Chapter 41 Genitourinary and Reproductive System Function and Assessment

Answers 3. Prepare the woman physically (gown, position, etc.), educate, and provide emotional support. Stay with the woman during the exam if the health care provider (HCP) allows. Explain things as they are being done if the HCP does not do so. CHAPTER 41 GENITOURINARY AND REPRODUCTIVE SYSTEM FUNCTION AND ASSESSMENT VOCABULARY AUDIO CASE STUDY Emma and Lily—Women’s Health 1. Have the patient empty her bladder. Provide privacy plus a drape for warmth and additional privacy. Warm the speculum if it is metal and have the patient take a deep breath, blow out, and relax during speculum insertion. 2. Birth control pills do not prevent sexually transmitted infections (STIs); use a condom and spermicidal jelly. 1. hysteroscopy 2. insufflation 3. digital rectal 4. gynecomastia 5. hypospadias 6. hydrocele 7. varicocele 8. libido 9. menarche 10. mammography ANATOMY AND PHYSIOLOGY Fallopian tube Ovary Uterus Cervix of uterus Urethra Rectum Labium minora Labium majora Vagina 1 2 Chapter 41 Answers Vas deferens Rectum Urinary bladder Seminal vesicle Corpus cavernosum Prostate gland Urethra Epididymis Glans penis Prepuce (foreskin) Testis Scrotum Corpus spongiosum Bulbourethral gland Ejaculatory duct FEMALE REPRODUCTIVE STRUCTURES 1. (5) 2. (7) 3. (6) 4. (3) 5. (2) 6. (1) 7. (4) MALE REPRODUCTIVE SYSTEM 4, 2, 5, 1, 3 DIAGNOSTIC TESTS REVIEW 1. (2) 2. (1) 3. (3) 4. (6) 5. (4) 6. (5) CRITICAL THINKING 1. “Even though you had prostate surgery, unless you had your entire prostate gland removed, some of the tissue will grow back, and a rectal examination is still important.” 2. Examine her abdomen and check her medical record for the report of her procedure. Most likely she had carbon dioxide (CO2) pumped into her abdomen as part of the procedure to enhance visualization of structures. Explain to her why her abdomen is distended. If there is no record of CO2 insufflation, something may indeed be wrong, and further assessment and reporting to the nurse or HCP are indicated. 3. Prepare to assist with cultures to send to the laboratory. Ask if she uses protection during intercourse. Tell her she may have to refrain from sexual activity until the source and communicability of her discharge are determined. 4. Depending on how Mr. Brown shared this initial information, you probably have a good idea how comfortable he is sharing additional information. If not, you can ask if he would like to discuss the matter further. A good question to ask might be why he is no longer sexually active. If it is not by choice, he may be experiencing erectile dysfunction from complications of diabetes. If physical problems are preventing sexual activity, inform him that there are many treatments available. If Mr. Brown wishes, talk with his HCP about a consultation with a urologist or other specialist. REVIEW QUESTIONS—CONTENT REVIEW The correct answers are in boldface. 1. (1) is correct. (2, 3, 4) are incorrect. 2. (2) is correct. (1, 3, 4) are incorrect. 3. (1) is correct. (2, 3, 4) are incorrect. 4. (4) is correct. (1, 2, 3) are incorrect. 5. (3) is correct. (1, 2, 4) are incorrect. 6. (3) is correct. A yearly mammogram is recommended. Optional breast self-examination can be done monthly. (1, 2, 4) are incorrect. 7. (4) is correct. Digital rectal examination is done by a health care provider at a routine visit. (1, 2, 3) are incorrect. It is unreasonable to expect such frequent health care provider visits; testicular self-examination can be done at home more often. Chapter 41 REVIEW QUESTIONS—TEST PREPARATION The correct answers are in boldface. 8. (2) is correct. A cystourethrogram involves a catheter, dye, and x-rays. (1, 3, 4) are not correct. 9. (2) is correct. The patient should empty her bladder before the Papanicolaou (Pap) smear. (1, 3, 4) are not necessary for Pap smears. 10. (1) is correct. A portion of the breast self-examination is done while lying down. (2, 3, 4) are inappropriate. Answers 3 11. (4) is correct. A mammogram shows a lesion, but it cannot diagnose specifically what the lesion is. Additional tests are needed. (1, 2) are not true. (3) is incorrect because a mammogram is not the best test but is a good screening tool. 12. (4) is correct. Wet mounts must be viewed immediately. (1) There is no time to sit at this time. (2) is not therapeutic. (3) the wet-mount needs to be delivered before spending time, and recommending her partner be tested is premature.