Female Genitourinary System (NURS 313)

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Questions and Answers

What is a common issue that can negatively impact sexual health?

  • Regular menstrual cycles
  • Consistent hydration
  • Vaginal dryness (correct)
  • Increased libido

Which hormonal factor is primarily involved in regulating the menstrual cycle?

  • Progesterone
  • Estrogen (correct)
  • Insulin
  • Testosterone

What condition can result from pelvic issues or infections?

  • Increased sexual desire
  • Vaginal lubrication
  • Painful intercourse (correct)
  • Menstrual regularity

What is a recommended practice prior to a gynecological examination?

<p>Empty the bladder (D)</p> Signup and view all the answers

Which of the following is NOT typically associated with a normal menstrual cycle?

<p>Abnormal discharge (B)</p> Signup and view all the answers

What is a common consequence of insufficient lubrication during intercourse?

<p>Painful intercourse (D)</p> Signup and view all the answers

What condition might result from hormonal imbalances or menstrual irregularities?

<p>Vaginal dryness (C)</p> Signup and view all the answers

Which practice is essential for identifying abnormalities during a gynecological examination?

<p>Complete sexual history (A)</p> Signup and view all the answers

What is a potential risk factor for infections related to intimate areas?

<p>Poor hygiene practices (A)</p> Signup and view all the answers

What symptom could indicate a need to consult for potential pelvic issues?

<p>Painful intercourse (A)</p> Signup and view all the answers

Flashcards

Painful intercourse

Discomfort or pain during sexual activity.

Sexual history

Details of past sexual experiences and exposures.

STI/STD

Sexually transmitted infections/diseases

Pelvic pain

Pain in the lower abdominal area.

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GYN exam

Examination of the female reproductive system.

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Lubrication

The natural moisture produced by the vagina during arousal, allowing for comfortable sexual intercourse.

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Estrogen

A hormone that plays a role in sexual development and function, influencing vaginal lubrication and overall sexual health.

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Menstrual Cycle

The monthly cycle of changes in a woman's body, including the shedding of the uterine lining (menstruation), controlled by hormones.

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GYN Pap Smear

A routine medical examination that checks for cervical cancer and other abnormalities in the cervix by collecting cells from the cervix.

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Study Notes

Female Genitourinary System (NURS 313)

  • Objectives:
    • Identify external structures of the female genitalia
    • Describe internal female genitalia
    • Outline puberty changes
    • Detail changes during pregnancy
    • Explain perimenopausal changes
    • Apply health promotion concepts during assessments

External Genitalia (Vulva)

  • Structures:
    • Mons pubis
    • Labia majora
    • Labia minora
    • Clitoris
    • Urethral meatus
    • Skene glands
    • Vaginal orifice
    • Hymen
    • Bartholin glands
    • Lubricates during intercourse
    • Abnormal secretions may be noted.

Internal Genitalia

  • Structures:
    • Vagina
    • Cervix
    • Squamocolumnar junction
    • Anterior fornix
    • Posterior fornix
    • Uterus
    • Fallopian tubes
    • Ovaries

Developmental Considerations

  • Infants: External genitalia engorged due to maternal hormones
  • Adolescents: Puberty-related changes (breast development, pubic hair, menarche) Average age of menarche is 12.25
  • Pregnant females: Uterus expands to accommodate the fetus
  • Aging females: Menopause (48-51 years), decline in ovarian function, vaginal drying, potential dyspareunia, vaginal atrophy, urinary incontinence risk.

Cultural Considerations/Sexual Identity

  • Importance of privacy during examinations
  • Awareness of menarche and pubertal rites in different cultures
  • Considerations for transgender care

IDD Care (Intellectual and Developmental Disability)

  • Relationships, intimacy, and sexuality may be overlooked for individuals with IDD
  • Sensitive questions regarding sexual relationships are essential.
  • Developmentally appropriate education and counseling regarding safety is important
  • Women with IDD may have higher risk of adverse health during pregnancy (DVT, preeclampsia) and later in life (related to obesity, epilepsy, polypharmacy, mental health, poverty and early menopause.)

Subjective Data

  • Biographical data
  • Chief complaint (followed by possible pelvic pain, pain with urination or intercourse and abnormal discharge.
  • Past history (menstrual cycle, obstetrical history, etc)
  • Family history (menopause)
  • Functional assessment (lifestyle/health practices)
  • Gynecological history (recent papsmear information)(sexual history/STIs/HPV vaccine)

Additional History for Aging Adults

  • Postmenopausal bleeding: Possible risk for cancer
  • Uterine prolapse
  • Sexual satisfaction Factors like vaginal dryness and itching.

Objective Data (General)

  • Explain exam purpose to ease anxiety and ensure patient comfort
  • Establish equipment
  • Empty bladder/Gown/Privacy
  • Initial sitting or lithotomy position
  • Examine external genitalia (inspection & palpation)
  • Specific areas to assess (during palpation) Skene, Bartholin glands and pelvic musculature support.

Objective Data (Physical Exam)

  • Inspection: Skin color, hair distribution, labia majora/minora characteristics, clitoris , urethral opening, vaginal opening, perineum and anus.
  • Palpation: Evaluate Skene and Bartholin's glands & support of pelvic musculature.

Objective Data (Older Adult Considerations)

  • Cervix: May appear paler or thinner after menopause
  • Decreased vaginal lubrication: Can lead to painful intercourse

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