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6700 Exam 3: GU Assessment
McCall's Week 10 Lecture
23
Nursing
Graduate
10/30/2013

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Cards

Term
Tanner's Sexual Maturity Ratings
Definition
secondary sex characteristic development staged 1 (small/bald) to 5 (enlarged/pubic hair)
Term
How to obtain a urine sample from someone with and someone without a Foley.
Definition
Foley: sampling port
uncatheterized: clean catch (pee a little, stop, pee in the cup, stop, finish peeing)
Term
Subjective symptoms Male GU
Definition
urgency, nocturia, dysuria, & hesitancy
Term
Instead of "are you...?" type questions, when asking about puberty, the RN should use...
Definition
..."young men/women your age often experience..." type phrases
Term
Common sexual consideration with aging women
Definition
dryness & pain w/ intercourse
Term
The RN discovers a scrotal mass during a GU assessment of his pt, the next steps and rationale therefore are...
Definition
...to listen for bowel sounds over the mass, if they're present, it's likely a hernia; have pt stand and bear down, note bulging (bulging is further evidence of hernia)
Term
Speculum exam
Definition
use speculum (lubricant, etc) to visualize cervix
Term
Place the following tests in the order they should be done/taken:
Acetic acid wash (for HPV)
whiff test
pH test
PAP smear
Definition
Pap smear
pH & whiff can be done interchangeably
Acetic Acid wash
Term
Sample locations for Cervical Smears/cultures
Definition
vaginal pool
cervix surface
endocervical (inside the os)
Term
Spread and Signs of HPV
Definition
an STI which is often asymptomatic, and therefore can be spread without knowledge of its existence
can cause genital warts
Term
age HPV vaccine series can start
Definition
9
Term
Ovaries (should/should not) be palpable
Definition
should not
Term
True or False: after conducting a digital rectal exam the glove(s) worn should be disposed of immediately, and proper hand hygiene should be observed.
Definition
False, the feces left on the glove are to be used for the occult blood test, and thus must not be discarded
Term
Education: Testicular Self Exam
Definition
TSE:
Timing: monthly
Shower
Examine: report any changes
Term
Male GU Developmental Assessment considerations
Definition
DO NOT pull back foreskin during assessment
Hydrocele: fluid-filled sac in scrotum is common (transilluminate to determine malignancy--translucent is benign)
Term
New mother is worried about vaginal discharge, and clitoral/vaginal enlargement in her newborn, the RN...
Definition
...assures her this is common, benign, and results from the maternal estrogen effect)
Term
Adolescent Female GU considerations
Definition
make sure it's Private, Easy, and Gentle
Contraceptives: smoking increases risk for vascular disease
Chadwick & Hegar Signs: blue/purple & soft uterus
Term
Menopause
Definition
eventual decrease in estrogen production for all women
causes thinning of uterus, and pale epithelium
Term
Testicular Torsion
Definition
twisted spermatic cord; medical emergency
Term
Most STI's are (symptomatic/asymptomatic), and this is significant because...
Definition
(asymptomatic)...pt may be unaware, won't get treated, may spread it unknowingly
Term
Genital Herpes
Definition
Herpes Simplex Virus 2 (HSV2) infection
Term
Gential carcinoma (signs)
Definition
bright red lesions, swelling of surrounding area, serosanguinous discharge, etc.
Term
Trichomonas
Definition
anaerobic, flagellated, parasitic protozoan--> genital pathogen
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