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From Flashcardlet > Reproductive Exam > Flashcards

Reproductive Exam Flashcards

1
Q

S/S female would have if she had a total abdominal hysterectomy

A
  • Urinary retention
  • Intestinal distention
  • Venous thrombosis
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2
Q

Medical terms for uterus, ovaries, fallopian tubes

A

a. uteres = hystero
b. oophoro or gonads = ovaries
c. salpingo or Oviducts = fallopian tubes

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3
Q

Nursing dx for female with radical masectomy

A
  • distured body image/altered self perception/ self esteem

- risk for infection

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4
Q

different types of mastectomies, which ones include arm exercises.

A

Breast conservation surgery (lumpectomy): conserves the breast. Removal of just the tumor.
Simple Mastectomy: Removal of the entire breast.
Modified radical mastectomy: if tumor is 4cm or larger, all breast tissue, overlying skin, nipple, pectorals minor muscles are removed, as are samples of axillary lymph nodes and fascia under the breast.

All require post arm exercises.

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5
Q

s/s toxic shock syndrome

A
  • Flu-like symptoms in first 24hrs.
  • 2-4 days of menstrual period may have altered temp 9up to 102 F)
  • vomiting, dizziness, headache, diarrhea, myalgia, hypotension.
  • Sore throat, red macular palmar or diffuse rash followed by desquamation of the skin, hands, and feet may develop; urinary output is decreased, BUN is elevated.
  • Disorientation from dehydration and release of toxins.
  • Pulmonary edema and inflammation of mucous membranes may occur.
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6
Q

how to teach testicular self exam and breast self exam

A

Testicular: Perform once a month. Perform after shower or bath, when scrotum is warm and most relaxed.
-grasp testis with both hands and palpate gently between thumb and index finger. The testis should feel smooth and egg shaped and be firm to touch.
-The epididymis, found behind the testis, should feel like a soft tube.
Breast: 7-8 days after conclusion of the menstrual period when they are least congested.
- Palpation may be done in the shower when the soap and water help the hands glide over the skin. Examination of large breasts and axillae is better done in a supine position rather than standing.
-The entire breast should be examined in a systematic way, moving clockwise, with circular motion, or moving back and forth. Always include the axillae in the examination.
-Do not forget specific examination of the nipple, through compression for discharge, and the areola, through palpation.

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7
Q

different things that can cause epididymitis

A

S. aureus, E. coli, streptococci, and N. gonorrhoeae.

-is associated with urethral strictures, cystitis, and prostatitis

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8
Q

why a female would have pain in one of her shoulders when Rubin’s test is done

A

Cardon dioxide is passing through the tube which means it is open.

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9
Q

what’s included in routine pelvic exam

A

Pap smears

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10
Q

colposcopy

A

Provides direct visualization of the cervix and vagina

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11
Q

culdoscopy

A

is a diagnostic procedure that provides visualization of the uterus and the adnexa

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12
Q

Medical term of Pap Smear (whole word)

A

Papanicolaou Test

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13
Q

most of the times when females are infertile what is the problem

A

Problems with ovulation.

-tubal insufficiency and ovarian and uterine conditions, such as endometriosis or congenital defects.

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14
Q

female pt has dx of genital herpes, what instructions need to be given

A

related to sexual activity

-use condoms

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15
Q

complications from PID

A

infertility

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16
Q

why mammogram is most useful method for dx breast cancer

A

Because they can detect tumors that cannot be felt by palpation.

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17
Q

female pt had modified radical mastectomy, what would be the reason for wanted the arm to be elevated

A

a. preventing edema in affected arm

…(theres more)

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18
Q

female pt abdominal hysterectomy, what post-op nursing interventions would she have

A
  • Monitor VS
  • administer prescribed analgesic 3-4hrs
  • Monitor IV fluids
  • observe signs of edema
  • measure abdominal girth
  • early ambulation
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19
Q

abdominal hysterectomy, know what the weight limit is, how much they can lift post-op

A

nothing greater than 10lbs

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20
Q

appropriate nursing intervention for pt who had hydrocele

A

Bed rest, ice area, frequent changes of dressings to avoid skin impairment, keep scrotal sac elevated to prevent edema

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21
Q

teaching a female pt how to do a breast exam, what kinds of things do you need to teach them that they need to report if they see/feel

A

lumps, change in color, discharge from nipples, feeling of tenderness. axillary tenderness.

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22
Q

most common STD in the USA

A

Chlamydia

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23
Q

what kinds of risk would a female face if she had multiple bouts of PID

A

Infertility

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24
Q

know what cervical cancer is more prevalent with certain lifestyles or certain things that people do. (those at risk)

A

Smoking, multiple partners,trauma, several strains of HPV.

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25
Q

female has fibrotic breast condition, what things are they instructed to eliminate from their diet

A

eliminate methylxanthines (in coffee, tea, and cola)

26
Q

know why when women have fibrotic breast condition it rarely becomes malignant

A

.

27
Q

medical term for absent menses

A

amenorrhea

28
Q

causative organism for chlamydia

A

Chlamydia trachomatis

29
Q

treatment of choice for syphilis

A

a. antibiotic Penicillin G

30
Q

s/s rectovaginal fistula

A
  • exudate that has a distinct odor of urine or feces

- Bladder infection

31
Q

definition of fistula

A

an abnormal opening between two organs.

32
Q

General definition of prolapse

A

to fall out of place

33
Q

medical term for infection of cordlike excretory duct of testicle

A

Epididymitis

34
Q

what is D&C

letters and what it is

A

Dilation and curettage: scraping of material from the wall of a cavity or other surface; performed to remove tumors or other abnormal tissue for microscopic study.

35
Q

what position pt in if she’s having a vaginal hysterectomy

A

Lithotomy position

36
Q

difference between vaginal and abdominal hysterectomy

A

vaginal: done for prolapsed uterus.
Abdominal: preferred when there isa need to explore the pelvic cavity and when the fallopian tubes and ovaries are to be removed

37
Q

what vaginal condition that is very common and caused by ecoli

A

a. simple vaginitis

38
Q

name condition for displacement of the bladder

A

Cystocele

39
Q

what medication do they usually use to treat candidas

A

a. nystatin

40
Q

what medication do they usually use to treat chlamydia

A

tetracycline, doxycycline, azithromycin, ofloxacin

-Erythromycin for pregnant women or amoxicillin is an alternative.

41
Q

what medication do they usually use to treat trichomonas

A

a. metronidazole (flagyl)

42
Q

what medication(s) are used to treat symptoms of menopause

A
  • HRT
  • Calcium
  • Vit. D
  • SSRI’s
  • Paxil
  • Effexor
  • Catapres
  • Neurontin
  • antihypertensives
43
Q

which diagnostic test would detect endometriosis

A

Laparoscopy with a biopsy of the lesions

44
Q

which diagnostic test is used to detect lesions of the cervix and vagina

A

Biopsies

45
Q

which diagnostic test is used to visual fallopian tubes and ovaries

A

a. select all that apply
b. culdoscopy
c. laparoscopy

46
Q

which diagnostic test is used for EARLY detection of cervical cancer

A

a. Pap smear

47
Q

dosage calculations

A

a. review conversions

b. lb to kg and vs

48
Q

know your roman numerals

A

.

49
Q

self breast exams, be familiar with what position body should be in

A

Supine position

50
Q

how often you should be doing self breast exam

A
  • once a month on the same day for post menopausal

- once a month 7-8 days after menstrual cycle

51
Q

what fibrotic lesions are

A

breast lesion

52
Q

at what time of the month would fibrotic lesions be more tender

A

during your second half of menstrual cycle

53
Q

question that wants to know if a female wants to be on hormonal contraceptives, what kind of things do they recommend that the female not be doing

A

a. smoking

54
Q

how hormonal contraceptives prevent pregnancy

A

prevents ovulation, thickens cervical mucus, alters uterine linning.

55
Q

most common non viral STD

A

a. trichomoniasis

56
Q

name of surgery for when a female has herniation of bladder into vagina

A

a. colporrhaphy

57
Q

s/s BPH

A
  • abdominal distension
  • urinary frequency
  • nocturia
  • incomplete urine
58
Q

top nursing dx for mastectomy

A

a. select all that apply
b. pain
c. body image
d. self esteem
DO NOT PICK INFECTION

59
Q

self breast exam, pick the one that shows pt doesn’t understand teaching

A

knowledge, deficit

60
Q

what instructions you would give to pt having a tubal ligation

A
  • consent
  • post-op teaching
  • affects on physiology and sexual performance
  • may require short hospital stay
  • its a permanent method
61
Q

when it comes to contraception, which forms are known as the barrier method
(select all)

A
  • Diaphragms
  • cervical caps
  • condoms
62
Q

which organism is the common cause of vaginitis

A

caused by E. coli

From Flashcardlet (17 decks)

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