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Questions and Answers
What role does mucus play during intercourse?
What role does mucus play during intercourse?
Which condition is associated with painful intercourse?
Which condition is associated with painful intercourse?
What is a common method to identify abnormalities during a gynecological examination?
What is a common method to identify abnormalities during a gynecological examination?
What does dryness and itching in the vaginal area commonly indicate?
What does dryness and itching in the vaginal area commonly indicate?
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Which of the following interventions is recommended to reduce discomfort during sexual activity?
Which of the following interventions is recommended to reduce discomfort during sexual activity?
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Study Notes
Female Genitourinary System (NURS 313)
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Objectives:
- Identify external female genitalia structures.
- Describe internal female genitalia structures.
- Outline changes during puberty.
- Document pregnancy-related changes.
- Detail perimenopausal changes.
- Incorporate health promotion concepts into assessments.
External Genitalia (Vulva)
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Structures:
- Mons pubis
- Labia majora
- Labia minora
- Clitoris
- Urethral meatus
- Skene glands
- Vaginal orifice
- Hymen
- Bartholin glands
- Vestibule
- Perineum
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Functions:
- Lubrication during intercourse is secreted by Bartholin glands
Internal Genitalia
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Structures:
- Vagina
- Cervix
- Squamocolumnar junction
- Anterior fornix
- Posterior fornix
- Uterus
- Fallopian tubes
- Ovaries
Developmental Considerations
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Infants:
- External genitalia engorged due to maternal hormones
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Adolescents:
- Puberty markers: breast development, pubic hair growth
- Average menarche age: 12.25 years
- Tanner staging
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Pregnant Females:
- Uterine expansion to accommodate fetus
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Aging Females:
- Menopause (48-51 years): decline in function, vaginal dryness, dyspareunia
- Increased risk of vaginal, urinary tract issues
- Muscle weakness/loss of elasticity
Cultural Considerations and Sexual Identity
- Exposure of genitalia: ensure privacy
- Menarche: beginning of menstruation
- Pubertal rites: cultural practices
- Transgender care: providing support
IDD Care
- Relationships, intimacy, and sexuality: often overlooked
- Assessment: inquiry about intimacy, relationships, appropriate education/counseling
- Pregnancy: increased risk of DVT, preeclampsia
- Risk Factors: obesity, epilepsy, polypharmacy, mental health issues, poverty
- Menopause: can start earlier
Subjective Data
- Biographical data
- Chief complaint (followed by hip pain, pain with urination)
- Past history: menstrual cycle, obstetrics events
- Family history: menopause
- Functional Assessment, lifestyle/health
- GYN papsmear appt dates
- Sexual history
- STIs
- HPV vaccine
Subjective Data (Aging Adults)
- Postmenopausal bleeding: higher risk of cancer
- Uterine prolapse
- Sexual satisfaction (dryness, itching)
Objective Data
- Explain exam purpose (in sensitive manner)
- Prepare client (empty bladder, gown, privacy, chaperone)
- Equipment: stool, light, speculum, lubricant, swabs, specimen containers, pH paper, mirror, gloves
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Physical Exam:
- Inspect External Genitalia: skin color, hair distribution, labia, clitoris, urethral/vaginal opening, perineum, anus, lesions, discharge
- Palpate External Genitalia: Skene & Bartholin glands, pelvic musculature support
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Older Adult Considerations:
- Pubic graying/thinning, paler cervix, decreased lubrication (painful sex)
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Description
This quiz covers the anatomy and physiology of the female genitourinary system as outlined in NURS 313. It includes identification of external and internal structures, developmental changes from infancy through menopause, and health promotion concepts. Perfect for nursing students looking to reinforce their understanding of this crucial subject.
