Flashcards in Female Lab Quiz Deck (38):
Risk factors for Endometriosis
-Asian or Caucasian
Risk factors for Hemorrhoids
-Low fiber diet
-Low water intake
Risk factors for Uterine fibroids
Risk factors for cervical cancer
-Multiple sexual partners
-History of anticontraceptives
Risk factors for uterine cancer
-History of fertility drugs
Risk factors for breast cancer
-History of using anticontraceptives
Which STD has painful itchy vesicles that come and go?
What are the potential complications of a chlamydia infection later in life?
Pelvic inflammatory disease (PID), infertility, complications of pregnancy, greater susceptibility to other STD's such as HIV
A patient discovers a lump in her breast... Are most lumps cancerous?
How often should a woman have a breast exam done by a health professional?
25? Every 3 years
3 main parts of the female exam in order
How do you assess for urinary incontinence?
Look at the urethra while the patient bears down; note leakage of urine
Which should you palpate first: The Skene's or Bartholin glands? Why?
Skene's, so that you don't introduce perianal bacteria into the vagina or urethra
If the Bartholin glands have purulent foul yellowish discharge what would you suspect?
Either a staph infection or an STD (most likely gonorrhea)
If the cervical os looks like this >----
The woman is parous (has delivered a baby)
In which part of the exam might we visualize endometrial lesions?
In which part of the exam might we visualize Nabothian cysts?
What are we screening for when we take a sample from the cervix with a spatula, brush, or broom?
Abnormal cells; early detection of cervical cancer
If you move the cervix during the bimanual part of the exam and it hurts the patients or the cervix is fixed and won't move, you suspect what?
Pelvic Inflammatory Disease (PID) or Endometriosis
List the 4 required steps of the rectal-vaginal exam
1) Assess muscle tone (patient squeezes around the finger)
2) Palpate rectovaginal septum
3) Palpate the posterior aspect of the cervix and uterus
4) Palpate the rectal walls (done last to avoid contamination
When is the best time to discuss any findings or concerns you have about this exam?
After the patient is dressed
4 questions to ask prior to the exam
Any changes in urination, defecation, sexual function, or with the menstural cycle?
Number of layers of gloves on our dominant and nondominant hand
Dominant = 3
Nondominant = 1
The first thing we inspect on the genitalia
Varicosities of the vulva as seen on inspection
Increased vaginal discharge
Pulsation of blood vessels at the vaginal fornices
Softening of the cervix
A central soft spot at the utero-cervical junction
Softening of the uterine isthmus
Fundus flexes easily on the cervix
Fullness and softening of the fundus near the site of implantation
Braun von Fernwald sign
Palpable lateral bulge or soft prominence of one uterine cornu
Bluish color of the cervix, vagina, and vulva
How often should a women get a pelvic exam?
Beginning at age 21, women should have a pelvic exam and Pap smear every 2 years to check for cervical cancer. If you are over age 30 or your Pap smears have been negative for 3 times in a row, your doctor may tell you that you only need a Pap smear every 3 years.
Findings noted upon inspection related to pregnancy
Findings noted during the speculum exam related to pregnancy