TEACH FOR NURSES LESSON PLAN
Chapter 27: Female Genitourinary System
CHAPTER OBJECTIVES
1. List the external structures of the female genitalia.
2. Describe the structures of the internal female genitalia.
3. Outline the changes observed during puberty.
STUDENT RESOURCES
understand
• Textbook Chapter 27
• Sherpath for Medical-Surgical Nursing*
• Animations (Evolve website)
• Answer Keys: Study Guide & Lab Manual
• Audio glossary (Evolve)
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apply
• Case Studies (Evolve)
• Elsevier Adaptive Quizzing*
INSTRUCTOR RESOURCES
before class
• Nursing Curriculum Standards (below)
in class
• PowerPoint Presentations (Evolve)
• Image Collection (Evolve)
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
EXTERNAL GENITALIA
INTERNAL GENITALIA
Review the many parts of
the external and internal
genitalia, explaining their
• Discussion Topic: Discuss infection control precautions.
• Activity: Have students practice the examination on a mannequin to provide them the opportunity to
learn the anatomy of the female genitalia.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Sexual Identity
The Aging Woman
the body mass index when
considering pubertal
development.
Examine the changes that
occur in the aging woman
with regard to sexual
function. Investigate the
myths concerning
decreased sexual desire
and sexual pleasure.
practice.
emotional stressors
SUBJECTIVE DATA
Additional History for
Emphasize the many
frustrating symptoms
associated with
• Discussion Topic: Discuss ways of creating an environment that will provide psychological comfort
for both patient and practitioner.
• Activity: Assign students to obtain a sexual history from a patient.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Additional History for the
Aging Adult
associated with
menopause.
Reflect on the privacy
needed for a sexual
relationship. Discuss how
an aging couple in a
nursing home might have
trouble with interruptions
and other problems.
them to practice with the
speculum on a mannequin
OBJECTIVE DATA
Discuss the equipment
• Online Activity: Have students obtain information on sexually transmitted infections and their
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
if possible.
Discuss the differences in
the pelvic musculature
between a nulliparous
woman and a multiparous
woman. Examine whether
there are ways to increase
muscle tone in the vaginal
opening.
and Cultures
Inspect the Vaginal Wall
Bimanual Examination
Rectovaginal Examination
Review Table 27.4, which
displays abnormalities of
the cervix. Explain that
cervical secretions should
be odorless and
nonirritating.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
The Aging Adult
Emphasize that practice is
the best way to learn how
to distinguish between a
pelvic exam with normal
findings and one that
reveals abnormalities.
Discuss how to locate the
pelvic organs during the
bimanual examination.
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IN-CLASS/ONLINE CASE STUDY
M.L. is a 20-year-old female nursing student who is being seen in the OB-GYN clinic for a yearly physical.
Subjective Data
Patient asks about birth control options
States she feels fine physically, no complaints at this time
Enrolled in college for nursing
Objective Data
Vital signs: T 37 P64 R 12 BP 104/64
Weight: 135
Height: 5 feet, 3 inches
Questions
1. What patient care equipment does the nurse need for this visit?
2. What personal protective equipment does the nurse or provider need to prepare for this visit?
3. Describe proper hand hygiene.
4. What other information needs to be gathered for this patient?
5. What techniques of physical assessment might be used in this visit?
6. What teaching should the nurse consider from the information gathered?
Answers
1. The patient care equipment necessary for the exam includes the following:
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examinations.
5. This patient needs a full physical, including a gynecologic exam; therefore, inspection, palpation, auscultation, and percussion will all be
NURSING CURRICULUM STANDARDS
QSEN/NLN COMPETENCIES
• Patient-Centered Care/Human Flourishing
o Position
• Teamwork and Collaboration/Professional Identity
o Bimanual Examination
o Inspect the Cervix and Its Os
o Documentation and Critical Thinking
NURSING CONCEPTS
The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
A full Concept-Based Curriculum Map covering the entire book can be found in the “Download by Resource Type” folder on Evolve.
THEME: Sexuality and Reproduction
BSN ESSENTIALS
• Essential III: Scholarship for Evidence-Based Practice
o Speculum Examination
o Obtain Cervical Tests and Cultures
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o Inspect the Cervix and Its Os
• Essential VII: Clinical Prevention and Population Health
o Subjective Data
ANSWERS TO QUESTIONS IN THE STUDY GUIDE
Note: Answers to these questions can be found on Evolve site. Click here.