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OB Chapter 22

Women's Health Issues

QuestionAnswer
menstrual pain with endometriosis cells contain glands and stroma; Respond to cyclic hormonal stimulation in same way uterine endometrium does; Lesions build up and slough during menstrual cycle, causes pelvic pain, pressure, and inflammation to adjacent organs
toxic shock syndrome a multisystem infection that results from the response of the body to toxins produced by Staphylococcus aureus and group A streptococci; is potentially fatal
managing stress and PMS psychotherapy
cause of physical changes in menopause result of lowered estrogen levels; uterine endometrium and myometrium atrophy; vaginal mucosa becomes smooth and thin; rugae disappear; loss of elasticity
premenopausal woman and breast exams after menospause the BSE should be performed on the same day each month; a clinical breast examination by a health care provider should be performed every 1 to 3 years for women ages 40 years and younger and annually after age 40
tamoxifen and treatment of breast cancer blocks estrogen by binding to it
primary treatment of rape victim help the woman regain a feeling of control in the examination setting
syphilis teaching primary and secondary stages are the most contagious; spread is through sexual contact, by sharing needles, or through the placenta from an infected mother
HSV teaching causes genital lesions; first episode is usually the most uncomfortable; the virus “hides” in the nerve cells and can reemerge in later outbreaks that are as contagious as the first
HIV transmission through contact of nonintact skin or mucous membranes with infectious secretions, exposure to blood, and transmission from mother to fetus
primary dysmennorhea treatment includes oral contraceptives (which block ovulation) and prostaglandin inhibitors (such as ibuprofen and aspirin)
characteristics of PMS weight gain, bloating, irritability, loss of concentration, headaches, constipation, acne, breast tenderness, anger, fatigue, and feelings of being out of control that may interfere with work or school
Nafarelin teaching nasal spray with potential side effects that include: hot flashes, vaginal dryness, mood swings, bone loss, and irregular bleeding
breast cancer teaching education concerning the diagnosis and treatment options is a nursing responsibility
CDC recommended treatment for HPV removal with cryotherapy, electrocautery, laser, or podophyllin applications are alternatives
Miconazole used to treat vaginal yeast infections, fungal infections
menopause and diet high fiber diet that is rich in antioxidants and calcium and magnesium supplements
nonsurgical treatment for stress incontinence pessary support device can be used; kegel exercises
indication showing metastasis in breast cancer lumps, dimpling, thickening of skin, nipple discharge
early indication of osteoporosis loss of height
enterocele occurs when the upper posterior vagina is weakened, allowing a loop of bowel to herniate downward between the uterus and rectum
cystocele occurs when the upper vaginal wall becomes weakened and unable to support the bladder, causing a downward displacement of the bladder
uterine prolapse occurs when the supporting structures (ligaments) of the uterus and vagina are weakened, causing the uterus to protrude through the vagina
rectocele occurs when the posterior vaginal wall becomes weakened; when the woman strains to defecate, the feces are pushed against the wall instead of toward the rectum
Created by: laotracuata