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Understanding Medical Surgical Nursing Ch 39


undefined, object
copy deck
appendages or accessory organs
with both hands
surgical removal of foreskin covering head of penis
exam of vulva, vagina, & cervix w/magnifying lens & bright light
removal of a cone of tissue (as in partial excision of cervix uteri)
direct visual exam of female viscera through endoscope insterted via pelvic cavity through posterior vaginal fornix
loop, ring, or spoon-shaped instruement, attached to handle & having sharp or blunt edges

used to scrape tissue from a surface
pertaining to cysts or the urinary bladder
release of semen from male urethra
enlarement & hardening of penis caused by engorgement of blood
excessive breast tissue on a male
collection of fluid in scrotal sack
opening of male urethrea is on underside of penis instead of tip

congenital defect
radiograph of uterus & fallopian tubes
endoscopic direct visual exam of canal of uterine cervix & cavity of uterus
used to inflate abd during laparoscopic or endoscopic procedures to enhance visualization of structures
sexual drive

conscious or unconscious
radiography of breast to diagnose breast cancer
initial menstrual period

normally occurrs between 9th & 17th year
period marking permanent cessation of menstrual activitiy

usually occurrs between ages of 35 and 58 years
pleasurable physical release sensation r/t physical, sexual, & psychological stimulation
endoscopic visualization of fallopian tubes
passage of strong light through body structure to permit inspection on opposite side
varicose veins of scrotum

can lead to infertility
Which male reproductive duct carries sperm into the abdominal cavity?
a. Urethra
b. Epididymis
c. Ductus deferens
d. Ejaculatory duct
c. Ductus deferens
Which of the following is the usual site of fertilization?
a. Ovary
b. Uterus
c. Vagina
d. Fallopian tube
d. Fallopian tube
Which of the following items should be placed out in preparation for a Pap smear?
a. Syringe
b. Vaginal speculum in water
c. Dry, sterile vaginal speculum
d. Vaginal speculum with lubricant
c. Dry, sterile vaginal speculum
Which of the following techniques is recommended for male patients younger than age 40 to detect prostate cancer early?
a. Yearly DRE
b. Monthly STE
c. Yearly PSA
d. Bimonthly bimanual examination
b. Monthly STE
According to the American Cancer Society, what is the most effective method for detecting breast cancer?
a. BSE
b. Mammogram
c. Clinical breast examination
d. One or more of the above according to age guidelines
d. One or more of the above according to age guidelines
Anna Brown has just had a laparoscopy to investigate the causes of her infertility. The nurse should instruct her to lie flat in the bed for a few hours for which of the following reasons?
a. She will rip out the stitches in her 4-inch long abdomina
c. The carbon dioxide left over from the test will travel upward and cause pain.
The three phases of the menstrual cycle are . . .
1) menstrual phase

2) follicular phase

3) luteal phase
The menstrual phase of the menstrual cycle causes what changes?
- loss of endometrium
- lasts 2 to 8 days
- ↑ FSH
- ovarian follicles begin to develop
The follicular phase of the menstrual cycle causes what changes?
- FSH stimulates ovarian follicle growth & estrogen secretion
- LH ↑
- phase ends w/ovulation
The luteal phase of the menstrual cycle causes what changes?
- LH converts ruptured follicle into corpus luteum
- c.l. secretes progesterone & estrogen
- as progesterone ↑, LH ↓
- w/o ovum fertilization, progesterone also begins to ↓
- endometrium sloughs off w/o presence of progesterone
- FSH ↑ as estrogen & progesterone ↓ & cycle starts again
Follicle-stimulating, luteinizing, and prolactin hormones are secreted by the _____ _____.
anterior pituitary
Estrogen, progesterone, and inhibin hormones are secreted by the _____. (f)
Estrogen and progesterone hormones are secreted by the _____.
The hormone oxytocin is secreted by the _____ _____.
posterior pituitary

H ormone
O oxytocin
P osterior
P ituitary
The hormone testosterone is secreted by the _____.
The hormone inhibin is secreted by the _____. (m)
The 1_____ secretions of the male reproductive glands ensure that 2_____ remain viable in the acidic environment of the 3_____. The normal bacterial flora of the 4_____ create an 5_____ pH there, but the pH of semen is about 6_____ and permits 7_____ to
1 alkaline
2 sperm
3 vagina
4 vagina
5 acidic
6 pH 7.4
7 sperm
Some of the reproductive system-related changes that occur as women advance in age
include . . .
- menopause
- decreased estrogen
- loss of bone matrix
- cholesterol increase
- drying of vaginal mucosa
- greater risk for vaginal infections
Some of the reproductive system-related changes that occur as men advance in age include . . .
- testosterone & sperm production lessen
- prostatic hypertrophy occurs
- prostatic cancer more likely in older men
Obstetrical hx includes number of pregnancies, pregnancy outcomes, and complications. These are generally documented using abbreviations of Latin words: G = _____; P = _____; A = _____.
G = pregnancies (gravida)

P = births (para)

A = abortions (abortus)

*Roman numerals follow letters to specify number of each
The obstetrical abbreviation "GIII PIV AI" means . . .
GIII = 3 pregnancies

PIV = 4 births (two single & one set of twins)

AI = 1 spontaneous abortion (AKA miscarriage)
The American Cancer Society recommends from age 1_____ throughout life that women do monthly BSE, from ages 2_____ to 3_____ that they add a breast examination by a health professional every 3 years, and from age 4_____ that they have a yearly mammogram
1) 20 yrs

2) 20 yrs

3) 39 yrs

4) 40 yrs
Normal value of prostate-specific antigen (PSA) is _____ ng/L. PSA is a glycoprotein produced by prostate cells. An elevated level indicates prostatic hypertrophy or cancer.
a. 10 to 13
b. 7 to 10
c. less than 4
d. more than 5
c. less than 4

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