Female Genitalia and
Reproductive System
Chapter 21
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Health History: Birth
Control/Obstetric
• Currently using—type, how long,
effectiveness, difficulty using?
• Affected general physical/mental health?
• Use every time?
• Ever been pregnant—how many times;
number of babies, miscarriages,
abortions, stillborn?
• Pregnant now—symptoms?
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Health History:
Problem-Based History
• Problems with menstruation
• Lower abdominal/pelvic pain
• Vaginal discharge
• Changes in urination
• Menopause
• STD: Lesions/discharges
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Examination:
Procedures and Techniques
• Before exam—prepare room, equipment,
sheet/gown, warm temp, assistant (if needed)
• Empty bladder, undress, put on gown
• Lithotomy position, adequate draping
– Buttocks over edge of table, arms at side/across chest
– Drape positioned to expose only vulva
• Help relax—head up to see
– Adjust stirrups, tell procedures before doing
– Touch inner aspect of thigh before touching genitalia
– Talk to client throughout exam
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Examination:
Procedures and Techniques
• External genitalia
– Inspect pubic hair—distribution (inverse
triangle)
– Inspect skin mons pubis/inguinal area—surface
characteristics
– Inspect/ labia majora/minora—
pigmentation/surface characteristics
– Inspect urethral meatus, vaginal introitus,
perineum—positioning/surface characteristics
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Primary Syphilis, Herpes, HPV
Condyloma acuminatum
Copyright © 2005, Mosby, Inc. all rights reserved.