Female Genitourinary SystemExternal Female GenitaliaInternal Female GenitaliaStructure and Function: Developmental CompetenceStructure and Function: Developmental Competence (cont.)Slide 6Slide 7Slide 8Slide 9Slide 10Slide 11Slide 12Subjective DataSubjective Data (cont.)Slide 15Slide 16Slide 17Slide 18Slide 19Slide 20Slide 21Slide 22Slide 23Slide 24Slide 25Objective Data (cont.)Slide 27Slide 28Promoting a Healthy Lifestyle: New HPV Vaccine (cont.)Slide 30Sample ChartingSample Charting (cont.)Abnormal Findings: Abnormalities of Pelvic MusculatureAbnormal Findings: Abnormalities of CervixElsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Female Genitourinary SystemFemale Genitourinary SystemChapter 26Chapter 26Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 26: Female Genitourinary SystemChapter 26: Female Genitourinary SystemExternal Female GenitaliaExternal Female GenitaliaSlide 26-2Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 26: Female Genitourinary SystemChapter 26: Female Genitourinary SystemInternal Female GenitaliaInternal Female GenitaliaSlide 26-3Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 26: Female Genitourinary SystemChapter 26: Female Genitourinary SystemStructure and Function:Structure and Function:Developmental CompetenceDevelopmental CompetenceInfants and adolescentsInfants and adolescentsAt birth, external genitalia are engorged because At birth, external genitalia are engorged because of presence of maternal estrogenof presence of maternal estrogen•Structures recede in a few weeks, small until pubertyStructures recede in a few weeks, small until puberty•Ovaries located in abdomen during childhoodOvaries located in abdomen during childhood•Uterus small with a straight axis and no anteflexionUterus small with a straight axis and no anteflexionAt puberty, estrogens stimulate growth of cells in At puberty, estrogens stimulate growth of cells in the reproductive tract and development of the reproductive tract and development of secondary sex characteristicssecondary sex characteristicsSlide 26-4Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 26: Female Genitourinary SystemChapter 26: Female Genitourinary SystemStructure and Function:Structure and Function:Developmental CompetenceDevelopmental Competence (cont.)(cont.)Infants and adolescents (cont.)Infants and adolescents (cont.)First signs of puberty are breast and pubic hair First signs of puberty are breast and pubic hair development, beginning between ages 8½ and 13 development, beginning between ages 8½ and 13 •Signs usually concurrent, but not abnormal if not togetherSigns usually concurrent, but not abnormal if not together•Take about 3 years to completeTake about 3 years to completeMenarche occurs during latter half of this Menarche occurs during latter half of this sequence, just after peak of growth velocitysequence, just after peak of growth velocity•Irregularity of cycle is common during adolescence Irregularity of cycle is common during adolescence because of girl’s occasional failure to ovulatebecause of girl’s occasional failure to ovulate•With menarche, the uterine body flexes on cervixWith menarche, the uterine body flexes on cervixOvaries are now in pelvic cavityOvaries are now in pelvic cavitySlide 26-5Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 26: Female Genitourinary SystemChapter 26: Female Genitourinary SystemStructure and Function:Structure and Function:Developmental CompetenceDevelopmental Competence (cont.)(cont.)Infants and adolescents (cont.)Infants and adolescents (cont.)Tanner’s tableTanner’s table•Five stages of pubic hair development, sex maturity Five stages of pubic hair development, sex maturity rating, SMR, helpful in teaching girls expected sequence rating, SMR, helpful in teaching girls expected sequence of sexual developmentof sexual development•Data may not necessarily generalize to all racial groupsData may not necessarily generalize to all racial groupsMature Asian women normally have fine sparse pubic hairMature Asian women normally have fine sparse pubic hairAfrican-American and Mexican-American girls had pubic African-American and Mexican-American girls had pubic hair and had achieved menarche at younger ages than hair and had achieved menarche at younger ages than white girlswhite girlsMean age at onset of pubic hair and menarche was 9.5 Mean age at onset of pubic hair and menarche was 9.5 and 12.1 years for black girls; 10.3 and 12.2 for Mexican-and 12.1 years for black girls; 10.3 and 12.2 for Mexican-American girls; and 10.5 and 12.7 for white girlsAmerican girls; and 10.5 and 12.7 for white girlsSlide 26-6Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 26: Female Genitourinary SystemChapter 26: Female Genitourinary SystemStructure and Function:Structure and Function:Developmental CompetenceDevelopmental Competence (cont.)(cont.)Pregnant womanPregnant womanShortly after first missed menstrual period, Shortly after first missed menstrual period, genitalia show signs of the growing fetusgenitalia show signs of the growing fetus•Cervix softens (Goodell’s sign) at 4 to 6 weeks of Cervix softens (Goodell’s sign) at 4 to 6 weeks of gestation, and vaginal mucosa and cervix look cyanotic gestation, and vaginal mucosa and cervix look cyanotic (Chadwick’s sign) at 8 to 12 weeks of gestation(Chadwick’s sign) at 8 to 12 weeks of gestation•Changes occur because of increased vascularity and Changes occur because of increased vascularity and edema of cervix and hypertrophy and hyperplasia of edema of cervix and hypertrophy and hyperplasia of cervical glandscervical glands•Isthmus of uterus softens (Hegar’s sign) at 6 to 8 weeks Isthmus of uterus softens (Hegar’s sign) at 6 to 8 weeks of gestationof gestationSlide 26-7Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 26: Female Genitourinary SystemChapter 26: Female Genitourinary