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PCC1 Exam 2 > Female Genitourinary > Flashcards

Female Genitourinary Flashcards

1
Q

Subjective data:

What questions would you ask regarding menstual history?

A

Info on periods

  • Age of first period.
  • How often are your periods?
  • Spotting between periods?
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2
Q

Subjective data:

What would you ask regarding obstetric history?

A

Ever been pregnant?

Trying to get pregnant?

Gravida para

  • Gravida= #of pregnancies
  • Para= # of births
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3
Q

When collecting data, what is important to understand about the terms, abortion and miscarriage?

A

Abortion and miscarriage can be used synonymously.

Spontaneous abortion= miscarriage

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4
Q

Subjective data:

What questions do you ask regarding menopause?

A
  • Have periods slowed down/stopped?
  • Symptoms (mood swings, night sweats)
  • How do you feel about going through menopause?
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5
Q

What is true menopause?

What is pre-menopause?

A

True= 12 months with no period.

Pre= Symptoms

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6
Q

Subjective data:

What questions do you ask regarding self-care behaviors?

A

How often do you have gynelogical checkups?

Pap smears?

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7
Q

Subjective data:

What questions do you ask regarding pelvic pain?

A

OLD CARTS

Associate with periods?

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8
Q

What questions do you collect regarding vaginal discharge?

A
  • Ever had discharge?
  • Abnormal (yellow, black…)?
  • Hygiene practices (tight clothing, sprays)?
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9
Q

What questions do you ask regarding sexual activity?

A
  • Multiple sexual partners?
  • Satisfaction?
  • Sexual preferences?
  • STIs?
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10
Q

What questions would you ask regarding contraception?

A

Types of contraceptives/understanding of use.

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11
Q

What additional questions would you ask the aging woman?

A
  • Vaginal bleeding (abnormal)
  • Discharge with intercourse (atrophy)
  • Pressure in genital area (abnormal)
  • Leak of urine when coughing/sneezing?
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12
Q

When beginning a physical assessment for female genitourinary,

what positions do you use?

A

Seated at beginning (trust)

Lithotomy (for examination)

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13
Q

When woman is in lithotomy position, how should you cover her?

A
  • Fully drape stomach and legs; only be able to see vulva.
  • Be able to see her face.
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14
Q

How do you position women in lithotomy positions to make them feel less vulnerable/more comfortable?

A
  • Raise head
  • Allow a chaperone, at head of bed.
  • Allow stoppages
  • Communicate what you are doing.
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15
Q

What is a pap smear?

What may happen following procedure?

A

Scraping of cells from cervix that tests for cervical cancer.

  • Patient may experience bleeding after procedure
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16
Q

What types of cancers can be detected from pap test?

A

Cervical

not endometrial/ovarian cancer

17
Q

What are preparations for pap smear?

A
  • Do not schedule during menstruation
  • No sex/vaginal medications 24 hours before
  • Empty bladder before
18
Q

When sending pap smears to lab, what other information should be provided?

A

Anything that can alter info.

Is she pregnant?

Infections?

DOB

19
Q

What types of testing can be done for STIs:

Discharge/lesions (chlam/herpes)

HIV

A

Lesions: Swab and culture

HIV: EIA; detects antibodies

Western Blot; determines strain (after EIA)

20
Q

How long do EIA test results take?

A

3 weeks-3 months

21
Q

What are expected changes to aging women?

A
  • Decreased bone density
  • Decreased skin elasticity
  • Risk for pelvic floor weakening
  • Atrophy of vaginal walls
22
Q

Because of atrophy to vagina in old age, what occurs in older women?

A

Less vaginal secretions.

Pale looking cervix

23
Q

What is the most common cause of cervical cancer?

What are the preventative measures?

A

HPV; causes changes to cervical cells

New vaccine

24
Q

How common is HPV?

A

Very; most people are infected

Virus does not usually manifest

25
Q

How often should patients receive pap smear (to detect cervical cancer)?

A

Age 21-29: Every 3 years

Age 30-65: every 5 years

Stop screening at 65 unless patient is high risk

PCC1 Exam 2 (9 decks)

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