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Reproductive system - Female A&P/disorders
A & P and disorders of the female reproductive system
170
Nursing
08/17/2010

Additional Nursing Flashcards

 


 

Cards

Term
A major female sex organ that is NOT the gonads
Definition
uterus
Term
A nurse is assigned to care for a client with an ectopic pregnancy. Which possibility of ectopic pregnancy should the nurse be aware of?

A) Endangers the life of the mother

B) Increases the risk of bleeding during pregnancy

C) Increases the size of the uterus by about 16 times

D) Increases the capacity of the uterus to 5,000 mL

Definition
A) Endangers the life of the mother
Term

A nurse is counseling an elderly female client who has developed hair growth on her upper lip.  What should the nurse suggest to the client?

 

A) Physical examination

B) Moisturizer

C) Hair removal methods

D) Greater calcium intake

Definition
C) Hair removal methods
Term

A physician has prescribed hormone replacement therapy (HRT) for a 50-year-old female client.  What will be the effect of HRT for this client?

 

A) Shorten the duration of the menstrual cycle

B) Increase in FSH levels

C) Lessen menopausal symptoms

D) Decrease in risk of heart disease

Definition
C) Lessen menopausal symptoms
Term
Abnormal positioning of the uterus
Definition
Retroverted (tipped posteriorly)
Term
After entering the vagina, sperm can live for a maximum of
Definition
72 hrs (3 days)
Term
Aging: nursing implications
Definition
- watch for depression
- lubricants
- better bra
- hair waxing/electrolysis
- exercise/diet
Term
Almond-shaped female gonads
Definition
Ovaries
Term
At puberty, these hormones lead to female breast enlargement
Definition
Estrogen & progesterone
Term
Breast biopsy: aspiration
Definition
fine needle aspirates fluid from lump or fluid-filled cyst
Term
Breast biopsy: excisional
Definition
entire lump is removed and analyzed
Term
Breast cancer: risk factors
Definition
- history of other cancer
- no children before age 30
- did not breastfeed children
- family history of breast cancer
- strong history of any cancer
- on estrogen treatment
- extreme fear of cancer (done for reassurance)
Term
Breast exam: preparations
Definition
- no deoderants/powders beore the test
- wear gown to open in front
- remove neck jewelry and clothing above waist
- compressor flattens each breast; uncomfortable
Term
Breast ultrasound: indications
Definition
- to distinguish breast cyst from solid mass.
- younger women with dense breast tissues who may also have breast lumps.
Term
Broad, central portion of the uterus
Definition
corpus
Term
Cervical cancer: risk factor
Definition
having a cervix
Term
Clinical breast exam: recommended frequency
Definition
annually
(more often if client has cystic disorder)
Term
During the follicular phase, several follicles begin to ripen. How many reach maturity and what are they called?
Definition
One: graafian follicle
Term
Effect of aging: painful coitus
Definition
Dyspareunia
Term
Effect of having mammograms
Definition
Cancer can be detected 1-2 years before tumors reach palpable size.
Term
Effects of aging
Definition
- incontinence (also affected by childbirth)
- pendulous breasts
- dyspareunia; vagina shortens and is less elastic
- uterine prolapse
- more prone to vaginal infections
- hormone secretions decrease
- MENOPAUSE
Term
Fatty pad over the symphysis pubis
Definition
Mons pubis
Term
Follicular phase is during which days of the ovarian cycle?
Definition
days 4-14
Term
Forms the maternal portion of the placenta in pregnancy
Definition
Endometrium
Term
From where are FSH and LH secreted?
Definition
hypothalamus
Term
Give all names for the passageway for ovum between the ovary and the uterus
Definition
- oviducts
- uterine tubes
- ovarian tubes
- fallopian tubes
Term
Give all the names in order given to the female sex cell.
Definition
- oogonia
- oocyte
- graafian follicle
- ovum

(the following refer to stages after fertilization and might not be considered names of the female sex cell)
- zygote
- embryo
Term
How big does the myometrium increase in size during pregnancy?
Definition
16x
Term
How is a vaginal ultrasound performed
Definition
with a special probe inserted through the vagina.
Term
How long can a sperm survive in the female body?
Definition
Up to 3 days
Term
If fertilization does not occure during the secretory phase, hormones are withdrawn, causing what?
Definition
change in the endometrial cells, and menstruation begins.
Term
If implantation occurs within the fallopian tube the pregnancy is described as
Definition
ectopic
Term
Implantation of the embryo occurs within this organ
Definition
uterus
Term
In what phase does the fertilized ovum become a fetus?
Definition
Luteal phase
Term
Includes the vestibule (containing openings of urethra, vagina and Bartholins glands) and surrounding structures
Definition
Vulva or Pudendum
Term
Labia minora uniting above the clitoris
Definition
prepuce
Term
Laporoscopy: post-op complications
Definition
- severe pain (internal hemmorhage)
- shoulder pain (gas in abdomen trapped under diaphram)
Term
Laporoscopy: post-op nursing
Definition
ambulate ASAP
Term
Layers of the uterus
Definition
- perimetrium
- myometrium
- endometrium
Term
Location of the female reproductive system (technical and descriptive)
Definition
- Retroperitoneal (behind peritoneum)
- Between the Urinary bladder and rectum
Term
Menopause: s/sx (10)
Definition
- headaches
- irritability
- insomnia
- anxiety
- depression
- hot flashes
- weight gain
- thinning hair
- facial hair growth
- dry, itchy skin
Term
Menstruation
Definition
sloughing off of the endometrium
Term
Most accurate test for cervical cancer
Definition
biopsy
Term
Most difinitive test for breast cancer
Definition
biopsy
Term
Name the hormones secreted by the ovaries before puberty?
Definition
- estradiol
- estriol
- estrone
Term
Normal position of the uterus
Definition
anteverted (tipped forward)
Term
Note about ectopic pregnancies, relating to the ovary and the fallopian tube.
Definition
There is no closed connection between the two
Term
Number of oocytes in the female at puberty
Definition
300,000 - 400,000
Term
Number of oogonia in the female fetus in the 4th-5th month of gestation
Definition
4-5 million
Term
On what organ is the corpus luteum found
Definition
ovary
Term
Ovries are known as the female _____.
Definition
gonads
Term
Pap smear: nursing prep
Definition
Same as pelvic exam, plus:
- glass slides, applicator
- should be done between peiods
Term
Pap smear: purpose
Definition
test for cervical cancer
Term
Part of the uterus that opens into the vagina
Definition
cervix
Term
Parts of the uterus
Definition
- Fundus
- corpus
- cervix
Term
Pelvic exam: nursing preparation
Definition
- empty bladder
- relaxation techniques to decrease discomfort
- provide equipment (lubricant, speculum, gloves)
Term
Pelvic exam: position
Definition
lithotomy
Term
Pelvic exam: uses
Definition
- visualize cervix, vagina, perineam
- obtain clinical biopsy
- cauterization, removal or coagulation of
Term
Pelvic exams: scheduling
Definition
Starting with puberty, every 1-3 years, including Pap smear
Term
Phase during which ovum begin to mature
Definition
follicular phase
Term
Phase during which the endometrium thickens
Definition
proliferation
Term
Phases of the ovarian cycle
Definition
- follicular
- ovulation
- luteal
Term
Phases of the uterine cycle
Definition
- proliferation
- secretory
- menstruation
Term
Procedure that provides direct visualization of the uterus/accessory organ
Definition
laparoscopy
Term
Purpose of Estrogen/progesterone receptor analysis
Definition
determine effectiveness of cancer treatment
Term
Round upper sufrce of the uterus; point of insertion of the fallopian tubes
Definition
Fundus
Term
Rugae
Definition
expandable folds in the vaginal walls
Term
Sloughing off of the endometrium
Definition
menstruation
Term
Small erectile structure that responds to sexual stimulation
Definition
Clitoris
Term
Space between the vaginal orifice and the anus
Definition
Obstetrical perineum
Term
Structures that catch the ovum as it bursts from the ovary into the pelvic cavity
Definition
Finbriae
Term
Test that may help determine cause of infertility
Definition
hysterosalpingogram
Term
The broad ligament supports the
Definition
uterus
Term
The cervix is part of this organ
Definition
uterus
Term
The fundus forms the upper part of this structure
Definition
Uterus
Term
The menstrual cycle consists of ___ interrelated cycles. (how many and name them)
Definition
Two (ovarian and uterine)
Term
The myometrium and the endometrium are layers of this structure
Definition
Uterus
Term
The physical and emotional pleasurable sensation that occurs at climax of sexual intercourse in the male is called
Definition
Orgasm
Term
The placenta imbeds itself in this organ
Definition
uterus
Term
These hormones stimulate the production and release of milk after childbirth.
Definition
Prolactin and oxytocin
Term
This hormone promotes the maturation of the egg and helps develop the female characteristics
Definition
estrogen
Term
This is a skin-covered muscular region located between the vaginal orifice and the anus
Definition
perineum
Term
This uterine lining is most responsive to the hormonal effects of estrogen and progesterone
Definition
endometrium
Term
Two rounded folds of the skin; one of the external genetalia
Definition
labia majora
Term
Functions of the vagina
Definition

- receive sperm

- provide exit for mentrual flow

- birth canal

Term
What activity stimulates post-partum contractions?
Definition
Breastfeeding
Term
What can be done to PREVENT a common type of cervical cancer?
Definition
HPV vaccine
Term
What characteristic of the vagina helps prevent the development of infection
Definition
Glandular secretions are acidic
Term
What hormone influences the maturation of the ova prior to ovulation?
Definition
FSH
Term
What hormone is produced by the ovary that functions primarily during pregnancy?
Definition
progesterone
Term
What is the midcycle event stimulated by a surge of LH?
Definition
ovulation
Term

What is the implication of decreased ovarian function?

 

A) Prone to fractures

B) Increased risk of heart disease

C) Changes in sexual response

D) Inability to become pregnant

Definition

D) Inability to become pregnant

Term
What is the primary secretion of the corpus lutem?
Definition
progesterone
Term
What is the target of FSH and LH?
Definition
ovaries
Term
What non-invasive test may help identify tumors, cysts and other pelvic disorders?
Definition
pelvic ultrasound
Term

What occurs around the same time as menarch?

 

A) Irritability and insomnia

B) Hot flashes

C) Breast development

D) Urinary incontinence

Definition
C) Breast development
Term
What physical condition associated with estrogen loss should women be aware of?
Definition
Osteoporosis
Term
What prevents the nipples from drying out?
Definition
secretions from the areolar glands
Term
What structures give hormonal influence to the regulation of the female reproductive system?
Definition
- hypothalamus
- pituitary gland
- gonads
Term
What test can determine patency of the ooviducts?
Definition
X-ray
Term
What two actions move the ovary into the pelvic cavity?
Definition
- cilia
- peristalsis
Term

When a boy reaches puberty, the hypothalamus stimulates secretion of

 

A) ICSH and FSH

B) FSH and LH

C) FSH and testosterone

D) LH and ICSH

Definition
A) ICSH and FSH
Term
Which genital area plays the greatest role in femal orgasm?
Definition
Clitoris
Term
Which hormones lead to breast enlargement?
Definition
Estrogen and progesterone
Term
Which of the following is a "guy thing"?

A) ovulation
B) emission
C) implantation
D) midcycle surge of LH
Definition
B) emission
Term
Which of the following is most apt to cause sterility in the female?

A) benign prostatic hypertrophy
B) cystitis
C) repeated bouts of gonorrhea
D) torn hymen
Definition
C) repeated bouts of gonorrhea
Term
Which of the following is not located in or on the ovary?

A) corpus luteum
B) graafian follicle
C) fertilized ovum
D) corpus albicans
Definition
C) fertilized ovum
Term

Which of the following is referred to as external genitals?

 

A) gonads

B) Vulva

C) Oviducts

D) Perineum

Definition
B) vulva
Term
Which of the following is true of the cervix, fundus and body?

A) contents of the scrotum
B) parts of the ovary
C) secrete estrogen and progesterone
D) parts of the uterus
Definition
D) parts of the uterus
Term
Which of the following is true of the ovaries and the testes?

A) secrete gonadotropins
B) located in the pelvic cavity
C) called gamees
D) called gonads
Definition
D) called gonads
Term
Which of the following is true of the oviduct or fallopian tube?

A) located between the cervix and the vagina
B) site of fertilization
C) an anatomical extension of the ovary
D) connects the fundus with the cervix
Definition
B) site of fertilization
Term
Which of the following is true of the ova and sperm?

A) called gonads
B) incapable of meiosis
C) called gametes
D) require androgens for maturation
Definition
C) called gametes
Term
Which structure is the primary secretor of estrogen and progesterone?
Definition
ovaries
Term
Which structure secretes the gonadoropins?
Definition
anterior pituitary gland
Term
While not direct reproductive organs, they are hormonally linked to the reproductive process
Definition
Breasts
Term
Why is a woman apt to develop a vaginal yeast infection after taking antibiotics for an infection?
Definition
antibiotics alter the normal flora of the vagina
Term
breast biopsy: incisional
Definition
part of lump is removed and analyzed
Term
breast biopsy: needle
Definition
needle with cutting edge cuts a core sample of a lump
Term
dimensions of the averge uterus
Definition
3" long x 2" wide x 1" thick
Term
ectopic pregnancy: complication
Definition
Mother at risk of bleeding
Term
expandable folds in the vaginal walls
Definition
Rugae
Term
female gamete
Definition
ovum
Term
ferilized ovum as it travels to the uterus
Definition
zygote
Term
focus of female sexual excitement
Definition
clitoris and vaginal opening
Term
lubricates the vagina with secretions
Definition
Bartholin's glands
Term
meeting of sperm and ovum
Definition
fertilization
Term
mouth of the cervix
Definition
cervix os
Term
number of mature egg cells in the female at puberty
Definition
300 - 400
Term
number of oocytes in the female at birth
Definition
2 million
Term
phase during which endometrium prepares for implantation of the fertilized ovum
Definition
Secretory phase
Term
pregnancy outside the uterus
Definition
ectopic pregnancy
Term
secretes mucus before and after coitus
Definition
Bartholin's glands
Term
thin fair of skin folds medial to the labia majora
Definition
labia minora
Term
An ovum can live for a maximum of
Definition
24 hrs
Term
What is the function of the ovaries?
Definition
Produce the female gametes(ova)
secrete female hormone (estrogen)
Term
What organ is secreste hormone for female reproduction
Definition
Ovaries
Term
Where the fertilization occurs
Definition
Outer 1/3 of the falopian tube
Term
definition of the Uterus
Definition
Hollow, muscullar, upsidedown pear shape
Term
What is the major female sex organ
Definition
uterus
Term
What is the gonad of female sex organ
Definition
Ovaries
Term
What layer of the uterus increase in size during pregnancy
Definition
myometrium ( middle layer)
Term
Why the mucus in vagina is acidic?
Definition
Retards bacterial growth
Term
What is function of vagina
Definition
Receive the sperm.
Provide exit mentrual flow
serve as birth canal
Term
Estrogen and Progesterone
Definition
lead to breast enlargement
Term
What is function of Bartholin's gland
Definition
lubricated the vagina with its secretion
Term
What is term Episiotomy?
Definition
Incision to prevent tear of the obstetrical perineum when giving birth
Term
S/Sx of menopause
Definition
Hot flushes
Term
what is Pap test?
Definition
Test for Cervical cancer
NOT Determine endometrial or ovarian cancer.
Term
Excisional Biopsy
Definition
Remove entire lump and analyzed
Term
Incisional biopsy
Definition
Part of a lump is remove as a sample
Term
Menorrhagia
Definition
Excessive bleeding
Term
Metrorrhagia
Definition
Breakthrough bleeding
Term
Dysmenorrhea
Definition
Painful menstruation
due to functional ( constipation, insufficient exercise, poor posture, fatigue, wrong placement of tampon
b) increase prostaglandin secretion w/c intensifies uterine contraction
c) structural ( displaced uterus, tumors, endometriosis
Term
S/Sx of TSS ( toxic Shock Syndrom)
Definition
Increase T
sudden Hypotension
Term
Prolactin and Oxytoxin
Definition
stimulate to produce and release milk after childbirth
Term
Menarche
Definition
1st mentrual period
Term
follicular Phase
Definition
ovum begin mature
Term
ovulation phase
Definition
ovum burst to the ovary
Term
Mittelschmerz
Definition
Painful Ovulation
Term
Luteal phase
Definition
Empty ruptured graafian follicle become the corpus luteum
Secretes estrogen and Proresterone
Term
Menopause (2 major characteristic)
Definition
Production of E/P has stopped
Ovulation has ceased
Term
cystocoele
Definition
downward displacement of the bladder toward the vagina
Term
rectocoele
Definition
upward displacement of the rectum toward the vagina
Term
colporrhapy
Definition
anterior vagina repair with bladder to and secured in N position
Term
Marsahll-marchetti surgery
Definition
urethra is suspened by sutures thru the anterior wall of vagina
Term
Vaginitis cause by
Definition
trichominiasi-discharge greenish or yellowish
candidiasis--present white and cottage cheese
Term
cerviitis
Definition
inflammation of the cirvixcaused by organisim
Term
Cervicitis S/Sx
Definition
leukorrhea
Term
Tamoxifen
Definition
Med ued to prevent of spread and recurent
Term
Definition