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Reproductive & Sexual Health (Part 1)

Reproductive & Sexual Health (Part 1)

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REPRODUCTIVE AND SEXUAL HEALTH
ALEJANDRO S. MENDOZA, R.N., M.D.
REPRODUCTIVE AND SEXUAL HEALTH
Source: Maternal and Child Health Nursing by Pillitteri et al.
NURSING PROCESS OVERVIEW
The primary role of the nurse concerning reproductive anatomy and physiology
iseducation.
I.ASSE SSMENT:
Sexual assessment is not a routine part of every health assessment.
However it should be included when appropriate, such as when discussing:
- adolescent development

- before providing family information
- during pregnancy
- following childbirth

REPRODUCTIVE AND SEXUAL HEALTH
II. NURSING DIAGNOSIS:
Common nursing diagnoses used in regards to reproductive health are:
\u2022
Health seeking behaviors related to reproductive
functioning
\u2022
Anxiety related to inability to conceive after 6

months w/out birth
control
\u2022

Pain related to uterine cramping from menstruation
\u2022
Sexual dysfunction related to as yet to unknown cause
\u2022
Anxiety related to fear of contracting sexually
transmitted dses.
II. OUTCOME IDENTIFICATION AND PLANNING:
\u2022
A major part of nursing are in this area is to empower

clients to feel control
over their bodies.
\u2022

It may also be important to plan interventions to

strengthen a
person\u2019s gender identity or role behavior.
\u2022

It essential to design care that demonstrates
acceptance of
all lifestyle equality.
REPRODUCTIVE AND SEXUAL HEALTH
III.IMPLEMENTATION:
To help clients understand reproductive functioning and sexual
health throughout their life, specific teaching might include:

\u2013Explaining to a young boy that nocturnal emission are normal
\u2013Teaching a woman what is normal and abn. in relation to menstrual function
\u2013Explaining reproductive physiology to the couple who wishes to become
pregnant
\u2013Teaching adolescent safer sex practices

IV. OUTCOME EVALUATION:
Examples of outcome criteria might be:

\u2013Clients state he is no longer fearful of contacting STD
\u2013Clients state she is better able to control symptoms of premenstrual syndrome
\u2013Couple state they have achieved a mutually satisfying relationship
\u2013Client states he is ready to tell family about homosexual gender identity

REPRODUCTIVE AND SEXUAL HEALTH
REPRODUCTIVE DEVELOPMENT
\u2022Intrauterine Development
\u2022Gonad- is a body organ that produces sex cell ( ovary for females
and testis for
male).
\u2022Week 5- primitive gonadal tissue is already formed. In both sexes
two
undifferentiated ducts, the mesonephric (wolffian) and
the
paramesonephric (mullerian) ductsarepresent.
\u2022Week 7 or 8- in chromosomal males, gonadal tissue differentiated into primitive
testes and begins the formation of testosterone:
mesonephric (wolffian) ducts
- develop to male reproductive organ
paramesonephric (mullerian) ducts
- reg resses
REPRODUCTIVE AND SEXUAL HEALTH
\u2022Week 10- if no testosterone is present gonadal tissue
differentiated
into ovaries
mesonephric (wolffian) ducts-regresses
paramesonephric (mullerian) ducts- develop to female
reproductive organs ( oocytes are formed).
\u2022Week 12:
(+) testosterone
-penile tissue elongates
-Urogenital fold on the ventral surface of the penis
closes to form the urethra
-scrotal tissue
(-) testosterone
-Urogenital fold remains open to form labia minora
-labia majora
REPRODUCTIVE AND SEXUAL HEALTH
PUBERTAL DEVELOPMENT:
Puberty is the stage of life at which the secondary sex changes
Girls- age 10 to13 years
Theory: must reach a critical weight of approx. 95lbs (43kgs)
Boys- age 12 to 14 years
The role of Androgen- hormones responsible for :

\u2022Muscular development
\u2022Physical growth
\u2022Increase sebaceous gland secretion (acne)

\u201cTestosterone -1\u00b0 androgenic hormone\u201d
In girls, testosterone influences the development of
labia majora, clitoris, and axillary & pubic hair latter termed as(adrenarche)
REPRODUCTIVE AND SEXUAL HEALTH
Secondary sex characteristic of boys occurs in order:

\u2022 increase in weight
\u2022 growth of testes
\u2022 growth of face, axillary, and pubic hair
\u2022 voice changes
\u2022 penile growth
\u2022 increase in height
\u2022 spermatogenesis

Secondary sex characteristic of girls occurs in order:

1. growth spurt
2. increase in the traverse diameter of the pelvis
3. breast development(the larch e)
4. growth of pubic hair(adrenarche )
5. onset of menstruation (menarche 12.5 y/o ave.)
6. Ovulation occurs 1 \u2013 2 years after menarche
7. growth of axillary hair(adrenarche)
8. vaginal secretion

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