Exam 5 Flashcards

1
Q

Amenorrhea

A

Absence of menstrual period

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2
Q

Coitus Interruptus

A

Pull out method

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3
Q

Fertile

A

Ability to reproduce

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4
Q

Menarche

A

Onset of a girl’s first menstruation

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5
Q

Menorrhagia

A

Menstrual bleeding that last more than 7 days. It can be heavy bleeding and can have clots, not good if pad needs to be changed in less than 2 hours.

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6
Q

Menstruation/Menses

A

Discharging blood from the uterus and out of the vagina. Happens once a month until menopause or pregnancy.

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7
Q

Nidation

A

Implantation of fertilized egg in woman’s uterus

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8
Q

Ovulation

A

Release of egg/gamete from ovary during the menstrual cycle

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9
Q

Pre-ejaculate

A

Small amount of substance that comes out of penis before fully ejaculating

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10
Q

Spermatogenesis

A

Process of sperm development

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11
Q

Seminal fluid

A

Fluid from the prostate that help transport the semen out of the body

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12
Q

Criptorchidism

A

Undescended testis

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13
Q

Dysfunctional

A
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14
Q

Uterine Bleeding

A

Abnormal uterine bleeding : in amount, duration, or time of occurence. R/t hormonal imbalance or pelvic tumors, anovulation

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15
Q

Dysmenorrhea

A

Painful menstrual bleeding

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16
Q

Dysparunia

A

Genital pain before, during, or after intercourse

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17
Q

Epidydimitis

A

When epidymis (tube back of testicle) becomes swollen or painful

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18
Q

Hypospadias

A

Birth defect where the opening of the urethra is not on tip of penis

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19
Q

Metrorrhagia

A

Abnormal bleeding from uterus, at irregular intervals

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20
Q

Menopause

A

Cessation of menses for 1 year. Age = 52, causes can be atrophy of ovaries.

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21
Q

Orchitis

A

Inflammation of testes due to bacterial or viral

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22
Q

Perimenopausal

A

42-52,

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23
Q

Premenopausal

A

Menarche - 42

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24
Q

Vaginitis

A

Inflammation of vagina

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25
Q

Artificial insemination

A
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26
Q

Infertility

A
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27
Q

Primary & Secondary Infertility

A
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28
Q

Gamete

A
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29
Q

Intrafallopian transfer

A
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30
Q

Huhner test

A
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31
Q

Hysterosalpingography

A
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32
Q

Hysteroscopy

A
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33
Q

Sperm injection

A
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34
Q

Oophorectomy

A
35
Q

Priapism

A
36
Q

Salpingectomy

A
37
Q

Spinnbarkheit test

A
38
Q

Surrogate

A
39
Q

Zygote

A
40
Q

Intrafallopian transfer

A
41
Q

How should the nurse approach examinations of reproductive organs across the lifespan?

A
42
Q

What multidimensional considerations should the nurse incorporate when educating a client related to fertility?

A

-Psychosocial : self concept, sexuality, body image, social, trust
-Cultural : productivity, permissiveness, option limitations, modesty, access to care, genetic implications, female genital mutilations

43
Q

What factors need to be included when aiding a client to decide about the best contraceptive?

A

SE, contradictions, patient comfort, advantages, disadvantages, how to track

44
Q

What is the difference between optimal use and typical use of the efficacy contraceptives?

A

Optimal use is how they are intended to be used.
Typical use is how they are actually being used.

45
Q

What are the adverse effects of combinations oral contraceptives?

A

Nausea, breast tenderness, increase BP, fluid retention, HA, wt gain, fatigue/mood, monolial vaginitis, androgen sx

46
Q

What are the adverse effects of combination patch contraceptives?

A

SE: Breast discomfort, HA, nausea, menstrual cramps, reaction at application site
AE: severe blood clots, stroke, or MI, cancer, HTN, abnormal uterine bleeding, contraindicated in pregnancy

47
Q

What should the client do if she forgets her birth control pill? Does it matter what type she uses?

A

Combination : if one or more pills are missed in the first week, take one pill as soon as possible and then continue with the pack. Use an additional form of contraception for 7 days. In 2nd or 3rd wk, take as soon as possible and then continue with the active pills in the pack, but skip the placebo pills and go straight to a new pack once all the active pills have been taken. If 3 or more pills are missed during the 2nd or 3rd wk, follow instructions as the first one.

48
Q

What could be used for emergency contraceptives?

A

-Levonorgestrel (plan B) - progestin or Next choice 72hrs
-COC 2 pills taken w/n 72 hr then one 12 hr later
-Progesterone agonist/antagonist (Ella) up to 5 days
-Copper T380A IUD up to 5 days after intercourse
-Medical abortion: mifepristone

49
Q

Can women drink alcohol if they are using birth control? Is there anything that can make their birth control less effective?

A

Yes, they can drink alcohol while on birth control. Antibiotics (tetracycline, ampicillin), not taking is as prescribed, can make BC less effective.

50
Q

What should the nurse include in the teaching for fertility control for the following : Tubal occlusion

A

Surgical : tubes are tied, they are clipped or cut and tied up
Advan : small incision, OPS, permanence
Disadv : pysch trauma, ectopic possible

51
Q

What should the nurse include in the teaching for fertility control for the following : Hysterectomy

A

Surgical : removal of uterus, no further menses or worry of pg
Disadv: surgical menopause if take ovaries, surgery or anesthesia complications, iaprascopic with small incision, could have psychological

52
Q

What should be included in the teaching for the following : abortion

A

Surgical : not a method of contraception but option, before 13 wks, later after 16 wks, medication, aspiration, vacuum

53
Q

What should be included in the teaching for the following : vasectomy

A

Surgical : relatively simple office procedure with local, 20 min, less cost, 100% effective but need to verify ejaculate free of sperm (abt 6 wks)
Disadv : impotence (psych) discomfort, time off work, alternate until verified ok

54
Q

“Natural” family planning

A

Mode of action :
Effectiveness :
Advantages :
Disadvantages :
Nursing Interventions :
Teaching :
Legal / ethical consideration :

55
Q

Which alterations of the breast are cyclical?

A

Changes that coincides with the menstrual cycle. Bilateral breast tenderness, heaviness, pain that last 2-3 days add more from lecture

56
Q

What clinical manifestations should tell the nurse the female client has a non-malignant condition of the breast : fibrocystic breast

A

-Cyclic pain & tenderness
-Masses often cyclic, movable, soft to firm
-Sometimes see nipple discharge : milky, yellow, or greenish color
-Blood tinged fluid would definitely be suspect

57
Q

What clinical manifestations should tell the nurse the female client has a non-malignant condition of the breast : fibroadenoma

A

-Palpable mass (firm, moveable) usu 1-3 cm in size
-Painless, solid, firm mobile and rubbery
-Slow growing and don’t change in size cyclically
-Pregnancy can increase dramatically

58
Q

What clinical manifestations should tell the nurse the female client has a non-malignant condition of the breast : mastitis

A

-Inflammation, tenderness, erythema, red streak up breast
-May see fever, chills, fatigue, malaise

59
Q

What clinical manifestations should tell the nurse the female client has a non-malignant condition of the breast : gynecomastia

A

-Enlargement of 1 or both breasts
-Increased estrogen and decrease testosterone

60
Q

What clinical manifestations should the nurse identify that the client may have malignant lesion of the breast?

A
61
Q

What may limit the woman’s risk for breast cancer?

A

Combination estrogen/progestin, higher intake of fruits and veggies, moderate exercise, breastfeeding add, obesity, alcohol less than 1 day more from lecture

62
Q

How do SERMs work for breast cancer?

A

Selective estrogen receptor modulators. Inhibit estrogen from binding to receptor & use for 5 years. For woman @ early stage of ER + Br Ca

63
Q

What is the difference in surgical excisions for breast cancer removal or diagnosing?

A
64
Q

What is the difference between edema and lymphedema? How can this be determined when examining the client?

A

Lymphedema is buildup of lymph fluid, caused by excess protein
Edema is build up of interstitial fluid, reflects high right atrial pressure (HF)

65
Q

What are the key symptoms for sexually transmitted infections? How could the nurse identify STI manifestations?

A

Painful urination, itchy,

66
Q

Are some STI more easily transmitted? Based on a certain gender or age?

A

Yes, women who are under the age of 25 are more at risk to get chlamydia due to biological susceptibility. Gonorrhea is highly contagious between male sexual partners.

67
Q

Which STI are reportable conditions in Washington State? What time frame?

A

Chlamydia, genital herpes, gonorrhea, hepatitis, HIV, syphilis, chancroid, lymphogranuloma venereum, granuloma inguinal

68
Q

What questions would be helpful in the nursing interview for a client who may have an STI?

A

Are you sexually active? How many people are you sexually active with? When was the last time you got checked? Have you had an STI before? How long have you had these symptoms? Have you taken any medications or applied any topicals onto the affected area?
-Be non-judgmental
-Do not supply answers
-Make no assumptions
-Use open ended questions
-Let your patient be the expert
-Let pt sexual practice guide sexual health care:one size does not fit all

69
Q

Which STI are teratogenic? Can any cause a problem for the fetus or NB at birth?

A

Chlamydia : newborn conjunctivitis & pneumonia
Gonorrhea : newborn conjunctivitis & pneumonia
Tertiary syphilis : congenital syphilis, is rare
HIV : transmission lower than 2% with treatment
Trichomonas : Preterm delivery, low birth weight, respiratory, and genital infection
Hep B : Cirrhosis of the liver, liver cancer

70
Q

How are types of Hepatitis transmitted?

A

A : Fecal - oral route
B : Blood and other body fluids
C : Blood
D : Blood and other body fluids
E : Fecal - oral route

71
Q

What is the nurse’s role in the prevention and treatment of STIs?

A

Nurses Role : Assessment , education on transmission, treatment information, follow up, referral, reporting

72
Q

What is the nurse’s legal/ethical responsibility regarding STIs (including the issue of parental consent in the treatment of minors and the presence in children as a sign of sexual abuse?)

A

-Report new case
-People over 14 can consent to test and treatment for STIs

73
Q

What prevention measures should the nurse promote for the client at risk for lymphedema? What should be included in the client education to aid in preventing or minimizing lymphedema?

A
74
Q

What therapeutic communication could the nurse do when dealing with a woman who had radical mastectomy for breast cancer?

A
75
Q

What should be included in the nursing plan of care for clients with a breast malignancy? (including pharmacology, postop, radiation, and chemotherapy)

A
76
Q

When are women experiencing the symptoms of premenstrual syndrome? What should be included in teaching for a step wise process of record keeping and elimination of triggers?

A

Sx must occur between ovulation and menses (before period)

77
Q

Which alterations in female or male health are a problem due to infection?

A
78
Q

How can fungal infections develop? What can contribute to their manifestation?

A
79
Q

What should be included in the prevention of Toxic Shock Syndrome?

A

-Don’t use tampons if you have this
-Make sure you are not using tampons for too many hrs

80
Q

What should the nurse include in client education related to infection of the female or male reproductive system?

A

Female :

81
Q

How should the nurse provide education for a female client’s normal infection defenses and general hygiene practices?

A
82
Q

What educations should the nurse provide for a client with an infection?

A
83
Q

Can any infection or bleeding lead to infertility?

A

No, the most common are gonorrhea, chlamydia, and pelvic inflammatory disease.
Abnormal bleeding doesn’t cause infertility, but it can be an indicator of something being wrong such as endometriosis or uterine fibroids

84
Q

When do women go through menopause? What causes surgical menopause?

A

Menopause : after 50, most say 55, ave age in US 52
Surgical menopause : done for benign diseases, heavy menstrual bleeding