LM 3.1 Part 1

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Learning Module 3.1:

Learning Module 3.1 Care of the Woman with Common Gynecological Problems Labouré College Margaret Williams RN WHNP-BC

Key Terms:

Key Terms Endometriosis Vaginitis Sexually Transmitted Infection Chlamydia Gonorrhea Herpes Syphilis Condylomata Acuminata Toxic Shock Syndrome Dyspareunia Pelvic Inflammatory Disease Infertility In vitro fertilization (IVF) Gamete intrafallopian transfer (GIFT) Tubal embryo transfer (TET) Zygote Intrafaollopian transfer (ZIFT) Endometrial Biopsy Hystosalpingography Post-coital test Spinnbarakeit

Endometriosis: Signs and Symptoms:

Endometriosis: Signs and Symptoms Pelvic pain – related to menstrual cycle Dyspareunia – painful intercourse Abnormal uterine bleeding Bimanual examination Fixed, tender, retroverted uterus Palpable nodules in cul-de-sac Diagnosis confirmed by laparoscopy

Treatment Options:

Treatment Options Surgical removal of visible endometrial tissue Excision, endocoagulation, electrocautery, or laser vaporization Surgery is effective in relieving pain Surgical removal of uterus and ovaries Hormonal therapy Women with minimal symptoms – observation, analgesics, nonsteroidal and anti-inflammatory drugs

Implications for Fertility:

Implications for Fertility Infertility Clients with endometriosis may have difficulty becoming pregnant The client then seeks intervention for infertility Endometriosis diagnosed during infertility evaluation Hormonal therapy or oral contraceptives Suppresses the menstrual cycle Pregnancy must be delayed until oral contraceptive or hormonal therapy is completed

Nursing Management:

Nursing Management Assessment – signs and symptoms, knowledge of condition, and treatment options Nursing diagnosis Formulate diagnosis based on assessment data Most common nursing diagnosis: Pain Planning and implementation – give explanations and provide treatment Evaluation Outcomes include pain relief The ability to choose appropriate treatment options

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