NR602 Final Exam
Colposcopy exam- - ANS procedure that visualizes vaginal, vulvar, or cervical epithelium w/
magnification to id abnormal area to be bx
painful menstruation that prevents normal activity and requires medication
3 types: primary (no organic cause), secondary (pathologic cause) and membranous - causes intense
cramping pain due to passage of a cast of endometrium through undilated cervix - ANS
Dysmenorrhea
Dysmenorrhea treatment - ANS Tx- NSAIDs/tyelnol, heat, antiprostaglandins, OCP w/ increased
estrogen- pain relief r/t absence of ovulation, decreased prostaglandin production; surgery
Dysmenorrhea mechanism - ANS prostaglandin activity
-vaginal wall weakens and stretches and allows the bladder to bulge into the vagina - ANS Cystocele
Sx-felling of fullness or pressure in vagina, increased discomfort when you strain/cough/bear down,
feeling of incomplete empty, repeated bladder infection, pain or urinary leak during sex, bulge of
tissue into vaginal opening - ANS Cystocele
Cystocele prevention - ANS kegels, prevent constipation, avoid heavy lifting, avoid wt gain
Rectocele - ANS -When thin tissue of vagina separates the vaginal and rectum allowing vaginal wall
to bulge
Sx- soft bulge of tissue in vaginal, difficult BM, sensation of rectal pressure, incomplete emptying
after BM, sexual concerns - ANS Rectocele
Causes of rectocele - ANS Causes- constipation/strain, chronic cough, heavy lifting, overweight,
childbirth, age
Retocele prevention - ANS Prevention- kegels, prevent constipation, avoid heavy lifting, cough, avoid
wt gain
, -pelvic floor muscles and ligaments stretch and weaken and no longer provide support for uterus
and protrude into vagina. - ANS Uterine Prolapse
Uterine Prolapse causes - ANS Causes- pregnancy, large baby delivery, lower estrogen level after
menopause, obesity Common in postmenopausal and one or more childbirth
Uterine Prolapse symptom - ANS Sx- heaviness or pulling into pelvis, tissue protruding from vagina,
urinary probs (leakage, retention), trouble having BM, feeling of sitting on small ball, sexual concerns
Uterine Prolapse prevention - ANS Prevention- kegels, treat constipation, correct lifting, avoid wt
gain
uterine prolapse treatment - ANS Tx- pessary
chronic viral infection caused by HSV1 or HSV2, relapsing - ANS Herpes Simplex
Herpes Simplex prevention - ANS Prevention: consistent condom use b/c viral shedding can occur in
asymptomatic periods and can lead to transmission. W/ symptoms- Valacyclovir 500 mg daily
Herpes Simplex sign and symptoms - ANS Sx-multiple painful vesicular or ulcerative lesion on
genitals, can be absent. Virus lays dormant and can be reactivated
Herpes Simplex diagnosis - ANS lays dormant and can be reactivated
Dx-cell culture and PCR
Herpes Simplex treatment - ANS Tx- systemic antiviral. Acyclovir 7-10 days for 1st episode,
suppressive 200 mg daily BID
Chancroid - ANS -Transmitted via sexual contact or on hands that have touched lesion. Caused by
Haemophillus ducreyi
-Reportable disease
Colposcopy exam- - ANS procedure that visualizes vaginal, vulvar, or cervical epithelium w/
magnification to id abnormal area to be bx
painful menstruation that prevents normal activity and requires medication
3 types: primary (no organic cause), secondary (pathologic cause) and membranous - causes intense
cramping pain due to passage of a cast of endometrium through undilated cervix - ANS
Dysmenorrhea
Dysmenorrhea treatment - ANS Tx- NSAIDs/tyelnol, heat, antiprostaglandins, OCP w/ increased
estrogen- pain relief r/t absence of ovulation, decreased prostaglandin production; surgery
Dysmenorrhea mechanism - ANS prostaglandin activity
-vaginal wall weakens and stretches and allows the bladder to bulge into the vagina - ANS Cystocele
Sx-felling of fullness or pressure in vagina, increased discomfort when you strain/cough/bear down,
feeling of incomplete empty, repeated bladder infection, pain or urinary leak during sex, bulge of
tissue into vaginal opening - ANS Cystocele
Cystocele prevention - ANS kegels, prevent constipation, avoid heavy lifting, avoid wt gain
Rectocele - ANS -When thin tissue of vagina separates the vaginal and rectum allowing vaginal wall
to bulge
Sx- soft bulge of tissue in vaginal, difficult BM, sensation of rectal pressure, incomplete emptying
after BM, sexual concerns - ANS Rectocele
Causes of rectocele - ANS Causes- constipation/strain, chronic cough, heavy lifting, overweight,
childbirth, age
Retocele prevention - ANS Prevention- kegels, prevent constipation, avoid heavy lifting, cough, avoid
wt gain
, -pelvic floor muscles and ligaments stretch and weaken and no longer provide support for uterus
and protrude into vagina. - ANS Uterine Prolapse
Uterine Prolapse causes - ANS Causes- pregnancy, large baby delivery, lower estrogen level after
menopause, obesity Common in postmenopausal and one or more childbirth
Uterine Prolapse symptom - ANS Sx- heaviness or pulling into pelvis, tissue protruding from vagina,
urinary probs (leakage, retention), trouble having BM, feeling of sitting on small ball, sexual concerns
Uterine Prolapse prevention - ANS Prevention- kegels, treat constipation, correct lifting, avoid wt
gain
uterine prolapse treatment - ANS Tx- pessary
chronic viral infection caused by HSV1 or HSV2, relapsing - ANS Herpes Simplex
Herpes Simplex prevention - ANS Prevention: consistent condom use b/c viral shedding can occur in
asymptomatic periods and can lead to transmission. W/ symptoms- Valacyclovir 500 mg daily
Herpes Simplex sign and symptoms - ANS Sx-multiple painful vesicular or ulcerative lesion on
genitals, can be absent. Virus lays dormant and can be reactivated
Herpes Simplex diagnosis - ANS lays dormant and can be reactivated
Dx-cell culture and PCR
Herpes Simplex treatment - ANS Tx- systemic antiviral. Acyclovir 7-10 days for 1st episode,
suppressive 200 mg daily BID
Chancroid - ANS -Transmitted via sexual contact or on hands that have touched lesion. Caused by
Haemophillus ducreyi
-Reportable disease
