HHA PrepU: Chapter 27 Female Genitalia

A woman who has undergone a total hysterectomy asks a nurse about follow-up Pap smears. Which statement by the nurse is correct? -"You should continue to have Pap smears every 3 years." -"If you had 3 or more Pap smears that were normal, you can stop the screening." -"If you are still sexually active, a Pap smear is recommended every 5 years." -"Cervical screening is not necessary once a total hysterectomy is performed."

-"Cervical screening is not necessary once a total hysterectomy is performed." Cervical screening is not necessary once a total hysterectomy (with removal of the cervix) is performed unless the surgery was for cervical cancer. A pap smear is recommended every 3 years for women 21 to 65 years old, regardless of normalcy of previous smears or of sexual activity. Women over the age of 65 who have had adequate prior screening exams and are not otherwise at high risk for cervical cancer may choose to stop cervical cancer screening.

The nurse is performing a genitourinary assessment on a 42-year-old client and has explained to her that the assessment will require rectovaginal palpation. The client winces and asks, "Is that really necessary?" Which of the nurse's responses would provide the best rationale for rectovaginal palpation? -"Unfortunately, this technique is the only way I can determine how strong your pelvic muscles are." -"I know this is probably unpleasant, but it's important for me to determine if your uterus is where it's expected." -"I know that it's an unpleasant procedure, but I can do it at the same time as your Pap smear to make it go faster." -"It's important, but difficult, for me to feel your ovaries; this is one of the only ways of doing so."

-"I know this is probably unpleasant, but it's important for me to determine if your uterus is where it's expected." Rectovaginal palpation is performed to assess a retrodisplaced uterus, in addition to palpating the uterosacral ligaments, cul-de-sac, and adnexa. It is not a technique for assessing pelvic muscle strength or palpating the ovaries, and it could not be performed simultaneously with a Pap smear.

A 29-year-old woman with a longstanding diagnosis of genital herpes has presented to the clinic because of a recent "flare-up." What should the nurse expect during inspection of this recurrence of herpes? -A small, painless ulcer on the client's vulva -A firm, round yellowish nodule in the client's labia -A cauliflower-like lesion on the client's labia -A local patch of small, painful lesions on the client's vulva

-A local patch of small, painful lesions on the client's vulva

While inspecting the labia minora, a nurse notices that they are asymmetric. Which of the following does this finding most likely point to? -Candidal vaginitis -Urinary tract infection -Cervical cancer -Abscess

-Abscess Asymmetric labia may indicate abscess. Urinary frequency, burning, and pain are signs of urinary tract infection. Candidal vaginitis is caused by the overgrowth of yeast in the vagina. It causes a thick, white, cheesy discharge. Cervical cancer may produce lesions.

A female client presents to the clinic with chills and fever for 3 days. She also complains of sores in her genital region. The nurse should prepare to give which instructions to this client? -Condoms should be used while on antibiotics. -Intercourse may be continued if taking birth control pills. -Abstinence should be practiced while sores are weeping. -Follow the directions for use of over the counter antifungal medication.

-Abstinence should be practiced while sores are weeping. The client has complaints consistent with herpes simplex virus type 2. Viral cultures are obtained from freshly incised vesicles, because the virus is spread by direct contact. Abstinence should be recommended anytime there is an outbreak, especially weeping sores. Antiviral medication, not antibiotics or antifungals, would be prescribed for this condition which is viral. Birth control pills do not provide protection against sexually transmitted infections, such as herpes simplex type 2.

The nurse is taking a sexual history on a new patient. What action is considered appropriate at this time? (Select all that apply.) -Explain to the patient what is considered to be normal sexual behavior -Affirm that your conversation is confidential -Note that you realize this information is highly personal -Explain why you are taking the sexual history -Relate that you gather this history on only high-risk patients

-Affirm that your conversation is confidential -Note that you realize this information is highly personal -Explain why you are taking the sexual history Tips for taking the sexual history: explain why you are taking the sexual history; note that you realize this information is highly personal, and encourage the patient to be open and direct; relate that you gather this history on all your patients; affirm that your conversation is confidential.

A 27-year-old female client complains of amenorrhea and severe right-sided pelvic pain. What is the nurse's priority action? -Collect a stool specimen. -Assess the client's vital signs. -Inquire if client has multiple sexual partners. -Palpate for liver enlargement.

-Assess the client's vital signs. An ectopic pregnancy is an urgent situation; suspect this condition if a normally menstruating female has had amenorrhea for a period of 5 to 6 weeks. A ruptured ectopic pregnancy can result in internal bleeding, so the vital signs should be assessed immediately. The nurse will need to collect a urine, not stool, specimen to perform a pregnancy test. The client may be suffering from a sexually transmitted infection; however vital signs are the most important data to collect first to assess for internal hemorrhaging. The client's symptoms are most consistent with ectopic pregnancy, not liver enlargement.

A client is explaining to the nurse how vaginal dryness has decreased her enjoyment of sexual intercourse. The nurse is aware that which of the following are the glands that produce mucus that lubricates the vagina during intercourse? -Cowper's glands -Sebaceous glands -Eccrine glands -Bartholin's glands

-Bartholin's glands Bartholin's glands in the vaginal orifice secrete mucus, which lubricates the area during sexual intercourse. Cowper's glands are located at the base of the penis in the male and secrete a fluid that helps to lubricate the urethra for sperm to pass through. Sebaceous glands are oil glands in the skin that secrete sebum. Eccrine glands secrete sweat.

Which type of yeast infection is manifested by white, cottage cheese-like discharge? -Cevicitis -Candidiasis -Bacterial vaginosis -Trichomoniasis

-Candidiasis The discharge of candidiasis may be watery, or thick but has a white, cottage cheese-like appearance. The other disorders do not have a cheese-like appearance.

The nurse is separating the labia of a female patient during a reproductive physical examination. The structures that the nurse will inspect include: (Select all that apply.) -Clitoris -Urethral meatus -Rectal opening -Vaginal opening -Labia minora

-Clitoris -Urethral meatus -Vaginal opening -Labia minora

A Nurse Practitioner is examining a patient who presented at the free clinic with vulvar pruritus. Which assessment factor would the practitioner look for that may indicate that the patient has an infection caused by Candida albicans? -Cottage cheese-like discharge -Yellow-green discharge -Gray-white discharge -Discharge with a fishy odor

-Cottage cheese-like discharge The symptoms of C. albicans include itching and a scant white discharge that has the consistency of cottage cheese. Yellow-green discharge is a sign of Trichomonas vaginalis. Gray-white discharge and a fishy odor are signs of Gardnerella vaginalis.

A nurse is teaching a sex education class at the local university. In a prelecture quiz, the nurse asks what the two small folds that extend from the clitoral hood to the posterior fourchette of the vagina are called. What would be the correct answer? -Labia minora -Labia majora -Posterior fourchette -Vestibule

-Labia minora The ventral surface of the glans is known as the frenulum and is where the labia minora, two small folds that extend from clitoral hood to the posterior fourchette of the vagina, fuse. The labia majora is the set of folds that extend from the mons pubis to the perineum. The posterior fourchette is the fold of skin on the posterior side of the vagina, toward the anus. The vestibule is the area containing both the uretheral and vaginal openings, protected by the labia minora.

What is a lay term for the spontaneous loss of pregnancy? -Missed abortion -Missed pregnancy -Abortion -Miscarriage

-Miscarriage

A nurse observes a few small, yellow nodules on the cervix of a client during the speculum exam. They are not painful or odorous, and a thin, clear discharge is present. The nurse recognizes that these are most indicative of what type of condition? -Nabothian cysts -Chlamydia infection -Cervical eversion -Columnar epithelium

-Nabothian cysts Nabothian cysts are normal findings on the cervix after childbirth. They are small retention cysts, yellow, translucent, odorless, nonirritating, with clear to cloudy, thin to thick discharge. Chlamydia infection causes a mucopurulent, yellowish discharge that is irritating to the cervix and may cause bleeding and redness of the cervical opening. Cervical eversion is a normal finding after childbirth. The columnar epithelium from within the cervical canal is everted and appears as a deep red, rough ring round the cervical os, surrounded by the normal pink color of the cervix.

A nurse practitioner documents as follows: "Client reports pain and tenderness over area of right ovary and a history of irregular menses." With which of the following diagnoses are these findings consistent? -Ovarian cyst -Salpingitis -Pelvic inflammatory disease -Ovarian cancer

-Ovarian cyst With an ovarian cyst, there may be pain, tenderness over the ovary, irregular menses, and intraperitoneal bleeding if it ruptures. A solid ovarian mass raises the possibility of ovarian cancer, which is the second most frequent reproductive cancer. Salpingitis and pelvic inflammatory disease are different names for the same condition, which does not manifest with the documented findings.

When doing a bimanual examination of the ovaries, the nurse practitioner palpates quickly and gently. Why should this part of the examination be brief? -If palpated, ovaries feel like a large walnut -Ovaries have no feeling -Ovaries are similar to gonads in their sensitivity -The ovary can never be felt

-Ovaries are similar to gonads in their sensitivity The ovaries are similar to gonads in their sensitivity, and so palpation is done quickly and gently to avoid discomfort. The ovary is often not felt, especially in older menopausal women, but it can sometimes be palpated. In such cases, it should feel like a small almond.

The nurse is present during a pelvic examination of an adolescent female client. Which action should the nurse prepare for first? -Pap smear specimen collection -Chlamydia culture specimen collection -Gonnorrhea culture specimen collection -Apply spray fixative on specimen slides

-Pap smear specimen collection Collection of cells from the endocervix or cervix may cause some spotting or bleeding; this can occur with a Pap or with an STI screening. It is important to do the Pap smear first so that bleeding is minimal on the cytology specimen. The cultures for chlamydia (CT) and gonorrhea (GC) are done after the Pap smear. Spray fixative is applied after a specimen is collected and applied to a slide.

During a comprehensive assessment, a female client complains of intense external genital itching. The nurse should carefully assess for which condition that commonly presents with this symptom? -Nabothian cysts -Genital fissures -Enlarged inguinal lymph nodes -Pediculosis pubis

-Pediculosis pubis Pediculosis pubis (crab lice) commonly presents with itching. Nabothian cysts, genital fissures, and enlarged lymph nodes do not commonly present with intense itching.

Which of the following is the most important risk factor for cervical cancer? -Immunosuppressive illnesses -Failure to seek Pap smear screening -Persistent HPV infections -Poor nutrition and smoking during adolescence

-Persistent HPV infections High-risk strains of HPV constitute the most significant risk factor for cervical cancer. Immunosuppressive illnesses, poor nutrition, and smoking are not noted risk factors. Failure to seek screening is a risk factor, but of less significance than HPV infection.

A 35-year-old woman visits her family doctor and reports mood swings, swelling of her breasts, acne, bloating, and weight gain every month, starting about 2 weeks prior to her period. What disorder is this patient describing? -Premenstrual syndrome (PMS) -Dysmenorrhea -Premenstrual dysphoric disorder (PMDD) -Ectopic pregnancy

-Premenstrual syndrome (PMS) Premenstrual syndrome is the emotional and physical symptoms that occur at the same time before menses each month.

The nurse is reviewing the functions of the ovaries, uterus, clitoris and vagina with a group of nursing students. Based on this information, what would be the best response by a nursing student about the function of the ovaries? -Produces female gametes (ova) and secretes female sex hormones. -Receives the fertilized ovum and provides housing and nourishment for a fetus. -Receives sperm, provides an exit for menstrual flow and serves as the birth canal. -Small erectile structure that responds to sexual stimulation.

-Produces female gametes (ova) and secretes female sex hormones. The ovaries functions to produce female gametes or ova and secretes female sex hormones. The uterus functions to receive the fertilized ovum and provides housing and nourishment for a fetus. The vagina functions to receive sperm provide an exit for menstrual flow and serve as the birth canal. The clitoris is a small erectile structure that responds to sexual stimulation.

The nurse is reviewing the functions of the ovaries, uterus, clitoris and vagina with a group of high school students. Based on this information, what would be the best response by a high school student about the function of the vagina? -Produces female gametes or ova and secretes female sex hormones. -Receives the fertilized ovum and provides housing and nourishment for a fetus. -Receives sperm, provides an exit for menstrual flow and serves as the birth canal. -Small erectile structure that responds to sexual stimulation.

-Receives sperm, provides an exit for menstrual flow and serves as the birth canal. The ovaries function to produce female gametes or ova and secrete female sex hormones. The uterus functions to receive the fertilized ovum and provides housing and nourishment for a fetus. The vagina functions to receive sperm provide an exit for menstrual flow and serve as the birth canal. The clitoris is a small erectile structure that responds to sexual stimulation.

The nurse is reviewing the functions of the ovaries, uterus, clitoris and vagina with a group of nursing students. Based on this information, what would be the best response by a nursing student about the function of the uterus? -Produces female gametes or ova and secretes female sex hormones. -Receives the fertilized ovum and provides housing and nourishment for a fetus. -Receives sperm, provides an exit for menstrual flow and serves as the birth canal. -Small erectile structure that responds to sexual stimulation.

-Receives the fertilized ovum and provides housing and nourishment for a fetus. The ovaries function to produce female gametes or ova and secrete female sex hormones. The uterus functions to receive the fertilized ovum and provides housing and nourishment for a fetus. The vagina functions to receive sperm provide an exit for menstrual flow and serve as the birth canal. The clitoris is a small erectile structure that responds to sexual stimulation.

Which finding in a female client's history would alert the nurse to assess for signs of diabetes mellitus? -Vaginal secretions with a fishy odor -Purulent vaginal discharge and pain -Vaginal bleeding after intercourse -Recurrent candidiasis infections

-Recurrent candidiasis infections A female client with recurrent or chronic candididiasis infections needs assessment of a serum glucose level to rule out diabetes mellitus. A fishy odor to vaginal infections is indicative of bacterial vaginosis. Purulent vaginal discharge and pain is associated with gonorrhea. Client suffering from chlamydia often bleed easily, especially after intercourse.

A nurse inspects the cervix of a 28-year-old, nonpregnant client during a routine assessment. Which coloration of the cervix may indicate inflammation? -Red -Pink -Blue -Pale

-Red Redness of the cervix may indicate inflammation. The surface of the cervix is normally smooth, pink, and even. In a nonpregnant client, a bluish cervix may indicate cyanosis. In pregnant clients, the cervix appears blue; this is also referred to as Chadwick's sign. In a nonmenopausal client, a pale cervix may indicate anemia; in older clients the cervix may appear pale after menopause.

When examining the uterus, a nurse finds that the cervix and the body of the uterus are tilted backward. How should the nurse document this uterine finding? -Anteflexed -Retroflexed -Anteverted -Retroverted

-Retroverted Retroverted uterus is a normal variation that consists of the cervix and body of the uterus tilting backward. Anteflexed uterus is a normal variation that consists of the uterine body flexed anteriorly in relation to the cervix. Retroflexed uterus is a normal variation that consists of the uterine body being flexed posteriorly in relation to the cervix. Anteverted uterus is the most typical position of the uterus; wherein the cervix is pointed posteriorly, and the body of the uterus is at the level of the pubis over the bladder.

A 41-year-old woman is considering the use of hormonal contraceptives. What is contraindicated in this client? -Smoking -Alcohol -Operating heavy machinery -Driving

-Smoking Tobacco is contraindicated for any patient 40 years or older who uses hormonal contraceptives. The combination of tobacco and hormonal contraceptives increases the risks for vascular problems and cardiovascular incidents. There would be no contraindications with alcohol, driving, or operating heavy machinery.

A client reports the new onset of mucus in the stool. How should the nurse document this in the client's history? -Steatorrhea -Diarrhea -Change in bowel habits -Fecal incontinence

-Steatorrhea The proper term for mucus in the stool is steatorrhea, which indicates the presence of excessive fat in the stool. Diarrhea is an increase in the frequency of loose stool. Change in bowel habits is not specific to the problem that the client reported. Fecal incontinence is the inappropriate release or inability to control the bowels.

Which of the following positions is utilized for a pelvic examination? -Supine lithotomy -Side-lying -Trendenlenburg -Semi-Folwer's

-Supine lithotomy The supine lithotomy position is utilized for a pelvic examination. The upright lithotomy position may also be used.

During a physical examination of a female patient's reproductive system, the nurse detects a thick white discharge from the labia. The patient's vulva appears inflamed. How should the nurse document this finding? -Symptoms of trichomonal vaginitis -Symptoms of candidal vaginitis -Symptoms of bacterial vaginosis -Symptoms of primary syphilis

-Symptoms of candidal vaginitis Symptoms of candidal vaginitis include a thick white discharge from the labia with possible inflammation of the vulva. The discharge of trichomonas is yellowish green or gray. The discharge of bacterial vaginosis is gray or white and thin. Primary syphilis does not have an associated labial discharge.

A patient calls the clinic and tells the nurse they have a white, curd-like discharge from the vagina. The patient asks the nurse what the significance of this discharge is. What should the nurse responds? -Drainage is physiologic and normal. -The patient may have a Candida species infection. -Drainage is caused by vaginal dryness. -The patient may have Chlamydia.

-The patient may have a Candida species infection. Mucus or white discharge from the vagina is physiologic and normal. Drainage caused by Candida is curd-like and white, while infection with Trichomonas is often frothy/yellow green in color. Vaginal dryness causes scant and mucoid drainage that may be blood-tinged.

A female patient with HIV has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this patient? -This condition puts her at a higher risk for cervical cancer; therefore, she should have a Panpanicolaou (Pap) test annually. -The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days. -The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse. -The human papillomavirus (HPV), which causes condylomata acuminata, can't be transmitted during oral sex.

-This condition puts her at a higher risk for cervical cancer; therefore, she should have a Panpanicolaou (Pap) test annually. HIV-positive women have a higher rate of HPV. Infections with HPV and HIV together increase the risk of malignant transformation and cervical cancer. Thus, women with HIV infection should have frequent Pap smears. Because condylomata acuminata is a virus, there's no permanent cure. Because condylomata acuminata can occur on the vulva, a condom won't protect sexual partners. HPV can be transmitted to other parts of the body, such as the mouth, oropharynx, and larynx.

When the female patient reports a frothy yellow-green or brown vaginal discharge, the nurse suspects the patient has a vaginal infection caused by which of the following? -Candida albicans -Gardnerella vaginalis -Chlamydia -Trichomonas vaginalis

-Trichomonas vaginalis Trichomonas vaginalis causes a frothy yellow-green or yellow-brown vaginal discharge. Candidiasis causes a white, cheeselike discharge clinging to the vaginal epithelium. Gardnerella vaginalis causes a gray-white to yellow-white discharge clinging to the external vulva and vaginal walls. Chlamydia causes a profuse purulent discharge.

In the female client, the tube of muscular tissue that extends from the vaginal introitus to the uterus is called what? -Vagina -Clitoris -Vesicovaginal septum -Mons pubis

-Vagina The vagina is a tube of muscular tissue that extends from the vaginal introitus to the uterus. The clitoris is the organ of sexual excitement in the female. The mons pubis and vesicovaginal septum are other female genital organs and serve as distractors for this question.

The nurse is caring for a 17-year-old girl who is 16 weeks pregnant. The patient's history shows infection with multiple STIs. What should the nurse do? -Give the patient information about contraception. -Verify that the baby's father does not have an STI at the current time. -Ask the patient what she plans to do about her pregnancy. -Verify that prior STIs were treated according to protocol.

-Verify that prior STIs were treated according to protocol. Screening, treating, and counseling of and about chlamydia and gonorrhea are currently recommended for all sexually active adolescents.

Which client should the nurse assess for possible primary amenorrhea? -an 18-year-old who has never started menses -a 35-year-old reporting irritability and anxiety beginning 3 days before menses -a breastfeeding 27-year-old who has not resumed menses -a 49-year-old reporting having no menses for the last 8 months

-an 18-year-old who has never started menses Failure of periods to initiate is called primary amenorrhea whereas the cessation of periods after they have been established is termed secondary amenorrhea. Pregnancy, lactation, and menopause are physiologic causes of secondary amenorrhea. Irritability and anxiety associated with menses may indicate premenstrual syndrome.

The nurse should use the term menorrhagia to describe which menses-related occurrence? -intervals of fewer than 21 days between menses -an excessive flow during menses -bleeding that occurs after vaginal sex -a light menses flow

-an excessive flow during menses Menorrhagia is the term used to describe an excessive flow during menses. Polymenorrhea occurs when the interval between menses is less than 21 days. Postcoital bleeding occurs after vaginal sex, and oligomenorrhea refers to a light menses flow.

The nurse is planning to inspect the anal area of an adult female client. To assess for any bulges or lesions, the nurse should ask the client to -hold her breath. -breathe deeply through her mouth. -breathe normally. -bear down.

-bear down. Ask the client to bear down to promote relaxation of the sphincter and insert your index finger into the vaginal orifice and your middle finger into the rectum. While pushing down on the abdominal wall with your other hand, palpate the internal reproductive structures through the anterior rectal wall.

A client visits the clinic and tells the nurse that her stools have been pale for the past 2 days and her skin has been itching. The nurse should refer the client to a physician for possible -biliary disease. -cancer. -gastrointestinal infection. -hemorrhoids.

-biliary disease. Gray or tan stool results from the lack of bile pigment

The nurse notes a white curd-like discharge when inspecting a female client's labia. What should the nurse suspect this client is experiencing? -candida vaginitis -bacterial overgrowth -trichomonas vaginalis -human papilloma infection

-candida vaginitis Candida vaginitis is characterized by a white curd-like discharge. Bacteria overgrowth is characterized by a thin, gray or white film that coats the vaginal walls. Trichomonas vaginalis is characterized by a yellowish green or gray, possibly frothy discharge. The presence of vaginal warts would suggest the presence of a human papilloma infection.

An older adult client visits the clinic complaining of urinary incontinence. The nurse should explain to the client that this is often due to -decreased urethral elasticity. -atrophy of the vaginal mucosa. -change in the vaginal pH. -decreased estrogen production.

-decreased urethral elasticity. Urinary incontinence may develop in older women from muscle weakness or loss of urethral elasticity.

A client is scheduled for a routine pelvic examination. What should the nurse do to prepare the client for this examination? -rinses the speculum in cool water -complete a bimanual examination -assists the client into the side-lying position -drapes the client from the mid-abdomen to the knees

-drapes the client from the mid-abdomen to the knees When preparing a client for a pelvic examination a drape should be provided that covers from the mid-abdomen to the knees. The speculum should be rinsed with warm water. The examiner will complete the bimanual examination after the speculum is removed. The client should be in the lithotomy position for the examination.

A client visits the clinic because she has missed one period and suspects she is pregnant. While assessing the client, the nurse detects a solid, mobile, tender, unilateral adnexal mass. The client's cervix is soft. The nurse suspects that the client may be experiencing -normal pregnancy. -endometriosis. -pelvic inflammatory disease. -ectopic pregnancy.

-ectopic pregnancy. Ectopic pregnancy occurs when a fertilized egg attaches to the fallopian tube and begins developing instead of continuing its journey to the uterus for development. A solid, mobile, tender, and unilateral adnexal mass may be palpated if tenderness allows.

The outer layer of the vaginal wall is under the direct influence of -androgen. -progesterone. -aldosterone. -estrogen.

-estrogen.

The outer layer of the vaginal wall is under the direct influence of -androgen. -progesterone. -aldosterone. -estrogen.

-estrogen. The outer layer is under the direct influence of the hormone estrogen and contains many mucus-producing cells.

While performing a gynecologic examination, the nurse observes small, painful, ulcer-like lesions with red bases on the client's labia. The nurse should refer the client to a physician for possible -herpes simplex virus infection. -syphilis. -lice. -herpes zoster virus infection.

-herpes simplex virus infection. Small, painful, red-based, ulcer-like lesions are consistent with herpes simplex virus, type 2.

During assessment of the vaginal area of an adult client, the client tells the nurse that she has had pain in her vaginal area. The nurse should further assess the client for -trauma. -cancer. -pregnancy. -infection.

-infection. Complaints of pain in the area of the vulva, vagina, uterus, cervix, or ovaries may indicate infection.

What information should a nurse give a client who reports a routine of frequent douching? -contaminates the vagina and the urethra -May cause toxic shock syndrome -predisposes the vagina to yeast infections -Can cause abrasion that bleeds easily

-predisposes the vagina to yeast infections The nurse should inform the client that frequent douching changes the natural flora of the vagina, predisposing the vagina to yeast infections. It does not contaminate the vagina and urethra, cause toxic shock syndrome, or cause abrasions that bleed easily. Wiping the perineal area from back to front can contaminate the vaginal and urethral openings. Toxic shock syndrome is a life-threatening infection that can be prevented by frequently changing tampons. Atrophic vaginitis causes itching, burning, dryness, and painful urination.

While examining the perineum of a female patient, the nurse notes an enlarged knot to the right side just below the vaginal opening. The nurse will most likely note this as an enlarged Bartholin gland. True False

True