Exam 27: Female Genitourinary System

The nurse is preparing to interview a postmenopausal woman.Which of these statements is true as it applies to obtaining the health history of a postmenopausal woman?

An 11-year-old girl is in the clinic for her annual checkup.The nurse notices that she has begun to develop breasts, and during the conversation, the girl reveals that she is worried about her development.The nurse should use which of these techniques to best assist the young girl in understanding the expected sequence for development? The nurse should:

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:

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

When assessing a newborn infant's genitalia, the nurse notices that the genitalia appear swollen with fluid.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:

The nurse is preparing to examine the external genitalia of a school-age girl.Which position would be most appropriate in this situation?

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

A patient calls the clinic for instructions before undergoing a Pap test.The most appropriate instructions from the nurse are:

A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic.As a part of the interview, the nurse should ask, "Have you noticed any ..."

During a speculum inspection of the vagina of a 25-year-old female who has never been pregnant, what would the nurse expect to see at the end of the vaginal canal?

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

A woman who is 8 weeks pregnant is in the clinic for a checkup.The nurse reads on her chart that her cervix is softened and looks cyanotic.The nurse knows that the woman is exhibiting __________ sign and __________ sign.

When obtaining a sample for a Papanicolaou ("Pap") test from a 60-year-old postmenopausal female patient, the nurse recognizes that the cervix is smaller and paler in response to:

When performing the bimanual examination, the advance practice nurse notices that the cervix feels smooth and firm, is round, and is fixed in place.When cervical palpation is performed, the patient complains of some pain.The nurse's interpretation of these results should be which of these?

During a health history interview, a 22-year old woman asks, "Can I get that vaccine for human papilloma virus (HPV)? I have genital warts and I'd like them to go away!" What is the nurse's best response?

A 46-year-old woman is in the clinic for her annual gynecological examination.She voices her concern about ovarian cancer because her mother and sister had died as a result of it.Which statement regarding ovarian cancer does the nurse know to be correct?

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

A 35-year-old woman is at the clinic for a gynecological examination.During the examination, she asks the nurse, "How often do I need to have this Pap test done?" Which reply by the nurse is correct?

When performing an external genitalia examination of a 10-year-old girl, the nurse notices that there is no pubic hair and the mons and the labia are covered with fine vellus hair.These findings are consistent with stage __________ of sexual maturity, according to the Sexual Maturity Rating scale.

Which statement would be most appropriate when the nurse is introducing the topic of sexual relationships during an interview?