Understanding Medical Surgical Nursing Ch 39
Terms
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copy deck
- adnexa
- appendages or accessory organs
- bimanual
- with both hands
- circumcise
- surgical removal of foreskin covering head of penis
- colposcopy
- exam of vulva, vagina, & cervix w/magnifying lens & bright light
- conization
- removal of a cone of tissue (as in partial excision of cervix uteri)
- culdoscopy
- direct visual exam of female viscera through endoscope insterted via pelvic cavity through posterior vaginal fornix
- curet
-
loop, ring, or spoon-shaped instruement, attached to handle & having sharp or blunt edges
used to scrape tissue from a surface - cystic
- pertaining to cysts or the urinary bladder
- ejaculation
- release of semen from male urethra
- erection
- enlarement & hardening of penis caused by engorgement of blood
- gynecomastia
- excessive breast tissue on a male
- hydrocele
- collection of fluid in scrotal sack
- hypospadias
-
opening of male urethrea is on underside of penis instead of tip
congenital defect - hysterosalpingogram
- radiograph of uterus & fallopian tubes
- hysteroscopy
- endoscopic direct visual exam of canal of uterine cervix & cavity of uterus
- insufflation
- used to inflate abd during laparoscopic or endoscopic procedures to enhance visualization of structures
- libido
-
sexual drive
conscious or unconscious - mammography
- radiography of breast to diagnose breast cancer
- menarche
-
initial menstrual period
normally occurrs between 9th & 17th year - menopause
-
period marking permanent cessation of menstrual activitiy
usually occurrs between ages of 35 and 58 years - orgasm
- pleasurable physical release sensation r/t physical, sexual, & psychological stimulation
- salpingoscopy
- endoscopic visualization of fallopian tubes
- transillumination
- passage of strong light through body structure to permit inspection on opposite side
- varicocele
-
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)
- ovaries
- Estrogen and progesterone hormones are secreted by the _____.
- placenta
- The hormone oxytocin is secreted by the _____ _____.
-
posterior pituitary
H ormone
O oxytocin
P osterior
P ituitary - The hormone testosterone is secreted by the _____.
- testes
- The hormone inhibin is secreted by the _____. (m)
- testes
- 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