located at 11 & 1 o'clock; milk this gland by moving the finger outward, do this on both
sides of the urethra and then directly on the urethra. - Answer Skene Glands
what do you look for when milking the skene glands? - Answer discharge and note any
tenderness
what does discharge from the skene glands usually indicate? - Answer an infection-
most commonly, but not necessarily, gonococcal
posterolateral to the labia majora at 5 & 7 o'clock
Bartholin glands
What do you look for when palpating the bartholin glands?
discharge, swelling, tenderness, masses, heart or fluctuation
You find a painful hot swollen fluctuant mass and this indicates the presence of?
infection-usually gonococcal or staphylococcal in origin and filled with pus
a nontender mass on the Bartholin gland is indicative of what? - Answer a bartholin cyst,
which is the result of chronic inflammation of the gland
top two skin folds of the vagina. may be gaping or closed, dry or moist. may be shriveled
or full - Answer Labia Majora
the tissue of the labia majora should have what characteristics? - Answer soft and
homogeneous
labial swelling, redness, or tenderness, especially if unilateral, may indicate the
presence of ________________. a Bartholin gland infection
,injury to the skin or rashes or lesions of the labia majora suggest the presence of
_________________. infectious or inflammatory process
two smaller folds of skin that cover and extend from the vagina. inner surface is moist
and dark pink __________________ Labia Minora
tissue of the labia minora should be described as: soft, homogeneous, and without
tenderness
inflammation, irritation, excoriation, or caking of discharge in tissue folds of the labia
minora suggests: vaginal infection or poor hygiene
discoloration or tenderness of the labia minora may indicate: result of traumatic
bruising
Ulcers or vesicles on the labia minora may be a sign of what? -Answer an STI
Located between the vaginal introitus and the anus. -Answer the perineum
What is a characteristic of the perineal surface? -Answer smooth
What is the definition of a woman who is nulliparous? -Answer she has never given birth
to a child
what are the characteristics of the tissue of the perineum in a nulliparous woman?
-Answer thick and smooth
what are the characteristics of the tissue of the perineum in a multiparous woman?
-Answer thinner and rigid
, what is the definition of a woman who is multiparous? -Answer she has given birth to
multiple children
descent or herniation of the uterus into or beyond the vagina
result of weakening of the supporting structures of the pelvic floor, usually occurring
with a cystocele and rectocele
nuterus becomes progressively retroverted and descends in to the vaginal canal -
Answer uterine prolapse
the cervix remains within the vagina - Answer first degree prolapse of the uterus
the cervix is at the introitus - Answer second degree prolapse of the uterus
cervix and vagina prolapse outside introitus -Answer third degree uterine prolapse
what are some subjective symptoms of a uterine prolapse? -Answer -feeling of
heaviness in the pelvis and/or that uterus will fall out
- feeling of tissue protruding from vagina
- may complain of leakage of urine or urgency incontinence, difficulty initiating a bowel
movement, or backache
what shade of color should the cervix appear? -Answer pink color evenly distributed
bluish colored cervix indicates what? - Ans increased vascularity, which can be a sign of
pregnancy
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