Final Exam N.314 assessment Female Genetalia, objective 5/7/100%
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| Parts of the whole female reproductive system | mons pubis, clitoris, labia minora, labia majora, urethral opening vaginal opening anus
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| normal vs abnormal findings while Inspect Mon Pubis? | Normal pubic hair distributation triangular pattern, Abnormal = lice nits @ base of pubic hair
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| pediculosis pubis | crabs
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| normal vs abnormal findings while Inspect Labia Majora & Perineum | Normal = equal in size free of lesions episiotomy scar may b present from childbirth abnormal Lesions excoriation/
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| Lesions Labia Majora & Perineum may = | Herpes syphilus
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| excoriation = | swelling from scratching
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| normal vs abnormal findings while Inspect Labia Minora, clitoris, Urethral meatus vaginal opening to inspect use gloved hand to separate labia majora | normal = dark pink symetric moist , urethral meatus =slit like vaginal opening size varies (Abnormals) asymetric labia, lesions swealling discharge in vaginal opening
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| asymetric labia may = | indicate abcess
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| bartholins gland =? | Either of two small compound racemose glands located on either side of the vaginal orifice that secrete a lubric
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| when why would the bartholins gland be palpated | if the labial is swolen or has a history of being
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| how is the bartholins gland be palpated | index finger vaginal opening thumb labia minor palpate inferiorly to superiorly
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| normal vs abnormal findings in the bartholins gland | normal = soft nontender drainage free abnormal= swewlling pain dishchage
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| dishchage of bartholins gland may = | infection abcess
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| Palpate the urethra | insert gloved index finger into superior portion of vaginia & milk the urethra pushing up & down
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| normal vs abnormal findings while Palpating the urethra | normal = soft nontender no drainage from the urethral meatus abnormal = drainage
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| drainage from theuretheral meatus may = | urethritis (gonnorrhea, chlamydia)
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| Inspect vaginal opening how? normal vs abnormal | varies in size tilted posteriorly 45 degree angle abnormal in children loss of hymenal tissue between 3 & 9 o'clock = trauma
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| insert gloved index finger into vaginia to ? | inspect cervix & determine size of speculum to use
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| I. vaginal musculature how? normal vs abnormal | insaert gloved index finger into fvaginal opening ask client to squeeze around your finger normal = abality to squeeze around finger abnormal = absence or decreaqsed abality to squeeze = -muscle tone
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| cont.I. vaginal musculature how? normal vs abnormal | use middle & index fingers to seperate labia minora & ask client to bear down Normal= no bulging & urinary discharge abnormal= bulging anterior wall may = cystocele Abnormal = cervix or uterus protruding down= prolapse
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| skin folds of the labia majora are composed of adipose tissue, sebaceous glands and | sweat glands
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| visible portion of the clitoris = | glans
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| boat shapped are formed from the skin folds of the labia majoria and labia minora= | vestibule
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| risk factors for cervical cancer= | HPV, f 50-55, no regular paps, smoking, HIV,no eat fruit & veggies, (X) sexual partners, 5+yrs on the pill low $$$
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| ethnic groups high risk 4 cervical cancer | AA, hispanic nativeamericans
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| risk reduction tips cervical cancer | monogamy, barrier type birth control, limit # of lifetime sexual partners, annual pap, diet high fruit veggies + vitimins A, C, folate
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| decreased urethral elasticity often causes | urinary incontinence
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| _____ is used to lubcrate the speculum before insertion | warm tap water
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| If a bulging anterior wall in the vaginia is found the client should b refered 4 a ---- | cystocele
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| cystocele | Herniation of the urinary bladder through the wall of the vagina.
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| if yellow-green frothy vaginal discharge is noted test for? | trichomonas vaginalis infection
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| trichomonas vaginalis infection | A protozoan found in the vagina and urethra of women and in the urethra and prostate gland of men.
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| herpes simplex virus infection | A recurrent viral disease caused by the herpes simplex virus, type two, and marked by the eruption of fluid-containing vesicles on the genitals.
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| herpes zoster virus infection | A herpesvirus that causes chickenpox and shingles. Also called chickenpox virus, herpes zoster virus.
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| client missed period nurse detects solid mobile, tender unilateral adnexal mass , cervix is soft nurse suspects ____ | ectopic pregnancy
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| ectopic pregnancy | Implantation and subsequent development of a fertilized ovum outside the uterus, as in a fallopian tube.
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| skenes gland | Secrete mucus to lubricate and maintain moist vaginal enviroment
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| Bartholin's Gland | Secretes mucus to aid in lubricating during intercourse
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| Os | opening in center of cervix
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| chadwicks sign | Cervix appears blue rather than pink
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| Mons Pubis | round firm pad of adipose tissue tha5t covers the symphysis pubis
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| Amenorrhea | Absence of menstration
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| Mennorrhagia | Heavy menstrutation
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| dysmenorrhea | painful menstruation
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| dysuria | painful urination
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