Nursing assessment and common findings of the female reproductive system…
Nursing assessment and common findings of the female reproductive system
It is important to allow the patient time to state the reasons for her visits.
The nurse must always follow the patient’s lead.
Specific subjective data includes:
Personal data which includes age and marital status.
Menstrual history which includes age when menarche was reached, regularity of the menstrual cycle, duration of each menstrual period and length of cycles.
History related to vaginal discharge, the nurse should establish the presence or absence of vaginal discharge.
Obstetric history, establish the number and outcome of pregnancies.
History of infertility if reported, find out whether this is primary or secondary infertility.
History related to the genitourinary system which includes micturition: the frequency, urgency, sense of burning and colour of the urine.
Pain, there is accompanying lower abdominal pain or backache in dysmenorrhea or dyspareunia.
Sexual history, the nurse should establish the nature of any meaningful relationships she has and then proceed to enquire about coitarche, libido, dyspareunia and possible rape.
Emotional problems, tactfully enquire about patient’s marital status, relationship with spouse or sexual partner and family.
Lifestyle, including details regarding employment and the possibility of exposure to substances that may impact on fertility.
Family history, ask about family background, history of menarche in the family, diabetes mellitus, hypertension and gynaecological cancers in the family.
Previous medical and surgical history.
The physical examination may consist of general, abdominal, vaginal and recto-vaginal examination.