Health Assessment - Female Gu

Front 1

Explain the functions of the following vaginal structures: Mons pubis, labia majora/minora, clitoris, urinary meatus, skene’s glands, introitus, Bartholin’s glands

Back 1

-pubis protective pad – folds of adipose/ connective to protect and lubricate – lubricate and protect – opening of vagina, -secretes alkaline mucus that improves viability and motility of sperm

Front 2

Explain functions of the following: Cervix, uterus, fallopian tubes, ovaries, urethra (vs male)

Back 2

-end of uterus into vagina, -thick muscle site for fertilized egg implants – passage for ovum to uterus, fertilize – produce eggs – connects bladder to urinary meatus – shorter, which gives greater chance for infection(UTI)

Front 3

For adolescent development in females, what happens to the ovaries? Uterus?

Back 3

-move into pelvic cavity from abdomen – flexes to the cervix

Front 4

For pregnant females, what is goodell’s sign? Chadwick’s sign? Hegar’s sign?

Back 4

-softening of the cervix –vaginal mucosa and cervix appear cyanotic –uterus softens

Front 5

What happens in aging female?

Back 5

-menopause(48-51), ovary function decline, uterus shrink, pelvic weakness, uterus drops, vagina shorter, thinner, drier, atrophy w/o sexual activity

Front 6

Define the following rationales for menstrual history: Amenorrhea, menorrhagia, other important things to ask?

Back 6

-absent menses (occurs in highly athletic, anorexic)– heavy menses -LMP, menarche, duration period/cycle (18-45 days; 3-7 days)

Front 7

For urinary symptoms, explain the following: Dysura, nocturia, hematuria

Back 7

-pain, burning or difficulty urin –urin at night - blood in urin,

Front 8

Explain Urgency incontencence vs stress incontinence vs True incontinence(enuresis)

Back 8

-sudden loss, as with acute cystitis – loss of urin with physical strain from muscle weakness – loss of urine without warning

Front 9

What is important to keep in mind when assessing adolescent girls.

Back 9

-ask direct, matter of fact questions, start with permission statement(often girls your age experience..when did you)

Front 10

Why should women not use hygiene spray, douche, and use pantyhose?

Back 10

-contact dermitits, alters pH, local irritation(can’t breathe)

Front 11

What is dyspareunia?

Back 11

-pain with intercourse

Front 12

Infertility is considered

Back 12

-one year of unprotected sex

Front 13

Why might children get itching, rashes, vaginal discharge?

Back 13

-poor perineal hygiene>>UTI

Front 14

For postmenopausal women, what are some things to look for? (atrophic vaginitis*)

Back 14

-vaginal bleeding, itch/discharge/dyspareunia (atrophic vaginitis) – genital pressure, loss of urine with cough/sneeze (weakened pelvis/uterine prolapse0

Front 15

What are some abnormalities upon inspection of the external genitalia?

Back 15

-polyp, lesions, inflamamation, foul smell, discharge, rash

Front 16

What are sebaceous cysts?

Back 16

-yellow, 1cm nodules firm, nontender, and multiple

Front 17

Explain the Os in parous vs nulliparous women. Cervical eversion can occur when?

Back 17

-parous – horizontal irregular slit and also may show healed lacerations on the side –nonparous –small and round –after vaginal delivery(red, beefy halo around os)

Front 18

What are benign growths that commonly appear on the cervix after childbirth? What do they look like?

Back 18

-nabothian cysts – small, smooth, yellow nodules may be single or multiple

Front 19

What are subjective and objective symptoms of Pediculosis Pubis? Herpes Simplex type 2

Back 19

-S: severe perineal itching O: excoriations and erthyematous areas w/ dark spots and eggs(can go to eyebrow and eyelash) – S: local pain, dyuria, fever O: Small, shallow vesicles with surrounding erythema, erupt on geintals and inner thigh, edema, inguinal adenopathy

Front 20

What are subjective and objective symptoms of: HPV? Urethral Caruncle?

Back 20

-S: painless warty growths O: pink flesh colored, soft, pointed, moist, warty papules cauliflower patch around vulva, introitus, anus, vagina, cervix
-S: tender, painful with urination, urinary freq, hematura, dyspareunia O: small, deep erd mass protruding from meatus, secondary to urethritis

Front 21

What are subjective and objective symptoms of Contact dermatitis? Syphilitic chancre?

Back 21

-S: Skin contact with allergic substance, itching O: primary lesion, red swollen vesicles, weeping lesion, crust, scale, thick, excoriation, results from hygiene spray
-S: small solitary silvery papule erodes to red, round or oval ulcer w/yellow discharge O: nontender inguinal lymphadenopathy

Front 22

Which subject is most appropriate for the start of the health history?
A. Menstrual History
B. Self Care behaviors
C. Sexual Activity
D. Obstetric History

Back 22

A

Front 23

Which would be the most appropriate way
to start asking about sexual activity?
A. Ask open-ended questions.
B. Ask straightforward questions to elicit basic facts.
C. Ask whether the patient feels comfortable talking about sex.
D. Ask the patient whether she is currently in a sexual relationship.

Back 23

A

Front 24

Explain the following abnormalities of the cervix: Cyanosis, erosions HPV, Polyp, Diethylstilbestrol syndrome

Back 24

-bluish mucosa occurs in pregnancy & heart failure/pelvic tumor –cervical lips inflamed and eroded, reddened granulary surface – warty growth thickeinged white epithelium(enhanced by acetic acid(vinegar) – mucoid discharge/bleeding, bright red, soft, pedunclated growth. – red, granular patches extends into fornices.