Chapter 53: Caring for Clients w/ Disorders of the Female Reproductive Syste
group of physical and emotional symptoms that occur in some women 7 to 10 days before menustration
Premenstrual Syndrome
This client presents w/:
Premenstrual Syndrome
tx for PMS
painful menstruation
Dysmenorrhea
This client presents w/:
Dysmenorrhea
Tx for dysmenorrhea
absence of menstrual flow
Amenorrhea
Tx of amenorrhea
treating the underlying cause
characterized by a cluster of signs and symptoms that include amenorrhea and oligomenorrhea
Polycystic Ovarian Syndrome (PCOS)
This client presents w/:
PCOS
Tx for PCOS
excessive bleeding at the time of normal menstruation
Menorrhagia
Client presents w/:
Menorrhagia
Tx for menorrhagia
vaginal bleeding at the time other than a menstrual period
Metrorrhagia
nurse management for clients w/ Metrorrhagia
Menopause
This client presents w/:
Menopause
Tx for menopause
Nursing management and teachings for clients going through menopause
inflamed vagina
Vaginitis
candida albicans
trichonomas vaginalis
Gardnerella vaginalis
Tx for vaginitis
Antimicrobials
Nursing management and teachings for clients w/ vaginitis?
infection of the pelvic organs other than the uterus, including the ovaries (oophoritis), fallopian tubes (salpingitis), pelvic vascular system, and pelvic supporting structures
Pelvic inflammatory disease (PID)
This client presents w/:
Pelvic inflammatory disease (PID)
Medical management for clients w/ PID
a type of septic shock that is associated w/ the use of superabsorbent tampons that are not changed frequently and internal contraceptive devices that remain in place longer that usual
This client presents w/ sudden onset of:
TSS
Medical and nursing management for clients w/ TSS:
occurs when tissue similar to the endometrium is found outside the uterus
Endometriosis
This client presents w/:
Endometriosis
Medical Management for Endometriosis
nursing management for endometriosis
opening b/t ureter and vagina
ureterovaginal fistula
opening b/t bladder and vaginal
vesicovaginal fistula
opening b/t the rectum and vagina
rectovaginal fistula
This client presents w/:
vaginal fistula
what is the tx for a vaginal fistula
surgery after an inflammation and edema have disappeared
nursing management for clients w/ vaginal fistulas
post-surgery management for clients with fistulas
cystocele
herniation of the rectum into the vagina
rectocele
downward displacement of the cervix anywhere from low in the vagina to outside the vagina
uterovaginal prolapse
Medical and surgical management for pelvic organ prolapses
Nursing management for pelvic organ prolapses
Show the client how to remove, clean, and reinsert a pessary
when a client has abnormal bleeding, this surgical procedure is done to determine the cause of or to control the bleeding
Dilation and Curettage (D&C)
This client presents w/:
Fibroid tumor
medical and surgical tx for fibroid tumor
localized malignancy that, if left untreated, will invade other areas
Carcinoma in situ
Removal of the entire uterus and cervix
Hysterectomy
removal of the uterus only, with a stump of the cervix left in tact
Subtotal Hysterectomy
removal of the uterus, fallopian tubes, and ovaries
Panhysterectomy
removal of the uterus, cervix, ovaries, fallopian tubes: part of the upper vagina and some pelvic lymph nodes
Radical Hysterectomy
removal of all reproductive organs, rectum, colon, bladder, iliac blood vessels, and pelvic lymph nodes and peritoneum
pelvic exenteration
What preventatives are done to decrease the incidence of cervical cancer?
a membranous sac filled w/ fluid, cells, or both
Ovarian Cyst
This client presents w/:
Ovarian Cyst
Medical tx for ovarian cysts
- oophorectomy: removal of the ovary
- oophorocystectomy: removal of the cystic tissue
- salpingo-oophorectomy: removal of the ovary and fallopian tubes
inflammation of the cervix
S/S:
Cervicitis
tx of cervicitis
nursing management for cervicitis
- rest more than usual for 1-2 days
- avoid straining or heavy lifting
- rest in bed and report any frank bleeding
- expect grayish-green, malodorous discharge is normal for about 3 weeks after cautery
- return for follow-up w/ PCP in 2-4 weeks
- abstain from sex until tissues are healed
- expect healing to take 6-8 weeks
This client presents w/:
Cervical and Endometrial Cancer