Function of ovaries
Hormones estrogen and progesterone
Cessation of mensuration and ovarian function.
Occurs b/n 45-55 years
Absence or cessation of menses
Causes other than pregnancy that cause amenorrhea
Women’s body fat drops below certain percentage
Emotional problems or extreme stress
Acute or chronic infection of the upper reproductive orgnas
Chief s/s of PID
pelvic pain and fever
s/s of BV
Itching, burning, pain, foul-smelling discharge
Lower abd pain, low back pain, nausea, fever, pain w/ sex, bleeding b/n menstrual periods.
s/s genital herpes
blisters or painful sores, fever, muscle aches, headache, dysuria, vaginal discharge, swollen glands in groin area
dysuria, yellow or blood foul odor discharge, and occult blood with intercourse.
Cramping, abd pain, n/v, bleeding b/n menstrual cycle
STDs that can progress to PID if not treated.
BV, chlamydia, gonorrhea
How is syphilis trasnmitted?
Direct contact with open sores
Frothy, yellow-green vaginal discharge with strong odor
Irritation or itching, discomfort during intercourse, dysuria, and lower abdominal pain
Conditions that can cause vaginal yeast infections
Oral contraceptives, menstruation, pregnancy, DM, and abx
s/s of vaginal yeast infection
itching, burning, soreness of vagina and vulva vulvar swelling thick, white discharge pain w/ intercourse dysuria
What is the leading cause of maternal death during the first trimester?
Internal hemorrhage in abdomen following rupture of ectopic pregnancy
When should you consider an ectopic pregnancy?
Sudden onset of stabbing and unilateral pain in lower abd
A history of ___, ___, ____ should heighten your suspicion for possible ectopic pregnancy.
PID, tubal ligation, ectopic pregnancy
malaise, fever, constipation or uncomfortable bowel movements, vaginal bleeding and/or discharge, abd distention, and lower abd or pelvic pain.
Bowel sound may be decreased and pain may be elicited w/ palpation
placenta develops over or partially or completely covers the cervix
premature separation of the placenta from the wall of the uterus
s/s placenta previa
significant vaginal bleeding and mild pain
s/s abruptio placenta
little vaginal bleeding and moderate to severe pain
Ectopic pregnancies are usually recognized during the first ____ weeks of pregnancy
6 to 8
G : # of pregnancies
P : # of pregnancies carried to term
A : # of miscarriages, stillbirths, or abortions
Management of vaginal bleeding
Treat for shock
Place in supine
Oxygen even if not experiencing SOB
Administer 20-mL/kg bolus of isotonic crystalloid solution - nl saline or lactated ringer
Treat external lacs, abrasions, and tears w/ compresses