Exam 27: Female Genitourinary System

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?

During the examination of a woman who has never had children, the nurse would expect the cervical os to appear:

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

The advance practice nurse is palpating a female patient's adnexa.The findings include a firm, smooth uterine wall; and 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 patient has had three pregnancies and two live births.The nurse would record this information as grav __________, para __________, A __________.

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

A 54-year-old woman who has just completed menopause is in the clinic today for her yearly physical examination.Which of these statements should the nurse include in patient education? A postmenopausal woman:

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

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

The nurse is reviewing the changes that occur with menopause.Which changes are associated with menopause?

An 18-year-old patient is having her first pelvic examination.Which action by the nurse is appropriate?

The advance practice 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 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:

A 52-year-old patient states that when she sneezes or coughs she "wets herself a little." She is very concerned that something may be wrong with her.The nurse suspects that the problem is:

During an examination, the nurse observes a female patient's vestibule and expects to see the:

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 condition?

A 35-year-old transgender woman is in the office for routine gynecological care.She had a vaginoplasty 12 months ago.Which of the following does the nurse know to be true regarding this visit?

A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever.On physical examination, the nurse notices clusters of small, shallow vesicles with surrounding erythema on the labia.Inguinal lymphadenopathy present is also present.The most likely cause of these lesions is:

A nurse is assessing a patient's risk for contracting an STI.An appropriate question to ask would be:

A 25-year-old woman comes to the emergency department with a sudden fever of 38.3°C and abdominal pain.During the examination, the nurse notices that the patient has rigid, boardlike lower abdominal musculature.When the nurse tries to perform a vaginal examination, the patient experiences severe pain when the uterus and cervix are moved.The nurse knows that these signs and symptoms are suggestive of: