Question 1

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 B

Question 2

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. C

Question 3

Upon vaginal examination,the nurse sees a bulge from the anterior vaginal wall.What should the nurse suspect?

Accepted Answer

A)  Rectocele 
B)  Cystocele 
C)  Uterine lesion 
D)  Scar tissue from previous episiotomy 
A)  Rectocele 
B)  Cystocele 
C)  Uterine lesion 
D)  Scar tissue from previous episiotomy B

Question 4

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 5

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

Question 6

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

Question 7

What is the best time for breast self-examination (BSE)?

Accepted Answer

A)  5 to 7 days after menses ceases 
B)  Day 1 of the endometrial cycle 
C)  7 days before the onset of menses 
D)  Any time during a shower or bath 
A)  5 to 7 days after menses ceases 
B)  Day 1 of the endometrial cycle 
C)  7 days before the onset of menses 
D)  Any time during a shower or bath

Question 8

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

Accepted Answer

A)  "Yellow discharge from my nipple is normal if I'm having my period." 
B)  "I should check my breasts at the same time each month, right after my period." 
C)  "I should also feel in my armpit area while performing my breast examination." 
D)  "I should check each breast in a set way, such as in a circular motion." 
A)  "Yellow discharge from my nipple is normal if I'm having my period." 
B)  "I should check my breasts at the same time each month, right after my period." 
C)  "I should also feel in my armpit area while performing my breast examination." 
D)  "I should check each breast in a set way, such as in a circular motion."

Question 9

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 10

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 11

The uterus is a muscular,pear-shaped organ that is responsible for which of the following?

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 12

Which of the following 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 13

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

Question 14

In which of the following situations is it more likely that intimate partner violence will increase?

Accepted Answer

A)  Marriage 
B)  Pregnancy 
C)  Birth of a baby 
D)  Children becoming school-age 
A)  Marriage 
B)  Pregnancy 
C)  Birth of a baby 
D)  Children becoming school-age

Question 15

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 16

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." What is the most appropriate response from the nurse?

Accepted Answer

A)  "You can't have an examination without removing all your clothes, as they may get soiled." 
B)  "I'll ask the doctor if he is able to modify the examination." 
C)  "Tell me about your undergarments. Then we can discuss how you can have your examination done comfortably." 
D)  "What? I've never heard of such a thing! That sounds different." 
A)  "You can't have an examination without removing all your clothes, as they may get soiled." 
B)  "I'll ask the doctor if he is able to modify the examination." 
C)  "Tell me about your undergarments. Then we can discuss how you can have your examination done comfortably." 
D)  "What? I've never heard of such a thing! That sounds different."

Question 17

What is 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?

Accepted Answer

A)  "Don't worry about it. I'm sure it's nothing." 
B)  "Wear a tight bra, and it should shrink; if not, make an appointment with your doctor." 
C)  "Many women have benign lumps and bumps in their breasts, but you should come in for an examination." 
D)  "Check it again in 1 month and call the clinic back if it's still there." 
A)  "Don't worry about it. I'm sure it's nothing." 
B)  "Wear a tight bra, and it should shrink; if not, make an appointment with your doctor." 
C)  "Many women have benign lumps and bumps in their breasts, but you should come in for an examination." 
D)  "Check it again in 1 month and call the clinic back if it's still there."

Question 18

Diethylstilbestrol (DES)was used between 1938 and 1971 for pregnant women in order to increase their chances of having a successful pregnancy.Which of the following groups has an increased risk of noncancerous epididymal cysts?

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 19

Which of the following best reflects who should be screened for risk of abuse during pregnancy?

Accepted Answer

A)  Adolescents 
B)  Single mothers 
C)  Women of low socioeconomic status 
D)  All pregnant women when they enter prenatal care 
A)  Adolescents 
B)  Single mothers 
C)  Women of low socioeconomic status 
D)  All pregnant women when they enter prenatal care

Question 20

At which age may a woman discontinue Pap screening?

Accepted Answer

A)  Never 
B)  After childbearing years 
C)  After menopause 
D)  After the age of 70 
A)  Never 
B)  After childbearing years 
C)  After menopause 
D)  After the age of 70

Exam 5: Health Assessment

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

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?

Upon vaginal examination,the nurse sees a bulge from the anterior vaginal wall.What should the nurse suspect?

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?

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

What are the two primary functions of the ovary?

What is the best time for breast self-examination (BSE)?

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

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

The uterus is a muscular,pear-shaped organ that is responsible for which of the following?

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

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

In which of the following situations is it more likely that intimate partner violence will increase?

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

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." What is the most appropriate response from the nurse?

What is 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?

Diethylstilbestrol (DES)was used between 1938 and 1971 for pregnant women in order to increase their chances of having a successful pregnancy.Which of the following groups has an increased risk of noncancerous epididymal cysts?

Which of the following best reflects who should be screened for risk of abuse during pregnancy?

At which age may a woman discontinue Pap screening?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

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: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

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, disability, 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 and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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