22 Questions
What is one of the male urinary changes that may indicate an enlarged prostate?
Difficulty starting urinary stream/hesitancy
What is a potential health problem related to the Genito-Urinary &/or Reproductive System?
Activity intolerance related to pain (dysmenorrhoea)
What is a factor to consider when assessing a person's experience with urinary changes?
Their family history
What is a goal that may address two issues related to the Genito-Urinary &/or Reproductive System?
Improving activity levels by reducing pain
What is a menopausal symptom that may be related to urinary changes?
Difficulty starting urinary stream
What is a factor that may increase a person's risk of breast cancer?
All of the above
What is the goal of reducing fatigue levels in patients with breast cancer?
To reduce sleep disturbance from night sweats
Which of the following is a menopausal symptom?
Disturbed sleep patterns
What is the consequence of a self-care deficit due to severe interference with activities?
Reduced activity tolerance
What is the effect of hypertension on fetal well-being during pregnancy?
Reduced fetal well-being
Which of the following is a risk factor for breast cancer?
Mastectomy
What is the consequence of a contraction of an STI on skin integrity?
Reduced skin integrity
What is the relationship between activity intolerance and pain?
Pain is a cause of activity intolerance
What is the goal of identifying the cause of a health care problem?
To identify changes needed to improve health outcomes
What should be performed prior to taking the fetal heart rate?
Maternal pulse
What is the recommended range for the fetal heart rate?
120-160 bpm
What is an important aspect of the abdominal examination?
Using gentle firm pressure
What is a key component of the initial contact during the primary assessment?
Obtaining history and physical assessment
What is the purpose of the learning needs assessment?
To identify knowledge deficits and concerns
What is necessary for cultural safety during the abdominal examination?
Ensuring privacy
What is an important aspect of the preparation for the abdominal examination?
Emptying the bladder
What is included in the primary assessment?
Obtaining history, physical assessment, and baseline observations
Study Notes
Disturbed Body Image and Sleep Patterns
- Disturbed body image related to mastectomy aims to reduce fatigue levels.
- Disturbed sleep patterns are related to menopausal symptoms, specifically night sweats.
- Fatigue is also related to disturbed sleep patterns.
Self Care Deficit and Discomfort
- Self-care deficit is due to severe interference with activities.
- Discomfort is related to the contraction of an STI.
- Reduced skin integrity is also a result of the contraction of an STI.
Maternal Stress and Fetal Well-being
- Maternal stress is related to a knowledge deficit of normal pregnancy.
- Reduced fetal well-being is related to maternal hypertension.
Assessing Male Urinary Changes
- Difficulty starting urinary stream/hesitancy is a sign of male urinary changes.
- A 'weak' stream and incomplete bladder emptying are also indicators of male urinary changes.
Assessing the Person and Context
- Consider the person's experience, including their past, family history, and present context.
- Collect both subjective and objective data to understand the person's situation.
- Analyze and categorize the data to identify potential health issues or problems.
Setting Goals and Improving Activity Levels
- Set goals in collaboration with the person and their family to address potential health issues.
- Goals can address multiple issues simultaneously.
- Improving activity levels can be achieved by reducing pain experienced.
Partnering with the Person
- Use the Partnership Model to address the person's needs and concerns.
- Assess the person's knowledge of changes in pregnancy, including physiological and psychological changes.
Primary Assessment and Documentation
- Obtain a thorough history of the person's social, medical, surgical, and family background.
- Perform a physical assessment, including abdominal examination, height, weight, and BMI measurements.
- Document the person's learning needs and concerns.
Abdominal Examination and Fetal Auscultation
- Prepare for abdominal examination by ensuring the bed is at the correct height and the woman is in a comfortable position.
- Inspect the abdomen for skin changes and shape.
- Palpate the abdomen using gentle, firm pressure to assess the fetus.
- Auscultate the fetus using a Pinard's, stethoscope, or Doppler.
- Fetal heart rate is normally between 120-160bpm.
This quiz covers key concepts related to women's health nursing, including symptoms and conditions affecting women's well-being. Topics include mastectomy, menopausal symptoms, fatigue, and self-care deficits.
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