Assessment Questions and Answers
.1 Subjective data collection for female genitourinary assessment: -
menstrual/obstetric/menopausal history
Discharge/abnormalities
Sexual history and behaviors Partners
. 2. Risk factors for reproductive infections/stis: - multiple sexual partners with multiple
Partner with STI history
Unsafe sex
3. Normal vaginal discharge: clear, white, odorless
4. Candidiasis: - white, curd-like without odor Vulva is inflamed and itchy
5. Bacterial or non-specific vaginosis: gray-white discharge, malodorous, fishy
6. Trichomoniasis: malodorous green to gray discharge with pruritis
Strawberry spots that bleed easily
7. Genital herpes simplex: painful vesicle clusters that break and become red ulcers
. 8. Syphilis chancre: painless, firm ulcer
. 9. HPV: -most common STI in US
- Causes almost all cervical cancers
- Causes genital warts
10. Gonorrhea: green discharge with urethral inflammation
Risk factor for pelvic inflammatory disease in women
11. Chlamydia: mucopurulent, yellow discharge
- May show no symptoms
- Risk factor for pelvic inflammatory disease in women
1 12. Risk factors for vaginal candidiasis (yeast infections): pregnancy, antibiotics, steroids,
Birth control, uncontrolled diabetes, tight clothing
13. Cervical cancer: - originates in surface cells lining the cervix
- Squamous cell carcinoma (slow developing)
- Almost all cases caused by HPV
14. Cervical dysplasia: abnormal development of tissue on cervix, precancerous stage
15. Trends in cervical cancer: largely decreased over the past 40 years due to regular pap smears
, 16. Risk factors for cervical cancer: 1. Infection with high-risk HPV strains
. History of sexually transmitted diseases
. Early onset of sexual activity
. Multiple or high-risk sexual partners
. . Immunosuppression
17. Risk reduction for cervical cancer: HPV vaccinations, routine pap smears, avoid
risky sex practices
18. Risk factors for ovarian cancer: age, never giving birth, use of infertility drugs, family history
19. uterine prolapse: downward displacement of the uterus into the vagina
20. Cystocele: protrusion of the bladder into vagina
21. Rectocele: rectal protrusion into vagina
22. Older client findings in female genitalia: - increased risk for infection
Gray, thinning pubic hair
Pale cervix
Urinary incontinence
23. Signs of toxic shock syndrome: sudden high fever, rash, vomiting, diarrhea, dizziness
Ance of penis/scrotum
24. Subjective data collection for male genitourinary assessment:
- changes in appear-
- Sexual history
- Urinary frequency, urgency, color, straining
25. Common male GU complaints: pain, problems with urination, penile lesions/discharge, ED
26. Inspection of scrotum: size, shape, position, skin
27. Transillumination of scrotum: - Blood and tissue have no glow
- Normal scrotum and epididymis appear as dark masses
- Note shape and size of borders
28. Steps of testicular self-exam: 1. Cup one testicle at a time using both hands
. Roll testicle between thumb and fingers
. Feel for lumps, change in size, irregularities
29.. Hypospadias: urinary meatus on the underside of the penis
30. Epispadias: urinary meatus on the upper side of penis
31. Scrotal hernia: an inguinal hernia that has descended2into/5 the scrotum