Question 1

Which of the following 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 2

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 3

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 best response by the nurse in this situation?

Accepted Answer

A)  "Please reschedule your appointment until you are more prepared." 
B)  "It is okay; the provider will not do a breast examination." 
C)  "I will explain normal growth and breast development to you." 
D)  "That is unfortunate; this must be very stressful for you." 
A)  "Please reschedule your appointment until you are more prepared." 
B)  "It is okay; the provider will not do a breast examination." 
C)  "I will explain normal growth and breast development to you." 
D)  "That is unfortunate; this must be very stressful for you."

Question 4

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

Exam 5: Health Assessment

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

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

Which hormone is responsible for maturation of mammary gland tissue?

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