Nursing 2Nd Semester: Ob Exam 4: Unit 10 Part 2

Front 1

infection of pelvic cavity

Back 1

Pelvic Inflammatory Disease

Front 2

2 stds that can lead to PID

Back 2

chlamydia & gonorrhea

Front 3

Although asymptomatic in beginning, S/S of PID are.... (6)

Back 3

Pelvic Pain
UTI like
spotting between periods
stinky discharge
cramping
fever, chills
pain increases with movement, pelvic exam, sex

Front 4

Don't use _______ 9 _________ with PID

Back 4

nonoxynol 9 spermicides

Front 5

Treatment for PID is essential to prevent ______ and _______ pregnancy

Back 5

infertility , ectopic

Front 6

Interventions for PID include positioning in ______ position. and meds like: _______________, use ____ during sex and get lots of _____.

Back 6

semi fowlers
antibiotics
protection
rest

Front 7

PMD-D is more/less intense than PMS

she may need...

She should limit...

Back 7

more

anti depressants
OCs for hormonal issues
Limit alcohol, caffeine, sodium

Front 8

Differentiate between primary & secondary dysmenorrhea

Back 8

primary- mens. pain not associated with pain, young age before 30

2ndary- after 30 due to endometriosis, fibroids, PID, or other reproductive disorders

Front 9

________ pain that is in middle of menstrual period at time of ovulation

Back 9

mittleschmerz

Front 10

______ and ____ can help with cramping

Back 10

nsaids and OC's

Front 11

__________ is excessive bleeding at time of regular period

Back 11

menorrhagia

Front 12

what is the cause of menorrhagia

Back 12

fibroids,
hormone imbalance- thick wall

Front 13

True or False: appearance of blood from uterus between regular periods OR after menopause always warrants further investigation

Back 13

True

Front 14

appearance of blood from uterus between regular periods OR after menopause

Back 14

metrorrhagia

Front 15

metrorrhagia can be caused by ___ and ___ after menopause or _____ or ____ if before menopause

Back 15

endometrial cancer, or fibroids
ectopic pregnancy or sp. abortion

Front 16

In tx for metrorrhagia, assess for:

Back 16

anemia
low h & h

Front 17

New _____ could cause breakthrough bleeding

Back 17

OC

Front 18

Tx for menorrhagia (excessive bleeding in period)
when it's endometriosis

Back 18

endometrial ablasian- water, laser, etc.

D & C to scrape

hysterctomy if fibroids sometimes

Front 19

What are 2 risks of amenorrhea?

Back 19

osteoporosis, breast cancer

Front 20

differentiate between primary & 2ndary amenorrhea

Back 20

primary- absence of 2ndary sex characteristic and menses by age 14 or absence of period at 16

2ndary- stop having period after you started

Front 21

primary amenorhea is caused by...

Back 21

hormonal imbalance (pituitary)

Front 22

2ndary amenorrhea is caused by...

Back 22

exercise, anorexia, poor diet etc.

Front 23

________ is when hormones are lacking to create follice and corpus luteum, no progesterone is released, just estrogen (like a growth hormone), thick endometrial lining.

This increases risk of....

Back 23

anovulation


endometrial cancer

Front 24

long intervals between periods, can be assisted with OCs and usually occurs at young age or perimenopausal

Back 24

ologomenorrhea

Front 25

s/s of this include decreased LOC, orthostatic hypotension, syncopy, flu like s/s, muscle/joint pain, spike of fever- > 102, peeling of palms,

Tx includes antibiotics stat, fluids to decrease shock, combat renal failur

Back 25

Toxic Shock Syndrome

Front 26

toxic shock syndrome is buildup of ____ and ____

Back 26

staph and strep

Front 27

If she doesn't have a uterus, must be on....

Back 27

estrogen only

Front 28

if she has a uterus, must be ....

Back 28

combined estrogen and progesteroone

Front 29

True or False: estrogen creams or tablets don't circulate much and help with painful intercourse/vaginal dryness

Back 29

true

Front 30

If a woman w/ a uterus is on estrogen only OCs what happens?

Back 30

thick endometrial lining---> endometrial cancer

Front 31

Risks of combined OCs in HRT

Back 31

breast cancer
stroke heart disease

Front 32

true or false: HRT eases s/s of menopause almost immediately

Back 32

true

Front 33

what is the "hallmark" sign of endometriosis?

Back 33

pain in menses

Front 34

s/s of endometriosis

Back 34

dysmenorhhea
severe pain
back pain
painful intercourse

Front 35

true or false: endometriosis can lead to infertility

Back 35

true

Front 36

leiomyomas are ....

Back 36

uterine fibroids (benign smooth muscle tumors)

Front 37

Do tumors need to be removed for fertility?

Back 37

yes

Front 38

What hormone are uterine tumors (leiomyomas) dependent on for growth?

Back 38

estrogen

Front 39

lupron helps with...

Back 39

shrinking

Front 40

benign ovarian tumors include... (2)

Back 40

cysts
neoplasms

Front 41

_____ has s/s like abnormal, painful bleeding, enlarged uterus, or asymptomatic.

Back 41

leiomyomas

Front 42

endocervical mucosa growths are ...

Back 42

cervical polyps

Front 43

ltrue or false: leiomyomas are treated with lupron and then surgery if needed

Back 43

true

Front 44

1st line of defense against endometriosis

Back 44

low dose OCs
(try to fix fast so she's still fertile)

Front 45

endometriosis is caused by _____ the backfllow of tissue

Back 45

reflux

Front 46

Other tx for endometriosis includes

Back 46

laser surgery to make tubes patent

Front 47

____ _____ protrude from opening of cervix and are usually non malignant. looks like same tissue as cervix, just a ___ ____

Back 47

cervical polyps

skin tag

Front 48

cysts may develop from ____ luteumm due to increased LH and decreased FSH

Back 48

corpus

Front 49

What is the name of the syndrome with these s/s:

lots of cysts in ovaries
high BP
hormone imbalance
no ovulation
common in obesity
irregular periods
excess hair where it shouldnt be
hormone imbalance

Back 49

polycystic ovary syndrome

Front 50

_____ solid, cystic mass

Back 50

neoplasm

Front 51

_____ is stored in adipose tissue

Back 51

estrogen

Front 52

______ cancer is fueled by unopposed estrogen, common in obesity, diabetes, nullipara, family hx, HTN,
Pain is a late sign, lots of spotting is early sign. Tx is total hysterectomy, chemo, radiation

Back 52

endometrial

Front 53

True or false: vaginal cancer treatment depends on primary site

Back 53

true

Front 54

vulvar cancer is rare, but a risk factor is ___ and is usually _____.

Back 54

HPV
melanoma

Front 55

___ cancer is common in non whites, early sexual activity, smokers, HPV, herpes, lots of sex partners

Back 55

cervical

Front 56

s/s of cervical cancer

Back 56

bloody d/c
unusual bleeding

Front 57

teaching for _________ includes: there will be incisional pain, assess for bleeding, may be some discharge, get mobile, check REEDA

Back 57

hysterectomy

Front 58

Radical hysterectomy (ovaries & everything) needs for hormone replacement therapy because she is now in _____ menopause

Back 58

surgical

Front 59

in cystocele, bladder pushes on vaginal wall, and you have ____ (relaxation of pelvic muscles)

Back 59

dysuria

Front 60

In rectocele, pushes on vaginal wall and you have ____ and ____ (relaxation of pelvic muscles)

Back 60

constipation, IBS

Front 61

uterine prolapse is measured in ____ and a _____ or _____ exercises can help

Back 61

degrees
pesori , kegal

Front 62

common sites for fistulas is _______ which is between bladder and vagina and _____ which is between rectum and vagina.... tx?

Back 62

vesicovaginal
rectovaginal

heals on own or surgery

Front 63

when should u perform bse?

Back 63

7 days after 1st day of period

Front 64

____ of breast shows fibrocystic changes such as benign vs. malignant tumors

Back 64

US

Front 65

Movable vs. immobile is a way to differentiate between benign and ______.

Back 65

malignant

Front 66

mastalgia (breast pain) is usually related to _____

Back 66

menses

Front 67

true or false: breast discharge should always be evaluated

Back 67

true

Front 68

true or false: ductal eclasia is non malignant sticky or itchy milky discharge from breast in peri/postmenopausal

Back 68

true

Front 69

high risk of stroke with ____ birth control

Back 69

the patch (ortho evra)