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20 Cards in this Set
- Front
- Back
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With Pelvic Floor Dysfunction/Vaginal wall prolapse: a prolapse of the upper posterior vaginal wall between the vagina and the rectum, where a part of the bowel from the loop of ? loops down and protudes through the weakened spot is called a ?
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Enterocele,
Loop of Douglas |
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With Pelvic Floor Dysfuntion/Vaginal wall prolapse: when the POSTERIOR wall of the vagin weakens during defecation, and feces in the rectum protrudes into the vagina it is called a ? The pt may have difficulty with ?s. ? pressure may be required. The RN should teach the pt to avoid ?
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Rectocele,
Bowel Movements, Digital, Constipation |
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Pelvic Floor Dysfunction/Uterine Prolapse: When the cardinal ligaments, that support the uterus and vagina, are unduly stretched during pregnancy and become weak allowing pelvic organs to prolapse into or out of the vagina it is called ?
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uterine prolapse
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Pelvic Floor Dysfunction/Uterine Prolapse: S/S of uterine prolapse include FFUCLP? Symptoms get worse with ?
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Feeling "everything is falling out",
Feeling of pelvic fullness, frequecy, urgency, incontinence, Constipation, Low backache, Pelvic pressure, STANDING |
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Uterine prolapse is measured in degrees from 1-3, with ?degree being the least intrusive and ? degree being the most intrusive. If the cervix is extended out of the vagina this would be ? degree.
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1stdegree,
3rd degree, 3rd degree |
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Nursing management for Pelvic Floor Dysfunction/Uterine Prolapse: Surgery called anterior and posterior ? is when sutures are placed to support the fascia to lift the bladder, perineum, rectum. A vaginal ? and ? replacement therapy can reduce genital ? and pelvic ? Teach the pt to do ? exercises, Graduated weighted ?s are placed into the vagina and held in place to increase ? strength
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Colporrhaphy,
Hysterectomy, Hormone, atrophy, relaxation, Kegel exercises, cones, muscle |
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If surgery is contraindicated for Pelvic Floor Dysfunction/Uterine Prolapse: Then a device called a ? may be inserted into the vagina to support pelvic structures.
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pessary
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Pessary Trivia: Historically Cleopatra is believed to have used a ball soaked in an ? Women have used a ball of ? and fruit like a ? and women have also been suspended by their ? and shaken.
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Astringent(shrinks body tissue),
Yarn, Pomegranate, feet |
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Uterine Leiomyomas are also called ?s. 25% of women have clinically detectable ?s and the cause is unknown. These fibroids are ? dependent and grow rapidly during ?-bearing years. They ? during menopause unless HRT is being used.
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Fibroids, Fibroids,
estrogen, childbearing, shrink. |
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S/S of uterne fibroids include: NEWPUBPA
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No S/S maybe, Excessive bleeding,
Weakness, Pelvic pressure, Urinary frequency, Bloating, PAIN!!!, Anemia |
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Uterine fibroid Tx: Depends on ?,?, and desire for future ? The pt may elect for ? only. If excessive bleeding is present ? may be necessary, Introducing an obstruction into the artery that supplies the fibroid called a uterine artery ?, occlusion may be performed.
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size, location, children,
observation, surgery, embolization |
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Uterine fibroid TX continued: Surgical removal of the fibroid which is called a ?, An ? may be performed. A ? may also be performed or meds to shrink the fibroids such as ? agonist
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Myomectomy,
Ablation, Hysterectomy, GnRh agonist |
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Uterine fibroids can be Dxd by ?, a ? can be performed to visualize inside the uterus. When Fluid is injected into the uterus and an x-ray is taken this is a ? or a puncture into the uterus to view it which is called a ?
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US,
hysteroscopy, hysterosalpingram, laparoscopy |
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RNs should not forget to look for ? infections and ? transmitted diseases when doing gynecological exams.
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vaginal,
sexually |
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The primary sites for cancer in the female reproductive organs are the ?,?,?. Cancer of the ?,?,? is relatively uncommon. Incidences of cancer increase with ?
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uterus, ovaries, cervix,
vagina, vulva, fallopian, age |
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The infection that causes yeast infection is called ?/? it is the most common form of ? IT IS NOT A ?
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Candidiasis/Moniliasis,
vaginitis, STD |
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Risk factors for Candidiasis/Moniliasis include being ?, ?, oral ?s, ? therapy.
Hallmark sign of yeast infection include ?, ? and ? tissue inflamed, burning upon ?, Vaginal discharge that looks like ? |
pregnant, DM, contraceptives, antibiotic,
itching, vulvar & vaginal, urination, cottage cheese |
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Yeast infection/Candidiasis/Moniliasis can be Dxd by a culture to look for ?
Tx may consist of non-prescription or prescription meds such as non-prescription Micanazole/?, Clotrimazole/? and prescription Fluconazole/? |
Candida Albicans,
Micanazole/Monistat, Clotrimazole/Gyne-Lotrimin, Fluconazole/Diflucan |
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Types of STDs: The STD that is caused by Trichomana Vaginalis is ? this is a ? protozoan. This STD is usually transmitted ?
S/S include -TRIMFP |
Trichomoniasis, Anaerobic, sexually,
THIN, Red/edematous, Itchy Vagina, MALODOROUS, FROTHY, Purulent with a yellow, green color, |
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Dx of Thichomoniasis is done by a ? mount slide.
Tx if not pregnant includes use of Metronidazole/? the pt should avoid ETOH intake while using this med b/c there may be an ? like reaction. The pt should avoid ? until a cure is established. If partner is not treated ? may occur. |
wet mount slide,
Metroindazole/Flagyl, Antabuse, sex, reinfection |
