Chat with AIExam 22: Female Genitourinary System and the Complete Health Assessment: Putting It All Togethe
Incorporate health promotion concepts when performing an assessment of the female genitourinary system.
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VerifiedThe first vaccine developed to prevent cervical cancer has been approved for use in girls and women aged 9 to 16 years. The vaccine targets the human papillomavirus (HPV), which is the virus responsible for most cases of cervical cancer. It is recommended for girls and women before they become sexually active because it is not effective if the individual is already infected with HPV. It is given in three separate injections over a 6-month period. It is important for the nurse to provide information about this vaccine during assessments and to remind patients that this vaccine does not prevent all types of cervical cancer, and routine pelvic examinations and Papanicolaou tests are still necessary.
Describe the structures of the internal female genitalia.
(75) VerifiedThe vagina is a tubular canal, 9 cm in length. It extends from the vestibule to the cervix. The walls are thick and have transverse folds referred to as rugae. The rugae enable the vagina to dilate during intercourse and childbirth. The uterus is a pear-shaped, muscular organ divided in three segments anatomically: the fundus or top of the uterus, the corpus or body, and the cervix, which projects into the vagina. The opening of the cervix is referred to as the os. The two pliable tubes, 10 cm in length, extending from the fundus of the uterus to the brim of the pelvis are the fallopian tubes. Close to the distal end of each fallopian tube is an oval-shaped, glandular structure called the ovary. The recess around the cervix is referred to as the fornix, anterior and posterior.
Outline the changes observed during the perimenopausal period.
(72) VerifiedThe cessation of menses occurs between the ages of 35 and 60 years. Ovarian function declines; the menses become farther apart and produce a lighter flow than usual. The uterus shrinks in size; the ovaries atrophy to 1 to 2 cm and are not palpable after menopause. The sacral ligaments relax, the pelvic musculature weakens, and the uterus droops. The cervix shrinks and looks paler. The vagina becomes shorter, narrower, and less elastic. The vaginal epithelium atrophies, resulting in a fragile mucosal surface that is at risk for bleeding and vaginitis. Vaginal pH becomes more alkaline. Externally, the mons pubis fat pad atrophies and the labia and clitoris gradually decrease in size. Pubic hair becomes thin and sparse.
Use recommended techniques to perform a complete history and physical examination.
(71) Use recommended techniques to perform an appropriate reassessment of the hospitalized patient.
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