Health Assessment Chapter 26 Female Genitourinary System

3

A female patient complains of watery, bubbly, malodorous, yellowish green discharge. Which condition does the nurse suspect in the patient? 1 Pubic lice 2 Candidiasis 3 Trichomoniasis 4 Gardnerella vaginalis

4

A female postmenopausal patient is obese and has had no children. She has hypertension and is undergoing estrogen replacement. What is the highest risk in this patient? 1 Cervical cancer 2 Ovarian cancer 3 Uterine prolapse 4 Endometrial cancer

1

A patient reports to the nurse about having pain during urination with increased frequency and postcoital bleeding. The nurse also notices yellow mucopurulent discharge and a friable cervix during the pelvic assessment. Which infection does the nurse suspect in the patient? 1 Chlamydia 2 Gonorrhea 3 Candidiasis 4 Trichomoniasis

4

A patient tells the nurse, "I am experiencing severe pain in the lower abdomen for the past 3 months during menses." Which test should the nurse advise the patient to undergo? 1 Serum CA 125 test 2 Papanicolaou (Pap) test 3 Nucleic acid amplification tests 4 Transvaginal ultrasound imaging

2

A patient with anemia reports having backaches, a feeling of heaviness in the abdomen, and excessive uterine bleeding. On palpation of the uterus, the nurse finds that the uterus is enlarged and painless nodules are present in the uterine wall. Which condition does the nurse expect the patient to have? 1 The patient has polyps. 2 The patient has myomas. 3 The patient has endometriosis. 4 The patient has acute salpingitis.

3, 4

After examining a patient who has missed a menstrual period, the nurse documents that the patient has a positive Chadwick sign. Which assessment findings led the nurse to reach such a conclusion? Select all that apply. 1 Softened cervix 2 Soft uterine isthmus 3 Bluish vaginal mucosa 4 Globular shaped uterus 5 Cyanotic appearance of the cervix

4

On reviewing a patient's laboratory results, the nurse finds that the patient has chlamydia. What potential complication should the nurse explain to the patient to ensure treatment compliance? 1 Trauma 2 Infection 3 Dyspareunia 4 Pelvic inflammatory disease

1

The nurse is assessing an elderly female patient who has diabetes mellitus. The patient reports to the nurse that she has night sweats, vaginal dryness, itching, and numbness. What should the nurse infer from these findings? 1 The patient is at increased risk of vaginitis. 2 The patient is at increased risk of cervical cancer. 3 The patient is at increased risk of vascular problems. 4 The patient is at an increased risk of endometrial cancer.

4

The nurse is doing a vaginal examination in a patient with menorrhagia. In which position should the patient be placed to best assess the vagina? 1 Sitting position 2 Standing position 3 Side-lying position 4 Lithotomy position

1

To what does "version" refer in the female genitourinary system? 1 The position of the uterus in a female body 2 The classification system of cervical neoplasia 3 The placement of the ovaries in relation to the uterus 4 When the long axis of the uterus is not straight but is bent on itself

1, 5

What are the risk factors for endometrial cancer? Select all that apply. 1 Obesity 2 Body sprays 3 Oral contraceptives 4 Decreased vaginal pH 5 Long-term estrogen therapy

2

What does the nurse use to lubricate the speculum to obtain a Pap smear? 1 Mineral oil 2 Warm water 3 Liquid paraffin 4 Petroleum gel

3

What is a characteristic of the adnexal structures of the uterus? 1 Palpable in a healthy patient 2 Include the bladder and rectum 3 Include the fallopian tubes and ovaries 4 Include an arterial pulse in a normal pregnancy

3

When does the nurse perform a Pap smear? 1 If a patient complains of abdominal pain or vaginal bleeding 2 When there are symptoms of Chlamydia infection in the patient 3 When a patient begins sexual activity or reaches 21 years of age 4 When a patient is between 35 to 55 years of age, when most cervical cancers occur

3

When doing a genital assessment of a patient who has a genital infection, the nurse finds small, round, solitary, and silvery papules with yellowish serous discharge. Upon palpation, the nurse notes nontender, button-like structures, and enlarged lymph nodes. Which condition should the nurse expect in the patient? 1 Urethritis 2 Herpes genitalis 3 Syphilitic chancre 4 Urethral caruncle

2, 3, 5

Which assessment findings does the nurse consider as abnormal when reviewing a patient's medical results? Select all that apply. 1 Vaginal pH of 4.0 2 Dark and cloudy urine 3 Clots in menstrual flow 4 Cloudy vaginal discharge 5 Yellow-green vaginal discharge

4

Which change may occur during sexual maturation in females? 1 Enlarged uterus and ovaries 2 A slight rounding of the labia minora 3 Decreased elasticity of vaginal tissues 4 Spread of pubic hair onto inner aspects of upper thighs

1, 2, 4

Which conditions are examples of vulvovaginal inflammation? Select all that apply. 1 Candidiasis 2 Trichomoniasis 3 Acute salpingitis 4 Atrophic vaginitis 5 Human papillomavirus infection

3, 4, 5

Which conditions can be prevented by using the human papillomavirus (HPV) vaccine? Select all that apply. 1 Chlamydia 2 Gonorrhea 3 Anal cancer 4 Genital warts 5 Cervical cancer

1

Which finding does the nurse consider abnormal when inspecting the patient's cervix and its opening? 1 Lateral position of the cervix 2 Diameter of cervix as 2.5 cm 3 Pink-colored cervical mucosa 4 Small, round cervical opening

1, 2, 4

Which measures should the nurse include while examining the external genitalia of a female adolescent patient? Select all that apply. 1 Do the examination of the patient without the mother in the room. 2 Determine the patient's growth rate as well as the menstrual history. 3 Lubricate the hands and instruments adequately before examination. 4 Use the sexual maturity charts to teach about developmental changes. 5 Instruct the patient to report whether the vaginal secretions are increased.

2

Which statement best describes the clitoris? 1 It has a visible length of 5 cm. 2 It is composed of erectile tissue. 3 It is a thin circular fold covering the vaginal opening. 4 It is composed of glandular tissue that secretes vaginal moisture.

3

While assessing a female adolescent patient, the nurse finds that the patient's hymen is bluish in color and bulging. The patient reports to the nurse that she has not started her menses. For which condition should the nurse screen in this patient? 1 Dyspareunia 2 Delayed puberty 3 Imperforate hymen 4 Physiologic leucorrhea

3

While assessing a patient, the nurse finds that the patient has a body temperature of 102.2° F (39° C), suprapubic pain, and purulent discharge from the cervix. The nurse finds it difficult to palpate the bilateral adnexal masses, because the patient complains of having severe pain during the palpation. What should the nurse infer from these findings? 1 The patient may have an ovarian cyst. 2 The patient may have ovarian cancer. 3 The patient may have acute salpingitis. 4 The patient may have an ectopic pregnancy.

1

While doing a genital examination, the nurse finds that a part of the rectum is covered by the vaginal mucosa and is prolapsed into the vagina. What should the nurse infer from this finding? 1 The patient has a rectocele. 2 The patient has a cystocele. 3 The patient has cervical cancer. 4 The patient has a uterine prolapse.

4

While doing an assessment of the external genitalia, the nurse finds that the patient has a posteriorly swollen labia, tenderness, and a palpable mass on the labia. Which condition should the nurse expect to find in the patient? 1 Leiomyomas 2 Genital warts 3 Atrophic vaginitis 4 Abscess on the Bartholin gland

4

While examining a female child, the nurse finds an enlarged clitoris and a fused labia. Which condition should the nurse document in the child's examination report based on these findings? 1 Cystocele 2 Rectocele 3 Endometriosis 4 Ambiguous genitalia

2

While examining a patient who has stress incontinence, the nurse observes that the patient's bladder is prolapsed into the vagina. Which condition does this finding suggest? 1 Rectocele 2 Cystocele 3 Atrophic vaginitis 4 Uterine prolapse

1

While examining the external genitalia of a patient, the nurse notices pink-colored, soft, pointed papules around the anus and vulva. Which abnormality would the nurse document in the patient's examination report? 1 Genital warts 2 Herpes genitalis 3 Syphilitic chancre 4 Contact dermatitis

1

While examining the external genitalia of a patient, the nurse observes urethral inflammation and purulent discharge from the urethral meatus. The nurse also finds erythema and tenderness of the anterior vaginal wall. The patient reports to the nurse about having a burning sensation during urination. What do the patient's findings suggest? 1 Urethritis 2 Herpes genitalis 3 Syphilitic chancre 4 Urethral caruncle