NURS 2866 - Clayton/ Chapter 40 - Drugs Used in Men's and Women's Health

What key menstrual history data must be collected during a female reproductive assessment, including onset and cycle characteristics?

Age of menarche and usual pattern and characteristics of menses.

What pregnancy-related history should be obtained when assessing a female patient’s reproductive history?

Number of pregnancies, live births, miscarriages, and abortions.

What vaginal symptoms should be assessed during a gynecologic evaluation?

Vaginal discharges and infections.

What genital symptoms should be assessed in a female reproductive exam?

Presence of lesions and warts.

What sexual history questions are important when assessing reproductive health risks?

Contraceptive methods used and history of multiple sexual partners.

What preventive screening behaviors should be assessed in female patients?

Whether breast self-examinations are performed regularly and history/frequency of Pap smears.

What medical and reproductive history factors should be assessed in female patients?

History of reproductive problems and sexually transmitted infections (STIs).

What conditions must be screened for before prescribing oral contraceptives (CRITICAL)?

Hypertension, heart disease, liver disease, thromboembolic disorders, smoking history, and cancer of reproductive organs.

What areas must be cleaned for proper male personal hygiene?

Penis, scrotum, and perianal area.

When should males wash genital areas to maintain hygiene and prevent infection?

Before intercourse and after intercourse.

Why should males urinate after intercourse?

To help flush bacteria and reduce risk of infection.

What medications are used to treat prostatitis?

Antibiotics and antiinflammatory agents.

What supportive medications are used in prostatitis management for bowel comfort?

Stool softeners.

What non-pharmacologic interventions relieve prostatitis symptoms?

Sitz baths (heat), increased fluid intake, and adequate rest.

At what age should males begin annual physical exams for preventive care?

After age 40.

What treatment options should be discussed for altered male sexual function?

Medications (phosphodiesterase inhibitors like Viagra and Cialis) and surgical interventions.

Which STIs are effectively reduced by latex condom use?

HIV, gonorrhea, trichomonas, and chlamydia.

Which STIs are LESS effectively prevented by condoms due to skin-to-skin transmission?

Herpes simplex virus (HSV), HPV, and syphilis.

Which populations should receive the hepatitis A vaccine for STI prevention?

Men who have sex with men (MSM) and people who inject drugs.

Why is frequent use of nonoxynol-9 spermicide during anal intercourse dangerous?

It irritates rectal epithelium and creates an entry point for HIV and other STIs.

What products should females avoid to prevent vaginal and perineal irritation?

Deodorants, scented toilet paper, and perfumed soaps or sprays.

What comfort measure can relieve vaginal and perineal irritation?

Warm sitz baths.

Why should douching be avoided unless prescribed (VERY IMPORTANT)?

It alters vaginal pH and encourages growth of opportunistic organisms.

What is the correct wiping technique for female hygiene to prevent infection?

Wipe front to back.

When should females void to reduce risk of infection related to intercourse?

Before and after intercourse.

When should females clean genital areas to maintain hygiene?

Before and after intercourse.

Why should tampons and pads be changed frequently?

To prevent infection and moisture buildup.

What type of underwear is recommended for preventing vaginal infections and why?

Cotton underwear because it prevents moisture buildup.

Which contraceptive methods DO NOT protect against HIV and STIs?

Oral contraceptives, hormonal contraceptives, intrauterine devices (IUDs), and surgical procedures (e.g., hysterectomy).

What methods ARE required to protect against HIV and STIs?

Physical barriers (condoms) and chemical barriers (foam spermicides).

What is the purpose of an annual Pap smear?

To detect cervical cancer.

What condition does cervical cancer typically originate from?

Cervical intraepithelial neoplasia.

What medications must always be assessed in a patient history (VERY IMPORTANT)?

Steroids, antibiotics, OTC medications, herbal medications, and recreational drugs.

What does a complete female physical exam include?

Pelvic exam, Pap smear, vaginal cultures, and breast exam.

What must be included in a male physical exam?

Testicular exam.

What should patients with an infection be taught regarding sexual activity?

Abstain from intercourse to prevent reinfection.

If patients do not abstain from sex during infection, what should they do?

Practice safe sex using latex condoms correctly.

Why are follow-up appointments important in reproductive health care?

To ensure treatment adherence and proper recovery.

What types of support services may patients need referrals for?

Counseling and social services.

What hygiene practices are required for male genital care?

Clean penis, scrotum, and perianal area; wash before and after intercourse; urinate after intercourse.

What are the treatment components for prostatitis?

Antibiotics, antiinflammatory agents, stool softeners, sitz baths, fluids, and rest.

What screening recommendation exists for males?

Annual physical exam after age 40.

What treatments are available for male sexual dysfunction?

Medications (Viagra, Cialis) and surgery.

Which STIs are condoms effective against?

HIV, gonorrhea, trichomonas, chlamydia.

Which STIs are condoms less effective against?

HSV, HPV, syphilis.

Which populations need hepatitis A vaccination?

MSM and IV drug users.

What is the risk of nonoxynol-9 spermicide use?

Irritates rectum and increases STI/HIV entry risk.

What is a simple way to remember female reproductive assessment priorities for exams?

“MENSTRUAL + STI + PREVENTION” (menstrual history, sexual history, Pap/breast screening, hygiene and irritation prevention).

What is a simple way to remember male reproductive care priorities for exams?

“HYGIENE + PROSTATE + STI” (cleanliness, prostatitis care, sexual function, STI protection).