Health Assessment Week 12/Ch. 27

Which condition would the nurse expect in the patient who presents with a round, superficial ulceration on the perineum that is lifted like a button between the thumb and finger and has a yellowish serous drainage?

Syphilitic chancre

Which is an abnormal assessment finding in a female patient?

The cervix and uterus are fixed and tender on internal palpation

To what does "version" refer in the female genitourinary system?

The position of the uterus in a female body

Which condition is associated with stress incontinence?

Cystocele

In which position would the nurse position the female patient for a pelvic examination?

Lithotomy

Which potential complication would the nurse explain to the patient with a diagnosis of chlamydia to ensure treatment compliance?

Pelvic inflammatory disease

Which is used to lubricate the speculum in preparation for a Pap test?

Water-soluble gel

Which is the appropriate response to a parent of a 12-year-old child who asks why the human papillomavirus (HPV) vaccine is given to a child who is not sexually active?

"This gives time for immunity to develop before a child becomes sexually active."

Which instruction to the patient is appropriate just before inserting the vaginal speculum?

"Bear down so that the perineal muscles can relax"

Which instructions would be provided to the patient before the scheduled Pap test?

"Do not douche or have intercourse 24 hours before the examination."

Which statement, if made by the student nurse, indicates effective learning about obtaining a female patient's reproductive health history?

"It would include the pattern of menstruation and sexual satisfaction."

Which conditions may be prevented by using the human papillomavirus (HPV) vaccine? Select all that apply.

- Anal cancer - Genital warts - Cervical cancer

Which assessment findings led the nurse to document a positive Chadwick sign? Select all that apply.

- Bluish vaginal mucosa - Cyanotic appearance of the cervix

Which conditions are examples of vulvovaginal inflammation? Select all that apply.

- Candidiasis - Trichomoniasis - Atrophic vaginitis

Which assessment findings would the nurse consider as abnormal when reviewing a patient's medical record? Select all that apply.

- Dark and cloudy urine - Clots in menstrual flow - Yellow-green vaginal discharge

Which are risk factors for developing candidiasis? Select all that apply.

- Diabetes mellitus - Vaginal douching - Prolonged use of antibiotics

Which actions would the nurse include while examining the external genitalia of a female adolescent patient? Select all that apply.

- Do the examination of the patient without the mother in the room. - Determine the patient's growth rate and the menstrual history. - Use the sexual maturity charts to teach about developmental changes.

Which findings obtained during the assessment of a newborn female require further evaluation? Select all that apply.

- Large clitoris - Fusion of the labia - Ambiguous genitalia

Which are the risk factors for endometrial cancer? Select all that apply.

- Obesity - Unopposed estrogen therapy

Which procedures would the nurse include when doing a vaginal examination? Select all that apply.

- Situate that patient in the lithotomy - Put an examination glove on each of the stirrups - Elevate the end of the examination table near the head

Which is the purpose of elevation the head of the examination table during a pelvic examination? Select all that apply.

- To relax the patient's abdominal muscles - To maintain the patient's eye contact with the examiner - To allow the patient to breathe more easily

Which are examples of external genital abnormalities? Select all that apply.

- Urethritis - Urethral caruncle -Syphilitic chancre

Which assessment finding indicates a normal cervix?

2 to 3 cm in diameter

While examining a female child, the nurse finds an enlarged clitoris and fused labia. Which condition would the nurse document in the child's examination report based on these findings?

Ambiguous genitalia

Which technique is used to detect ovarian cancer at an early stage?

Annual transvaginal ultrasonography

Which finding is indicative of a fishy smell and watery gray drainage in a patient who complains of a profuse vaginal discharge?

Bacterial vaginosis

On reviewing a patient's laboratory reports, the patient screens positive on a Pap test, and the nurse knows this may be an indicator of which disease process?

Cervical cancer

The Pap test is designed to screen for which disease?

Cervical cancer

Which structure is highly sensitive to tactile stimulation?

Clitoris

Which condition is consistent with the patient's report of pain during her menstrual period, a feeling of being bloated, and breast tenderness?

Dysmenorrhea

Which would the nurse infer when the patient reports having pain and a burning sensation during urination?

Dysuria

Which complication would the nurse expect in a patient who reports chronic pelvic pain and irregular uterine bleeding and has an enlarged uterus with small, firm, nodular masses on the posterior part of the fundus?

Endometriosis

Which position would the nurse consider appropriate to examine the genitalia of a toddler?

Frog-leg position

Which abnormality is consistent with pink-colored soft, pointed papules around the anus and vulva?

Genital warts

A patient reports local pain and a burning sensation during urination. Upon examination, the nurse finds that the patient has a fever and clusters of small, shallow erythematous vesicles on the genital areas. Which would the nurse suspect from these findings?

Herpes genitalis

Which condition can be sexually transmitted?

Human papillomavirus (HPV)

For which condition would the nurse screen in a patient with a bluish-colored hymen that is bulging?

Imperforate hymen

Which is a characteristic of the adnexal structures of the uterus?

Includes the fallopian tubes and ovaries

How would the nurse assume an obstetric position for the vaginal examination of a patient?

Index and middle fingers extended, thumb abducted, and fourth and little fingers folded down onto the palm

What statement describes the clitoris?

It is composed of erectile tissue

Which statement describes the clitoris?

It is composed of erectile tissue.

Which finding would the nurse consider abnormal when inspecting the patient's cervix and its opening?

Lateral position of the cervix

Which is the shape of the uterus of a patient who is 24 weeks pregnant?

Oval

A female patient reports having pelvic and abdominal pain, and on reviewing the diagnostic reports, the nurse finds that the patient has a heavy, solid, fixed, and poorly defined mass on the ovary. Which would the nurse infer from these findings?

Ovarian cancer

Where is the urethral meatus located?

Posterior to the clitoris

Which would the nurse infer when doing a genital examination on a patient and finding part of the rectum is covered by the vaginal mucosa and is prolapsed into the vagina?

Rectocele

Which change typically occurs during sexual maturation in females?

Spread of pubic hair onto inner aspects of upper thighs

Which developmental change would the nurse expect to find in a 9-year-old female child?

Thickened mons pubis

Which test would the nurse expect the patient to undergo who has experienced severe lower abdominal pain for the past three months during menses?

Transvaginal ultrasound imaging

Which condition would the nurse suspect in the patient who presents with a malodorous vaginal discharge and noted petechiae of the vaginal wall?

Trichomoniasis

The patient reports a burning sensation during urination, and the nurse observes urethral inflammation and purulent discharge from the urethral meatus, which is consistent with which condition?

Urethritis

The nurse is assessing an older adult female patient who has diabetes mellitus and complains of vaginal itching and suspects she has which condition?

Vaginitis

When is the Pap test performed?

When a patient reaches 21 years of age