Chapter 50 & 52 Female Reproductive Function and Assessments and Breast Disorders
Reports of dyspareunia (pain from intercourse)
A nurse is obtaining health history from a young adult. Which of the following would alert the nurse to a possible problem?
Dysmenorrhea
An adolescent patient comes to the clinic with complaints of "terrible pain" during menstruation. What should the nurse document this subjective data as?
Ovulation
Discharge of a mature ovum from the ovary
Estrogens
Female sex hormones produced in ovaries that develop and maintain female reproductive system
Progesterone
Hormone produces by corpus luteum (site within a follicle that changes after ovulation) that prepares uterus for receiving a fertilized ovum
Function of Lutenizing hormone (LH)
Hormone release by pituitary gland that stimulates progesterone production and triggers release of egg from the ovary
Function of follicle-stimulating hormone (FSH)
Hormone release by pituitary gland to stimulate estrogen production and ovulation
Menopause is...
Permanent cessation of menstruation resulting from the loss ovarian follicle activity
Breast cancer mass
The nurse is assessing an older adult who has not seen their physician in 2 years. The nurse finishes inspecting the breast and notices firm, hard, embedded in surrounding tissue. What does the nurse understand is the significance of this finding?
"It helps make you more comfortable and the exam easier."
The nurse is preparing a client for a pelvic examination. The client asks the nurse, "Why do I need to urinate and empty my bladder?" Which response by the nurse would be most appropriate?
Asking the client's permission to discuss sexuality
The nurse is utilizing the PLISSIT model of sexual health assessment during an interaction with a new client. According to this model, the nurse should begin with what action?
5-7 days after menses
The nurse teaches a premenopausal client to perform breast self-examination (BSE) at which interval?
Pap smear, colposcopy, cervical biopsy, dilation and cutterage, endometrial biopsy, hysteroscopy
What are some diagnostic tests and evaluations that can be done for female patients?
Perimenopause is having symptoms of menopause but menstruation has not stopped.
What differs perimenopause from menopause?
Permission, limited information, specific suggestions, intensive therarpy
What is the PLISST model of sexual history?
Female genital mutilation/cutting, intimate partner violence, incest and childhood sexual abuse, health issues with disabilities
What issues should be considered when taking care of female patients?
History of menstruation, pregnancy, STIs/STDs, and pain during menses or intercourse. Also sexual history
What topics should a nurse address when receiving health history from a female patient?
Ask for permission and move from less sensitive areas of general health history before moving to more sensitive areas
When assessing a patient's sexual history, the nurse should always....
Estrogen, progesterone, androgens, follicle-stimulating hormone (FSH), and luteinizing hormone (LH)
Which hormones are significant in the female physiologic process?
Mastalgia
Which term refers to breast pain?