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109 ch. 47

Female Reproductive Disorders

What is vaginitis inflammation of vagina, bacterial most common, then candidiasis(yeast, fungal), trichomoniasis(STD)
What is normal pH of vagina low: 3.5-4.5 maintained by lacto acidophilus. Estrogen is broken down into glycogen to create lactic acid and lower pH
what causes bacterial vaginosis overgrowth of Gardnerella and anaerobic bacteria, no s/s, antibiotics
what is bartholinitis infection of vestibular gland, ecoli, staph, drain abscess
what is cervicitis STDs, drugs
what is atrophic vaginitis more alkaline pH, topical estrogen tx
what are s/s of vaginal infections itching, burning, odor, redness, edema, cottage cheese(candidiasis)
what are risk factors for vulvovaginal infections tight clothing, allergies, DM, low estrogen levels, douching
what is HPV human papillomavirus is STD, most common in young people
what are most common types of HPV 6 & 11, cause condylomata(warty growths), low risk for cervical cancer (16 & 18 for cervical cancer), vaccine: Gardasil, pap smears for dysplasia(changes to cervical cells)
What is types of herpes virus herpes genitalis(HSV-2), simplex(HSV-1), varicella zoster/shingles, Epstein-Barr, CMV, B-lymphotrophic
how is HSV-2 transmitted sexually, wet surfaces, self transmission, can incr vulnerability to HIV
What is HSV-2 recurrent, life-long infection, blisters, STD
Tx for HSV-2 acyclovir etc. to supress s/s, recurrence from stress, sunburn, dental work, low rest, bad nutrition
what is endocervicitis inflammation of mucosa and glands of cervix
what are two most common causes of endocervicitis chlamydia/gonorrhea, most no s/s
what can chlamydia lead to ectopic preg, PID, pelvic infl disease, infertility, vulnerable for HIV
what s/s are similar to PID HIV - chronic pain incr wtih activity, fever, chills, N/V, HA
what is PID infl pelvic cavity adn can involve uterus, fallopian tube, ovaries, pelvic peritoneum/vasular system
what is nursing mgmt for PID keep head up to keep disease down
what is typical route of spread of bacterial infection? gonorrhea? bacterial spreads into uterus then lymphatics, or thru bloodstream gonorrhea spreads to tubes/ovaries
Pelvic organ Prolapse weakening of vaginal walls wo pelvic organs to desc into vaginal canal
what is cystocele bladder desc toward vaginal opening, damage to ant. vaginal support structures
what is rectocele upward pouching of rectum pushing post wall of vagina forward
what is enterocele protrusion of intestinal wall into vagina
what are tx for pelvic organ prolapse kegel exercises, pessary
what is uterine prolapse work way down vaginal canal or appear outside (procidentia)
what are tx for uterine prolapse kegel exercises/surgery/pessary hysterectomy, colpocleisis, vaginal closure
How soon should pt void after catheter removed 4-6hrs
what is a fisutla abnormal opening bn two organs or bn organ adn ext of body.
what are three kinds of fistulas 1.vesicovaginal: bladder adn vagina 2.rectovaginal: rectum/vagina 3.urethrovaginal
what are benign disorders vulvitis/vulvodynia/vulva cysts/vulvar dystrophy/ovarian cysts/fibroids
what is vulvitis inflam of vulva, can occur wtih DM, dermatologic probs, poor hygiene
what is vulvodynia chronic vulvar pain syndrome: burning, stinging, stabbing pain. I.e. vestibulodynia is most common type with sharp pain and pressure.
what is vulvular cysts Bartholin's cyst is obstuction of duct of paired vestibular glands. caused by ecoli, staph
what is vulvar dystrophy dry thick skin on vulva, elderly
when is risk greater for malignancy wtih ovarian cysts, pre or post menopausal postmenopausal cause no estrogen
what is PCOS polycystic ovary syndrome - no ovulation. Oral contraceptive help supress ovarian activity
what are fibroids, leiomyomas and myomas genetic, related to hormones so not prob with elderly. Bleeding common. Hysterectomy common tx
what is endometriosis chronic disease wtih lesions of similar cell type to lining of uterus grow anywhere in pelvic cavity, pain, infertility, found in nulliparous 25-35age and adol w/ dysmenorrhea
what tx is helpful in endometriosis hormone therapy, hysterectomy
what are common malignant female cancers cervical(HPV risk), uterine, ovarian(adv stages in 55-65age), vaginal(DES risk), vulvar(rare) prevention, screening, early detection vital
which cancer has the most deaths? most new cases? deaths: ovarian; new cases: uterine
what is 2nd most prevalent caner and 5th leading casue of cancer deaths cervical, but declining
Cancer of the cervix can best be prevented how reg pelvic exams, pap tests Early is asymtomatic risk factors: mult partners, uncircumcised males, hx, smoking, HPV, HIV 3rd most common
Cancer of uterus 4th most common risk factors: obesity, estrogen therapy w/o progesterone, tamoxifen asymptomatic hyterectomy/radiation
Cancer of the Vulva mostly postmenopausal, s/s: pruritus/soreness tx: vulvectomy, destructive
Cancer of Ovary leading cause of deaths, incr risk of breast cancer, recurrence is high risk factors: genetic, no preggies
what is common complication with any cancer recurrence
what is hysterectomy removal of uterus
what is total hysterectomy remove uterus and cervix, ovaries
what is radical hysterectomy remove uterus, ovaries, fallopian tubes, proximal vagina, bilateral lymph nodes thru abd incision. Can be done vaginally (no lymph nodes)
what is pelvic exenteration remove pelvic organs incl bladder, rectum, lymph nodes
what is radical trachelectomy remove cervix adn selected nodes to preserve childbearing capacity
what are potential probs wtih hysterectomy hemorrhage, DVT, bladdy dysfx
what are three types of radiation therapy external, intraoperative, internal Bed Rest essential
what is external radiation destroys cancer cells on skin surface or deeper in body
what is intraoperative radiation therapy IORT applied directly to affected area during surgery.
what is internal (intracavitary) irradiation applicators inserted into vagina/endometrial cavity, loaded with radioactive material(afterloading). Precise control of exposure. Min. exposure to nurses. Isolated and adj rooms evacuated
what are specific precautions with int. radiation time, distance, use of shielding 6ft away, 3 hrs limit visiting, 30 min. staff member
Created by: palmerag