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Nursing Assessment: Reproductive System

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Nursing Assessment: Reproductive System

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    1. Nursing Assessment: Reproductive System NURS 1228 Spring 2003 By Nina Green, RN, Instructor

    3. Male Reproductive

    4. Female Reproductive System Breasts Pelvic Organs Ovaries Fallopian tubes Uterus Vagina External Genitalia Mons pubis Labia majora Labia minora Clitoris Urethra Vaginal orifice Bartholhin’s glands

    5. Female Reproductive Organs

    6. Hormone regulation

    7. Menstrual cycle Menarche Menstrual cycle Three phases The proliferative or follicular phase The secretory or luteal phase, The menstrual or ischemic phase.

    8. Menopause Premenopausal Perimenopausal Postmenopausal Dyspareunia Amenorrhea Menorrhagia Metorrhagia

    9. Phases of Sexual Response Male Sexual Response Excitement phase Plateau phase Resolution phase Female Sexual Response Excitement phase Plateau phase Resolution phase

    10. Effects of aging on Reproductive System (Male) Decrease in size of penis Fewer sustained erections Decreased testosterone Prostate enlargement Some breast enlargement Increased stimulation needed for erection Decreased need to ejaculate Decreased ability to attain an erection Possible decreased response to sexual stimuli

    11. Effects of aging on Reproductive System (Female) Decreased size, shape, and tone of breasts Decrease in size of vulva, clitoris, labia and amount of pubic hair Decrease muscle tone, moisture, depth and width of vagina Decrease in muscle tone of urethra Decrease in size and thickness of uterus Decreased ovarian function and size Decreased vaginal lubrication and sexual response

    12. Assessement of Reproductive System Problems in other areas of life are often interrelated with problems and stresses within the reproductive system. Reproduction and sexual issues are considered extremely personal and private. The nurse must develop trust to elicit this information.

    13. Common childhood illnesses that affect reproductive function Mumps Rubella

    14. Chronic diseases that affect the Reproductive System Diabetes Mellitus Cardiovascular disease Anemia CVA Post MI Endocrine disorders Kidney and urinary tract problems

    15. Medications Assessment Diuretics Psychotropic drugs Antihypertensives Contraceptives or hormones Alcohol Barbiturates and amphetamines Marijuana and street drugs

    16. Surgery Assessment Men Herniorrhaphy Orchiectomy Prostatectomy Repair of testicular torsion Varicocelectomy Vasectomy Women Cryosurgery D & C Hysterectomy Oophorectomy Repair of cystocele Repair of rectocele Salpingectomy Tubal sterilization

    17. Functional health Patterns Health perception-health management pattern Immunization for rubella? Attempting to become pregnant? Examine breasts? How? Last mammogram? Pap smear? Rectal exam? Results? Chronic illness? Vaginal discharge? Safe sex? Protect self from unwanted pregnancy, STD’s? How?

    18. Functional Health Patterns Nutritional-Metabolic Anemic? Enough calcium in diet? Eat calcium rich foods? Calcium supplement? Average daily caloric intake? How do you feel about weight? Want to be thinner or heavier? Diet?

    19. Functional Health Patterns Elimination Problems urinating? Problems with bowels? Bladder infection? When? How often? Anything make it better? Laxatives? Vomit after eating? Activity-Exercise Activities done each day? Dress yourself? Feed yourself? Walk without help?

    20. Functional Health Patterns Cognitive-Perceptual Problems with balance? Pain in private parts? Pain during sexual activity or intercourse? Forgetful? Self-perception-Self-Concept Problem in reproductive system affecting feelings about themselves as a man/woman? Has problem affected sex life? How?

    21. Functional Health Patterns Role-Relationship Effect reproductive problem/pregnancy had on work, family, and or social life? Role related problems in family? Sexuality-Reproductive Satisfied with sexual activity as you now do it? Recent changes in sexual practices? Problem with reproductive system affect sexual expression or practice?

    22. Functional Health Patterns Coping-Stress Tolerance Stress in life right now? How do you handle your health problems? Who do you go to for support? Does it help? Value-Belief Beliefs about health problems? Medical treatment contradict personal beliefs? Home remedies? Homeopath, naturopath, or chiropractor?

    23. Diagnostic tests Urine studies Pregnancy testing Hormone studies FSH assay Blood Studies Prolactin assay Serum hCG assay Serum androstnedione and testosterone levels Serum progesterone Serum estradiol Serum FSH

    24. Diagnostic studies Syphilis studies Nontreponemal serologic tests Treponemal test Miscellaneous studies Dark-field microscopy Wet mounts Cultures Gram stain

    25. Diagnostic studies Cytologic Studies Pap smear Nipple discharge test Radiologic Studies Soft tissue mammography Contrast mammography ultrasound

    26. Diagnostic Studies Invasive procedures Breast biopsy Hysterosalpingogram Colposcopy Conization Loop electrosurgical excision (LEETZ & LEEP) Operative Procedures Culdotomy, culdoscopy, and culdocentesis Laparoscopy D & C

    27. Diagnostic Studies Fertility Studies Semen analysis Basal body temperature assessment Huhner test or Sims-Huhner Endometrial biopsy Hysterosalpingogram Serum progesterone

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