Question 1

Which comment would indicate that the patient requires additional instruction about breast self-examination?

Accepted Answer

A)  Yellow nipple discharge during menses 
B)  Check breasts at the same time each month. 
C)  Feel the armpit area when performing a breast examination. 
D)  Check each breast in a set way,such as in a circular motion. 
A)  Yellow nipple discharge during menses 
B)  Check breasts at the same time each month. 
C)  Feel the armpit area when performing a breast examination. 
D)  Check each breast in a set way,such as in a circular motion. A

Question 2

What are the two primary functions of the ovary?

Accepted Answer

A)  Normal female development and sex hormone release 
B)  Ovulation and internal pelvic support 
C)  Sexual response and ovulation 
D)  Ovulation and hormone production 
A)  Normal female development and sex hormone release 
B)  Ovulation and internal pelvic support 
C)  Sexual response and ovulation 
D)  Ovulation and hormone production D

Question 3

Unique longitudinal muscle fibres make the uterine myometrium ideally suited for which event?

Accepted Answer

A)  Menstruation 
B)  Birth process 
C)  Ovulation 
D)  Fertilization 
A)  Menstruation 
B)  Birth process 
C)  Ovulation 
D)  Fertilization B

Question 4

Which both protects the pelvic structures and accommodates the growing fetus during pregnancy?

Accepted Answer

A)  Perineum 
B)  Bony pelvis 
C)  Vaginal vestibule 
D)  Fourchette 
A)  Perineum 
B)  Bony pelvis 
C)  Vaginal vestibule 
D)  Fourchette

Question 5

The nurse guides a woman to the examination room and asks her to remove her clothes and put on an examination gown with the front open.The woman states,"I have special undergarments that I do not remove,for religious reasons." Which information informs the nurses' response?

Accepted Answer

A)  All clothes must be removed for the examination. 
B)  Ask the health care provider to consider altering the examination. 
C)  Explore options to complete examination with the undergarments on. 
D)  Defer the examination until the undergarments are removed. 
A)  All clothes must be removed for the examination. 
B)  Ask the health care provider to consider altering the examination. 
C)  Explore options to complete examination with the undergarments on. 
D)  Defer the examination until the undergarments are removed.

Question 6

Diethylstilbestrol (DES),no longer available,was used for pregnant women to increase their chances of having a successful pregnancy.Which has an increased risk of a cockscomb?

Accepted Answer

A)  DES sons 
B)  DES daughters 
C)  DES granddaughters 
D)  Women who took DES while pregnant 
A)  DES sons 
B)  DES daughters 
C)  DES granddaughters 
D)  Women who took DES while pregnant

Question 7

Which assessment is completed when microscopic examination of scrapings from the cervix,endocervix,or other mucous membranes to detect premalignant or malignant cells occurs?

Accepted Answer

A)  Bimanual palpation 
B)  Rectovaginal palpation 
C)  A Papanicolaou (Pap)test 
D)  A four A's procedure 
A)  Bimanual palpation 
B)  Rectovaginal palpation 
C)  A Papanicolaou (Pap)test 
D)  A four A's procedure

Question 8

Which hormone is responsible for maturation of mammary gland tissue?

Accepted Answer

A)  Estrogen 
B)  Testosterone 
C)  Prolactin 
D)  Progesterone 
A)  Estrogen 
B)  Testosterone 
C)  Prolactin 
D)  Progesterone

Question 9

A woman arrives at the clinic for her annual examination.She tells the nurse that she thinks she has a vaginal infection and she has been using an over-the-counter cream for the past 2 days to treat it.What should be the nurse's initial response?

Accepted Answer

A)  Inform the woman that vaginal creams may interfere with the Papanicolaou (Pap)test for which she is scheduled. 
B)  Reassure the woman that using vaginal cream is not a problem for the examination. 
C)  Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection. 
D)  Ask the woman to reschedule the appointment for the examination. 
A)  Inform the woman that vaginal creams may interfere with the Papanicolaou (Pap)test for which she is scheduled. 
B)  Reassure the woman that using vaginal cream is not a problem for the examination. 
C)  Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection. 
D)  Ask the woman to reschedule the appointment for the examination.

Question 10

Before Pap screening it is recommended that the woman abstain from sexual intercourse for at least what period of time before the test?

Accepted Answer

A)  12 hours 
B)  24 hours 
C)  48 hours 
D)  7 days 
A)  12 hours 
B)  24 hours 
C)  48 hours 
D)  7 days

Question 11

During a health history interview,a woman states that she thinks that she has "bumps" on her labia.She also states that she is not sure how to check herself.Which is the correct response?

Accepted Answer

A)  Reassure the woman that the examination will not reveal any problems. 
B)  Teach her what normal and abnormal findings are during the examination. 
C)  Inform the woman that "bumps" can be treated. 
D)  Tell her that most women have "bumps" on their labia. 
A)  Reassure the woman that the examination will not reveal any problems. 
B)  Teach her what normal and abnormal findings are during the examination. 
C)  Inform the woman that "bumps" can be treated. 
D)  Tell her that most women have "bumps" on their labia.

Question 12

A 62-year-old woman has not been to the clinic for an annual examination for 5 years.The recent death of her husband reminded her that she should come for a visit.Her family doctor has retired,and she is going to see the women's health nurse practitioner for her visit.What should the nurse do to facilitate a positive health care experience?

Accepted Answer

A)  Remind the woman that she is long overdue for her examination and that she should come in annually. 
B)  Listen carefully and allow extra time for this woman's health history interview. 
C)  Reassure the woman that a nurse practitioner is just as good as her old doctor. 
D)  Encourage the woman to talk about the death of her husband and her fears about her own death. 
A)  Remind the woman that she is long overdue for her examination and that she should come in annually. 
B)  Listen carefully and allow extra time for this woman's health history interview. 
C)  Reassure the woman that a nurse practitioner is just as good as her old doctor. 
D)  Encourage the woman to talk about the death of her husband and her fears about her own death.

Question 13

The nurse's best response to a 20-year-old patient who calls the clinic to report that she has found a lump in her breast is based on which information?

Accepted Answer

A)  Reassurance that it is probably nothing 
B)  Suggest wearing a tight bra and checking again in 1 week. 
C)  Request that the patient make an appointment with the clinic. 
D)  Reassess it in 1 month,and if still present make an appointment at the clinic. 
A)  Reassurance that it is probably nothing 
B)  Suggest wearing a tight bra and checking again in 1 week. 
C)  Request that the patient make an appointment with the clinic. 
D)  Reassess it in 1 month,and if still present make an appointment at the clinic.

Question 14

At which age may a woman discontinue Pap screening?

Accepted Answer

A)  Never 
B)  After child-bearing years 
C)  After menopause 
D)  After the age of 70 
A)  Never 
B)  After child-bearing years 
C)  After menopause 
D)  After the age of 70

Question 15

Which should the nurse do as part of his or her participation in the gynecological portion of the physical examination?

Accepted Answer

A)  Take a firm approach that encourages the patient to facilitate the examination by following the physician's instructions exactly. 
B)  Explain the procedure as it unfolds and continue to question the patient to get information in a timely manner. 
C)  Take the opportunity to explain that the trendy vulvar self-examination is only for women at risk for cancer. 
D)  Help the woman relax through proper placement of her hands and proper breathing during the examination. 
A)  Take a firm approach that encourages the patient to facilitate the examination by following the physician's instructions exactly. 
B)  Explain the procedure as it unfolds and continue to question the patient to get information in a timely manner. 
C)  Take the opportunity to explain that the trendy vulvar self-examination is only for women at risk for cancer. 
D)  Help the woman relax through proper placement of her hands and proper breathing during the examination.

Question 16

The uterus is a muscular,pear-shaped organ that is responsible for which event?

Accepted Answer

A)  Cyclic menstruation 
B)  Sex hormone production 
C)  Fertilization 
D)  Sexual arousal 
A)  Cyclic menstruation 
B)  Sex hormone production 
C)  Fertilization 
D)  Sexual arousal

Question 17

Mrs.Jones is unable to lie in the lithotomy position for a Pap smear test.Which is an alternative position for a gynecological examination?

Accepted Answer

A)  Sims 
B)  Prone 
C)  Lateral 
D)  High-Fowler's 
A)  Sims 
B)  Prone 
C)  Lateral 
D)  High-Fowler's

Question 18

When performing a gynecological exam,the nurse would expect to find Bartholin glands in which position on the labia majora?

Accepted Answer

A)  10 and 2 o'clock 
B)  12 and 6 o'clock 
C)  8 and 4 o'clock 
D)  9 and 3 o'clock 
A)  10 and 2 o'clock 
B)  12 and 6 o'clock 
C)  8 and 4 o'clock 
D)  9 and 3 o'clock

Question 19

Which myometrial muscle fibres prevent menstrual blood from flowing back into the uterine tubes during menstruation?

Accepted Answer

A)  Oblique 
B)  Circular 
C)  Transverse 
D)  Longitudinal 
A)  Oblique 
B)  Circular 
C)  Transverse 
D)  Longitudinal

Question 20

As a girl progresses through development,she may be at risk for a number of age-related conditions.While preparing a 21-year-old patient for her first adult physical examination and Papanicolaou (Pap)test,the nurse is aware of excessive shyness.The young woman states that she will not remove her bra because "there is something wrong with my breasts;one is way bigger." What is the basis for the nurses' response in this situation?

Accepted Answer

A)  Requesting that the patient reschedule the appointment for when she is more prepared 
B)  Deferring the breast examination until another appointment 
C)  Providing information about normal growth and development 
D)  Expressing sympathy for the patient and acknowledging how stressful that must be 
A)  Requesting that the patient reschedule the appointment for when she is more prepared 
B)  Deferring the breast examination until another appointment 
C)  Providing information about normal growth and development 
D)  Expressing sympathy for the patient and acknowledging how stressful that must be

Exam 6: Health Assessment

Which comment would indicate that the patient requires additional instruction about breast self-examination?

What are the two primary functions of the ovary?

Unique longitudinal muscle fibres make the uterine myometrium ideally suited for which event?

Which both protects the pelvic structures and accommodates the growing fetus during pregnancy?

The nurse guides a woman to the examination room and asks her to remove her clothes and put on an examination gown with the front open.The woman states,"I have special undergarments that I do not remove,for religious reasons." Which information informs the nurses' response?

Diethylstilbestrol (DES),no longer available,was used for pregnant women to increase their chances of having a successful pregnancy.Which has an increased risk of a cockscomb?

Which assessment is completed when microscopic examination of scrapings from the cervix,endocervix,or other mucous membranes to detect premalignant or malignant cells occurs?

Which hormone is responsible for maturation of mammary gland tissue?

A woman arrives at the clinic for her annual examination.She tells the nurse that she thinks she has a vaginal infection and she has been using an over-the-counter cream for the past 2 days to treat it.What should be the nurse's initial response?

Before Pap screening it is recommended that the woman abstain from sexual intercourse for at least what period of time before the test?

During a health history interview,a woman states that she thinks that she has "bumps" on her labia.She also states that she is not sure how to check herself.Which is the correct response?

The nurse's best response to a 20-year-old patient who calls the clinic to report that she has found a lump in her breast is based on which information?

At which age may a woman discontinue Pap screening?

Which should the nurse do as part of his or her participation in the gynecological portion of the physical examination?

The uterus is a muscular,pear-shaped organ that is responsible for which event?

Mrs.Jones is unable to lie in the lithotomy position for a Pap smear test.Which is an alternative position for a gynecological examination?

When performing a gynecological exam,the nurse would expect to find Bartholin glands in which position on the labia majora?

Which myometrial muscle fibres prevent menstrual blood from flowing back into the uterine tubes during menstruation?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological or Immunological Dysfunction

Genitourinary Dysfunction

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Integumentary Dysfunction

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