Week 8

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 daughters vaginal entrance. What response can alleviate this womans 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 sons 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.