nursing assessment: reproductive system chapter 51 overview copyright © 2011, 2007 by mosby, inc.,...
Post on 24-Dec-2015
216 Views
Preview:
TRANSCRIPT
Nursing Assessment:Nursing Assessment:
Reproductive SystemReproductive System
Chapter 51 OverviewChapter 51 Overview
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Male Reproductive SystemMale Reproductive System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 2
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 3
Fig. 51-1. Male reproductive tract.
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 4
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Male Reproductive System, Male Reproductive System, continuedcontinued•TestesTestes•DuctsDucts
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 5
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 6
Fig. 51-2. Seminiferous tubules, testis, epididymis, and ductus (vas) deferens in the male.
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Male Reproductive System, Male Reproductive System, continuedcontinued•GlandsGlands•External genitaliaExternal genitalia
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 7
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Female Reproductive Female Reproductive SystemSystem•Pelvic organsPelvic organs
• OvariesOvaries
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 8
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 9
Fig. 51-3. Female reproductive tract.
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 10
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Female Reproductive Female Reproductive SystemSystem•Pelvic organs, continued Pelvic organs, continued
• Fallopian tubesFallopian tubes• UterusUterus• VaginaVagina• PelvisPelvis
•External genitaliaExternal genitalia
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 11
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 12
Fig. 51-4. External female genitalia.
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Female Reproductive Female Reproductive System, continuedSystem, continued•BreastsBreasts
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 13
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 14
Fig. 51-5. The lactating female breast. A, Glandular structures are anchored to the overlying skin and thepectoral muscle by suspensory ligaments of Cooper. Each lobule of glandular tissue is drained by alactiferous duct that eventually opens through the nipple. B, Anterior view of a lactating breast. Innonlactating breasts, glandular tissue is less evident with adipose tissue comprising most of the breast.
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Neuroendocrine Regulation Neuroendocrine Regulation of Reproductive Systemof Reproductive System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 15
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 16
Fig. 51-6. Hypothalamic-pituitary-gonadal axis. Only the major pituitary hormone actions are depicted. FSH,Follicle-stimulating hormone; GnRH, gonadotropin-releasing hormone; ICSH, interstitial cell–stimulatinghormone; LH, luteinizing hormone.
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 17
Table 51-1. Gonadal Feedback Mechanisms.
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
MenarcheMenarcheMenstrual CycleMenstrual Cycle
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 18
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 19
Fig. 51-7. Events of the menstrual cycle. The various lines depict the changes in blood hormone levels, thedevelopment of the follicles, and the changes in the endometrium during the cycle. FSH,Follicle-stimulating hormone; LH, luteinizing hormone.
Structures and Functions Structures and Functions of Male and Female of Male and Female
Reproductive SystemsReproductive Systems
MenopauseMenopausePhases of Sexual ResponsePhases of Sexual Response•Male sexual responseMale sexual response•Female sexual responseFemale sexual response
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 20
Gerontologic Considerations: Effects Gerontologic Considerations: Effects of Aging on Reproductive System of Aging on Reproductive System
and Sexual Response and Sexual Response
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 21
Assessment of Male and Assessment of Male and Female Reproductive Female Reproductive
Systems Systems
Subjective DataSubjective Data• Important health informationImportant health information
• Past health historyPast health history• MedicationsMedications• Surgery or other treatmentsSurgery or other treatments
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 22
Assessment of Male and Assessment of Male and Female Reproductive Female Reproductive
Systems Systems
Subjective Data, continuedSubjective Data, continued•Functional health patternsFunctional health patterns
• Health perception–health Health perception–health management patternmanagement pattern
• Nutritional-metabolic patternNutritional-metabolic pattern• Elimination patternElimination pattern• Activity-exercise patternActivity-exercise pattern• Sleep-rest patternSleep-rest pattern
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 23
Assessment of Male and Assessment of Male and Female Reproductive Female Reproductive
Systems Systems Subjective DataSubjective Data•Functional health patterns, Functional health patterns,
continuedcontinued• Cognitive-perceptual patternCognitive-perceptual pattern• Self-perception–self-concept Self-perception–self-concept patternpattern
• Role-relationship patternRole-relationship pattern• Sexuality-reproductive patternSexuality-reproductive pattern• Coping–stress tolerance patternCoping–stress tolerance pattern• Value-belief patternValue-belief pattern
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 24
Assessment of Male and Assessment of Male and Female Reproductive Female Reproductive
Systems Systems
Objective DataObjective Data•Physical examination: malePhysical examination: male
• PubisPubis• PenisPenis• Scrotum and testesScrotum and testes• Inguinal region and spermatic Inguinal region and spermatic cordcord
• Anus and prostateAnus and prostate
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 25
Assessment of Male and Assessment of Male and Female Reproductive Female Reproductive
Systems Systems
Objective Data, continued Objective Data, continued •Physical examination: femalePhysical examination: female
• BreastsBreasts• External genitaliaExternal genitalia• Internal pelvic examinationInternal pelvic examination
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 26
Assessment of Male and Assessment of Male and Female Reproductive Female Reproductive
Systems Systems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 27
Fig. 51-8. Laparoscopic views of the female pelvis. A, Normal image. B, Pelvic inflammatory disease. Notereddish inflammatory membrane covering and fixing the ovary and uterus to the surrounding structures.
Diagnostic Studies of Diagnostic Studies of Reproductive Systems Reproductive Systems
Urine StudiesUrine Studies•Pregnancy testingPregnancy testing•Hormone studiesHormone studies
Blood StudiesBlood Studies•Hormone studiesHormone studies•Tumor markersTumor markers•Serology tests for syphilisSerology tests for syphilis
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 28
Diagnostic Studies of Diagnostic Studies of Reproductive Systems Reproductive Systems
Cultures and SmearsCultures and SmearsCytologic StudiesCytologic StudiesRadiologic StudiesRadiologic Studies•MammographyMammography•UltrasoundUltrasound•Pelvic computed tomography Pelvic computed tomography
and magnetic resonance and magnetic resonance imaging imaging
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 29
top related