Management of FGM-related complications

Module 3

Management of FGM-related complications

Assignment

April 5, 2023 - Geneva

Assignment (Total 30 marks)

Question 1 (10 marks)

A nurse working in a health center located in a community where FGM is prevalent sees a 7-year-old girl brought in by her mother. From the history, the mother explains that the girl is dizzy and has been continuously bleeding in the vulvar area for several hours. The nurse notices that the girl is wearing ceremonial ornaments that are used when girls undergo FGM.

1.1 How should the nurse proceed to confirm her suspicions that the girl underwent FGM? Detail how the nurse will communicate this to mother (3 marks)

1.2 What category of health complication of FGM do you suspect the girl has? (1 mark)

1.3 The nurse finds active bleeding from vulvar region, how will the nurse manage this patient – provide two scenarios A) where she manages the bleeding and B) where she could not? (6 marks)

Question 2 (10 marks)

A pregnant woman with FGM complains of frequent urinary tract infections (UTIs).

2.1 Please list two possible reasons or differentials for this patient? (2 marks)

2.2 Describe how you will manage UTI in this patient (4 marks)

2.3 What support and care should you provide to pregnant women with FGM during antenatal care (ANC)? (4 marks)

Question 3 (1 mark)

If a woman with FGM presents with the following list of symptoms/features:

Frightening dreams, flashbacks or intrusive memories of a traumatic event Deliberate avoidance of thoughts, memories, activities or situations that remind the patient of the traumatic event Feeling hyperalert to any threat and/or reacting strongly to unexpected sudden movements (e.g. being “jumpy” or “on edge”)

What is the possible mental disorder? (Choose the option that is most likely)

a) Depression

b) Post-traumatic stress disorder (PTSD)

c) Anxiety

Clue: Refer to the presentation on Management of mental health and sexual health complications.

Question 4 (5 marks)

Assessment and management of anxiety disorders

4.1 Briefly define anxiety disorders. (1 mark)

4.2 What are the steps for assessment of anxiety disorders? (2.5 marks)

4.3 Provide a brief management approach for anxiety disorders. (1.5 marks)

Clue: Refer to the presentation on Management of mental health and sexual health complications.

Question 5 (4 marks)

5.1 What are the three sexual health problems that are more likely encountered by women who have undergone genital cutting? (2 marks)

5.2 Do all women with FGM experience sexual health problems? Why or why not? (2 marks)

Clue: Refer to the presentation on Management of mental health and sexual health complications.