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Questions and Answers
What characterizes a complete molar pregnancy?
What characterizes a complete molar pregnancy?
What symptom is typically associated with molar pregnancies?
What symptom is typically associated with molar pregnancies?
Gestational hypertension in the context of molar pregnancy is characterized by which of the following?
Gestational hypertension in the context of molar pregnancy is characterized by which of the following?
Which of the following is NOT a common symptom of molar pregnancy?
Which of the following is NOT a common symptom of molar pregnancy?
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In what condition does a partial molar pregnancy primarily present?
In what condition does a partial molar pregnancy primarily present?
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What is hydatidiform mole commonly referred to as?
What is hydatidiform mole commonly referred to as?
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Which procedure is indicated for a client with an incomplete abortion due to hydatidiform mole?
Which procedure is indicated for a client with an incomplete abortion due to hydatidiform mole?
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What vital signs should be closely monitored in a patient with hydatidiform mole?
What vital signs should be closely monitored in a patient with hydatidiform mole?
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When managing a patient with hydatidiform mole, which of the following is NOT an appropriate nursing intervention?
When managing a patient with hydatidiform mole, which of the following is NOT an appropriate nursing intervention?
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Which of the following best describes the appearance of a hydatidiform mole?
Which of the following best describes the appearance of a hydatidiform mole?
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What role does Rho(D) immune globulin (RhoGAM) play in the management of a hydatidiform mole?
What role does Rho(D) immune globulin (RhoGAM) play in the management of a hydatidiform mole?
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What is the potential outcome of a hydatidiform mole if not resolved?
What is the potential outcome of a hydatidiform mole if not resolved?
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Which of the following symptoms should be monitored in a patient with hydatidiform mole?
Which of the following symptoms should be monitored in a patient with hydatidiform mole?
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What is the characteristic ultrasound finding associated with trophoblastic disease?
What is the characteristic ultrasound finding associated with trophoblastic disease?
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Which is a common intervention following uterine evacuation for trophoblastic disease?
Which is a common intervention following uterine evacuation for trophoblastic disease?
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What laboratory evaluation is essential after the evacuation of a mole?
What laboratory evaluation is essential after the evacuation of a mole?
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What is the role of diagnostic tests before uterine evacuation for trophoblastic disease?
What is the role of diagnostic tests before uterine evacuation for trophoblastic disease?
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After uterine evacuation, which complication must be monitored?
After uterine evacuation, which complication must be monitored?
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Human chorionic gonadotropin (hCG) levels are elevated in which condition?
Human chorionic gonadotropin (hCG) levels are elevated in which condition?
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What is the primary method of evacuation for the treatment of trophoblastic disease?
What is the primary method of evacuation for the treatment of trophoblastic disease?
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Trophoblastic disease is characterized by which of the following?
Trophoblastic disease is characterized by which of the following?
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Study Notes
Female Reproductive Disorders
- Objectives: Learners will be able to review female reproductive anatomy and physiology, discuss functions of ligaments and pelvic floor muscles, understand hormonal changes in menstrual cycles, explore causes, pathophysiology, and manifestations of various reproductive disorders, discuss diagnostic, medical, and surgical management, apply nursing process to clients with reproductive disorders, and develop a teaching plan for clients with reproductive issues.
External Genitalia (Vulva)
- External female genitalia collectively called the vulva
- Structures include labia majora, labia minora, clitoris
Internal Genitalia
- Internal organs in the pelvic cavity
- Structures include vagina, uterus, fallopian tubes (oviducts), ovaries
- Components of the uterus include the fundus, body, cervix, endometrium (uterine lining), myometrium (muscle layer), perimetrium (outer layer).
- Vagina: Fibromuscular tube; receptive for penis during intercourse; passage for childbirth.
Uterus
- Hollow, pear-shaped organ
- Located in pelvic cavity between bladder and rectum
- Three layers: perimetrium, myometrium (muscle), endometrium
- Parts: fundus (dome-shaped top), body (main part), cervix.
Uterine Tubes (Fallopian Tubes)
- About 10 cm long
- Extend from sides of uterus
- Fimbriae: Finger-like projections at the end of each tube
- Functions: Propel the ovum from the ovary to the uterus via peristalsis and cilia; nourish ovum and sperm; fertilization typically occurs in the tube; zygote moves into the uterus for implantation.
Ovaries
- Female gonads
- Two layers: medulla (center with blood vessels and nerves), cortex (outer layer with connective tissue, stroma, and follicles containing ova)
- Ovarian cycle phases: Follicular phase (egg matures in follicle; estrogen released); Ovulation (egg released; LH surge); Luteal phase (corpus luteum develops and produces progesterone and estrogen if not fertilized; estrogen and progesterone levels decline).
Menstrual Disorders
- Include: abnormal uterine bleeding (dysfunctional uterine bleeding), polymenorrhea (frequent periods), metrorrhagia (bleeding between periods), menorrhagia (heavy periods), menometrorrhagia (heavy and frequent), oligomenorrhea (reduced flow), amenorrhea (absence of flow).
Abnormal Uterine Bleeding
- Bleeding due to hormonal changes.
- Polymenorrhea (periods more frequent than every 21 days).
- Metrorrhagia (intermenstrual bleeding), Menorrhagia (excessive or prolonged menstrual bleeding).
- Menometrorrhagia (severe and frequent abnormal bleeding).
- Oligomenorrhea (reduced or infrequent menstrual flow).
- Amenorrhea (absence of menstrual flow).
Amenorrhea
- Absence of menstruation
- Can be primary (never started) or secondary (started then stopped).
Dysmenorrhea
- Painful menstrual cramps
- May be primary (no identifiable pelvic pathology), or secondary (underlying pathology).
Other Disorders
- Endometriosis: Endometrial tissue grows outside uterus; causes pain, infertility.
- Polycystic Ovary Syndrome: Cysts on ovaries; causes hormonal imbalances, often insulin resistance, hyperandrogenism, and irregular periods.
- Ovarian Cysts: Fluid-filled sacs on ovaries; can be functional (benign, normal cycle-related), or pathological (abnormal cell growth).
Other Relevant Topics
- Treatment for various conditions/disorders (mention medication, relaxation techniques, etc.)
- Assessment and intervention procedures (related to each condition)
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Description
This quiz covers the anatomy and physiology of female reproductive systems, focusing on both external and internal genitalia. You'll explore various reproductive disorders, hormonal changes throughout the menstrual cycle, and the nursing process involved in managing these conditions. Ideal for those studying nursing or women's health.
