Conditions Affecting Female Sexuality

Question 0

Uterine prolapse anteversion

Answer 0

Forward tilt

Question 1

Uterine prolapse retroversion

Answer 1

Uterus tilted toward rectum

Question 2

Causes of Uterine prolapse

Answer 2

If baby is too large, forceps are used, chronic cough

Question 3

Rectocele/cystocele

Answer 3

Herniation of rectum or bladder

Question 4

Signs of severe rectocele/cystocele

Answer 4

Difficulty emptying bladder, difficulty pooping

Question 5

Treatments for uterine displacement

Answer 5

Legal exercise, pessary, surgery, meds

Question 6

Pessary

Answer 6

Device inserted in vagina that helps decrease urine leakage. Pt can insert and remove themselves

Question 7

Meds for incontinence and uterine displacement

Answer 7

Detrol, ditropan, tofranil, urecholine

Question 8

Colporrhaphy

Answer 8

Surgical repair to the vaginal wall to treat rectocele/cystocele

Question 9

Sacrocolpopexy

Answer 9

Surgery for suspension of the uterus

Question 10

postoperative nursing care after uterine displacement surgery

Answer 10

Voiding or catheter care before leaving hospital, cleanse with sterile saline solution &dry with sterile material, ice pack to perineum, head and knees slightly elevated, avoid constipation, Tylenol for pain

Question 11

Myomas size

Answer 11

Develop slowly during reproductive years, growth is accelerated during pregnancy, atrophy after menopause

Question 12

Myomas s/s

Answer 12

Low back pain, fertility problems (if not treated), menorrhagia

Question 13

Myomas treatment

Answer 13

Small fibroids=no treatment, if they have pain they can have surgery to remove them, hysterectomy

Question 14

If cervical cancer is detected what other tests can they preform

Answer 14

Colposcopy (scope used to examine cervix), cervical biopsy

Question 15

S/s of cervical cancer

Answer 15

Irregular bleeding, pain in pelvic, flank or legs, malodorous vaginal discharge, dyspareunia (vag pain during sex), rectal pressure (always feel like they need to poop)

Question 16

Cervical cancer risk factors

Answer 16

Intercourse before age 20, multiple sex partners, non circumcised males, no barrier contraceptives, no regular paps , smoking, exposure to HIV

Question 17

LEEP (loop electrosurgical excision procedure)

Answer 17

An electric current is used to cut away cells in the cervix. It’s quick and they go home that day

Question 18

Cold knife cone biopsy

Answer 18

Freeze off cells in cervix

Question 19

Post cervical biopsy instructions

Answer 19

Rest for 24 hrs, avoid heavy lifting or strenuous exercise, no tampons and sex for 3-4 weeks or until vag discharge stops, if vag packing then don’t remove until instructed, teach s/s of infection

Question 20

When should pt call doctor after a cervical biopsy?

Answer 20

If excessive bleeding occurs, if s/s of infection occur

Question 21

Total hysterectomy

Answer 21

Removal of uterus, cervix & ovaries

Question 22

Radical hysterectomy

Answer 22

Removal of uterus, ovaries, Fallopian tubes, proximal vagina, bilateral lymph nodes

Question 23

Endometrial cancer is most likely occurs in which kind of women?

Answer 23

Obese, postmenopausal, diabetic, late menopause, nulliparous

Question 24

2 big s/s of endometrial cancer

Answer 24

Abnormal vaginal bleeding, pelvic pain

Question 25

Endometrial cancer treatment

Answer 25

Total or radical hysterectomy, radiation therapy (if advanced)

Question 26

Most deadly gynecological malignancy

Answer 26

Ovarian cancer

Question 27

Risk factors for ovarian cancer

Answer 27

Any age but mostly over 40, nullipara, fertility drugs, obese, BRACA1 &2 gene

Question 28

What does it mean when there is a palpable mass in abdomin with ovarian cancer?

Answer 28

Cancer invaded surroundings tissues s/s don't usually appear until then

Question 29

Late s/s of ovarian cancer ( in stage 3 or 4)

Answer 29

Increased abdominal girth(mistaken for being fat), indigestion, change in bowel function, urinary frequency, back pain, menstrual cramps

Question 30

Screening tests of ovarian cancer

Answer 30

CA-125 antigen test (blood test) , ultrasound, CT, pelvic exam

Question 31

Ovarian cancer complications

Answer 31

Ascites, intestinal obstruction, dvt, lymphedema (leg)

Question 32

Ovarian cancer treatment

Answer 32

Hysterectomy

Question 33

Big postop hysterectomy complication nurse needs to watch for?

Answer 33

Bleeding/hemorrhage

Question 34

Endometriosis

Answer 34

Tissue growth outside of uterus

Question 35

Endometriosis is most common during what age group?

Answer 35

30-40

Question 36

Endometriosis s/s

Answer 36

Pelvic/back pain, bowel symptoms, dysuria, GI complaints, infertility, dyspareunia (pain in vag)

Question 37

Laparotomy

Answer 37

Surgery used to cut some of the tissue in endometriosis

Question 38

Endometriosis treatment

Answer 38

Laparoscopy or BC to suppress estrogen

Question 39

Causes of fistulas

Answer 39

Injury from childhood, pessary not being removed for a long time

Question 40

Fistulas can occur where?

Answer 40

Vagina, bladder, rectum

Question 41

Fistula treatment

Answer 41

Heal on its own or surgery with a temporary colostomy

Question 42

External radiation therapy

Answer 42

Beam delivered deep in pelvis

Question 43

External radiation therapy can cause what problems

Answer 43

Decreased WBC and platelets, decreased sexual desire, fatigue, diarrhea, abdominal cramping, cystitis

Question 44

Since radiation can cause severe diarrhea, what kind of diet should they be on?

Answer 44

Low residual

Question 45

External radiation therapy teaching

Answer 45

Plenty of rest, good nutrition, protect skin from sun, don't scrub skin, don't remove ink marks placed by radiologist, 1 cup of liquid after each bowel movement, avoid sugar free gum/candy because of sorbitol

Question 46

Intracavitary implant teaching

Answer 46

Private rm for 24-72 hrs, 10-30 min visits, no childbearing visitors, must be 6 feet from pt, BEDREST, no prego nurses

Question 47

What do you want to asses for with a pt who has a intracavitary implant?

Answer 47

Burning sensations, excessive perspiration, chills, fever, NV, fistulas, diarrhea

Question 48

Elective termination of pregnancy what is it and how old is baby when it happens

Answer 48

Ends pregnancy before fetus reaches age of viability (20-24 weeks)

Question 49

When does Mifepristone(mifeprex) need to be given and what's the dose

Answer 49

Needs to be given within 49 days of last mentryal period; single oral dose of 600 mg

Question 50

What happens after medical termination of pregnancy

Answer 50

Painless heavy bleeding

Question 51

Teaching after medical termination of pregnancy and when to call dr

Answer 51

Tylenol or ibprofen for pain, take temp daily for a week, avoid sex, call dr of heavy bleeding, pass clots, abdominal tenderness, or depression occurs

Question 52

When is the follow up visit afteredical termination of pregnancy

Answer 52

2 weeks

Question 53

Menstrual extraction, endometrial aspiration is done when?

Answer 53

5-7 weeks gestation, no anesthesia

Question 54

D&C can be preformed when?

Answer 54

Less than 13 weeks gestation

Question 55

D&C

Answer 55

Mechanical dilation of cervix, scrape with curette

Question 56

D&E can be preformed when and what is it

Answer 56

12-16 weeks gestation. Cervix is dilated and its vacuumed out

Question 57

D&E potential probs

Answer 57

Uterine perforation, cervical trauma, not able to have kids again

Question 58

Late abortion accurate during how many weeks and how is it done

Answer 58

After 16 weeks; prostaglandin, saline induction, hysterotomy,