NR602 Final Exam Study Guide
Solutions
Colposcopy exam- - ANSWER✔✔-procedure that visualizes vaginal,
vulvar, or cervical epithelium w/ magnification to id abnormal area to be
bx
painful menstruation that prevents normal activity and requires
medication
3 types: primary (no organic cause), secondary (pathologic cause) and
membranous - causes intense cramping pain due to passage of a cast of
endometrium through undilated cervix - ANSWER✔✔-Dysmenorrhea
Dysmenorrhea treatment - ANSWER✔✔-Tx- NSAIDs/tyelnol, heat,
antiprostaglandins, OCP w/ increased estrogen- pain relief r/t absence of
ovulation, decreased prostaglandin production; surgery
Dysmenorrhea mechanism - ANSWER✔✔-prostaglandin activity
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,-vaginal wall weakens and stretches and allows the bladder to bulge into
the vagina - ANSWER✔✔-Cystocele
Sx-felling of fullness or pressure in vagina, increased discomfort when you
strain/cough/bear down, feeling of incomplete empty, repeated bladder
infection, pain or urinary leak during sex, bulge of tissue into vaginal
opening - ANSWER✔✔-Cystocele
Cystocele prevention - ANSWER✔✔-kegels, prevent constipation, avoid
heavy lifting, avoid wt gain
Rectocele - ANSWER✔✔--When thin tissue of vagina separates the vaginal
and rectum allowing vaginal wall to bulge
Sx- soft bulge of tissue in vaginal, difficult BM, sensation of rectal pressure,
incomplete emptying after BM, sexual concerns - ANSWER✔✔-Rectocele
Causes of rectocele - ANSWER✔✔-Causes- constipation/strain, chronic
cough, heavy lifting, overweight, childbirth, age
Retocele prevention - ANSWER✔✔-Prevention- kegels, prevent
constipation, avoid heavy lifting, cough, avoid wt gain
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, -pelvic floor muscles and ligaments stretch and weaken and no longer
provide support for uterus and protrude into vagina. - ANSWER✔✔-
Uterine Prolapse
Uterine Prolapse causes - ANSWER✔✔-Causes- pregnancy, large baby
delivery, lower estrogen level after menopause, obesity Common in
postmenopausal and one or more childbirth
Uterine Prolapse symptom - ANSWER✔✔-Sx- heaviness or pulling into
pelvis, tissue protruding from vagina, urinary probs (leakage, retention),
trouble having BM, feeling of sitting on small ball, sexual concerns
Uterine Prolapse prevention - ANSWER✔✔-Prevention- kegels, treat
constipation, correct lifting, avoid wt gain
uterine prolapse treatment - ANSWER✔✔-Tx- pessary
chronic viral infection caused by HSV1 or HSV2, relapsing - ANSWER✔✔-
Herpes Simplex
Herpes Simplex prevention - ANSWER✔✔-Prevention: consistent condom
use b/c viral shedding can occur in asymptomatic periods and can lead to
transmission. W/ symptoms- Valacyclovir 500 mg daily
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