Disorders Of Reproductive System Female Part 1

Front 1

causes of PMS

Back 1

-unknown

-excess estrogen in cycle & deficient progesterone or both

-hypothalamic -pituitary dysregulation

-effect of reproductive hormones on brain chemicals (endorphins, melatonin, serotonin)

Front 2

diagnoses of PMS and PMDD

Back 2

data from menstrual diary client keeps daily recording of symptoms for at least 2 months

Front 3

classic finding of PMS or PMDD

Back 3

symptom free during period between onset of menstruation and ovulation

Front 4

treatment of PMS depends on

Back 4

severity and type of symptoms experienced

Front 5

PMS therapy to manipulate cyclic fluctuation in estrogen and progesterone with these drugs

Back 5

oral contraceptives

progesterone

synthetic androgens

GnRH gonadotropin releasing hormones

histrelin (Supprelin) and nafarelin (Synarel)

for only 6 months

Front 6

remember the client taking NSAID for PMS recommend to

Back 6

take with food to avoid gastric upset

Front 7

client who take GnRH analog may experience

Back 7

vaginal dryness that can make vaginal intercourse painful

loss of bone density mass similiar to osteoporosis

Front 8

vitamin may reduce breast tenderness PMS

Back 8

Vitamin E

Front 9

vitamin to reduce bloating and body aches PMS

Back 9

1200 mg Calcium divided into 3 doses 3 times a day

Front 10

vitamin to reduce pain, water retention, and dysphoria (cramps) PMS

Back 10

400 mg magnesium

Front 11

vitamin to reduce irritability , fatigue , depression PMS

Back 11

100 mg of Vit B6

over 500 mg of B6 can cause sensory neuropathy which disappears after the supplement use stops

Front 12

drugs contain estrogen/progesterone used 5

Back 12

-suppress ovulation as birth control

-interfere with tubal transport of sperm or fertilized ovum

-suppress embryonic implantation

-relieve symptoms of menstrual disorders

-regulate menstrual cycles

Front 13

polycystic ovarian syndrome

Back 13

mulitiendocrine disorder linked to insulin resistance that causes infertility

Front 14

if an adolescent female experiences infrequent menses

Back 14

(oligomenorrhea) nurse tells her it is normal if it is within 1 year or more before regular mensus starts

Front 15

After hysterectomy the nurse counts the number of pads used to determine

Back 15

the amount of blood loss, looking for SOS of hemmoraghe .

Front 16

risk of hemorraghe nurse takes BP Q / SOS after hysterectomy

Back 16

Q 15 minutes if bleeding severe

check for rapid blood pressure fall

check for rapid pulse

Front 17

why does the nurse record color of blood loss after hysterectomy , risk of and 2

Back 17

-risk of hemorraghe

-bright red indicates arterial bleeding

-dark blood venous blood

Front 18

the rational to report excessive blood loss or blood clot signs after hysterectomy 1 & tx 2

Back 18

-risk of hemmorage,

-blood transfusion maybe required

-IV fluid maybe to prevent shock

Front 19

After hysterectomy how does the nurse monitor for parlytic ileus or abdominal distention

2 and report 4 things

Back 19

-palpate abdoment Q 4 hour for rigitity

-encourage early ambulation (dangle legs before, and ambulate as soon as possible)

-REPORT

-abdominal discomfort

-nausea

-distention

-diminished or faint bowel sounds

Front 20

how does the nurse eliminate gas after hysterectomy to prevent distention of abdominal

Back 20

maybe a rectal tube would be ordered by physician

Front 21

to prevent thrombophlebitis after hysterectomy nurse 5

Back 21

-remove and reapply anitembolism stockings Q 8 hours

-active leg exercises Q 2-4 hours

-assess for calf and leg swelling / tenderness bilaterally Q shift

-do NOT place pillows beneath knees or raise knees with the electric bed

-ambulate as much as possible /tolerated

Front 22

after hysterectomy the nurse checks for risk of urinary retention by 5

Back 22

-measure intake /output Q shift

-palpate lower abdomen for distention

-measure volume of each void for small amounts (mean retention)

-encourage liberal fluid intake

-report bladder distention in absence of voiding

Front 23

risk for disturbed body image related to sexual and physical consequences hysterectomy 3

Back 23

-give client opportunity to verbalize fears and perceptions

-clarify that hysterectomy does not physically compromise libido or ability to achieve orgasm

-does not cause premature aging, depression or masculinization

Front 24

taking antibiotics for a long time or repeated courses of antibiotic therapy can lead to

Back 24

growth of C . albicans , a fungal microbe in vagina

Front 25

as women age the vagina PH becomes more

Back 25

alkaline , which predisoses women to infection

Front 26

contributing factors for older women getting perineal pruritus

Back 26

-diet

-clothing worn

-vaginal discharge

Front 27

Candida albicans characteristics 4

Back 27

curdy white discharge

thick

strong odor

burning with urination

fungus

Front 28

Trichomonas vaginalis characteristics 4

Back 28

yellow white discharge

foamy

foul odor

severe itching

protozoan

Front 29

gardnerella vaginalis characteristics 4

Back 29

gray white discharge

watery

fishy odor

more discharge after intercourse

bacterial

Front 30

first symptom of vaginal infection

Back 30

abnormal vaginal discharge

Front 31

diagnoses of infection made by

distinguising infection

Back 31

diagnoses made by visual and microscopic exam

characteristics of discharge help determine which type

Front 32

vaginal infection usually accompanied by 4 of surrounding tissues

Back 32

-itching

-redness

-swelling

-burning

of surrounding tissues

Front 33

atrophic vaginitis remedied by

Back 33

estrogen replacement administered by topical cream

Front 34

if a person has vaginitis and DM the nurse must check

Back 34

that blood glucose is regulated, is important aspect of treatment

Front 35

The first time a woman has a yeast infection

Back 35

you should go to doctor to get a medicine, then use OTC drugs after if you get it again . Initial diagnoses should be made by physician

Front 36

to relieve itching, burning, swelling of vulva and perineum with vagintis recommendation

Back 36

sitz bath

Front 37

if you must douch then only

Back 37

-avoid routing douching when asymptomatic

-to combat vaginitis may use daily solution of 1/2 tbs white vinegar with 1 pint of water for 10-14 days

Front 38

with vaginitis there is discharge, to keep skin intact you should apply

Back 38

skin creams containing zinc

Front 39

for clients who are taking Metronidazole (Flagyl)

advise (trich and bacterial ) 5

Back 39

-no first trimester of pregnany (give test)

-partner may need to be treated

-administer with food

-avoid alcohol SEVERE REACTION

-darkening of urine may occur

Front 40

besides head ache , dizziness , N & V , diarrhea

other SE of metronidiazole (Flagyl) 3

Back 40

-ataxia

-unpleasant metallic taste

-darkening of urine

Front 41

Clotrimazole, and other azol medications for fungal infections teaching

Back 41

-obtain culture first

-after inserting in vaginal canal remain recumbent position (lying down) or administer at bedtime

-continue through your period if necessary

-use condom

-wear pad to prevent stain of underwear

-partner made need treatment

Front 42

SE of azole creams 5

Back 42

-cramping

-N & V

-urinary frequency

-erythema

-stinging

Front 43

antibiotic sulfisoxazole (Gantrisin) SE

Back 43

N & V

headache

abdominal pain

photosensitivity

hematuria (blood in urine)

agranulocytosis (def in granulocytes in blood causing risk for infection )

Front 44

teaching for Sulfoxazole (Gantrisin) antibiotic

Back 44

-DC if hypersensitivity occurs

-emtpy stomach with full glass of water

-complete all

REPORT

rash, hematuria, fever, SOB, drowsiness

N & V , diarrhea