Pizzotti Sexuality 3

Question 1

How is Dysfunctional Uterine Bleeding defined?

Answer 1

Excessive and Frequent Bleeding for more than 21 days

Question 2

What are the two most common times that Dysfunctional Uterine Bleeding occur?

Answer 2

At either the beginning or at the end of a woman’s reproductive years.

Question 3

Does Dysfunctional Uterine Bleeding increase progesterone production?

Answer 3

Yes

Question 4

What are the two types of Dysfunctional Uterine Bleeding?

Answer 4

Anovulatory and Ovulatory

Question 5

What are the seven common risk factors of Dysfunctional Uterine Bleeding?

Answer 5

Obesity, Extreme weight loss or gain, Age older than 40 years old, High Stress levels, Polycystic ovary disease, Long term drug use, Excessive exercise

Question 6

What is the the nonsurgical intervention for Dysfunctional Uterine Bleeding?

Answer 6

Hormone manipulation

Question 7

What are the four surgical interventions for Dysfunctional Uterine Bleeding?

Answer 7

Endometrial ablation, Uterine artery embolization, Dilation and Curretage, Hysterectomy

Question 8

What is the overview definition of vulvovaginitis?

Answer 8

The disturbance of the balance of hormones and flora in the vagina and vulva

Question 9

How is vulvovaginitis characterized?

Answer 9

Itching, change in vaginal discharge, odor or lesions

Question 10

What are the two primary infections of vulvovaginitis?

Answer 10

Herpes genitalis, Condylomata acuminate

Question 11

What are the three secondary infections of vulvovaginitis?

Answer 11

Candidiasis, Crabs, Scabies

Question 12

How does a woman get Toxic Shock Syndrome?

Answer 12

By using a tampon that she inserts using a finger with staph aureus and leaving in for more than 6 hours

Question 13

Exotoxins produced from this bacteria cross the vaginal mucosa to the bloodstream via microabrasions from tampon insertion or prolonged use

Answer 13

Staphylococcus aureus

Question 14

What are the ten most common signs and symptoms of Toxic Shock Syndrome

Answer 14

Rash that often looks like sunburn, Abrupt onset fever, Myalgias, Sore throat, Edema, Hypotension, Broken capillaries in eyes and skin, Vomiting, Diarrhea, Headache, Keratolysis

Question 15

What are the two intravenous antibiotic treatments for Toxic Shock Syndrome?

Answer 15

Penicillin and Vancomyin

Question 16

It is the most common type of pelvic organ prolapse caused by neuromuscular damage of childbirth, increased intra abdominal pressure, or weakening of pelvic support also called “old lady stuff”.

Answer 16

Uterine prolapse

Question 17

What is the nursing intervention for uterine prolapse?

Answer 17

Teach women to improve pelvic support and tone via pelvic floor muscle exercises like kegels

Question 18

It is the protrusion of the bladder into the vagina wall, leading to urinary tract infection and urinary elimination problems, including stress incontinence.

Answer 18

Cystocele

Question 19

It is the protrusion of rectum through a weakened vaginal wall, leading to constipation, hemorrhoids, fecal impaction, and feelings of rectal or vaginal fullness.

Answer 19

Rectocele

Question 20

A benign, slow growing solid tumors of uterine myometrium

Answer 20

Leiomyoma

Question 21

What are the four types of leiomyoma?

Answer 21

Intramural, Submucosal, Subserosal, Pedunculated

Question 22

These are abnormal openings between two adjacent organs or structures, as manifested by feelings of wetness or dribbling and smelling of stool in the vagina

Answer 22

Fistulas

Question 23

This results from obstruction of the duct of the Bartholin gland from infection, thickened mucus near the ductal opening, or trauma such as lacerations.

Answer 23

Bartholin Cyst

Question 24

Penduculated tumors arising from the mucosa extending through the opening of the cervical os.

Answer 24

Cervical polyps

Question 25

It is the most common gynecologic malignancy and grows slowly and has a good prognosis.

Answer 25

Endometrial Cancer

Question 26

This stage of endometrial cancer is confined to the endometrium.

Answer 26

Stage I

Question 27

This stage of endometrial cancer involves the cervix.

Answer 27

Stage II

Question 28

This stage of endometrial cancer reaches the vagina or lymph nodes.

Answer 28

Stage III

Question 29

This stage of endometrial cancer has spread beyond the pelvis.

Answer 29

Stage IV

Question 30

It is the main symptom of endometrial cancer.

Answer 30

Postmenopausal bleeding

Question 31

These are the two gold standard tests to determine the presence of endometrial thickening and cancer.

Answer 31

Transvaginal utrasound, Endometrial biopsy

Question 32

Give the two most important interventions for endometrial cancer

Answer 32

Surgical removal of the tumor and lymph nodes, Cancer staging of the tumor with adjacent lymph nodes

Question 33

It is a type of primary uterine cancer, manifested by painless vaginal bleeding.

Answer 33

Cervical Cancer

Question 34

What are the two types of cervical cancer?

Answer 34

Squamous carcinoma and Adenocarcinoma

Question 35

A precancerous type of cervical disease when the lower third of the epithelium contains abnormal cells with carcinoma confined to the epithelium.

Answer 35

Cervical dysplasia

Question 36

What is the name of the screening test for cervical cancer?

Answer 36

Pap tests

Question 37

What are two ways that early-stage invasive cancers are managed?

Answer 37

Radical surgery and radiation

Question 38

This is both a diagnostic procedure and a treatment for cervical cancer, which provides a specimen that can be examined by pathologist.

Answer 38

Loop Electrosurgical Excision Procedure or LEEP

Question 39

A procedure being performed one week after a patient's last menstrual period, which uses a probe to freeze abnormal tissue and a small amount of normal tissue.

Answer 39

Cryosurgery

Question 40

Uses a carbon dioxide laser and which healing takes place in 3 to 6 weeks.

Answer 40

Laser Surgery

Question 41

What is a hysterectomy?

Answer 41

Removal of the cervix and uterus

Question 42

What are the three risk factors of hysterectomy?

Answer 42

Infection, Hemorrhage, Pulmonary embolism

Question 43

This type of cancer can be treated with surgery, radiotherapy, or a combination of both.

Answer 43

Invasive Cancer

Question 44

What are the five factors to assess during the early stages of recovery following hysterectomy?

Answer 44

Hemorrhage and shock, Pulmonary complications, Fluid and electrolytes imbalances, Renal and urinary complications, Pain

Question 45

Name the three types of radiation therapy.

Answer 45

Internal, External and Interstitial

Question 46

What are the three major complications of radiation therapy?

Answer 46

Radiation cystitis, Proctitis and Fistula formation or vesicovaginal

Question 47

This is the leading cause of death from female reproductive cancer, with low survival rates attributed to late detection.

Answer 47

Ovarian Cancer

Question 48

These two are both elevated when ovarian cancer is present.

Answer 48

Cancer antigen 125, Alpha fetoprotein

Question 49

Removal of the ovaries and fallopian tubes

Answer 49

Total abdominal hysterectomy and bilateral salpingo oopherectomy

Question 50

What are the four early signs of ovarian cancer?

Answer 50

Bloating, Abdominal distention, Changes in bowel patterns, Vaginal bleeding

Question 51

It is used to detect and evaluate ovarian masses.

Answer 51

Transvaginal ultrasound

Question 52

Name the four chemotherapy and anti neoplastic agents used after surgery to destroy cancer cells that may have spread into the abdominal cavity

Answer 52

Doxorubicin, Vincristine, Paclitaxel, Cyclophosphamide