Exam 26: Female Genitourinary System

When performing the bimanual examination,the nurse notices that the cervix feels smooth and firm,is round,and is fixed in place (does not move).When cervical palpation is performed,the patient complains of some pain.The nurse's interpretation of these results should be which of these?

When the nurse is interviewing a preadolescent girl,which opening statement would be least threatening?

The nurse is palpating a female patient's adnexa.The findings include a firm,smooth uterine wall;the ovaries are palpable and feel smooth and firm.The fallopian tube is firm and pulsating.The nurse's most appropriate course of action would be to:

A woman is in the clinic for an annual gynecologic examination.The nurse should plan to begin the interview with the:

The changes normally associated with menopause occur generally because the cells in the reproductive tract are:

During a speculum inspection of the vagina,the nurse would expect to see what at the end of the vaginal canal?

During a vaginal examination of a 38-year-old woman,the nurse notices that the vulva and vagina are erythematous and edematous with thick,white,curdlike discharge adhering to the vaginal walls.The woman reports intense pruritus and thick white discharge from her vagina.The nurse knows that these history and physical examination findings are most consistent with which of these conditions?

A married couple has come to the clinic seeking advice on pregnancy.They have been trying to conceive for 4 months and have not been successful.What should the nurse do first?

When assessing a newborn infant's genitalia,the nurse notices that the genitalia are somewhat engorged.The labia majora are swollen,the clitoris looks large,and the hymen is thick.The vaginal opening is difficult to visualize.The infant's mother states that she is worried about the labia being swollen.The nurse should reply:

A patient calls the clinic for instructions before having a Papanicolaou (Pap)smear.The most appropriate instructions from the nurse are:

The nurse is examining a 35-year-old female patient.During the history,the nurse notices that she has had two term pregnancies,and both babies were delivered vaginally.During the internal examination the nurse observes that the cervical os is a horizontal slit with some healed lacerations and that the cervix has some nabothian cysts that are small,smooth,and yellow.In addition,the nurse notices that the cervical surface is granular and red,especially around the os.Finally,the nurse notices the presence of stringy,opaque,odorless secretions.Which of these findings are abnormal?

A nurse is assessing a patient's risk of contracting a sexually transmitted infection (STI).An appropriate question to ask would be:

A patient has had three pregnancies and two live births.The nurse would record this information as gravida _____,para _____,AB _____.

During an internal examination,the nurse notices that the cervix bulges outside the introitus when the patient is asked to strain.The nurse will document this as:

A 46-year-old woman is in the clinic for her annual gynecologic examination.She voices a concern about ovarian cancer because her mother and sister died of it.The nurse knows that which of these statements is correct regarding ovarian cancer?

A 65-year-old woman is in the office for routine gynecologic care.She had a complete hysterectomy 3 months ago after cervical cancer was detected.The nurse knows that which of these statements is true with regard to this visit?

A 25-year-old woman comes to the emergency department with a sudden fever of 101° F and abdominal pain.Upon examination,the nurse notices that she has rigid,boardlike lower abdominal musculature.When the nurse tries to perform a vaginal examination,the patient has severe pain when the uterus and cervix are moved.The nurse knows that these signs and symptoms are suggestive of:

A 50-year-old woman calls the clinic because she has noticed some changes in her body and breasts and wonders if they could be due to the hormone replacement therapy (HRT)she started 3 months ago.The nurse should tell her:

The nurse is palpating an ovarian mass during an internal examination of a 63-year-old woman.Which findings of the mass's characteristics would suggest the presence of an ovarian cyst? Select all that apply.

During a bimanual examination,the nurse detects a solid tumor on the ovary that is heavy and fixed,with a poorly defined mass.This finding is suggestive of: