NURS 6023 Exam 3
Mons pubis: - answer Fatty tissue covering the pubic bone.
Clitoris: - answer Erectile tissue important for sexual arousal.
Labia minora / Labia majora: - answer Protective folds of skin around the vaginal
opening.
Introitus: - answer Vaginal entrance.
Urinary meatus: - answer External urethral opening
Hymen: - answer Thin membrane partially covering the vaginal opening
Perineum: - answer Area between the vaginal opening and anus.
Anus: - answerExternal opening for defecation.
· Vagina: - answerMuscular canal connecting external genitalia to the uterus.
Cervix: - answerLower part of the uterus; connects to the vagina.
· Uterus: - answerOrgan where fetal development occurs.
· Ovaries: - answerProduce eggs (ova) and hormones (estrogen, progesterone).
· Fallopian tubes: - answerTransport eggs from the ovaries to the uterus.
Female Reproductive History & Assessment - answer· Conduct in a private, relaxed
setting.
· Obtain history on menstruation, abnormal bleeding, menopause, pelvic pain, STI
history, and sexual health.
· Assess vaginal discharge (amount, color, odor, associated symptoms).
Female Reproductive History & Assessment - answer· Inquire about lesions, sores,
urinary symptoms, gynecological surgeries, medication use, and family history.
· Include social history (exercise, stress, drug/alcohol use, smoking, sexual activity).
External Exam- Female Reproductive - answer· Inspect mons pubis, labia, perineum for
inflammation, ulcerations, lesions.
· Assess sexual maturity in adolescents.
,Internal Exam- Female Reproductive - answerInspect cervix for color, position, surface
characteristics, lesions, discharge.
· Inspect vagina for masses, lesions, abnormal discharge.
· Perform a bimanual exam:
o Palpate cervix, uterus, and ovaries (size, shape, consistency, mobility, tenderness).
o Assess pelvic floor muscles.
· Conduct rectovaginal exam if indicated.
Uterine Prolapse - answer· Downward displacement of the uterus into the vaginal canal.
Uterine Prolapse- s/s - answer· Symptoms: Vaginal fullness, protruding mass, urinary
incontinence.
Uterine Prolapse- Dx - answer· Diagnosis: Physical exam, pelvic ultrasound.
Cystocele (Bladder Prolapse) - answerBladder bulges into vaginal wall due to weak
support structures.
Cystocele (Bladder Prolapse)-s/s - answerSymptoms: Vaginal pressure, urinary
frequency/incontinence.
Cystocele (Bladder Prolapse)-Dx - answer· Diagnosis: Physical exam, voiding
cystourethrogram (VCUG), imaging.
Rectocele (Rectal Prolapse) - answerRectal wall herniates into the vagina.
Rectocele (Rectal Prolapse)-s/s
· - answer· Symptoms: Constipation, difficulty defecating, rectal fullness.
Rectocele (Rectal Prolapse)-Dx
· - answer· Diagnosis: Rectovaginal exam, barium X-ray, colonoscopy.
Bartholin's Cyst - answer· Blocked Bartholin gland leads to abscess.
Bartholin's Cyst-s/s - answer· Symptoms: Pain, swelling, tenderness.
Bartholin's Cyst-Dx - answer· Diagnosis: Physical exam, culture drainage.
Pelvic Inflammatory Disease (PID) - answer· Infection of uterus, fallopian tubes, pelvis
(commonly from STIs).
Pelvic Inflammatory Disease (PID)-s/s - answer· Symptoms: Abdominal pain, fever,
discharge, nausea, painful urination.
Pelvic Inflammatory Disease (PID)-Dx - answer· Diagnosis: Physical exam, WBC count,
imaging.
, Bacterial Vaginosis - answer· Overgrowth of bacteria in the vagina.
Bacterial Vaginosis-s/s - answer· Symptoms: Mild odor, thick white discharge.
Bacterial Vaginosis-Dx - answer· Diagnosis: KOH wet prep test.
endometriosis
50% of ________
________ predisposition - answer· Growth of endometrial tissue outside the uterus.
infertility
genetic
endometriosis-s/s - answer· Symptoms: Dysmenorrhea, dyspareunia, infertility, chronic
pelvic/back pain. Fixed uterus d/t adhesions
endometriosis-Dx - answer· Diagnosis: Laparoscopy with biopsy.
H/P- susp of dx
Ovarian Cysts & Cancer
· Cysts: - answerFluid-filled sacs; common in reproductive-age women.
Ovarian Cysts & Cancer
Cancer: - answerMore common in women over 50, often asymptomatic until advanced
stages.
Ovarian Cysts & Cancer s/s - answer· Symptoms: Abdominal discomfort, bloating,
urinary issues
Ovarian Cysts & Cancer- Dx - answer· Diagnosis: Ultrasound, biopsy.
Trichomoniasis s/s & dx - answerSymptoms: Frothy, malodorous discharge, vaginal
itching.
· Diagnosis: Microscopic flagellated cells.
Chlamydia s/s & dx
· - answerOften asymptomatic; can cause PID in women.
· Symptoms: Purulent discharge, cervical tenderness.
· Diagnosis: Cervical swab.
Gonorrhea s/s & dx - answerSymptoms: Thick, purulent discharge, possible greenish
hue.
· Diagnosis: NAAT test, cervical swab.
Herpes Simplex Virus (HSV-1 & HSV-2) s/s & dx - answer· Symptoms: Painful vesicular
clusters on genitals.
Mons pubis: - answer Fatty tissue covering the pubic bone.
Clitoris: - answer Erectile tissue important for sexual arousal.
Labia minora / Labia majora: - answer Protective folds of skin around the vaginal
opening.
Introitus: - answer Vaginal entrance.
Urinary meatus: - answer External urethral opening
Hymen: - answer Thin membrane partially covering the vaginal opening
Perineum: - answer Area between the vaginal opening and anus.
Anus: - answerExternal opening for defecation.
· Vagina: - answerMuscular canal connecting external genitalia to the uterus.
Cervix: - answerLower part of the uterus; connects to the vagina.
· Uterus: - answerOrgan where fetal development occurs.
· Ovaries: - answerProduce eggs (ova) and hormones (estrogen, progesterone).
· Fallopian tubes: - answerTransport eggs from the ovaries to the uterus.
Female Reproductive History & Assessment - answer· Conduct in a private, relaxed
setting.
· Obtain history on menstruation, abnormal bleeding, menopause, pelvic pain, STI
history, and sexual health.
· Assess vaginal discharge (amount, color, odor, associated symptoms).
Female Reproductive History & Assessment - answer· Inquire about lesions, sores,
urinary symptoms, gynecological surgeries, medication use, and family history.
· Include social history (exercise, stress, drug/alcohol use, smoking, sexual activity).
External Exam- Female Reproductive - answer· Inspect mons pubis, labia, perineum for
inflammation, ulcerations, lesions.
· Assess sexual maturity in adolescents.
,Internal Exam- Female Reproductive - answerInspect cervix for color, position, surface
characteristics, lesions, discharge.
· Inspect vagina for masses, lesions, abnormal discharge.
· Perform a bimanual exam:
o Palpate cervix, uterus, and ovaries (size, shape, consistency, mobility, tenderness).
o Assess pelvic floor muscles.
· Conduct rectovaginal exam if indicated.
Uterine Prolapse - answer· Downward displacement of the uterus into the vaginal canal.
Uterine Prolapse- s/s - answer· Symptoms: Vaginal fullness, protruding mass, urinary
incontinence.
Uterine Prolapse- Dx - answer· Diagnosis: Physical exam, pelvic ultrasound.
Cystocele (Bladder Prolapse) - answerBladder bulges into vaginal wall due to weak
support structures.
Cystocele (Bladder Prolapse)-s/s - answerSymptoms: Vaginal pressure, urinary
frequency/incontinence.
Cystocele (Bladder Prolapse)-Dx - answer· Diagnosis: Physical exam, voiding
cystourethrogram (VCUG), imaging.
Rectocele (Rectal Prolapse) - answerRectal wall herniates into the vagina.
Rectocele (Rectal Prolapse)-s/s
· - answer· Symptoms: Constipation, difficulty defecating, rectal fullness.
Rectocele (Rectal Prolapse)-Dx
· - answer· Diagnosis: Rectovaginal exam, barium X-ray, colonoscopy.
Bartholin's Cyst - answer· Blocked Bartholin gland leads to abscess.
Bartholin's Cyst-s/s - answer· Symptoms: Pain, swelling, tenderness.
Bartholin's Cyst-Dx - answer· Diagnosis: Physical exam, culture drainage.
Pelvic Inflammatory Disease (PID) - answer· Infection of uterus, fallopian tubes, pelvis
(commonly from STIs).
Pelvic Inflammatory Disease (PID)-s/s - answer· Symptoms: Abdominal pain, fever,
discharge, nausea, painful urination.
Pelvic Inflammatory Disease (PID)-Dx - answer· Diagnosis: Physical exam, WBC count,
imaging.
, Bacterial Vaginosis - answer· Overgrowth of bacteria in the vagina.
Bacterial Vaginosis-s/s - answer· Symptoms: Mild odor, thick white discharge.
Bacterial Vaginosis-Dx - answer· Diagnosis: KOH wet prep test.
endometriosis
50% of ________
________ predisposition - answer· Growth of endometrial tissue outside the uterus.
infertility
genetic
endometriosis-s/s - answer· Symptoms: Dysmenorrhea, dyspareunia, infertility, chronic
pelvic/back pain. Fixed uterus d/t adhesions
endometriosis-Dx - answer· Diagnosis: Laparoscopy with biopsy.
H/P- susp of dx
Ovarian Cysts & Cancer
· Cysts: - answerFluid-filled sacs; common in reproductive-age women.
Ovarian Cysts & Cancer
Cancer: - answerMore common in women over 50, often asymptomatic until advanced
stages.
Ovarian Cysts & Cancer s/s - answer· Symptoms: Abdominal discomfort, bloating,
urinary issues
Ovarian Cysts & Cancer- Dx - answer· Diagnosis: Ultrasound, biopsy.
Trichomoniasis s/s & dx - answerSymptoms: Frothy, malodorous discharge, vaginal
itching.
· Diagnosis: Microscopic flagellated cells.
Chlamydia s/s & dx
· - answerOften asymptomatic; can cause PID in women.
· Symptoms: Purulent discharge, cervical tenderness.
· Diagnosis: Cervical swab.
Gonorrhea s/s & dx - answerSymptoms: Thick, purulent discharge, possible greenish
hue.
· Diagnosis: NAAT test, cervical swab.
Herpes Simplex Virus (HSV-1 & HSV-2) s/s & dx - answer· Symptoms: Painful vesicular
clusters on genitals.
