Female Reproductive System 1

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Author:
abutler5
ID:
225297
Filename:
Female Reproductive System 1
Updated:
2013-06-28 17:00:46
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Med Surg
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Description:
Chapter 41
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  1. What happens to a woman's reproductive system as it ages?
    Estrogen secretion decreases
  2. Decrease in estrogen causes:
    • 1. Ovulation and menstruation to stop
    • 2. Atrophy of vaginal epithelium
    • 3. Increased cholesterol = increased risk for coronary artery disease
    • 4. Atrophy of urinary meatus = increased incontinence
    • 5. Increased bone loss = risk for osteoporosis and fractures
  3. the definite end to reproductive capability = occurs when menses have ceased for 12 months
    Menopause
  4. What happens to the male as the reproductive system ages?
    there is a decrease in testosterone secretion
  5. A decrease in testosterone secretion leads to what?
    • 1. hypertrophy of the prostate gland = urinary retention
    • 2. increased bone loss = risk for fracture
    • 3. Gradual decrease in muscle size and strength
    • 4. decreased spermogenesis
  6. sexual desire
    libido
  7. What is some subjective data to collect when doing a physical exam on a female?
    • - personal history
    • - menstrual history
    • - obstetric/gyno history
    • - sexual history
    • - family history
    • -psychological history
  8. Objective data to collect for a female physical exam?
    • - clinical breast exam
    • - external genitalia
    • - vagina
    • - perineum
    • - anus
    • - inguinal nodes
  9. G (gravida)
    # of pregrancies
  10. P
    # of live births
  11. A
    Abortions
  12. Breast Self Exam
    • 1. to be done monthly; 1 week after menses
    • 2. puckering, asymmetrical movement, different pointing position of the nipple should be reported
    • 3. exam should cover all areas of the breast
  13. Ultrasound Exam
    done by bouncing high frequency sound waves off the tissues within the breast to determine the density of tissues

    = mainly useful for distinguishing fluid filled (cysts) lumps from solid tumors
  14. Mammography
    radiographic x-ray exam of the breasts

    a special machine is used to spread and flatten the breast tissue to a thin layer to more effectively show benign tumors or growths
  15. American Cancer Society Screenings
    A MAMMOGRAM EVERY 1 YR AFTER 40

    CLINICAL BREAST EXAM EVERY 3 YRS DURING 20S/30S

    OPTIONAL BREAST SELF EXAM STARTING IN 20S
  16. Patient teaching for mammogram
    patient should bathe but not apply deodorant, powder or any other substance to upper body
  17. MRI
    uses radio frequency radiation and magnetic fields to map the breast tissue
  18. Patient teaching for MRI
    Ask the patient if they have any metal inside their bodies (pace maker, metal sutures)
  19. Biopsy
    • Confirms diagnosis
    • involves removing a small portion of tissue, fluid or cells, from the breast or lymph nodes for microscopic examination
  20. the study of cells taken as tissue samples
    cytology
  21. Pap smear
    one or more small samples of cells are gently scraped away from the surface of the cervical canal using a small wooden spatula and smeared on a microscopic slide
  22. Gonorrhea and chlamydia smear
    uses charcoal
  23. Patient teaching/nurse interventions for pap smear
    monitor and teach patient to look out for bleeding, swelling or inflammation after procedure
  24. Exams that are done to visually inspect internal areas to diagnose reproductive disorders
    endoscopic
  25. performed to see inside the fallopian tubes
    salpingoscopy
  26. performed to see the inside of the uterus
    hysteroscopy
  27. binocular microscope introduced into the vagina and through a small incision in the vagina into the cul - de - sac of douglas
    culdoscopy
  28. microscope introduced in to the vagina to closely study lesions on the cervix
    Colposcopy
  29. Nursing care for patient with endoscopic procedure
    postoperatively: provide comfort measures, keep the patient lying flat for a couple hours to decrease discomfort
  30. Testicular self exam
    • palpation of testes by the patient
    • teach

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