Term
| fertilization occurs here? |
|
Definition
|
|
Term
| part of the uterus that contracts during labor,stimulated by oxytocin |
|
Definition
|
|
Term
| what are the 3 parts of the uterus? |
|
Definition
|
|
Term
| what are the 3 muscle layers of the uterus? |
|
Definition
| perimetrium,myometrium,endometrium |
|
|
Term
| when you are pregnant, estrogen is prduced by? |
|
Definition
|
|
Term
| soft layer of the uterus? |
|
Definition
|
|
Term
what are the reproductive ducts for males?
(the route the sperm takes when exiting) |
|
Definition
| epididymis,ductus deferens,,ejaculatory duct,urethra |
|
|
Term
| smooth muscle that contracts during ejaculation; surrounds the first 2-3cm of urethra as it exits bladder |
|
Definition
|
|
Term
| what does GPA score consists of in female subjective assessment? |
|
Definition
|
|
Term
| what is the range of women with menopause? |
|
Definition
|
|
Term
| menses have ceased for a full 12 months |
|
Definition
|
|
Term
| when is the best time to do a breast assessment? |
|
Definition
| 1 wk following menses due to hormonal influences on breasts during other parts of the months |
|
|
Term
| how do you examine a breast? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| # of births( alive or stillborn) after 20 weeks gestation |
|
Definition
|
|
Term
| spontaneous(miscarriage) or therapeutic |
|
Definition
|
|
Term
| what do you teach a pt going to have a mammography? |
|
Definition
| no powder/lotion/deodorant on skin; can cause shadows on film |
|
|
Term
| When should a woman start getting mammograms? |
|
Definition
|
|
Term
| when can a menopausal woman perform a self breast exam? |
|
Definition
|
|
Term
| what supplies are needed for pelvic exam/pap smear? |
|
Definition
| lubricant,speculum,(correct size-warm it),gloves,light,slidess,fixative,Chlamydia collection kit |
|
|
Term
| dye injected into uterus/flows to fallopian tubes-used to identify congenital abnormalities in shape/structure of uterus/blockage of fallopian tubes |
|
Definition
|
|
Term
| post procedure for endoscopy? |
|
Definition
| have pt lie flat if insufflation used-CO2 pumped into body compartment to aid visualization; it floats to upper body before absorbed & can cause pain in neck, shoulders, upper back |
|
|
Term
| CO2 pumped into body compartment to aid visualization is called? |
|
Definition
|
|
Term
| What does physical exams for males consist of? |
|
Definition
clinical breast exam-Gynecomastia
urethral opening-hypospadias,epispadias
examine spermatic cord for varicocele(swelling of veins-commonly assoc. with infertility |
|
|
Term
| urethral opening is under the penis |
|
Definition
|
|
Term
| urethral opening is on the top the penis |
|
Definition
|
|
Term
| when should men have a total prostatectomy? |
|
Definition
| over 40; should have yearly |
|
|
Term
| when should males start with testicular self exams? |
|
Definition
|
|
Term
dx test that evaluate obstruction of urethra by the prostate; dye injected via foley cath into bladder, cath removed & x-rays done while voiding
-^ fluids post procedure;monitor I & O |
|
Definition
|
|
Term
what is the normal level of PSA?
(prostate specific antigen) |
|
Definition
|
|
Term
| when PSA level is elevated what does it mean? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| looking at the fallopian tubes |
|
Definition
|
|
Term
| What is the most common reproductive problem for older men? |
|
Definition
| BPH( Benign Prostatic Hypertrophy) |
|
|
Term
| What is the purpose of the Bartholin's glands |
|
Definition
|
|
Term
| How do you prepare a pt for a cystourethrogram? |
|
Definition
| consent,assess for allergies,explain procedure,empty bladder |
|
|
Term
| Why is a cystourethrogram done? |
|
Definition
|
|
Term
|
Definition
| 4 pregnancies, 3 births after 20 wks, 1 abortion or miscarriage |
|
|
Term
| when does ovulation occur? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| bacteria in breast, usual cause is breast feeding; swollen, hot red, painful, abscess development. |
|
Definition
|
|
Term
| what is the tx for mastitis? |
|
Definition
| abx,incision & drg,NSAIDs, warm compresses,supportive bra-HANDWASHING |
|
|
Term
| RISK FACTORS FOR BREAST CANCER? |
|
Definition
| age,family hx,high fat diet,high alcohol intake,estrogen tx, early menses,late menopause,late or no pregnancies,no breastfeeding |
|
|
Term
| usually hard, irreguar in shape,non tender,non movable |
|
Definition
|
|
Term
| therapeutic intervention for Breast CA? |
|
Definition
|
|
Term
| removed just a part of the breast |
|
Definition
|
|
Term
|
Definition
|
|
Term
| breast,all underlying muscle tissue and all the surrounding lymph nodes under the breast and under the axillae are removed |
|
Definition
|
|
Term
| menses absent for 6 months |
|
Definition
|
|
Term
|
Definition
| cycle that goes for 35 days apart |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| period last longer than 7 days |
|
Definition
|
|
Term
| periods are more often than every 21 days |
|
Definition
|
|
Term
| overly, long, heavy, and irregular periods |
|
Definition
|
|
Term
| blood loss is estimated unless what? |
|
Definition
|
|
Term
|
Definition
medications-diuretics,vitamins,antidepressants
-exercise,stress management
-limitation of:
-alcohol & caffeine
-Nicotine
-Salt
-simple sugars |
|
|
Term
| endometrial tissue outside uterus? |
|
Definition
|
|
Term
| how does endometriosis happen? |
|
Definition
| causes can be faulty cell differentiation, endometrial cells can get into the circulatory or lymphatic system,retrograde menstruation(going backwards) bleeding in the fallopian tubes |
|
|
Term
|
Definition
| decrreased lubrication,hot flashes,night sweats |
|
|
Term
|
Definition
| wt bearing exercise to prevent bone loss |
|
|
Term
| what do you teach a pt with vagina & vulva disorders |
|
Definition
| use vaginal meds @ night,complete all meds,protect clothing |
|
|
Term
| systemic infection caused by staphylococcus |
|
Definition
|
|
Term
|
Definition
| change tampon q4 hr,substitute sanitary pads-esp @ night,wash hands |
|
|
Term
| genital organ development disorders can cause? |
|
Definition
|
|
Term
| what are displacement disorders? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| when the bladder is bulging into the vagina |
|
Definition
|
|
Term
| rectum is bulging into the vagina |
|
Definition
|
|
Term
| therapeutic interventions for rectocele and cystocele? |
|
Definition
|
|
Term
| ligaments holding the uterus have been stretched and the uterus has dropped into the vagina |
|
Definition
|
|
Term
| what is the infertility tx and Nsg care? |
|
Definition
-endometrial bx
-monitor for vasovagal reaction(drop in B/P & pulse |
|
|
Term
| risks for oral contraceptives? |
|
Definition
| blood clots,stroke,^B/P,worsening DM,^ breast & cervical CA, ACHES(most reliable method next to abstinence) |
|
|
Term
| alters uterine environment to prevent fertilization or prohibits implantation of fertilized egg |
|
Definition
| intrauterine devices(IUD) |
|
|
Term
| only reproductive life planning approved by Catholic Church |
|
Definition
|
|
Term
| what is important to teach men after a vasectomy? |
|
Definition
| doesnt work immediately,need to go back for F/U appts |
|
|
Term
| what is the chemical method of abortion? |
|
Definition
| morning after pill,RU 486(Mifeprex) |
|
|
Term
chemical method of abortion taken within 72 hrs after intercourse;used in event of condom failure,sexual assault;abuse of this method is a concern
-DOESNT TERMINATE PREGNANCY,prevents ovulation,prevents fertilization prevents implantation if it has not occured yet |
|
Definition
| morning after pill(Plan B) |
|
|
Term
| made up of endometrial cells;cause pain/pressure/necrosis/infertility |
|
Definition
|
|
Term
| disordered arrangement of tissue on ovary(only cells,is not a baby)-removed with laparotomy/scopy |
|
Definition
|
|
Term
| what happens as a result of endocrine imbalance? |
|
Definition
| Polycystic Ovary Syndrome (PCOS) |
|
|
Term
| what cancer do you have to have a blood test to detect? |
|
Definition
|
|
Term
| who is at risk for vulvar cancer? |
|
Definition
| STD,Immune suppression,smoking |
|
|
Term
| risk factors for cervical cancer? |
|
Definition
| early sexual activity,multiole sex partners,several preg.,smiling, HPV,HSV-II,use of oral contraceptives for many years |
|
|
Term
| all females should have a pap smear starting when? |
|
Definition
| the start of sexual activity or @ age 21 |
|
|
Term
| prevention of cervical cancer? |
|
Definition
|
|
Term
| what is the risk factors of endometrial cancer? |
|
Definition
| estrogen excess,estrogen therapy,obesity,alcohol use |
|
|
Term
| S/S of endometrial cancer? |
|
Definition
|
|
Term
| risk factors of ovarian cancer? |
|
Definition
| low fertility,late menopause,family hx,high fat diet |
|
|
Term
| who are the only ppl safe from ovarian cancer |
|
Definition
| pts who have had an oopherectomy |
|
|
Term
| post op care for endoscopic surgery |
|
Definition
|
|
Term
if your pt has had TAH w/ Bilateral Salpingo-OOpherectomy, what was done?
(TAH-Total Abdominal Hysterectomy) |
|
Definition
| fallopian tubes and ovaries are gone |
|
|
Term
| Bilateral Salpingo-Oopherectomy is also called? |
|
Definition
|
|
Term
| interventions for prostatitis? |
|
Definition
|
|
Term
| what is the desired outcome for prostatitis? |
|
Definition
| neg. urine culture, relief of symotoms, ^ pt, knowledge |
|
|
Term
| increase in # of cells-urethra encircled-nonmalignant;aging/High fat diet-can be causes |
|
Definition
|
|
Term
| what are the med interventions for BPH? |
|
Definition
Tamsulosin(Flomax)
Hormone Blockers-Finasteride(Proscar),Dutasteride(Avodart)-help shrik the prostate |
|
|
Term
| what is the surgical tx of the Prostate? |
|
Definition
| TURP-transurethral resection of prostate |
|
|
Term
resectoscope into urethra-no surgical incision
-overgrown tissure chipped away
-tissue can grow back;pt still needs yearly exam |
|
Definition
| TURP(transurethral resection of prostate) |
|
|
Term
| post op care for TURP for BPH |
|
Definition
foley cath placed,balloon over inflated (30-60mL water) to compress the prostate, stop bleeding
-Foley D/C once danger of hemorrhage passed-monitor serial urines
-bladder irrigation x24 hrs,monitor output closely |
|
|
Term
| nursing care for post op TURP for BPH |
|
Definition
| bleeding,pain,incontinence,self care,anxiety |
|
|
Term
| procedure where the whole prostate has been removed |
|
Definition
|
|
Term
| complications for radical prostatectomy? |
|
Definition
|
|
Term
| prostate cancer needs what to grow? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| risk factors of prostate CA? |
|
Definition
| over 65-primary risk factor |
|
|
Term
|
Definition
|
|
Term
| how is prostate cancer diagnosed? |
|
Definition
| PSA,transrectal ultrasound with Biopsy-if palpable tumor is felt |
|
|
Term
| therapeutic intervention in early stages of prostate CA? |
|
Definition
Testosterone Suppressing Hormone-leuprolide(Lupron)
|
|
|
Term
| therapeutic interventions in the later stages of prostate CA? |
|
Definition
| Radioactive seed implantation (Brachytherapy) |
|
|
Term
| Therapeutic interventions during Metastatic stage of Prostate CA? |
|
Definition
block testosterone
-Bilateral Orchiectomy |
|
|
Term
| what are the penile disorders? |
|
Definition
| Peyronie's Disorder,Priapism,Phimosis,Paraphimosis |
|
|
Term
penile disorder where the penis is curver-fibrous bands-plaques
-can be caused by injury inflammation |
|
Definition
|
|
Term
penile disorder where pt has a prolong penile erection(>4hrs)
-can cause vascular damage to penis
-damage to bladder,kidneys due to inability to void,
Causes are sickle cell-CA,Viagra,spinal cord injury,tumors, crack cocaine |
|
Definition
|
|
Term
| foreskin not retractable,teach proper personal hygiene to prevent, treated with abx,warm soaks, or incision |
|
Definition
|
|
Term
foreskin not put back into proper place,causes constriction of veins,edems,pain
-preven through proper hygiene,replace foreskin to proper position |
|
Definition
|
|
Term
| undescended tested,may resolve spontaneously, or may need surgery before teen years |
|
Definition
|
|
Term
| fluid in scrotal sac,no tx needed unless causes problems |
|
Definition
|
|
Term
| varicose veins of scrotum,scrotum feels like a bag of worms,can cause pain,infertility,surgical repair needed |
|
Definition
|
|
Term
inflammation along tube that runs along back of testes,causes infection,STDs trauma,tx with abx, ice packs,bedrest
Complications: abscess,sterility |
|
Definition
|
|
Term
testicular inflammation or infection,secondary to trauma,mono,mumps,infections
-bedrest,abx,pain meds,scrotal support
**get early mumps vaccine |
|
Definition
|
|
Term
| nursing care for testicular removal surgery? |
|
Definition
| discuss sperm bank deposit (before surgery or tx) |
|
|
Term
| what is the main cause of erectile dysfunction? |
|
Definition
|
|
Term
| therapeutic interventions for erectile dysfunction? |
|
Definition
med changes (B/P)
-Tadalafil(Cialis)
-Sildenafil(Viagra)
-Vardenafil(Levitra)
**Contraindicated if on antianginal meds** |
|
|
Term
| what should you always use with a pt with STD? |
|
Definition
|
|
Term
| what are the risk factors of Pelvic Inflammatory Disease? |
|
Definition
| multiple sex partners,STDs,substance abuse,frequent douching,IUD use |
|
|
Term
| most commonly diagnosed STD in US |
|
Definition
|
|
Term
| what is passed from mom to baby during birth causing pneumonia, & conjunctivitis |
|
Definition
|
|
Term
| what should be set out during a pap smear to test for Chlamydia? |
|
Definition
|
|
Term
| what is the intervention for a baby with Chlamydia? |
|
Definition
| ophthalmic ointment-silver nitrate w/ EES or Tetracycline |
|
|
Term
| what disease can cause blindness in babies? |
|
Definition
|
|
Term
| What is the intervention for Gonorrhea in babies? |
|
Definition
| abx eye drops for infants to prevent opthalmia neonatorum |
|
|
Term
| what is the primary stage of syphilis? |
|
Definition
| chancre-red ulcerated area |
|
|
Term
| interventions for Syphilis? |
|
Definition
| PCN, Tetracycline,doxycycline (if allergic to PCN) |
|
|
Term
|
Definition
| strawberry cervix,carriers can be asymptomatic |
|
|
Term
| the disease that can survive on surfaces & be transmitted thru nonsexual contact |
|
Definition
|
|
Term
| interventions for Trichomonas? |
|
Definition
|
|
Term
| interventions for Herpes? |
|
Definition
|
|
Term
| causes increased risk of cervicall cancer? |
|
Definition
|
|
Term
| interventions for HPV(Condylomata) |
|
Definition
| wart removal-freezing/burning-no cure |
|
|
Term
causes cancer in reproductive organs,anus
-can infect babies in utero causing resp. infections & putting them @ increased risk of cancer |
|
Definition
|
|
Term
| what do you treat lice(crabs),scabies with? |
|
Definition
|
|
