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Rhenea
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Prefixes
Hyster/hystero
Hyster/hystero = uterus
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Salpingo
Salpingo = Fallopian tube
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Suffixes:
Cele
Cele = swelling, hernia or tumor
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Ectomy
Ectomy = removal of
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Scopy= examination with a scope
Scopy = examination with a scope
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Gram
Gram = radiographic procedure usually involving dye injection
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Gravida (G)
Gravida (G)= pregnancy
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¨Para (P) or
Term (FT or PT)
¨Para (P) or Term (FT or PT) = infants delivered
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Abortions (Ab)
Abortions(Ab) = pregnancy termination
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Menarche
Menarche = menstrual cycle started
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Menorrrhagia
Menorrrhagia = heavy menses
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Amenorrhea
Amenorrhea = no menses
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Dysmenorrhea
Dysmenorrhea = difficult menses
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Menopause
Menopause = cessation of menses
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STD or STI
- STD = sexually transmitted disease
- STI = sexually transmitted infection
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Are the following parts internal or external anatomy Pudendum or vulva, Mons pubis, Clitoris, Labia majora, Labia minora,Vestibule: urethral meatus, opening of Skene’s glands, hymen, vaginal orifice, opening of Bartholin’s glands & frenulum Perineum Anus?
External Anatomy
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What is the purpose if the clitoris?
Sexual Pleasure
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Which Labia is on the outter surface of the vagina majora or minora?
- Labia majora
- Labia minora is under or interrior to the majora
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The Mons pubis in located just above the anus T or F?
False- Tthe Mons pubis is the area at the top of the pubis region where the majority of the hair is located.
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The urethral meatus, opening of Skene’s glands, hymen, vaginal orifice, opening of Bartholin’s glands & frenulum are all found in the ___________?
Vestibule
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The perineum is located between the anus and the fernulum? T or F
True the perineum space of skin located between the anus and the vaginal opening.
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What are the Pudendum or vulva?
Pudendum or vulva is the external genital organs of a human being and especially of a woman —usually used in plural
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Which of the following are internal anatomy ck all that apply?
___Vagina
___Cervix
___Recto uterine pouch
___ Mons pubis
___Clitoris
___Labia majora
___Labia minora
___urethral meatus
___hymen
___Anus
___Posterior fornix
___Uterus
___Bladder
___Ovary
___Fallopian tube
___Rectum
- Vagina: rugae enable dilation for birth
- Cervix: smooth pink stratified epithelium
- Recto uterine pouch
- Posterior fornix
- Uterus
- Bladder
- Ovary
- Fallopian tube
- Rectum
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Menarche occurs in the early half of puberty T or F?
False - Menarche Occurs in the latter half of puberty
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What is the onset of menses
Starting of the menstrual cycle
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What is asspicated with an increase in the incidence of brest cancer and femael organs?
Early menarche accompanied with by Menstrual cycle or menses.
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Women typically start Menopause between ages 35-60 typically 40's - 50's. Menopause is preceded by 1-2 years of increased ovarian functions resulting in changes in the mestrual flow and pattern. T or F
F- Preceded by 1-2 years of reduced ovarian function resulting in changes in menstrual flow and pattern
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Reduced estrogen causes which of the following?
a. Drying
b. Enlarged vagina
c. Uterus shrinkage
d. orarian atrophy
e. sacral ligaments tighten
f. curvix lengthens
g. Sexual desires decrease
- Results of reduced estrogen:
- a. drying
- b. NO shrinkage of the vagina
- c. uterus shrinks
- d. ovarian atrophy
- e. NO - sacral ligament relax
- f. NO - the cervix shortens
- g. No - there is no change in sexual desire & need for sexual expression, there is also Difficulty finding a socially acceptable partner
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A smaller mons pubis, decrease in Labia & clitoris size & thinning of pubic hair is common for
Teens
Elderly
Children
Middle age
These finding are typical in Older women
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What position are clients placed in when performing a pap smear?
Lithotomy position
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What exercise can help reduce or eliminate Cystocele (bladder prolapse) S&S: vaginal pressure, stress incontinence Anterior bulging?
kegel exercise
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Items needed when Labeling specimens?
- Date specimen collected
- Woman’s date of birth
- Date of last menstrual period
- Hormone administration
- If pregnant, estimated date of delivery
- Known infections
- Prior surgery or radiation
- Prior abnormal cytology
- Abnormal physical assessment findings
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Saline mount or “wet prep”- sample of discharge is spread on a slide, add a drop of saline then a cover slip KOHprep: a drop of potassium chloride rather than saline is placed on discharge sample are samples of test prep for what?
Specimens for STDs
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Sterile cotton tip applicator saturated by rotating it360 degrees in the osof the cervix, placed in a container¨AnalCulture: Swab the anal canal by inserting it about 1 cm with a sterile cottontip applicator, leave in place for 10-20 sec. If contaminated with feces, tryagain5%acetic acid wash: is needed to prepair for which STD 's?
Gonorrhea(GC)/Chlamydia culture
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Paint cervix with the washing using a sterile cottonrectal swab, if whitening or blanching occurs especially with irreg is done for which STD?
For HPV
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When would you do the following?
Give woman tissues to wipe the area (or wipe the area for her) Remind or assist her in sliding her hips back from the edge of the exam table before assuming a sitting position
Ask her if she has any questions or concerns.
Document findings?
After the Exam
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Do you inspect or palpate the labia, skene's and bartholins glands?
Palpate labia, Skene;s & Bartholin’s glands, preform a bimanual palpation of cervix, uterus & adnexa
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What instrument do you use to inspect the cervix & vagina?
Speculum
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What are some of the reasons specimens are collected?
Pap smear, cytology studies & cultures, Occult blood testing of stool if present
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Rectovaginal exam should be done at the same time as the brest exam. T- F
Fasle do with pap.
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What is the one thing physicians should do between the vaginal and rectal exam?
Change Gloves.
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Normal findings for Bimanual Exam is which of the following?
Should be able to feel the ovary
Clear ordoless drainage on the gloves after exam
- Normal not to feel the ovary
- Examiner checks secretions on fingers before discarding the gloves for clear & odorless drainage
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The specilum should not be touched by anything after opening and prior to incerting it into the vagina.
False it is ok to run under warm water
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What three things would you have your client do prior to her papsmear?
- Empty bladder
- Ask if want family member, friend or chaperone present
- Instruct her to inform you of any pain or discomfort during the exam
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List the thing you would prepair before having client remover her clothes and sit on the table for her papsmear?
- Gloves
- Protective clothing
- Strong light source
- Appropriate sized speculum: Graves, Pederson, Pediatric
- Large cotton tip applicators
- Materials for cytologic studies
- Lubricant
- Glass slide with frosted end
- Sterile cytobrush or cotton-tipped applicator
- Ayres spatula
- Spray fixative
- Specimen container for GC/Chlamydia
- Small bottle of NS, KOH & acetic acid (white vinegar)
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The graves speculum is the size you would use for a small child? T- F
- False - Pediatric is for small children
- Appropriate sized speculum: Graves, Pederson, Pediatric
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