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Health Assessment Exam 3 > Chapter 26: Female Genitourinary System > Flashcards

Chapter 26: Female Genitourinary System Flashcards

1
Q

Is it normal for external genitalia to be engorged at birth?

A

Yes it is because of mothers hormones

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2
Q

False menses

A

Common in infant females, called “pseudomenstration”

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3
Q

Leukorrhea

A

is a thick, whitish or yellowish vaginal discharge

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4
Q

Ambiguous genitalia

A

rare condition in which an infant’s external genitals don’t appear to be clearly either male or female

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5
Q

When do secondary sex characteristics begin to develop?

A

At puberty

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6
Q

When does puberty begin for females?

A

between 9 and 13

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7
Q

Goodell’s sign

A

It is a significant softening of the vaginal portion of the cervix from increased vascularization

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8
Q

Chadwicks sign

A

Bluish discoloration of the cervix

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9
Q

Hegar’s sign

A

Softening of the uterus

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10
Q

Hormone levels with aging. Men vs Female

A

Female’s hormonal level decreases rapidly in contrast with slow decline in aging male

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11
Q

Menopause

A

Cessation of menses

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12
Q

Developmental Competence: Aging woman

A

Vagina becomes shorter, narrower, and less elastic
Decreased vaginal secretions; dyspareunia
Pubic hair thins and grays
Ovaries atrophy are not usually palpable after menopause
Uterus shrinks, droops, protrude, or prolapse, into vagina

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13
Q

With what population is cervical cancer most prevalent

A

A.A

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14
Q

Female circumcision

A

Infibulation or female genital mutilation
Removal of the clitoris
Common with aboriginals, christians and muslims

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15
Q

Functional Urinary Incontinence

A

Inability of usually continent person to reach toilet in time to avoid unintentional loss of urine

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16
Q

Reflex urinary incontinence

A

Involuntary loss of urine at somewhat predictable intervals when a specific bladder volume is reached

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17
Q

Stress Urinary Incontinence

A

Sudden leakage of urine occurring with activities that increase abdominal pressure

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18
Q

Total Urinary Incontinence

A

Continuous and unpredictable passage of urine

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19
Q

Urge Urinary Incontinence

A

Involuntary passage of urine occurring soon after a strong sense of urgency to void

20
Q

When asking women questions about their sexual health and activity how should she be positioned?

A

The woman should be sitting up because an equal-status position is important to establish trust and rapport before the vaginal exam

21
Q

What position should the female be in during vaginal exam?

A

Lithotomy exam

22
Q

What to look at for bimanual exam of vagina

A

Vaginal Wall, Cervix, Uterus

23
Q

What is the os?

A

The external os is the opening in the center of the ectocervix. The endocervix, also known as the endocervical canal, is a passage that connects the vagina to the uterus. The internal os is the opening into the uterus from the cervix.

24
Q

HPV vaccinations

A

Gardasil and Ceravix

25
Q

When should a pap smear be done?

A

21

26
Q

STDs

A

Herpes, Gonorrhea, Chlamydia

27
Q

HPV

A
  • Vaccines don’t protect from all types of HPV

- Condoms may not protect against HPV because areas not covered by condom can be exposed to virus

28
Q

Pediculosis pubis “crab lice”

A

S: severe perineal itching
O: Excoriations and erythematous areas. May see little dark spots, nits adherent to pubic hair near roots. Usually localized

29
Q

Syphilitic chancre

A

O: STI begins small, solitary silvery papule that erodes to a red, round oval. Non-tender indurated base. Can be lifted like a button. Resolves spontaneously.

30
Q

Red rash, contact deermititis

A

S:History of skin contact with allergenic substances in environment, intense pruritus
O: Primary lesions, red, swollen vesicles. Weeping lesions, crust, scales, thickening of skin, excoriations from scratching. Can be due to using feminine hygiene spray or synthetic clothing

31
Q

Herpes simplex virus, type 2 herpes genitalia

A

S: episodes of local pain, dysuria and fever
O: Clusters of small, shallow, vesicles with surrounding erythema; erupts on genital area and thigh. Inguinal adenopathy
Virus lays dorment indefinitely
Infection lasts 3 - 10 days

32
Q

Candidiasis

A

A fungal infection typically on the skin or mucous membranes caused by candida.

33
Q

Chlamydia

A

Is found in infected semen and vaginal fluids.
It’s a sexually transmitted infection (STI) that can be passed on through sex without a condom or sharing sex toys with someone who has chlamydia (even if they don’t have symptoms), or from a pregnant woman to her unborn baby.

34
Q

Gonorrhea

A

A sexually transmitted bacterial infection that, if untreated, may cause infertility.
Affects urethra, rectum, throat

35
Q

Hematuria

A

Blood in urine

36
Q

Dysuria

A

Pain with urination

37
Q

Polyuria

A

Urinating a lot

38
Q

Nocturia

A

Frequent urination at night

39
Q

Anuria

A

Failure of the kidney to produce urine

40
Q

Oliguria

A

Production of abnormally small amounts of urine

41
Q

Glycosuria

A

a condition characterized by an excess of sugar in the urine, typically associated with diabetes or kidney disease

42
Q

Ketonuria

A

the excretion of abnormally large amounts of ketone bodies in the urine, characteristic of diabetes mellitus, starvation, or other medical conditions.

43
Q

Proteinuria

A

the presence of abnormal quantities of protein in the urine, which may indicate damage to the kidneys.

44
Q

Enuresis

A

involuntary urination, especially by children at night.

45
Q

When do vesicles on the labia rupture with HSV2

A

1-3 days

46
Q

Hw long does the initial infection of HSV2 last?

A

7-10 days

47
Q

HPV genital warts

A

S: painless, warty growths
O: pink or fleshy soft pointed, moist, warty papules. Single or multiple cauliflower patches. Occurs around vulva. Most common STI.

Health Assessment Exam 3 (6 decks)

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