Question 1

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

Accepted Answer

A) In the parent's lap 
B) In a frog-leg position on the examining table 
C) In the lithotomy position with the feet in stirrups 
D) Lying flat on the examining table with legs extended 
A) In the parent's lap 
B) In a frog-leg position on the examining table 
C) In the lithotomy position with the feet in stirrups 
D) Lying flat on the examining table with legs extended B

Question 2

A woman who is 8 weeks' pregnant is in the clinic for a check.The nurse reads on her chart that her cervix is softened and looks cyanotic.The nurse knows that the woman is exhibiting which of the following signs?

Accepted Answer

A) Tanner's sign and Hegar's sign 
B) Hegar's sign and Goodell's sign 
C) Chadwick's sign and Hegar's sign 
D) Goodell's sign and Chadwick's sign 
A) Tanner's sign and Hegar's sign 
B) Hegar's sign and Goodell's sign 
C) Chadwick's sign and Hegar's sign 
D) Goodell's sign and Chadwick's sign D

Question 3

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?

Accepted Answer

A) "It is okay that you have become sexually active." 
B) "Often girls your age have questions about sexual activity.Have you?" 
C) "If it is okay with you,I'd like to ask you some questions about your sexual history." 
D) "Often girls your age engage in sexual activity.It is okay to tell me if you have had intercourse." 
A) "It is okay that you have become sexually active." 
B) "Often girls your age have questions about sexual activity.Have you?" 
C) "If it is okay with you,I'd like to ask you some questions about your sexual history." 
D) "Often girls your age engage in sexual activity.It is okay to tell me if you have had intercourse." B

Question 4

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

Accepted Answer

A) "Now it is time to talk about your sexual history.When did you first have intercourse?" 
B) "Women often feel dissatisfied with their sexual relationships.Would it be okay to discuss this now?" 
C) "Often women have questions about their sexual relationship and how it affects their health.Do you?" 
D) "Most women your age have had more than one sexual partner.How many would you say you have had?" 
A) "Now it is time to talk about your sexual history.When did you first have intercourse?" 
B) "Women often feel dissatisfied with their sexual relationships.Would it be okay to discuss this now?" 
C) "Often women have questions about their sexual relationship and how it affects their health.Do you?" 
D) "Most women your age have had more than one sexual partner.How many would you say you have had?"

Question 5

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

Accepted Answer

A) Cervix 
B) Uterus 
C) Ovaries 
D) Fallopian tubes 
A) Cervix 
B) Uterus 
C) Ovaries 
D) Fallopian tubes

Question 6

A patient has had three pregnancies and two live births.How would the nurse record this information?

Accepted Answer

A) Gravida 2,para 2,AB 1 
B) Gravida 3,para 2,AB 0 
C) Gravida 3,para 2,AB 1 
D) Gravida 3,para 3,AB 1 
A) Gravida 2,para 2,AB 1 
B) Gravida 3,para 2,AB 0 
C) Gravida 3,para 2,AB 1 
D) Gravida 3,para 3,AB 1

Question 7

During an external genitalia examination of a woman,the nurse notes several lesions around the vulva.The lesions are pink in color,moist,soft,and pointed papules.The patient states that she is not aware of any problems in that area.The nurse recognizes that these lesions may be:

Accepted Answer

A) syphilitic chancre. 
B) herpes simplex virus type 2 (herpes genitalis). 
C) human papillomavirus (HPV),or genital warts. 
D) pediculosis pubis (crab lice). 
A) syphilitic chancre. 
B) herpes simplex virus type 2 (herpes genitalis). 
C) human papillomavirus (HPV),or genital warts. 
D) pediculosis pubis (crab lice).

Question 8

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

Accepted Answer

A) urethral meatus and vaginal orifice. 
B) vaginal orifice and vestibular (Bartholin's)glands. 
C) urethral meatus and paraurethral (Skene's)glands. 
D) paraurethral (Skene's)and vestibular (Bartholin's)glands. 
A) urethral meatus and vaginal orifice. 
B) vaginal orifice and vestibular (Bartholin's)glands. 
C) urethral meatus and paraurethral (Skene's)glands. 
D) paraurethral (Skene's)and vestibular (Bartholin's)glands.

Question 9

A patient calls the clinic for instructions before having a Papanicolaou (Pap)smear.The most appropriate instructions from the nurse are:

Accepted Answer

A) "If you are menstruating,please use pads to avoid placing anything into the vagina." 
B) "Avoid intercourse,inserting anything into the vagina,or douching within 24 hours of your appointment." 
C) "If you suspect that you have a vaginal infection,please gather a sample of the discharge to bring with you." 
D) "We would like you to use a mild saline douche before your examination.You may pick this up in our office." 
A) "If you are menstruating,please use pads to avoid placing anything into the vagina." 
B) "Avoid intercourse,inserting anything into the vagina,or douching within 24 hours of your appointment." 
C) "If you suspect that you have a vaginal infection,please gather a sample of the discharge to bring with you." 
D) "We would like you to use a mild saline douche before your examination.You may pick this up in our office."

Question 10

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

Accepted Answer

A) menstrual history because it is generally nonthreatening. 
B) obstetric history because it is the most important information. 
C) urinary system history because there may be problems in this area as well. 
D) sexual history because it will build rapport to discuss this first. 
A) menstrual history because it is generally nonthreatening. 
B) obstetric history because it is the most important information. 
C) urinary system history because there may be problems in this area as well. 
D) sexual history because it will build rapport to discuss this first.

Question 11

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

Accepted Answer

A) A postmenopausal woman is not at any greater risk for heart disease than a younger woman is. 
B) A postmenopausal woman should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions. 
C) A postmenopausal woman has only stopped menstruating;there really are no other significant changes that she should be concerned with. 
D) A postmenopausal woman is likely to have difficulty with sexual pleasure as a result of drastic changes in the female sexual response cycle. 
A) A postmenopausal woman is not at any greater risk for heart disease than a younger woman is. 
B) A postmenopausal woman should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions. 
C) A postmenopausal woman has only stopped menstruating;there really are no other significant changes that she should be concerned with. 
D) A postmenopausal woman is likely to have difficulty with sexual pleasure as a result of drastic changes in the female sexual response cycle.

Question 12

Which of the following are changes associated with menopause?

Accepted Answer

A) Uterine and ovarian atrophy along with thinning vaginal epithelium 
B) Ovarian atrophy,increased vaginal secretions,and increasing clitoral size 
C) Cervical hypertrophy,ovarian atrophy,and increased acidity of vaginal secretions 
D) Vaginal mucosa fragility,increased acidity of vaginal secretions,and uterine hypertrophy 
A) Uterine and ovarian atrophy along with thinning vaginal epithelium 
B) Ovarian atrophy,increased vaginal secretions,and increasing clitoral size 
C) Cervical hypertrophy,ovarian atrophy,and increased acidity of vaginal secretions 
D) Vaginal mucosa fragility,increased acidity of vaginal secretions,and uterine hypertrophy

Question 13

Which of the following statements is true with regard to the history of a postmenopausal woman?

Accepted Answer

A) The nurse should ask a postmenopausal woman if she ever has vaginal bleeding. 
B) Once a woman reaches menopause,the nurse does not need to ask any further history questions. 
C) The nurse should screen for monthly breast tenderness. 
D) Postmenopausal women are not at risk for contracting sexually transmitted diseases and thus these questions can be omitted. 
A) The nurse should ask a postmenopausal woman if she ever has vaginal bleeding. 
B) Once a woman reaches menopause,the nurse does not need to ask any further history questions. 
C) The nurse should screen for monthly breast tenderness. 
D) Postmenopausal women are not at risk for contracting sexually transmitted diseases and thus these questions can be omitted.

Question 14

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 must make sure to ask:

Accepted Answer

A) "Have you noticed a change in your vaginal pH?" 
B) "Have you noticed any excessive vaginal bleeding?" 
C) "Have you noticed any unusual vaginal discharge or itching?" 
D) "Have you noticed any changes in your desire for intercourse?" 
A) "Have you noticed a change in your vaginal pH?" 
B) "Have you noticed any excessive vaginal bleeding?" 
C) "Have you noticed any unusual vaginal discharge or itching?" 
D) "Have you noticed any changes in your desire for intercourse?"

Question 15

Which of the following tests are usually collected when screening for cervical cancer?

Accepted Answer

A) Endocervical specimen,cervical scrape,and vaginal pool 
B) Endocervical specimen,vaginal pool,and acetic acid wash 
C) Endocervical specimen,KOH prep,and acetic acid wash 
D) Cervical scrape,acetic acid wash,saline mount ("wet prep") 
A) Endocervical specimen,cervical scrape,and vaginal pool 
B) Endocervical specimen,vaginal pool,and acetic acid wash 
C) Endocervical specimen,KOH prep,and acetic acid wash 
D) Cervical scrape,acetic acid wash,saline mount ("wet prep")

Question 16

An 18-year-old patient is having her first pelvic examination.It would be appropriate to:

Accepted Answer

A) invite her mother to be present during the examination. 
B) avoid the lithotomy position this first time because it can be uncomfortable and embarrassing. 
C) raise the head of the examination table and give her a mirror so that she can view the exam. 
D) drape her fully,leaving the drape between her legs elevated to avoid embarrassing her with eye contact. 
A) invite her mother to be present during the examination. 
B) avoid the lithotomy position this first time because it can be uncomfortable and embarrassing. 
C) raise the head of the examination table and give her a mirror so that she can view the exam. 
D) drape her fully,leaving the drape between her legs elevated to avoid embarrassing her with eye contact.

Question 17

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

Accepted Answer

A) uterine cancer. 
B) cervical cancer. 
C) ovarian cancer. 
D) endometrial cancer. 
A) uterine cancer. 
B) cervical cancer. 
C) ovarian cancer. 
D) endometrial cancer.

Question 18

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

Accepted Answer

A) "Do you have a history of heart murmurs?" 
B) "Will you be in a monogamous relationship?" 
C) "I wonder if you have thought this choice through carefully." 
D) "If you use smoke,how many cigarettes do you smoke per day?" 
A) "Do you have a history of heart murmurs?" 
B) "Will you be in a monogamous relationship?" 
C) "I wonder if you have thought this choice through carefully." 
D) "If you use smoke,how many cigarettes do you smoke per day?"

Question 19

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

Accepted Answer

A) Stage 1 
B) Stage 2 
C) Stage 3 
D) Stage 4 
A) Stage 1 
B) Stage 2 
C) Stage 3 
D) Stage 4

Question 20

The female structure that corresponds with the male penis is called the:

Accepted Answer

A) labia. 
B) clitoris. 
C) prepuce. 
D) frenulum. 
A) labia. 
B) clitoris. 
C) prepuce. 
D) frenulum.

Exam 26: Female Genitourinary System

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

A woman who is 8 weeks' pregnant is in the clinic for a check.The nurse reads on her chart that her cervix is softened and looks cyanotic.The nurse knows that the woman is exhibiting which of the following signs?

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?

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

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

A patient has had three pregnancies and two live births.How would the nurse record this information?

During an external genitalia examination of a woman,the nurse notes several lesions around the vulva.The lesions are pink in color,moist,soft,and pointed papules.The patient states that she is not aware of any problems in that area.The nurse recognizes that these lesions may be:

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

A patient calls the clinic for instructions before having a Papanicolaou (Pap)smear.The most appropriate instructions from the nurse are:

A woman is in the clinic for an annual gynecologic 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 a yearly physical examination.Which of the following should the nurse include in patient education?

Which of the following are changes associated with menopause?

Which of the following statements is true with regard to the history of a postmenopausal woman?

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 must make sure to ask:

Which of the following tests are usually collected when screening for cervical cancer?

An 18-year-old patient is having her first pelvic examination.It would be appropriate to:

A woman has just been diagnosed with HPV,or genital warts.The nurse should counsel her to receive regular examinations because this virus makes 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:

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

The female structure that corresponds with the male penis is called the:

Critical Thinking in Health Assessment

Developmental Tasks and Health Promotion Across the Life Cycle

Cultural Competence: Cultural Care

The Interview

The Complete Health History

Mental Status Assessment

Domestic Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, vital Signs

Pain Assessment: the Fifth Vital Sign

Nutritional Assessment

Skin, hair, and Nails

Head, face, and Neck, including Regional Lymphatics

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus,rectum,and Prostate

The Complete Health Assessment: Putting It All Together

Reassessment of the Hospitalized Adult

The Pregnant Female

Functional Assessment of the Older Adult

Filters