Female Genitourinary system

Question 1

List the external genitalia

Answer 1

mons pubis
symphysis pubis
labia majora
labia minora
frenulum
clitoris
urethral meatus
paraurethral glands
vaginal orifice
hymen
vestibular glands

Question 2

List the internal genitalia

Answer 2

vagina
Cervix
squamocolumnar junction
anterior fornix and posterior forniz
rectourine pouch
uterus
fallopian tubes

Question 3

What are some developmental considerations for infants?

Answer 3

age of menarche
Tanner’s table of sexual maturity
Position
External examination always most sufficient

Question 4

What are some developmental considerations for pregnant women?

Answer 4

changes to uterus
vaginal secretions
hyperema of externl genitalia
Presence of varicose vins/hemorrhoids
Chadwicks’ and Hegar;s signs on internal exam

Question 5

What are some developmental considerations for adolescents?

Answer 5

special needs during exam
Normal physiological leukorrhea
When pelvic exam required

Question 6

What are some developmental considerations for older women?

Answer 6

Rapid decrease in hormones
stages of menopause
shrinkage of uterus and ovaries
more fragile vaginal surfaces
physiological changes in sexual response cycle

Question 7

Cultural and social considerations

Answer 7

Female circumcision and health implications (illegal)
STI-chlamydia rates continue to increase
Increases HIV and AIDS in women
UTI who is more prone

Question 8

Subjective Data:Health History Questions

Answer 8

Menstrual history
Obsetrical history
Menopause
Self-care behaviours
Urinary symptoms
Vaginal discharge
Past history
Sexual activity
Contraceptive use
STI contact
STI risk reduction

Question 9

What are some additional health history questions for infants

Answer 9

urination problems
genital problems
molestation

Question 10

What are some preadolescent and adolescents

Answer 10

puberty and menstruation
information and disease
immunization
molestation

Question 11

Additional history questions for older women

Answer 11

bleeding and vagina problems
incontinence
sexuality

Question 12

HPV?

Answer 12

Human papillomavirus
prevents cervical cancer
risk factors are low socioeconomi status, sexually active at a young age, multiple partners, older, immiggrant, indigenous women , smoker, weakened immune system, multipara, multipara

Question 13

HPV vax

Answer 13

ages 9-14 years can recieve the HIV vaccine (2-3 doses)
health females and males 15 yers and older can get 3 if not previously immunized