Chapters 18-19.
Female Genitalia;male Genitalia.
Midsagittal view of
the female pelvic organs.
Summarize the ovulation cycle and identify the functions of
the hormones produced.
An older woman who has stopped regular menstruation asks
whether she can still become pregnant. What is the best response you can give
this patient?
What is the name of
the tissue that separates the anterior wall of the vagina from the bladder and
urethra?
Name the four bones that form the pelvis
why it is important to teach mothers correct perineal care
for their newborn infant daughters.
What possibility must you consider if in a child you observe
vaginal swelling of the vulvar tissues accompanied by bruising or foul-smelling
discharge?
Describe premenstrual syndrome (PMS).
Identify and explain positions other than the lithotomy in
which a pelvic examination can be performed.
You are about to conduct a pelvic examination on an
adolescent girl. What should you take time to do before carrying out the
examination?
A 12-year-old girl is experiencing a vaginal mucus
discharge. What can you tell this girl to decrease her anxiety?
A new mother is frightened by the appearance of blood-tinged
mucus at her newborn daughter’s vaginal entrance. What response can alleviate
this woman’s anxiety?
MC is a 28-year-old patient who presents to the urgent care
for complaints of abdominal pain and cramping. Today she has noticed a yellow
vaginal discharge. Her past medical history is noncontributory. She admits to
having multiple sexual partners with unprotected intercourse
1-What additional questions regarding her vaginal discharge
could you ask at this point?
2- Describe the stages of salpingitis.
3- What physical assessment findings on the vaginal
examination and bimanual would you expect to see if the patient has
salpingitis?
Male pelvic organs
A 60-year-old man asks you whether it is still possible for
him to become a father. How would you respond to this patient? What effect does
aging have on male fertility?
Which part of the
male genitalia is a soft, comma-shaped structure located on the posterolateral
and upper aspect of the testis in 90% of males and provides for storage,
maturation, and transit of sperm?
Differentiate between
the external genitalia for a male and female fetus at both 8 weeks and 12 weeks
of gestation.
Summarize the pros and cons of newborn circumcision.
The mother of a newborn you are examining voices concern
that one of her son’s testicles has not yet “appeared.” What can you tell this
mother to reassure her? What is the expected time for final descent of the
testes into the scrotal sac?
Discuss how do you could effectively work with a child to
evaluate the testicles.
You are performing a genital examination on a 12-year-old
boy who seems noticeably embarrassed and nervous. What communication measures
can be included to decrease anxiety and facilitate the examination?
A patient has an erection while you are performing a genital
examination. What is the best response to decrease anxiety and embarrassment?
Describe the cremasteric reflex.
