ASSESSING THE FEMALE GENITOURINARY SYSTEM. Outcomes 4Identify pertinent genitourinary history...
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Transcript of ASSESSING THE FEMALE GENITOURINARY SYSTEM. Outcomes 4Identify pertinent genitourinary history...
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ASSESSING THE FEMALE GENITOURINARY SYSTEM
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OutcomesIdentify pertinent genitourinary history questions.
Obtain a female genitourinary history.
Perform a female genitourinary physical assessment.
(Continued)
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OutcomesDocument pertinent genitourinary assessment findings.
Identify actual/potential health problems stated as nursing diagnosis.
Differentiate between normal and abnormal findings.
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Structures
Mons pubis Labia majora & minora
Clitoris Urinary meatus Perineum Bartholin’s glands Anus Cervix Uterus Fallopian tubes Ovaries Kidneys Urethra Bladder Vagina Skene’s gland
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FunctionsWhat are the functions of…
Mons pubis: Subcutaneous pad over symphysis pubis for protection
Labia majora/minora: Folds of adipose and connective tissue that protect and lubricate external genitalia
(Continued)
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FunctionsWhat are the functions of…
Clitoris:Erectile tissue for sexual stimulation
Urinary meatus: Opening to urethra
Skene’s glands: Lubricate and protect
(Continued)
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FunctionsWhat are the functions of…Vaginal introitus:
Opening of the vaginaVagina:
Muscular tube for copulation, birth canal, and menses
Bartholin’s glands: Secretes alkaline mucus that improves viability & motility of sperm
(Continued)
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FunctionsWhat are the functions of…
Cervix: End of the uterus into vagina
Uterus: Hollow, muscular organ; site for fertilized egg implantation; protects fetus
(Continued)
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FunctionsWhat are the functions of…Tubes:
Passage for ovum to uterus, site of fertilization
Ovaries: Produce ova, estrogen and progesterone
Kidneys: Filter and excrete wastes (Continued)
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FunctionsWhat are the functions of…
Ureter: Connects kidneys to bladder
Bladder: Hollow muscular structure; holds urine
Urethra: Connects bladder to urinary meatus opening
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DevelopmentalVariationsWhat developmental variations of the
female genitourinary might be seen with:
Children Pregnant clients Older adults
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HistoryWhat can the history tell you about the female genitourinary system?
Biographical data Current health status Past health history Family history Review of systems Psychosocial history
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SymptomsWhat symptoms would signal a problem with the female genitourinary system?
Vaginal discharge Lesions Vaginal bleeding, pain Amenorrhea Urinary symptoms
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Physical AssessmentAnatomical landmarks: external--note
position of structures; internal--visualize underlying structures
Approach: inspection, palpation
Position: lithotomy
Tools: gloves, speculum, lubricant, light, slides and swabs for specimen collection
General survey and head-to-toe scan
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InspectionExternal genitalia: color, hair
distribution, condition of skin, lesions, discharge, odor, pubic pediculosis, prolapse
Rectal area: condition of skin, lesions, discharge, bleeding, hemorrhoids, fissures
(Continued)
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InspectionPelvic exam: color, lesions of vaginal
walls; color, lesions, discharge, position, size, shape, and patency of cervical os (obtain specimens)
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Palpation Skene’s and Bartholin’s glands: masses,
swelling, discharge, tenderness Vaginal wall: texture, swelling, lesions,
tenderness Cervix: size, shape, consistency, position,
mobility, tenderness Uterus: size, shape, symmetry, position,
masses, tenderness
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PalpationOvaries: size, shape, symmetry,
tendernessAnus and Rectum: sphincter tone,
tenderness, lesions, masses, hemorrhoids, polyps; test any stool for occult blood
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Pertinent Physical Findings External genitalia pink, moist, intact; small
amount of white, ordorless discharge; no lesions
Vaginal walls and cervix pink, moist, intact; no lesions
Uterus anteverted, no masses, non-tender Ovaries and tubes non-palpable No rectal masses; hematest negative
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Nursing Diagnosis
What actual or potential problems can you identify for Mrs.James?