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209 Cards in this Set
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- Back
Symptoms 7-10 physical and emotional signs days before menstruation |
PMS |
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Excessive estrogen, deficient progesterone or both Hypothalamic-pituitary dysregulation: effects of reproductive horones on brain endorphines. Melatonin, and serotonin. |
PMS (Premenstrual syndrome) |
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Weight gain, irritability, personality changes, depression, abdominal bloating, pain, or tenderness of the breast, breast enlargement, craving for sweets, swelling of ankles, feet, and hands: anxiety or increased physical activity. |
PMS |
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Daily recordings of her symptoms Symptoms for at least 2 months. Common finding is that client is mentrual free. |
Menstrual Dairy |
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Hormonal drug treatment in PMS deal with the fluctuations of |
Estrogen and Progesterone. |
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Oral contraceptives ,progesterone, synthetic androgens, or gonadotropin-releasing hormone (GnRH) analog such as histrelin (Supprelin) and nafarelin (Synarel) for 6 month. |
Used In PMS Hormone Therapy |
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Tranquilizer or Antidepressants such as Fluoxetine (Prozac), Non-Analgesics such as Mefenamic acid (Ponstel), ibuprofen (Motrin), and Naproxen (Anaprox): |
Used in PMS discomfort |
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100-mg Vitamin B6 reduce irritability, fatigue, and Depression in |
PMS |
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400 international units of Vitamin E to reduce tenderness for: |
PMS |
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1200-mg calcium in divided doses three times a day before to relieve bloating and body ache\ 400-mg magnesium to relieve pain, water retention and dysphoria used for: |
PMS |
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Eating Six meals per day, including complex carbohydrate and foods high in calcium while reducing sugar and salt for what condition: |
PMS |
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Reduce or eliminating caffeine to relieve irritability and ease tenderness, Eliminate alcohol prior to menstrual avoid depression or mood swings, aerobic exercises 30 min a week, sufficient sleep each night, manage stress more effectively by performing progressive muscle relaxant, deep breathing exercises, or practicing yoga: |
PMS |
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Painful menstruation that may be primary or secondary: |
Dysmenorrhea |
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T\F Increasing aerobically 30 min and sleep each night help PMS: |
T |
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T\F eliminate alcohol intake before menstruation to stop mood swings or depression |
Y |
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T\F Muscle relaxant Yoga, deep breathing Exercises help PMS: |
T |
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What is drug therapy used for: Oral contraceptive, progesterone, synthetic androgen or gonadotropin releasing hormone (GnRH) analog such as histrelin (Supprelin) and nafarelin(synarel) for 6 months to aid in fluation of progesterone and estrogen. |
PMS |
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PMS: Diary PMS Chart goes from 0-1-2-3 (disabling) |
T |
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Depression, Anxiety, Irritability, Lethargy, Insomnia, Forgetfulness, and confusion apart of what chart? |
PMS Diary |
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Swelling, Breast Tenderness, Abdominal bloating, palpitations, weight gain, Constipation, headache, Rhinitis, are part of physical symptoms for what chart? |
PMS Diary |
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Mentrual Cramps, Painful intercourse, pelvic pain, Backache signs of what on what chart? |
PMS Diary |
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Oral contraceptive is drug therapy in what disorder?: |
PMS |
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T\F estrogen levels are suptessex while on drug therapy for PMS? |
True |
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Bone Density. Uncomfortable sex and vaginal dryness occurs in taking: For PMS |
GnRH analog |
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NSAIDS used in PMS for pain relieve with GnRH should be take with: To avoid gastric distress |
Foods |
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PMS occurs? |
7 to 10 Days before Period. |
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Excessive Estrogen and deficient Progesterone causes: |
PMS |
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Painful mentruation is: |
Dysmenorrhea |
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Dysmenorrhea (painful menstruation) that is idiopathic and no abnormality is found is what of the 2 types of menstruation? |
Primary Dysmenorrhea |
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What type of dysmenorrhea is caused by Endometriosis(tissue of the uterus growing on outside not inside), Displacement of Uterus, and Fibroid Uterine Tumor. |
Secondary Dysmenorrhea |
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T/F: Secondary Dysmenorrhea is chased by underlined Bad Condition: |
True |
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Lower Abdominal pain, cramping, Worsened by fatigue, cold and Tension: Signs of what Menstrual issue? |
Dysmenorrhea |
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Dysmenorrhea is treated by treating underlying cause and with with : |
Non-narcotic analgesic . |
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Contraceptive pills for 2 to 3 months And discontinued can provide |
Less Menstrual pain |
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Symptom relief by heat, warm shower, moist heating pad, or wattle bottle for what: |
Dysmenorrhea |
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Retroversion or backward tilt of Uterus in Dysmenorrhea can be helped by: |
Knee-Chest Position |
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What position is used in Dysmenorrhea for discomforts? |
Knee To Chest |
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Adequate rest, nutrition, less stress, can help in Dysmenorrhea why? |
Help Cope with Discomfort |
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What is the Absence of menstrual flow? |
Amenorrhoea |
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A women who has never menstruated and is of productive age? |
Primary Amenorrhea |
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When mentruation Stops after mentruation has occurred its: |
Secondary Amenorrhea |
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Occurs when Ovaries, Uterus have been removed, Occurs normally during pregnancy, after Menopause, Thru Lactation |
Secondary Amenorrhea |
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Occurs normally in Pregnancy (menstrual flow) |
Secondary Amenorrhea |
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Menopause can cause what type of stop in Mentrual flow: |
Amenorrhoea |
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Infrequent Mentruation is: |
Oligomenorrhea |
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T/F: A adolescents girl experiences infrequent periods before she establish menses: is this normal? |
True |
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Hypothyroidism, stress response , lean body mass cuases: |
Oligomenorrhea |
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Female athletes , anorexic nervosa, debilitating diseases have low level estrogen does what? |
Cease mentruation |
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Premature ovarian failure and Polycystic ovarian syndrome cuase |
Oligomenorrhea |
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Ovaries cease to function in women than 40, Early in teens: |
Premature ovarian failure |
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Irregular menses and Natural menopause like s\s: |
Premature Ovarian Failure |
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Depleted follicles or unresponsive to FSH |
Premature Ovarian Failure |
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Autoimmune attack can destroy ovarian follicles and cuase: |
Premature Ovarian Failure |
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Follicles that are programmed lack maturity to get help from other mature follicles and result in: |
Premature Ovarian failure |
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Luteinized follicles: |
Do not release |
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POF is diagnosed by: |
Sample of Blood |
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Higher that normal level of FSH, history of irregular menses and premature cessation of period: |
POF |
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Characterized by cluster of s/s such as amenorrhea and Oligomenorrhea. |
Polycystic Ovarian Syndrome |
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Polycystic Ovarian Syndrome age group: |
20 to 40 years of age |
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Gynecologic exam and physician palpitates ovaries feels enlarged multi fluid filled cysts in ovarian follicles its: |
Polycystic Ovarian Syndrome |
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Vaginal ultrasonography and blood test confirm: |
Polycystic Ovarian Syndrome |
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Progesterone that depress menstrual or Ovum not secreated by effected follicle in: |
Polycystic Ovarian Syndrome |
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Multiple Endocrine Abnormalities such as overproduction of insulin, and high testorone levels is: |
Polycystic Ovarian Syndrome |
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Interference with mentruation/Ovulation, weight gain, excessive growth of body hair, acne, thinning hair or baldness, abnormal lipid levels and hypertension sign of: |
Polycystic Ovarian Syndrome |
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Treatment to offset excess testosterone and regulate menstul cycle thru contraceptive for what: |
Polycystic Ovarian Syndrome |
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Oral hypoglycemic agent aka metformin and Progestin agent given to Polycystic Ovarian Failure p/t who want to: |
Conceive |
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Lipid lowering agent and antihypertensive are given to Polycystic Ovarian Syndrome P/T to lower: |
Lipids and Blood Pressure |
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Excessive Bleeding at the time of Normal Mentruation: |
Menorrhagia |
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Period that longer than 7 days, two pads per day or extends added 3 or more days: |
Menorrhagia |
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Endocrine, Coagulation, or systemic disorders can cuase: |
Mennorrhagia |
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NSAID, Progestin, hormonal contraceptives in combo with estrogen and Progestin used for: |
Menorrhagia |
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NSAID reduce Prostagladin, chems in edometrial tissue that stimulate Uterus use for what: |
Menorrhagia |
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Tranforms proliferation endometrium into a secretory endometruim that simulates a pregnant state used in Menorrhagia: |
Progestin and Synthetic forms |
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"Pill period" from hormonal contraceptive produce what in Menorrhagia? |
Light Bleeding |
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Dilation and Curettage can be use in what excessive bleeding but only last 1-2 months: |
Menorrhagia |
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Endometrial Ablation is non surgical alternative for what? |
Menorrhagia |
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Detachment of lining of Uterus for Menorrhagia: |
Endometrial Ablation |
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Photodynamic therapy or uterine gallon therapy (endometrial Ablation) used in: |
Menorrhagia |
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Photodynanic therapy: Photosensitive substance applied in endometrial tissue, laser sloughs used in: |
Menorrhagia |
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Uterine Balloon therapy, heated balloon cuasing Sloughing of uterus lining used in: |
Menorrhagia |
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Dilation and Curettage (D and C) used for syptomic relief: in |
Menorrhagia |
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Vaginal bleeding at a time other than mentrual period: |
Metrorrhagia |
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Amount of blood in Metrorrhagia not important, its important that it: |
Occurs |
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Irregular bleeding often results from an erratic stimulation of renouncer to what in Metrorrhagia: |
Pituitary or Ovarian Hormone |
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Spotting for a day or two in between periods due to ovulation is not considered: |
Abnormal |
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Uterine malignancies, cervical irritation, or breakthrough bleeding occurring from hormone replacement therapy or low dose hormonal contraceptive is: |
Abnormal |
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Intermenstrual or postcoital bleeding needs evaluation: |
Asap |
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Unexpected bleeding see: |
Physician. |
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Whose role in bleeding disorder to gather appropriate info, assist gyno exam, suggest discomfort relief, instruct client for drug therapy, prep for surgery, recovery help, health teach: |
Nurse! |
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Cessation of Menstrual cycles: |
Menopause! |
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Climatic and perimenopausal period is when: |
Ovarian activity gradually cease. |
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Menopause begins when period ends: |
1 year post |
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Menopause occurs age: |
45 to 55 |
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Surgical menopause from ovary removal occurs any: |
Age |
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Osteoporosis and Cardiovascular disease occur in Menopause when what decreases? |
Estrogen |
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Ovarian function diminishes what occurs: |
Menopause |
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In menopause Levels of estrogen and progesterone drop and hypothalamus raises them by raising what? Which stimulates PG to release FSH and Luteinizing Hormone: |
GnRH |
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Hypothalamic-Pituitary stimulation in menopause is responsible for: |
Hot flashes, sleep disturbance,irritability or depression, vaginal dryness, diminished libido, or dyspareunia uncomfortable sex, and disequilibrium in mood. |
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Thin vaginal walls, |
Estrogen Deficiency. |
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Test that show decrease in estrogens production: |
Cytologic examination of Vag and Cervical Smear. |
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Hormone replacement therapy used estrogen + progestin, ERT estrogen replacement therapy, estrogen alone for: |
Menopause |
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Increase in breast cancer, heart disease, bloot clots, stroke amongst for: |
HRT and ERT |
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Risk for fatal and bin fatal stroke ; increase in endometrial cancer. |
Estrogen |
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Increase risk for stroke and blood clots, risk for dementia 65 and up, gallbladder disease |
Estrogen with or w/o Progestin |
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Increased risk of breast cancer and heart attack, not with estrogen alone |
Estrogen with progestin |
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Osteoporosis,menopause s/s such as hot flashes, night sweats, and vaginal dryness treated with: |
Low Dose Estrogen |
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Estrogen,Cortisone Cream, or Ointment reduce: |
Vaginal Dryness |
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Low grade androgens restore what in menopause: |
Sex Drive |
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Tranq's and Antidepressants are prescribed for: |
Menopause |
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Bisphosphonate or selective estrogen receptor modulators prevent what in menopause instead of HRT: |
Osteoporosis |
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O Phytoestrigen like isoflavones in soy products, lignans in flaxseed, reduce hot flashes and: |
Menopause symptoms |
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Bioidebtical hormones contain: |
Soy |
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Phytoestrogen isoflavones soy products and lignans in flaxseeds used in: |
Menopause |
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Do not give alendronate(fosamix),risedronate (actonell), or ibandronate (boniva) they: |
Prevent Bone Resorption/ No milk given |
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Alendronate (fosamix, risedronate actonell, or ibandronate boniva: |
Remain upright for 30 minutes |
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Inflamed Vagina |
Vaginitis |
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Feminine hygiene problems, allergy c reaction, age related tissue changes, atrophic vaginitis with menopause, etiology, infection cause: |
Vaginitis |
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Bacteria gardenerella vaginalis, the protozoan trichomona vaginalis, yeast fungus candida cuase: |
Vaginitis |
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Acidic use antibiotics and frequent douching eliminate bacilli that promote: |
Health |
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Thick moisture consistency of vag tissue stop of: |
Estrogen |
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Preg girls, unhelped diabetes, hormonal contraception w\ estrogen and glycogen support; |
Bacteria |
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Antibiotics create C. Albicans which cuasr;: |
Vaginitis |
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Vaginitis change with age + more alkaline who effected? Vaginitis |
Older women |
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Test for glucose in blood and pelvic exam for? |
Vaginitis |
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Abnormal vaginal discharge is: |
Vaginitis |
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Curdy white, thick, strong odor, burning pee vaginitis: |
Candida Albicans |
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Yellow white, foamy, foul smell, sever itching: |
Trichomonas vaginalis |
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Gray white, watery , fishy, more discharge after sex: |
Gardnerella Vaginalis |
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Itching, burning. Redness sign of; |
Vaginitis |
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Visual and microscopic exam of bag secretion diagnos: |
Vaginitis |
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Antifungal, antiprotozal, and antibiotic agent treat: |
Vaginitis |
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Atrophic vaginitis relieved with: |
Estrogen replacement |
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Regulate blood glucose to prevent what vagina condition? |
Vaginitis |
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Douche daily for 10 to 14 days with 1 of 2 tablespoons in 1 pint waterfor : |
Vaginitis |
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Lactobacillus acidophiles or eat yogert with actice cultures of lactobacilli replenish good bacteria where? |
Vagina |
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Sitz bath relieve itching, burning, swelling of vulva, perineum in what? |
Vaginitis |
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Trichomoniasis and Gardenerella Vaginalis treated with: |
Antoprotozoal |
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Headache, dizziness, ataxia, unpleasant metallic taste, anorexia, nausea, vomiting , diarrhea, dark urine med for vaginitis: |
Antiprotozal |
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Antifungal Clottimazole(Gynelotrimin), miconazole (monistat), Terconazole (Terazol), tioconazole (vagistat) treats what vaginitis: |
Candidiadis |
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Antifungal Clottimazole (gynelotriminil), miconazole ( monidtat), terconazole (terazol), tioconazole (vagistat) side effect: |
Erythema, stinging, slight urinary frequency, vomiting, nausea, cramping. |
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Clotrimazole (gynelotrimin), miconazole (monistat), teraconazole (teraziol), tioconazole (vagistat) placement: |
Remain recumbent for 10-15 minutes or admin at bed time tablets high in vag |
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Antiprotozal metronidazol is contraindicated in what trimester of prego? |
1st |
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Dark urine occurs in what vaginitis drug: |
Antiprotozal Metronidazole (flagyl) |
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Antibiotic Sulfisoxazole (Gantrisin) treats: |
Chlamydia Trachomatis |
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Headaches, Nausea, Vomiting. Abdominal Pain, agranulocytosis, photosensitivity, hematuria occur in what vaginitis drug: |
Antibiotic Sulfisoxazole (gastrisin) |
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Administer Sulfisoxazole gantrisin on : |
Empty stomach |
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Report Blood in urine, rash, fever. Difficulty breathing. Drowsiness,nausea, vomiting or diarrhea in what drug for vagitis: |
Antibiotic Sulfisoxazole (gastridm) |
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Infectious microorganisms, decreased estrogen levels during menopause, or trusma during gyno visit or inserting tampons or bag med applicators: |
Cervicitis |
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Streptococcal, staphylococal, gonorrheal, and Chlamydial etiologies to what?: |
Cervicitis |
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Cervicitis increases during: |
Pregnancy |
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Infection can travel up uterine and tubal structure call, scarring and causing ectopic prego or difficulty conceiving in: |
Cervicitis |
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Dyspareunia or painfull inter coarse/ slight bleeding after sex, weight in pelvis feeling, sporting or vsg discharge sign of: |
Cervicitis |
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Visual exam diagnosis as and cervical swab smear identifies what?: |
Cervicitis |
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Douches and local systemic antibiotics treat: |
Cervicitis |
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Cervical or bag packing or electric coagulation of blood vessels required in: |
Frank bleeding. |
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Cervicitis healung : |
6 to 8 wks |
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Conization removes: |
Diseased Cervics |
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Surgery for Cervicitis is done: |
5 to 8 days end of menstrual period |
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Momentary cramping during: |
Electrocautery procedure for cervicitis |
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Rest for 1 to 2 days, slight bleeding about 11 day, folow up 2 to 4 wks, abstsin from sex until heal, healing tske 6 to 8 wks,avoid lifting, rest in bed - report slight bleeding, frank bleeding go back to hospital, expect grayish green maloodoroys discharge 3 weeks after cautery for: |
Cervivitis |
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Infection of pelvic organs other than the uterus: |
Pelvic inflammatory disease |
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Ovaries(oophoritis), fallopian tubes (salpingitis), pelvic vascular dystem , and pelvic structure involved in; |
Pelvic inflammatory Disease |
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Infectious malodorous discharge, backache, severe or aching abdominal and pelvic pain, a bearing down feeling, fever, dyspareunia, nausea and vomiting, Menorrhagia and dysmenorrhea relate to: |
Pelvic inflammatory disease |
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Culture and sensitivity test of bag discharge given for: |
Pelvic inflammatory disease |
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Ultrasonography, magnetic resonance imaging (MRI), or computed tomography (ct) may show: |
Pelvic abscess |
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Antipyretic used for: |
High tempt |
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Ruptured pelvic abscess require: |
Emergency surgery |
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Pelvic inflammatory disease do not dough in : |
48 hrs |
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Staphylococcus as aureus, streptococcus pyogenes, and clostrigduim sordelli cuase: |
Toxic Shock |
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TSS occurs in: |
Men and non mentruatiing women with soft tissue post operative infection |
|
Tampons not changed and birth control on inside cuases |
Toxic shock syndrome |
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Abundent bacteria and that go unchecked by normal body defense cuases: |
Toxic Shock |
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Whst conditiob creates Bacteris in what disorder cuases blood vessels to dilate and keep blood volume down their, reduce cardiac out, and sever hypo ten shock: |
Toxic Shock Syndrome |
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Fever. Chills, tenderness, or pain, in muscle, nausea, vomiting, diarrhea, hyootension, hyoeremia rdness a and congestion of muscle membrane did orientation and head ache: |
Toxic shock syndrome |
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Palm rash and shedding, skin is warm, pulse rapid and threedy, means: |
Toxic shock syndrome |
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Aspartate amino transfer and alanine amino transferase elevat under: |
Toxic shock syndrome |
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Blood urine nitro, serum creatinine, and serum bilirubin elevated in what? |
Toxic shock syndrome |
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Oxacillin(ptostaphlin), nafcillin(nafcil), methicillin (staphcillin) used in: |
Toxic shock syndrm |
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Conteresct vasodilation dopamine intropun and dobutamine dobutrex is used for |
Toxic shock syndrome |
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Toxic shock may require oxygen at: |
Cell level for metabolism |
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Nurse report urine output less than 500ml and place pressure on wound sites in what: |
Toxic shock |
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Tissue that suppose to be inside uterus found outside |
Endometriosis |
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Ovaries. Pelvis, and abdominal cavity can contain: |
Endometriosis |
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Embroyonic tissue remaining , retrograde mentruation. Follpians expelling endometrial tissue cuases: |
Endometriosis |
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Endometriosis can cuase sterility with; |
Follopian tubes |
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Chocolate cycts on ovaries occur in: |
Enfometriosis |
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Dysmenorrhea, chocolate cyst creates abdominal bleeding, dysunia and pain in defecations, fixed tender region in pelvis, needs laparoscopy is,: |
Endometriosis |
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Cured nat or by surgical menopuase |
Endometriosis |
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9 months non bleeding phase estrogens progestin for: |
Endometriosis |
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Progestin norethindrone (Norlutin) and the synthetic androgen danazol (danocrine) are effective in: |
Atrophy of endometrial tissue issue |
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Laparoscopy removes small area of ectopic tissue in: |
Endometriosis |
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Uterus, both follopian tubes, ovaries are removed for endometriosis: called |
Panhysterectomy |
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Elagolix reduces pain for |
Endometriosis |
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Opening between bladder and vagina: |
Vesicovaginal fistula |
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Opening between rectum and vagina |
Rectovaginal fistula |
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Opening between ureter and vagina |
Ureterovaginal fistula |
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Cancer, radiation treatment, surgical obstetric injury, congenital abnormaly, ultercerayive colitis cuases by: |
Vaginal Fistula |
|
Fecesvand urine drain from vaginal in: |
Vaginal fistula |
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Fecesvand urine drain from vaginal in: |
Vaginal fistula |
|
Sterile probe if fistula is seen and dye methylene blue To detect location for: |
Vaginal Fistula |
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Vesicovaginal fistula Put dye n bladder thru: |
Cathreter |
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Ureterovaginal fistula require: |
I've dye |
|
Detects dye thru lower genital: |
Intravenous pyelogram (IVP) |
|
Located by looking for fecal drainage on posterior vaginal wall |
Rectovaginal Fistula |
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Neomycin (Mycifradin), Kanamycin (Kantrex), or clean bowel from microorganism in repair of: |
Rectovaginal Fistula |
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Light low residue diet keep stool soft, give enema and cleansing vagina irrigation, insert cathrete: |
Vaginal fistula |
|
Obstructed catheter may cuase pressure and mess up fistula: |
Repair |
|
Warm perineal irrigation and heat lamp treatment promote fistula |
Healing |
|
Serosanguineous bag discharge is: |
Normal |