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51 Cards in this Set
- Front
- Back
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Which glands secrete clear lubricating mucus during intercourse?
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Vestibular (Bartholin's) gland
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EXTERNAL GENITALIA = VULVA INCLUDES
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MON PUBIS
LABIA MAJORA LABIA MINORA FRENILUM CLITORIS VESTIBULE (URETHRAL MEATUS, OPENING OF SKENE'S GLAND, HYMEN, OPENING OF BARTHOLIN'S GLAND) VAGINAL ORIFICE |
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WHICH STRUCTURE OF THE INTERNAL GENITALIA CHANGE IN SHAPE AFTER BIRTH?
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OS: SLIGHTLY ENLARGED AND IRREGULAR
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WHAT IS THE NORMAL COLOR OF VAGINA AND CERVIX?
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SMOOTH AND PINK
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WHAT IS THE COLOR OF ENDOCERVICAL CANAL?
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RED AND ROUGH
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AT BIRTH, FEMALE INFANTS HAVE EXTERNAL GENITIALIA ENGORGED, WHY?
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BECAUSE OF THE PRESENCE OF MATERNAL ESTROGEN
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WHERE ARE THE INFANTS AND ADOLESCENTS' OVARIES LOCATED?
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ABDOMEN
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WHAT IS THE CHARACTERISTICS OF ASIAN FEMALES' PUBIC HAIR
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FINE AND SPARSE
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GOODELL'S SIGN
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CERVIX SOFTENS
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CHADWICK'S SIGN
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VAGINAL MUCOSA AND CERVIX LOOK CYANOTIC
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HEGAR'S SIGN
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ISTHMUS OF THE UTERUS SOFTENS (6-8 WEEKS)
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WHY VAGINAL AND CERVICAL SECRETIONS INCREASE DURING PREGNANCY AND ARE THICK, WHITE, AND MORE ACIDIC?
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BECAUSE OF THE ACTION OF LACTOBACILLUS ACIDOPHILLUS WHICH CHANGES GLYGOCEN INTO LACTIC ACID
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THE GOOD AND BAD SIDES OF ACIDIC pH DURING PREGNANCY?
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ACIDIC KEEP PATHOGNIC BATERIA FROM MULTIPLYING IN THE VAGINA, BUT THE INCREASE IN GLYCOGEN INTO LACTIC ACID
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WHY THE UTERUS SHRINK IN SIZE IN AGING FEMALE ADULT?
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DECREASED MYOMETRIUM
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WHY DOES VAGINA IN AGING ADULTS BECOME SHORTER, NARROWER AND LESS ELASTIC?
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BECAUSE OF INCREASED CONNECTIVE TISSUE
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WHAT ARE STRUCTURAL CHANGES OF VAGINA IN AGING ADULTS?
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VAGINAL EPITHELIUM ATROPHIES, BECOMING THINNER, DRIER, AND ITCHING
VAGINA BECOME SHORTER, NARROWER, AND LESS ELASTIC |
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WHAT ARE OTHER VAGINAL STRUCTURAL CHANGE IN AGING ADULTS
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DECREASED VAGINAL SECRETIONS, LEAVE THE VAGINA DRY AND AT RISK FOR IRRITATION AND PAIN WITH INTERCOURSE (DYSPAREUNIA)
VAGINAL ph BECOME MORE ALKALINE, AND A DECREASED GLYCOGEN DECREASED ESTROGEN MONS PUBIS LOOKS SMALLER BECAUSE THE FAT FAD ATROPHIES |
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AMENORRHEA
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ABSENT MENSES
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MENORRHAGIA
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HEAVY MENSES
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DYSMENORRHEA
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PAIN OR CRAMP MENSTRUATION
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TERMS:
GRAVIDA? PARA ABORTIONS |
GRAVIDA: NUMBER OF PREGNANCIES
PARA: NUMBER OF BIRTHS ABORTIONS: INTERRUPTED PREGANCIES INCLUDING ELECTIVE ABORTIONS AND SPONTANEOUS MISCARRIAGES |
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S/S OF MENOPAUSE
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HOT FLASH, NUMBNESS, TINGLING, HEADACHE, PALPITATIONS, DRENCHING SWEATS, MOOD SWINGS, VAGINAL DRYNESS
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SIDE EFFECTS OF HORMONE THERAPY INCLUDE? MAY PUT CLIENT AT RISK FOR WHAT?
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FLUID RETENTION, BREAST PAIN OR ENLARGEMENT, VAGINAL BLEEDING, POSSIBLY BREAST CANCER RISK
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WHAT HAPPENS TO FEMALE OFFSPRING WHEN MOTHER INGESTS DES (DIETHYLSTILBESTROL) DURING PREGNANCY?
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CAUSES CERVICAL AND VAGINAL ABNORMALITIES
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DYSURIA
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BURING AND PAINFUL URINATION
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NOCTURIA
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NIGHT URINATION MORE THAN ONCE
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HEMATURIA
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URINATE WITH BLOOD
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TRUE INCONTINENCE
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LOSS OF URINE W/O WARNING
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URGENCY INCONTINENCE
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SUDDEN LOSS, AS WITH ACUTE CYSTITIS
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STRESS INCONTINENCE
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LOSS OF URINE WITH PHYSICAL STRAIN FROM MUSCLE WEAKNESS
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FACTORS THAT INCREASE RISK OF VAGINITIS?
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ORAL CONCEPTIVES
BROAD SPECTRUM ANTIBIOTICS DIABETES MENSES, POST PARTUM, MENOPAUSE FREQUENT DOUCHNG SPRAY LOCAL IRRITATION |
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IF A FEMALE SMOKES AND TAKE CONTRACEPTIVE TOGETHER, SHE IS AT RISK FOR WHAT?
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VASCULAR PROBLEMS
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AS A NURSE, YOU KNOW WHEN TO CONSIDER INFERTILITY?
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AFTER 1 YEAR OF ENGAING IN UNPROTECTED SEXUAL INTERCOURSE W/O CONCEIVING
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WHAT ARE THE STEPS IN OBTAINING OBJECTIVE DATA?
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POSITION
EXTERNAL GENITALIA (INSPECTIONG, PALPATION) INTERNAL GENITALIA (SPECULUM EXAMINATION, INSPECT THE CERVIX AND ITS OS FOR COLOR, POSITION, SIZE, OS,OBTAIN CERVICAL SMEARS AND CULTURES, INSPECT VAGINAL WALL, BIMANUAL EXAMINATION, RECTOVAGINAL EXAMINATION) |
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HOW DO YOU POSITION FEMALE CLIENT FOR YOUR EXAMINATION?
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LITHOTOMY
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WHAT SHOULD YOU ASK YOUR PATIENT TO DO BEFORE THE EXAMINATION
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EMPTY THE BLADDER
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OBJECTIVE DATA: EXTERNAL GENITALIA (767): you are inspecting your client's external genitalia and you know that there should be no lesions, but it is normal that you found:
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sebaceous cysts = yellowish, 1-cm nodules that are firm, non-tender, and often multiple
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BULGING OF THE VAGINAL WALL INDICATES WHAT?
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CYSTOCELE, RECTOCELE OR UTERIN PROLAPSE
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INTERNAL GENITALIA: SPECULUM EXAMINATION: Why do you avoid using gel lubricant to lubricate your instrument at this point?
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Because gel lubricant is bacteriostatic and it may distort cells in the cytology specimen you will collect
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EXTERNAL GENITALIA: SPECULUM EXAMINATION (770): For easy insertion the speculum, you ask the woman to bear down , what is the benefit of that?
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to relax the perneal muscles and opens the introitus
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Nabothian cysts: Normal or Abnormal
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Benign growths that commonly appear on the cervix after childbirth
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Why should you obtain endocervical specimen last?
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the bleeding from pinking with the brush will not obscure cytologic evaluation
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The use of acetic acid wash to test for HPV infection, a normal response is no change in the cervical epithelium, what is the abnormal response of HPV Infection?
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Rapid acetowhitening or blanching, especially with irregular borders
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VAGINAL DISCHARGE ASSOSCIATED WITH CANDIDIASIS
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THICK, WHITE, AND CURDLIKE
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VAGINAL DISCHARGE: TRICHOMONIASIS
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PROFUSE, WATERY, GRAY-GREEN, AND FROTHY
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WHEN YOU EXAMINE SCHOOL-AGE CHILD, WHAT ARE YOU LOOKING FOR?
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STRUCTURES ARE INTACT, VAGINA IS PRESENT, HYMEN IS PATENT
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IS IT NORMAL THAT SANGUINEOUS VAGINAL DISCHARGE OR LEUKORRHEA FOUND ON INFANT DURING THE FIRST FEW WEEKS
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YES, BECAUSE OF THE MATERNAL ESTROGEN EFFECT
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INDICATION OF IMPERFORATE HYMEN?
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AMENORRHEA IN ADLESCENT, TOGETHER WITH BLUISH, AND BULGING HYMEN
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CRAB LICE (PEDICULOSIS PUBIS)
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S: SEVERE PERINEAL ITCHING
O: EXCORIATIONS AND ERYTHEATOUS AREAS |
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HERPES SIMPLEX VIRUS - TYPE 2
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S: EPISODES OF LOCAL PAIN, DYSURIA, FEVER
O: CLUSTERS OF SMALL, SHALLOW VESICLES WITH SURROUNDING ERYTHEMA INGUINAL EDENOPATHY, EDEMA VESICLE RUPTURES IN 1-3DAYS, LEAVING PAINFUL ULCERS |
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SYPHILITIC CHANCRE
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BEGIINS AS A SMALL, SOLITARY SILVER PAPULE THAT ERODES TO A RED, AROUND OR OVAL, SUPERIFICAL ULCER WITH A YELLOWISH SEROUS DISCHARGE
NONTENDER INGUINALLYMPHADENOPATHY |
