NURS 306 Health Assessment Final- UPDATED

NURS 306 Health Assessment Final: 3 hours for exam – have VSIM and PrepU done by Wednesday Reproductive System - Female System: - Lymphatics of Female: o Vulva to lower vagina – drain into inguinal nodes o Internal genitalia – drains into pelvic/abdominal nodes (not palpable) - Reproductive History: o Menstrual ▪ Menarche: age at onset of menses ▪ Menopause: absence of menses for 12 consecutive months (48-55 years) ▪ Postmenopausal bleeding: occurring 6 months or more after cessation of menses ▪ Amenorrhea: absence of menses ▪ Dysmenorrhea: pain with menses ▪ Polymenorrhea – menses occurs every fewer than 21 days ▪ Oligomenorrhea – infrequent bleeding – skip some months – see in athletes ▪ Menorrhagia – excessive bleeding lasting longer than 7 days ▪ Metrorahhgia – intramenstrual bleeding – bleed between periods ▪ Poccoital – bleeding after intercourse ▪ Premenstrual Syndrome (PMS): cluster of emotional, behavioral and physical symptoms occurring 5 days before menses for 3 consecutive cycles ▪ Frequency – every 24-32 days (average 28 days) ▪ Duration – 3-7 days ▪ Men should be involved – especially with ovulation: • Mid-term – 10-16 days into cycle (with 28 day cycle) • How do you tell? – Some people feel it, temperature goes up o Obstetric ▪ Pregnancy: • Gravida (G): total number of pregnancies • Para (P): outcomes of pregnancies o F: full-term o P: premature o A: abortion – induced or spontaneous o L: living child • Ask about contraception – kind? Satisfied? ▪ Vulvovaginal symptoms – discharge/itching • Do COLDSPA – color, lumps, pain? o Sexual ▪ Sexual preference and response: • Relationship status • Explain why you are asking • Affirm conversation is confidential ▪ Sexual contacts? History of STD’s? Safe Sex? - Health Promotion for Women: o Note normal signs of aging – dryness, decreased estrogen, ovulation stops, thinning/graying of pubic hair, skin is less elastic o Changes in anatomy from puberty to menopause, cervical cancer screening (PAP), early prenatal care, family planning, STD’s/HIV