Exam 26: Female Genitourinary System

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 knows that problem is:

A married couple has come to the clinic seeking advice on pregnancy.They have been trying to conceive for 6 months and have not been successful.What should the nurse do first?

The nurse is palpating a female patient's adnexa.The findings include a firm,smooth uterine wall;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 woman who is 22 weeks' pregnant has a vaginal infection.She tells the nurse that she is afraid that this infection will "hurt my baby." The nurse knows that which of the following statements is true?

The nurse has just completed an inspection of a woman's external genitalia.Which of the following would be a description of a finding within normal limits?

During a bimanual examination,the nurse detects a solid tumor on the ovary that is heavy,fixed,with a poorly defined mass.This finding is suggestive of:

A nurse is assessing a patient's risk of contracting a sexually transmitted disease (STD).An appropriate question would be:

The order of examination of the internal genitalia is important.The nurse will use which order of examination at this time?

During a vaginal examination of a 38-year-old woman,the nurse notes the following: 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 of the following?

In performing the bimanual examination,the nurse notes that the cervix feels smooth and firm,is round,and is fixed in place (does not move).When cervical palpation is performed,the patient complains of some pain.The nurse's interpretation of these results should be which of the following?

A 46-year-old woman is in the clinic for her annual gynecologic examination.She voices a concern about ovarian cancer because her mother and sister died of it.The nurse knows that which of the following is correct regarding ovarian cancer?

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

During the interview a patient reveals that she has some vaginal discharge.She is worried that it may be a sexually transmitted disease.The nurse's most appropriate response to this would be:

The changes normally associated with menopause occur generally because the cells in the reproductive tract are: