NURS 6551 Midterm Study Guide updated 2020(Works 100%)

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Older women- Some women become isolated. Elderly women contend with ageism and sexism. • Problems faced by Mexican and Central American women include feeding their families, accessing formal health ... care. • Undocumented migrant women also face problems with obtaining assistance with food and health care due to the inability to seek assistance • Veterans have increased risk for having been sexually assaulted, have posttraumatic stress disorder and traumatic brain injury • People who are assigned female sex at birth are natal females, those who are assigned as males are considered natal males. • Transgender woman is a natal male who has a female gender identity. • A transgender man is a natal female who has a male gender identity • Cisgender refers to someone whose gender identity matches their natal sex • LBQ women and TGNC (Transgender and gender non-confirming) experience interpersonal and institutional discrimination. • LBQ and TGNC people face rejection of their families, their communities and spiritual levels. • LBQ and TGNC face the risk of not being involved with their partners in times of health crises, or able to participate in medical decisions of their partners when incapacitated. • LBQ and TGNC people are less likely to have insurance or be able to afford healthcare. • TGNC persons are at higher risk for suicide and are 5 times at greater risk for depression • Clinicians must create environments that are welcoming and nonthreatening to patients of all gender identities and sexual orientations • EMR must be able to identify the patient with their physical sex as well as their identified sex • Use open-ended and gender-neutral language • Examinations must be based on anatomy and organs present, not the perceived gender of the patient • For Transgender men taking testosterone- provide a short course of vaginal estradiol prior to vaginal examinations, as well as topical anesthetic to reduce pain. • LBQ and TGNC youth are at an increased risk for violence, homelessness and substance abuse than others of their age. • Older adults of the LBQ and TGNC population are particularly vulnerable to abuse, neglect and poverty. • Some religions and restrictive family upbringings may alter a woman’s ideas about sexuality and their ability to enjoy their sexuality. • Black women experience menopause earlier than other women, an average age of approximately 50 years. • Caucasian and hispanic women have reported greatest number of psychosomatic symptoms of menopause (moodiness, headaches, palpitations), • African American women reported highest severity of vasomotor symptoms of menopause • Asian women reported problems with joint pain and stiffness, especially in the neck, shoulders and back. • Women who are migrant workers may not report IPV for fear of deportation. • Migrant workers commonly have the belief that the woman is subordinate to the man and not be aware of support services • Domestic Violence is the leading cause of homicide in women globally • Contraceptive considerations for couples that are part of cultural groups that prohibit contraceptives: • A. Cervical mucus monitoring • B. Basal body temperature monitoring c. C. Menstrual cycle charting • D. Ovulation sensations • E. Electronic hormonal fertility monitoring • Native American women have the highest rates of rape and assault in the U.S. (Leik) • Muslim women may refuse to undress and cannot be examined by a male practitioner without her husband or another male of her family present. #4 Tanner Stages • A commonly used scale for assessing sexual maturity and pubertal development is the Tanner scale, which for girls, relies on development of the breast and growth of pubic hair. It divides sexual physical maturity into five stages that extend from preadolescence to adulthood. • Tanner Stage 1 (Prepubertal) • Breast • Papilla elevation only • Pubic Hair • Villus hair only • No coarse, pigmented hair [Show More]

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