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vagina
Nursing skills test 4
27
Nursing
Undergraduate 3
11/14/2010

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Cards

Term
Vulva
Definition
the external genitalia is called this
Term
mons pubis
Definition
 this is a round, firm pad of adipose tissue covering the symphysis pubis, after puberty it is covered with hair
Term
clitoris
Definition
a small spea-shaped erectile body, homologous with the male penis and highly senstive to tactile stimulation
Term
urethral meatus
Definition
this appears as a dimple 2.5 cm posterior to the clitoris surrounding it are the tiny, multiple paraurethral glands.
Term
vaginal orifice
Definition
posterior to the urethral meatus. it appears either as a thin median slit or as a large opening with irregular edges.
Term
hymen
Definition
is a think circular or cresent shaped fold that may voer part of the vaginal orifice or may be absent completely
Term
vestibular glands
Definition
theses cecret a clear lubricating mucus during intercourse, there ducts are not visibly but open in the groove between the labia minora and the hymen
Term
cervix
Definition
projects into the vigina. appears as a smooth doughnut shaped area with a small circular hole or os after childbirth the os is slightly enlarged and irregular
Term
uterus
Definition
is a pear-shaped thick walled muscular organ, it is flattened anteroposteriorly, it is freely moveable not fixed and usually tilts forward and superior to the baldder
Term
fallopian tubes
Definition
two pliable, trumpet shaped tubes 10 cm in length extending fromt he uterine fundus laterally to the brim of the pelvis
Term
ovaries
Definition
are located one on each side of the uterus at the level of the anterior superior iliac spine. serve to develop ova and the female hormones
Term
menopause 
Definition
this incleds the preceding 1 to 2 year decline in ovarian function sown by irregular menses that grandually become farther apart and produce a lighter flow, ovaries stop producing prosgesterone and estrogen.
Term
menstrual history
Definition
this is usually nonthreatening and thus a good place to start history
Term

obstetric history

 

Definition

have you ever been pregnant

gravida-number of pregnancies

para-number of births

 

Term
bulging of the vaginal wall
Definition
 this indicates cystocele, rectrocele or uterine prolapse
Term
cervix
Definition

color- normally is pink and even. during the 2nd month of pregnancy it looks blue and after menopause it is pale

postion-midline, either anterior or posterior projects 1 to 3 cm

size- 2.5 cm

os- this is small and round in the nulliparous woman.

Term
cervial eversion
Definition
may occure normally after aginal delveries, the canal is everted or rolled out it looks red, beefy halo inside the pink cervix
Term
nabothian cyst
Definition
benign growth that commonly appears on the cervix after childbirth, small smooth yellow nodules that may be single or multiple
Term
viginal pool
Definition
gently rub the blunt end of an ayre spatula over the vaginal wall under and lateral to the cervix
Term
cervial scrape
Definition
insert the bifid end of the ayre spatula into the vagina with the more pointed bump into the cervical os. rotate 360 to 720 degrees
Term
endrocervial specimen
Definition
this is when you insert a cytobrush into the os. rotate the brush 720 degrees in one direction in the endocervial canal
Term
gonorrhea/chlamydia culture
Definition
insert a sterile cotton applicator into the os, rotate it 360 degrees and leave it in palce 10 to 20 seconds for complete saturation.
Term
acetic acid wash
Definition

this screens for asymptomatic HPV which causes genital warts. a normal response is no change in the cervical epithelium

 

rapid acetowhitening or blanching espcially with irregualar borders suggest HPV infeciton

Term
anteverted
Definition
in many women the uterus is what?
Term
look on pages 784-793 for abnormalities
Definition
Term
A. Menstrual history
Definition

which subject is most appropriate for the start of the health history?

A. menstrual history

B. self-care behaviors

C. sexual activity

D. obstetric history

Term
A. ask open-ended questions
Definition

Which would be the most appropriate way to start asking about sexual activity?

A. ask open-ended questions

B. ask straightforward questions to elicit basic facts

C. ask whether the patient feels comfortable talking about sex

D. ask the patient whether she is currently in a sexual relationship

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