Exam 27: Female Genitourinary System

A 54-year-old woman who has just completed menopause is visiting the clinic for a yearly physical examination.Which of the following should the nurse include in patient education?

During the interview with a female patient,the nurse gathers data that indicate that the patient is perimenopausal.Which of the following statements made by this patient leads to this conclusion?

When observing the vestibule,the nurse should be able to see the:

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

A nurse is assessing a patient's risk of contracting a STI.An appropriate question would be:

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

The uterus is usually positioned tilting forward and superior to the bladder.This position is known as:

MATCHING Place the degrees of uterine prolapse listed below in order,from first degree to third degree. -Second degree prolapse is:

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

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 estrogen replacement therapy she started 3 months ago.The nurse should tell her:

When the nurse is discussing sexuality and sexual issues with adolescents,a permission statement helps to convey that it is normal to think or feel a certain way.Which of the following is the best example of a permission statement?

A 25-year-old woman comes to the emergency department with a sudden fever of 38°C and abdominal pain.Upon examination,the nurse notes 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 nonpregnant patient tells the nurse that she has had three pregnancies and two live births.How would the nurse record this information?

In performing the bimanual examination,the nurse notes 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.Which of the following should be the nurse's interpretation of these results?

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

During an inspection of the vagina,the nurse would expect to see what at the end of the vagina?

A woman has just been diagnosed with HPV infection,or genital warts.The nurse should counsel her to receive regular examinations,because this virus puts her at a higher risk for:

A 22-year-old woman has been considering using oral contraceptives.As a part of her history,the nurse should ask:

During a vaginal examination of a 38-year-old woman,the nurse notes 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 the following?

During the interview,a patient reveals that she has some vaginal discharge.She is worried that it may be a sexually transmitted infection (STI).The nurse's most appropriate response to this would be: