Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.
External genitalia—vulva, labia majora, mons pubis, labia minora, clitoris, vestibule, perineum Internal genitalia—vagina, uterus, corpus, cervix, fallopian tubes, ovaries Breasts Menstruation and menopause
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.
External genitalia—penis, scrotum Internal genitalia—testes and prostate gland Inguinal area
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.
Patient history Nutrition history Family history and genetic risk Genitoreproductive history Current health problems—pain, bleeding, discharge, masses
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. History—pain, bleeding, discharge, masses Physical assessment: Breast examination Abdominal examination Examination of external genitalia
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Pelvic examination Bimanual examination Rectovaginal examination
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Examination of external genitalia Assess for inguinal hernia Examination of rectum and prostate
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Patient preparation for Pap test Procedure Follow-up care
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Hormone levels Serologic testing HIV testing Prostate-specific antigen (PSA) Cultures
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. HPV testing Urinalysis Cultures Imaging studies: General x-rays CT scans for reproductive system disorders Hysterosalpingography—x-ray of cervix, uterus, and fallopian tubes Mammography
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Ultrasonography MRI for pelvic tumors Endoscopic studies: Colposcopy Laparoscopy Hysteroscopy
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Biopsy: Cervical Endometrial (and aspiration) Breast biopsy and aspiration of breast fluid or tissue Prostate
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Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Which patient response during a genitoreproductive history requires further exploration by the nurse? A. “I have had one pregnancy and one child.” B. “I began my menses at age 14.” C. “I would rather not answer questions about my sex life with my husband.” D. “My breasts hurt in the beginning of my menstrual cycle.”
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Which ethnic group has a higher frequency of developing testicular cancer? A. Caucasian B. African American C. Hispanic/Latino D. Asian American
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. A woman on oral contraceptives reports increasing fatigue and shortness of breath over the past 6 months. The nurse should evaluate the patient’s diet for deficiency in what nutrient(s)? A. Protein B. Vitamin B 1 and folic acid C. Vitamins A and C D. Vitamins B 6 and B 12