Male and female reproductive system PDF

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Introduction to Nursing Praxis NUR1100 – Week 12 Lecture Faculty of Health, Engineering & Sciences School of Nursing and Midwifery CRICOS QLD 00244B | NSW 02225M TEQS A: PRV12081

Acknowledgement of Country I acknowledge the traditional owners of the land on which USQ campuses and hubs have been built. I pay respect to Elders past, present and future

Objectives •

Define the term ‘reproductive health’

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Provide a basic overview of the male and female reproductive system

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Provide an overview of assessment considerations

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Identify basic assessment procedures

What is reproductive health? “Reproductive health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes. Reproductive health implies that people are able to have a satisfying and safe sex life and that they have the capability to reproduce and the freedom to decide if, when and how often to do so”.

World Health Organisation, 2019

Male Reproductive System Testes X 2 Ducts Accessory Glands Penis Scrotum Sperm & Testosterone production

Assessment Considerations Privacy Time Warmth Rapport and Communication Reassurance Cultural sensitivity Equipment Expertise Timing

Clinical History General Health Social History Male Reproductive History Sexual History – contact, partners, STI’s, sexual dysfunction

Hand hygiene PPE - gloves Positioning Clothing Draping Lighting

Assessment - Males Inspection: Sexual maturity Hair distribution Penis Scrotum Urethral meatus Inguinal area

Normal presentation – triangular form. Hair is sparse on the scrotum and inner thigh, and absent on the penis.

Hair Characteristics

Pubic hair is more coarse than scalp hair

Sexual Maturity

Males usually begin puberty between 9 ½ and 13 ½ Usually continues through puberty in 3 years but can range 2-5

Assessment Inspection and Palpation Inspection Pubic Hair – distribution, nits or lice Penis – Lesions, swelling, inflammation, discharge (urethal meatus - glans penis) – Posterior and anterior. Scrotum – Appearance, size, symmetry. Inguinal Area – swelling and bulges

Palpation

Penis Urethral Meatus Scrotum Inguinal Area

Estets, Calleja, Theobald & Harvey, 2013

Female Reproductive Health History Menstrual history Reproductive medical history – e.g. Pap smears, vaginal infections, cysts, surgery Obstetric history Menopause Sexual functioning Method of birth control

Breast Assessment Inspection: breasts, nipples Colour Vascularity Thickening oedema Size and symmetry Contour Lesions or masses Discharge Palpation: Breasts (patient in sitting position and in supine position)

Assessment Inspection of external genitalia •

Pubic hair – distribution

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Skin colour and condition

Palpation •

Palpate each labium between thumb and index finger dominant hand.

Assessment made incredibly easy, 2008

Human Caring Science-Kosha Model

Embodiment of the 10 Caritas Processes + consideration of Kosha layers = Transpersonal C

References Ceo, P. 2006. Assessment of the Male Reproductive System, Urological Nursing, 26(4), 290-296 Estes, M., Calleja, P., Theobold, K., & Harvey, T. 2013. Health Assessment and Physical Examination. South Melbourne. Australia. McLafferty, E, et al. 2014. Male and female reproductive systems and associated condition, Nursing Standard, 28(36), 37-44. Lippincott Williams & Wilkins 2008. Assessment made incredibly easy (4th edn). Pich, J., Govind, N. Health Assessment (Chapter 31). In A, Berman., B, Kozier., & G, Erb. Fundamentals of Nursing: concepts, process and practice, (4th edn), 587-668, Melbourne. Australia. Queensland Health, 2016. Queensland Sexual Health Strategy 2016-2021, Retrieved from https://www.health.qld.gov.au/public-health/topics/sexual-health/strategy World Health Organisation. 2017. Sexual health and its linkages to reproductive health: an operational approach, Geneva. Retrieved fromhttps ://www.who.int/reproductivehealth/publications/sexual_health/sh-linkages-rh/en/

Thankyou

CRICOS QLD 00244B | NSW 02225M TEQS A: PRV12081...