatment Diagnostic procedures
Endometriosis: Nursing Considerations (Discharge Teaching) Methods to reduce discomfort Regular gynecologic exams Side effects of medications Notify the physician if: Pain increases-Menstrual flow is extremely heavy-Pregnancy occurs
With endometriosis, why should ASA not be given? Aspirin affects the clotting ability of the blood and is contraindicated with bleeding.
GYN Fistulas An abnormal opening between 2 organs or between an internal hollow organ and the exterior of the body.
Types of GYN Fistulas Urethrovaginal Vesicovaginal Rectovaginal
Urethrovaginal Fistula A fistula between the urethra and the vagina.
Vesicovaginal Fistula A fistula between the bladder and the vagina.
Rectovaginal Fistula An abnormal connection between the lower portion of the large intestine — the rectum — and the vagina.
GYN Fistulas: Eitology Tissue breakdown Obstetric injury Surgical injury Rectovaginal fistula may be seen as a complication of ulcerative colitis
GYN Fistulas: S/S Urine, feces, or flatus from vagina Vesicovaginal fistula may not void through the urethra Excoriated, infected external genitalia, and vaginal wall
GYN Fistulas: Dx Physical examination Methylene blue test. Intravenous pyelogram Indigo carmine test Cystoscopy
GYN Fistulas: Tx Surgical Nonsurgical May heal spontaneously
GYN Fistulas: Nursing Interventions Perineal hygiene Proper nutrition, fluid intake, and rest Prepare client for surgery Postoperative nursing care
What are Kegel Exercises? contraction of the muscles used to stop the flow of urine
Relaxed Pelvic Muscles Relaxation of the floor of the pelvis.
Relaxed Pelvic Muscles: Types Cystocele Rectocele Prolapse Urethrocele Enterocele
Cystocele Herniation of the urinary bladder through the wall of the vagina.
Rectocele a protrusion or herniation of the rectum into the vagina
Prolapse To fall out of place
Urethrocele prolapse of the female urethra.
Enterocele A hernial protrusion through a defect in the rectovaginal or vesicovaginal pouch.
Relaxed Pelvic Muscles: Etiology Un-repaired postpartum tears Childbirth, multiple births
Pessary firm rubber doughnut-shaped or ringed device that is inserted into the upper vagina to reposition and give support to the uterus when surgery is not performed
Uterine Displacement: Types Anteflexion Retroversion Retroflexion
Anteflexion the normal forward curvature of the uterus
Retroversion A turning or tilting backward, as of the uterus.
Retroflexion A backward bending, especially of the body of the uterus toward the cervix.
Uterine Displacement: Etiology Congenital Childbearing
Leukorrhea A thick, whitish discharge from the vagina or cervical canal.
Premenstrual Syndrome (PMS) group of physical and emotional symptoms defined as occurring in the 14 days prior to menstruation, relieved almost immediately by the onset of the period, and having at least a 7-day symptom-free break in each cycle
Ovarian Cysts Ovarian cysts are sacs containing fluid or semisolid material that develop in or on the surface of an ovary.
Amenorrhea may be caused by Insufficient hormone secretion Congenital abnormality Stress Pregnancy Menopause
Hysterectomy Surgical removal of the uterus.
Abdominal hysterectomy A hysterectomy made through an incision in the abdominal wall.
Vaginal Hysterectomy The surgical removal of the uterus through the vagina without incising the wall of the abdomen.
Salpingectomy Salpingectomy is the removal of one or both of a woman's fallopian tubes, the tubes through which an egg travels from the ovary to the uterus.
Oophorectomy Oophorectomy is the surgical removal of one or both ovaries
Estrogens ormones produced by the ovaries, the female sex glands
Progestins A female hormone, like progesterone, that acts on the inner lining of the uterus.
Created by: jtzuetrong