Question 1

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

Accepted Answer

A) Stellate. 
B) Small and round. 
C) As a horizontal irregular slit. 
D) Everted.

Question 2

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?

Accepted Answer

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

Question 3

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:

Accepted Answer

A) Tell the patient that her examination is normal. 
B) Give her an immediate referral to a gynecologist. 
C) Suggest that she return in a month for a recheck to verify the findings. 
D) Tell the patient that she may have an ovarian cyst that should be evaluated further.

Question 4

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.

Accepted Answer

A) Tanner; Hegar 
B) Hegar; Goodell 
C) Chadwick; Hegar 
D) Goodell; Chadwick

Question 5

An 11-year-old girl is in the clinic for a sports physical examination.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:

Accepted Answer

A) Use the Tanner scale on the five stages of sexual development. 
B) Describe her development and compare it with that of other girls her age. 
C) Use the Jacobsen table on expected development on the basis of height and weight data. 
D) Reassure her that her development is within normal limits and tell her not to worry about the next step.

Question 6

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?

Accepted Answer

A) Candidiasis 
B) Trichomoniasis 
C) Atrophic vaginitis 
D) Bacterial vaginosis

Question 7

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 _______ cancer.

Accepted Answer

A) Uterine 
B) Cervical 
C) Ovarian 
D) Endometrial

Question 8

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

Accepted Answer

A) Uterine and ovarian atrophy, along with a thinning of the 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

Exam 26: Female Genitourinary System

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

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?

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 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.

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 _______ cancer.

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