NR 304/ NR304 WEEK 6 WORKSHEET CANDICE HAMBY.

NR 304 Reproductive, Breast, Prostate, Rectum, Anus, Renal Worksheet Questions: FEMALE REPRODUCTIVE 1. Describe the concern of vaginal bleeding in a post-menopausal woman. Cancer of the uterus, including endometrial cancer and uterine sarcoma 2. List 3 possible methods of contracting sexually transmitted disease. Sexual Contact, Blood Transfusion, Saliva 3. Discuss the probable cause of cystocele and rectocele. What objective finding is associated with a cystocele or rectocele? Connective tissue separates the pelvic organs. The tissue, called fascia, is attached to nearby muscles. When healthy, the fascia and muscles support the bladder, vagina and rectum. Defects in the fascia can cause cystoceles and rectoceles. In a cystocele, there is a defect in the fascia between the bladder and vagina. This allows a part of the bladder wall to bulge into the vagina. In a rectocele there is a defect in the fascia between the rectum and the vagina. This allows part of the wall of the rectum to bulge into the vagina. Cystocele with straining note introitus widening and the presence of a soft round anterior bulge. Rectocele with straining note introitus widening and the presence of a soft round bulge from posterior. 4. List 2 subjective findings of a woman with a cystocele. Feeling of pressure in the vagina, and stress incontinence 5. List 2 subjective findings of a woman with a rectocele. Feeling of pressure in the vagina, and possible constipation 6. What is one response the nurse can use to obtain a more accurate description of the amount of vaginal bleeding a woman is experiencing? How many pads or tampons do you use each day or hour? Usual amount of flow 7. Fill in the following table related to sexually transmitted disease. Disease Process Subjective Findings Objective Findings Vaginal Candidiasis (Yeast) Thick, Whitish clumpy discharge. Intense pruritus Vulva and vagina are erythematous and edematous Gonorrhea early • Painful or frequent urination. Painful sexual intercourse. Abnormal vaginal discharge. Abnormal vaginal bleeding during or after sex or between periods. Gonorrhea late joint called arthritis bacteremia iritis or conjunctivitis fever, chills and joint pains. Chlamydia Urinary frequency Vaginal discharge Yellow or Green discharge Cervical motion tenderness Herpes Simplex II Local pain Dysuria Fever Cluster of small shallow vesicles with surrounding erythema Syphilis sore throat fatigue painless ulcers, sores, vaginal discharge, or wart-like growths on genitals 8. What is a common cause of candidiasis infections? Recent use of antibiotics 9. Discuss the importance of annual well woman checks regarding ovarian cancer. Early Detection: From cervical cancer to STDs, Preventative Care 10. What is one method of reducing the risk of cervical cancer? PAP TEST and HPV Vaccine 11. What is the screening test called for detecting cervical cancer? PAP TEST and HPV Vaccine BREAST 12. Describe peau de orange. What is the significance of peau de orange? Peau d'orange is a French term, meaning "orange peel" or "orange skin." It is used to describe a medical symptom whereby the skin becomes thick and pitted with a texture and appearance similar to that of orange peel. It is sometimes accompanied by redness and tenderness of the skin, scaling, and a dark coloring. Peau d'orange can appear for a range of reasons, some more serious than others. Cellulite, Graves' dermopathy, Infection, Lymphedema, Pseudoxanthoma elasticum, Inflammatory breast cancer. 13. What is the frequency of self-breast examination? Both men and women should perform a BSE at least once each month beginning at age 18. 14. When should self-breast examination be performed? Examine yourself several days after your period ends, when your breasts are least likely to be swollen and tender. 15. Describe the process of self-breast examination? Place a pillow under your right shoulder and your right arm behind your head. Using your left hand, move the pads of your fingers around your right breast gently in small circular motions covering the entire breast area and armpit. Use light, medium, and firm pressure. Squeeze the nipple; check for discharge and lumps. 16. Explain why it is important to examine the axilla. ANS: the location of most breast tumors. The upper outer quadrant is the site of most breast tumors. In the upper outer quadrant, the nurse should notice the axillary tail of Spence, the cone-shaped breast tissue that projects up into the axilla, close to the pectoral group of axillary lymph nodes. MALE REPRODUCTIVE SYSTEM