Female Genitalia Case Study
Female Genitalia
Health Assessment Lecture
Objectives: * Describe the structure and function of the female genitalia * Describe particular developmental and transcultural considerations. * Collective subjective and objective data. * Record the findings. * Identify the appropriate nursing diagnoses for problem areas identified.
Female Genitalia
Structure & Function * Consists of external and internal structures
External:
* vulva or pudendum (extends from mons pubis to anal opening) * mons pubis (fat pad over pubic symphysis) * labia majora and minora (hairless, usually darker pink) * Clitoris: 3 parts – glans, corpus, crura * Analogous to the penis
* Vestibule (boat-shaped …show more content…
* Normal: 18 – 45 day cycle; 3 – 7 days in duration * Symptoms before and after menses * PMS * Menarche: ave. 12.5 years; 48kg (106lbs) * Irregularities or amenorrhea (menopause, pregnancy, depression, ovarian tumors or cysts, hormonal imbalances, autoimmune
History of Present Health Concern * Menopause * Ages 40 to 58 years * Perimenopausal period: hormones …show more content…
* Use gloved hand to separate the labia majora. * Normal: labia minora – symmetric, dark pink and moist. * Abnormal: asymetrical, lesions, swelling, bulding and discharge; excorations
Palpate the Bartholin’s Gland * Place index finger in the vaginal opening and your thumb on the labia majora. * Pinch gently the inferior portion of the posterior labia majora * Repeat on the opposite side.
Normal:
* Soft, non-tender and drainage free.
Abnormal:
* Swelling, pain and discharge (infection and abscess) * Abscess of Bartholin’s gland
Palpate the urethra. * Insert gloved finger into the superior portion of the vagina * Milk the urethra, pushing up and out.
Normal: no drainage
Abnormal: drainage (urethritis with N. Gonorrhae or Chlamydia)
Inspection of the internal genitalia * Inspect size of the vaginal opening and angle of vagina. * Insert gloved index finger and note size of opening. * Attempt to touch the cervix * Inspect the vaginal musculature. * Keep index finger inserted and ask client to squeeze around finger. * Ask client to bear down. Note for any bulging masses.
Types of Hymen (Refer to pictures in your book)
Cystocoele
Health Assessment Lecture
Objectives: * Describe the structure and function of the female genitalia * Describe particular developmental and transcultural considerations. * Collective subjective and objective data. * Record the findings. * Identify the appropriate nursing diagnoses for problem areas identified.
Female Genitalia
Structure & Function * Consists of external and internal structures
External:
* vulva or pudendum (extends from mons pubis to anal opening) * mons pubis (fat pad over pubic symphysis) * labia majora and minora (hairless, usually darker pink) * Clitoris: 3 parts – glans, corpus, crura * Analogous to the penis
* Vestibule (boat-shaped …show more content…
* Normal: 18 – 45 day cycle; 3 – 7 days in duration * Symptoms before and after menses * PMS * Menarche: ave. 12.5 years; 48kg (106lbs) * Irregularities or amenorrhea (menopause, pregnancy, depression, ovarian tumors or cysts, hormonal imbalances, autoimmune
History of Present Health Concern * Menopause * Ages 40 to 58 years * Perimenopausal period: hormones …show more content…
* Use gloved hand to separate the labia majora. * Normal: labia minora – symmetric, dark pink and moist. * Abnormal: asymetrical, lesions, swelling, bulding and discharge; excorations
Palpate the Bartholin’s Gland * Place index finger in the vaginal opening and your thumb on the labia majora. * Pinch gently the inferior portion of the posterior labia majora * Repeat on the opposite side.
Normal:
* Soft, non-tender and drainage free.
Abnormal:
* Swelling, pain and discharge (infection and abscess) * Abscess of Bartholin’s gland
Palpate the urethra. * Insert gloved finger into the superior portion of the vagina * Milk the urethra, pushing up and out.
Normal: no drainage
Abnormal: drainage (urethritis with N. Gonorrhae or Chlamydia)
Inspection of the internal genitalia * Inspect size of the vaginal opening and angle of vagina. * Insert gloved index finger and note size of opening. * Attempt to touch the cervix * Inspect the vaginal musculature. * Keep index finger inserted and ask client to squeeze around finger. * Ask client to bear down. Note for any bulging masses.
Types of Hymen (Refer to pictures in your book)
Cystocoele