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the external genitalia is called this |
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this is a round, firm pad of adipose tissue covering the symphysis pubis, after puberty it is covered with hair |
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a small spea-shaped erectile body, homologous with the male penis and highly senstive to tactile stimulation |
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this appears as a dimple 2.5 cm posterior to the clitoris surrounding it are the tiny, multiple paraurethral glands. |
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posterior to the urethral meatus. it appears either as a thin median slit or as a large opening with irregular edges. |
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is a think circular or cresent shaped fold that may voer part of the vaginal orifice or may be absent completely |
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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 |
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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 |
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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 |
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Definition
two pliable, trumpet shaped tubes 10 cm in length extending fromt he uterine fundus laterally to the brim of the pelvis |
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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 |
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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. |
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Definition
this is usually nonthreatening and thus a good place to start history |
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Term
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Definition
have you ever been pregnant
gravida-number of pregnancies
para-number of births
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Term
bulging of the vaginal wall |
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Definition
this indicates cystocele, rectrocele or uterine prolapse |
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Term
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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. |
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may occure normally after aginal delveries, the canal is everted or rolled out it looks red, beefy halo inside the pink cervix |
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Definition
benign growth that commonly appears on the cervix after childbirth, small smooth yellow nodules that may be single or multiple |
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Definition
gently rub the blunt end of an ayre spatula over the vaginal wall under and lateral to the cervix |
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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 |
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Definition
this is when you insert a cytobrush into the os. rotate the brush 720 degrees in one direction in the endocervial canal |
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gonorrhea/chlamydia culture |
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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. |
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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 |
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in many women the uterus is what? |
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look on pages 784-793 for abnormalities |
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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 |
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A. ask open-ended questions |
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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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