Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Dillon Ch 16/18/19
Assessing the Breasts & Assessing Male/Female Genitourinary Systems
| Question | Answer |
|---|---|
| Tanner's stages - when is onset of breast buds | 9 - 13.5 years |
| Where are most common areas for breast lumps | Tail of Spence---upper outer quadrant |
| When does pubic hair normally appear | 2-6 months after breast buds |
| When does menarche usually commence | 2 years after first signs of breast buds---normal range from 10.5 - 15 years |
| What position is helpful in detecting dimpling or retraction of breast tissue | hands over head, hands pressed on hips----large breasted women = sitting, leaning forward position. |
| How do you examine for breast reconstruction? | press firmly inward at edges of implant to feel ribs beneath |
| What is one factor (non-genetic) that increases risk of breast cancer | age is a risk factor |
| Post-menopausal women should conduct their BSE (breast self exam) when | at the same time every month |
| most common site for breast cancer in men | the areola |
| which area best for assessing central lymph nodes | high in middle of axilla |
| where is best spot for assessing lateral lymph nodes | high in axilla on inner aspect of humerus |
| which characteristic is associated with a fibrocystic breast disease | tenderness |
| In general, how is the Tanner Stages of pubertal development used for males/females | They look at the pictures relating to Stages I-V and tell practitioner which most resembles what their body looks like |
| whole process of breast development takes how long | 1.5 - 6 years |
| whole process of testicular development takes how long | 2-5 years |
| The clitoris serves as a landmark for which orifice | the urethra, which helps in locating foley catheter placement |
| is it uncommon for the internal labia to be larger than the external? | No, there is a wide variation here. This is a normal variation. |
| a vaginal hematoma would be a normal finding under what circumstance | would be normal (requiring follow-up) finding in post-partum |
| current protocol for pelvic exams is how frequent | Every 3 years, even if on oral contraceptives (also depending on age and past personal history) |
| when do we start assessing genitalia | start at newborn (descending testes, etc) through the lifespan |
| Is there a medical reason for routine circumcision? | no, now most insurance companies won't pay for it. |
| should we ever force retraction of foreskin? | no, there may be atrophy or disease, so don't force it |
| what is hypospadias | Urethral meatus opens on the ventral (under) side of penis (not at the end/tip); an abnormal finding |
| what is most common cancer in 15-34 year-old males | testicular cancer most common. Men should do self-exams as part of pt. education |
| What is USPTF resource that we should know for the rest of our careers | U.S. Preventative Services Task Force - source of many guidelines |
| According to APA, is transgender a medical disorder | no - not unless it causes significant distress or disability |
| not every lesion is herpes, another type | folliculitis from shaving often appears as herpes |
| scabies, often found in homeless, transitional housing, is generally sexually transmitted and are visible/invisible to eye | invisible - they burrow under skin, with 3-4 week latency period |
| pubic lice or 'crabs' are visible/invisible to eye | they are visible, through sexual contact with 5 day latency period |
| 1 in 4 Americans contract Herpes Simplex 1 or 2; is this usually a symptomatic or asymptomatic infection? | 3/4 of infected are asymptomatic |
| pearly penile papules are benign/malignant? | benign - only treat cosmetically |
| Clear penile discharge could indicate | chlamydia - which is the most common STD in U.S. |
| HPV virus has over 40 strains, how many of these cause cervical cancer | only 1 strain is linked to cancer ---others cause genital warts (I don't think this is right) |
| Believe it or not, the USPTF recommends for/against SBE | against, but doesn't account for individuals who benefit from BSE |
| Reasons for assessing genitalia | -STD sx's -Foley catheter -Female in labor -Pt complaining of pain/discomfort in that area -Part of a well visit |
| How is the tanner's stages of sexual development used? | To determine if the pt is at their appropriate sexual development stage for their age. |
| What are the first changes for males, according to the Tanner's stages | Testicular enlargement, color changes and enlargement of the scrotum |
| At what age does the onset of sexual changes begin for males? | 9 1/2 - 14 years |
| At what age would a male be considered "delayed" developmentally, if no changes have occurred in the testes or scrotum? | 13 1/2 - 14 years; or changes not completed within 4 years after start of the testicular enlargement. |
| What are you looking for/at when assessing the female genitalia? | Pubic hair distribution, lesions, swollen lymph nodes (Mons Pubis and inner aspect of thigh), clitoris (presence, piercing, discharge, landmark to find urethra), vestibule (urethra and vagina), and the perineal area. Patency of vaginal and anus area. |
| How should you, as a nurse, approach a physical genitalia exam? | With respect, openness, compassion, and professionalism. |
| If the vagina or anus are not patent, should we force them open to inspect? | No! Surgery will probably be needed. |
| Is douching a recommended practice? Why or why not? | No, douching strips the vagina of its normal flora/bacteria and is the major cause of bacterial vaginosis. |
| What percentage of American males are circumcised? | 50% |
| What is female circumcision? | Removal of all or part of the clitoris, labia minora, and labia majora, usually in early childhood or early adolescence. This practice is widespread in many African countries and among some Muslim groups. (page 632) |
| When assessing a (male) patient, post-circumcision, what are you assessing for? | Is the area healing well (tend to look raw and irritated), excessive bleeding, excessive discharge/sign of infection, is the infant/patient in pain. |
| Does protocol allow for pain meds to be given to an infant post-circumcision?: | Yes, as a nurse you will be responsible for assessing the infant and ensuring that they are being well medicated to control pain. |
| What is epispadias? | Urethral meatus opens on dorsal (upper) side of penis; this is an abnormal fielding. |
| What is the annual incidence rate of testicular cancer? | 5.4 cases per 100,000 males, testicular cancer is relatively rare compared with other type of cancer |
| What might you suspect a pt is dealing with who presents with genital lesions all over the genital area and it is clear that the pt has been shaving in their genital area (you ask about shaving). | Folliculitis |
| What might you suspect a pt is dealing with who presents with clustered genital lesions that look like blisters, acute pain, and have had unprotected sex within the past 2 weeks? | STD (possibly Herpes) |
| What is important in assessing a pt with a genital lesion? | Taking a good history; knowing if the has recently had unprotected sex, for example, or if they have recently stayed in a homeless shelter, will give you valuable information about what the pt may be dealing with. |
| What would yellow or green vaginal discharge in women be a sign of? | Chlamydia infection (would not be able to assess externally) |
| What is a normal consistency finding of the testes? | Normally, the testes are about 5 cm by 2.5 cm, firm, and rubbery in consistency. |
| The health hx is helpful in identifying risk factors for testicular cancer. Which childhood medical problem increases the risk for testicular cancer? | Undescended testicles has been identified as a risk factor for testicular cancer. |
| The PSA test is a screening for | PSA is a screening test for prostate cancer |
| Thick, yellow penile discharge is often associated with | Gonorrhea, caused by Neisseria gonorrhoeae, typically causes urinary sx's and produces a thick, yellow penile discharge |
| On examination of the external genitalia, you note a painless, white, wartlike lesion. The lesion described is | A condylomata acuuminatum - a painless, white, wartlike lesion caused by HPV. It is sometime referred to as venereal warts. |
| Sickle cell anemia increases the risk for developing | Priapism - a painful, sustained erection, without sexual desire. |
| What is the recommended age for prostate screening? | Age 50 |
Created by:
MEPN 2013
Popular Nursing sets